HomeMy WebLinkAboutSTORM SHUTTER PERMITr
�� Age,�` '�-A,fin` St. Lucie County 6UA1''lllk:U
i4 Building & Zoning Department BY
2300 Virginia Avenue St. L�PIP f.nl➢�b
Lr„,-�.r+A,;; Fort Pierce, FL 34982
772-462-1553'
APPLICATION FOR STORM SHUTTER PERMIT
SEE REVERSE SIDE tFOOR INSTRUCTIONS
1. LOCATIONISITEADDRESS: 00q F4, 1'vA A ` le. 1
9Ia�F-34% H42-7
2. PARCEL ID NUMBER: 13o) — too kI" b 1 10— 110 0--- 1-
3.
DESCRI
4. TYPE OF STRUCTURE. SFR "
5. OWNERS INFORMATION
Name: / . Al GA1Z
Address: ' i% �(,%1AJ RL7-01J
City: Stale: (�,
Phone: 7i -L s� Zip' _ ? q IG r
7 z 7-t6 6169 G
Type of Su ace attacment: Wood Frame je!!� Concrete
6. CONTRACTORS INFORMATION
FL REGICERT #:
COUNTY CERT#:
Business Name: (g/lAAIA-C4A-5'fZGC'T1t4 0,4,4 .1A6,
_ 2 77- 5W 72-Yo
czv� Sz8 3sSZ
Masonry Other
Product
Minimum Design Pressure
Product Compliance
Report #
Method of Attachment
As per 1707.4.4.1 FBC
Type
120 mph
30 mph
140 mph
140 Exp. C
SBCCI
Dade
I Other
Anchor Type
Anchor Spacing
Impact Glazing
Removable Panels
Accordion
.Roll U
Colonials
Other
ALL PRODUCTS SHALL BE LABLED SBCCI OR DADE COUNTY FOR DETERMINING IMPACT RESISTANCE FROM
WIND BORNE DEBRIS. **SEE FINAL INSPECTION PROCEDURE FOR EXISTING RESIDENTIAL STRUCTURES ON BACK
7. . VALUE OF CONSTRUCTION: $ ZI 37. `N
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work wilLbe d ne in
compliance with all applicable laws regulating construction and zoning
(Q?-6Cr oa o1e oC,>gte e I .
PRINT QUALIFIERSIOW NERS NAME IGNATURE OF QUALIFIERIOWNER
STATE OF FLORIDA, COUNTY OFF O 7.
/����/ �
ACKNOWLEDGED BEFORE ME THIS ��DAY OF :Y u l/I,..� , 20 j�
0, WHO IS PERSONA - OWN TO E , OR
iSj:Lei: y"9101100 ]
"NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
UMHREY
�•Dn D63a047
leh 6,2011
6r, Undervrtners