HomeMy WebLinkAboutAPPLICATION FOR STORM SHUTTER PERMIT1PermitA. der:
St. Lucie County
SCANNED Building & Zoning Department
BY 2300 Virginia Avenue
St. Lucie Count Fort Pierce, FL 34982
Y 772-462-1553
CLx-�REgDY_
APPLICATION FOR STORM SHUTTER PERMIT
SEE REVERSE SIDE FOR INSTRUCTIONS DATE: �Kw. O �J
LOCATION/SITE ADDRESS: 3S80 NOKx� r11A *AoS
2 PARCEL ID NUMBER: J`1013-305'- pOU%— DDD
3. DESCRIPTION OF PROJECT OR WORK ACTIVITY:
=Fk$i14II otJ>= y-e�DiNy �aVTfEtt— �. � 57�Icw /�Aue1S•
4. TYPE OF STRUCTURE: SFR
5. OWNER INFORMATION
Name: la or w� i'E AA A Arrp
Address: 3g8D ✓�.� IioiD3
City: FT' PiPLILct'_ State: I=f
Zip: 3'19.{9Phone: ?7A-y(16
Type of Surface attachment: Wood Frame
ADDITION OTHER PPK)DD
6. CONTRACTOR INFORMATION
FL Reg/Cert #:
County Cert #: a ri8s�_
Business Name: ssi iw=56- 1st
/ WHEMREADY
Concrete Y Masonry _ Other
Product
Type
Maximum Opening Pressure per
A.S.C.E. 7
Product Compliance
Report #
Method of Attachment
As per Product Approval or Engineers
Anal sis
120 mph
130 mph
140 mph
140 Exp. C
FL
N.O.A.
Other
Anchor Type
Anchor Spacing
Removable Panels
_tit.I
moll -RI
wj
G 4 Is -
Accordion ccordion
_ .3
by104t.N
( coi
t, �,�
Roll U
Colonials
Other
ALL rRODUU IS StIALL BE LABELED FOR DETERMINING IMPACT RESISTANCE FROM WIND BORNE DEBRIS.
**SEE FINAL INSPECTION PROCEDURE FOR EXISTING RESIDENTIAL STRUCTURES ON BACK.
7. VALUE OF CONSTRUCTION: s 7 R (, S. FEES DUE:
RECEIPT:
OWNER'S AFFIDAVIT: I certify that all of the information contained in this ap 'cation is correct and that all work will be done in
//""c''ompliancce�with all applicable laws regulating const c on /an/ndd� zoning.
tr4 ����''f.'.t S/iPc� kA I
PRINT QU IFIEII{{$$/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF /X0W
ACKNOWLEDGED BEFORE ME a_ DAY OF/ 2 BY, �rysv �.N1?/r« WHO Is 1��LLY KNOWN TO
OR WHO HAS PRODUCED ENTIFICAT16N. /J p
O MNWl OR PRINT+UM NAME OF NOTARY
TITLE: NOTARY PUBLIC COIv;�1��5 ,,NUMBER
....................D •WADLER
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE 9F COM,� u TMA .F{lt 1Bf'QU LAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCBJG, CONSULT WITH YOUR LENDER,�(J XTD FdkElk .CORDING YOUR NOTICE OF COMMENCEMENT.
Expires 91191Zul c
,-Ad. Nmam Assn., Inc