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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 93L10 Giron id Oak— f/e, - Legal Description: jakdh ( 0 Qa i _ C<_ hile.s LL) f 3e Property Tax ID #: 3L i k — 7 ( n •— QQ( -k` — n -1 j Lot No._ Site Plan Name: Block No. Project Name: Setbacks Front Back: ce Ou'a 6) UJ I V1 J 0 L,%� �� Right Side: Left Side: MUU1UU11a1WUrK to oe errormeo unser anis perms — cnecK aii apply: HVAC _Gas Tank []Gas Piping _Shutters �✓ Windows/Doors Electric 0 Plumbing Sprinklers Generator ❑ Roof Total Sq. Ft of Construction: S Ft. of First Floor: uJ Cost of Construction: $ !S-3 8� ' Utilities: _Sewer 0 Septic Building Height: _ Name Ll y, 11 -+- (cl i,✓1Vl Lrdja I Name: Michael ODonnell Address: 930(3 G i'Q. 0Cck A11 City:: Ple? tc e— State: Zip Code: a'AA'31 Fax: Phone No. T 7 0 - 3 7D - 9,0j& 64 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Company: ODonnell Impact Windows Address: 6402 SE Federal Hwy City: Stuart Zip Code:Fax: 34997 Phone No. 772-408-0200 E -Mail: rcodonnell311@gmail.com State or County License: CRC1331273 If value of construction is $2500 or more. a RECORDED Notice of Commencement is renuirori State: FL NGINEER: — Not Appli Name: Address: Citv`: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv- Zip: Phone: _ State — Not Applicable MORTGAGE COMPANY: Name: Address: Citv: Zip: Phone: _ Not Applicable State: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules; bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. s _ Signature of Owner/ Lessee/Agent Sig—nature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ✓fin COUNTY OF[ir +1 n The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _9 day ofNr [ e w h r , 20 (1Lby this LP day of �( ( P pY) kj.AI- , 201 b by Mi chad Ndoodl (Name ofperson acknowledging) (Name of person ackno�rledging ) (Signature of Notary-Puubblic- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known " OR Produced Identification Personally Known _L,,�' OR Produced Identification Type of Identification Pr dup'd; - Type of Identification Produced GALE FULLER �oAY PUS:, Commission No. °;N _ _', MYNtSSION #FF064558 Commission No. `.�' (SeaIPALE FULLER ;FpoP:' EXPIRES October 20, 2017 MY COMMISSION #FF06. 1107�398.0153 P '= pQ :` 1071398-0153 FlOtidallotaryService.cort Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 6402 SE Fcdcral Highway, Stuart, FL 34997 Ph: 772 408-0200 Fax: 8888330167 Item No. 1 Qty: 1 Model: 8100 -SH Color: WHITE Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHITE FRAME, 18 x16 Screen LOW E 366, Insulated STANDARD GRIDS, SCREEN AAMA Std. Gold Labeling FPA #16177.1, WHITE, [No Sill Anchors this SH -8100] DOES NOT MEET EGRESS, ID: 1 Item No. 2 Qty: 1 Model: 8100 -SH Color: WHITE Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHITE FRAME, 18x16 Screen LOW E 366, Insulated STANDARD GRIDS, SCREEN AAMA Std. Gold Labeling FPA #16177.1, WHITE, [No Sill Anchors this SH -8100] DOES NOT MEET EGRESS, ID: 2 Item No. 3 Qty: 1 Model: 8100 -SH -SH CONTINUOUS Color: WHITE Desc: 8100 FRAME CONTINUOUS HEAD/SILL SH -SH DP:+67.50/-70, FPA#5823.2, [FLANGE], IMPACT, WHITE FRAME, 3" FLAT MULL, 18 x16 Screen LOW E 366, Insulated DOES NOT MEET EGRESS, STANDARD GRIDS, SCREEN HVHZ Std. Gold Labeling WHITE, ID: 3,4 Order Dimensions DLO: 35 1/2 x 49 TIP: 36 3/4 x 50 1/4 SCREEN: 18 X 16 . zed Dimensions DLO: 34 1/2 x 58 1/2 TIP: 35 3/4 x 59 3/4 SCREEN: 18 X 16 Dimensions DLO: 58 1/4 x 58 1/2 TIP: 591/2 x 59 3/4 SCREEN: 18 X 16 Cust PO#: Craig 12/6/16 12:24:43PM Page 1 of 3 6402 SE Federal Highway, Stuart, FL 34997 Ph: 772 408-0200 Fax: 8988330167 Item No. 4 Qty: 1 Model: 8100 -SH Color: WHITE Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHI FE FRAME, 18 x16 Dimena•:;ons Screen LOW E 366, Insulated 112 STANDARD GRIDS, SCREEN DLO: 34 1/4 x 58 TIP: 35 1/2 x 59 3/4/4 AAMA Std. Gold Labeling SCREEN: 18 X 16 FPA #16177.1, WHITE, [No Sill Anchors this SH -8100] DOES NOT MEET EGRESS, ID: 5 Item No. 5 Qty: 1 Model: 8100 -SH Color: WHITE Desc: 8100 SINGLE HUNG DP:+70/-70, CUSTOM GRILL LOCATIONS -SEE Dimensions VARIABLES, [FLANGE], IMPACT, WHITE FRAME, 18 x16 Screen LOW E 366, Insulated CUSTOM GRIDS AS SHOWN, SCREEN TIP: 25 x 25 DLO: 23 25 x 23 3/4 AAMA Std. Gold Labeling SCREEN: 18 X 16 2 WIDE FPA #16177.1, WHITE, [No Sill Anchors this SH -8100] DOES NOT MEET EGRESS, ID: 6' Item No. 6 Qty: 1 Model: 8100 -SH Color: WHITE Desc: 8100 SINGLE HUNG DP:+70/-70, CUSTOM GRILL LOCATIONS -SEE Dimensions VARIABLES, [FLANGE], IMPACT, WHITE FRAME, 18 x16 Screen LOW E 366, Insulated CUSTOM GRIDS AS SHOWN, SCREEN TIP: 25 x 25 DLO: 23 25 x 23 3/4 AAMA Std. Gold Labeling SCREEN: 18 X 16 2 WIDE FPA #16177.1, WHITE, [No Sill Anchors this SH -8100] - DOES NOT MEET EGRESS, ID: 7 ,.fP Cust PO#: Craig 12/6/16 12:24:43PM Page 2 of 3 Florida Building Code Online Page 1 of 3 RegulationProfessional SCIS Home I Log In i User Registration Hot Topic ; Submit Surcharge Stats & Facts Publications FBC Staff SCIS Site Map Links i Searchs Product Approval USER: Public User Product Approval Menu > Product or Aoolication Search > Aoolication List > Application Detail FL # FL5823-R7 Application Type Revision Code Version 2014 Application Status Approved Comments Jay Lathrop Archived 1900 SW 44th Ave. Product Manufacturer Custom Window Systems Inc. Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 255 Categoryindows sbrooks@cws.cc Authorized Signature Stephen Brooks sbrooks@cws.cc Technical Representative Erin Koss Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext 291 ekoss@cws.cc Quality Assurance Representative Jay Lathrop Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext 291 jlathrop@cws.cc Categoryindows Subcategory ingle Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Lucas A. Turner the Evaluation Report Florida License PE -58201 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. Urich, PE 6d Validation Checklist - Hardcopy Received Certificate of Independence FL5823 R7 COI EvalRep CWS -155C (SH -8100 Imoact) odf Referenced Standard and Year (of Standard) Standard Year AAMA/WDMA/CSA/101/I.S.2/A440-05 2005 ASTM E1300-04 2004 ASTM E1886-02 2002 ASTM E1886-05 2005 ASTM E1996-02 2002 ASTM E1996-05 2005 PA/TAS 201/202/203 1994 http://www.floridabuilding.org/prlpr_app_dti.aspx?param=wGEVXQwtDgvMdF6zR4iHL... 9/12/2016 Florida Building Code Online Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/16/2015 Date Validated 12/16/2015 Date Pending FBC Approval 12/21/2015 Date Approved 02/10/2016 FL # Model, Number or Name Description 5823.1 8100 Vinyl Single Hung 8100 Vinyl Single Hung (Impact) Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: N/A Other: Large Missile, see installation dwgs. for Max, size and OR Outer lite in I.G. must be safety glazed when used above 30 ft. in HVHZ. Glass complies to ASTM E1300-04. Page 2 of 3 Installation Instructions FL5823 R7 II CWS -155C (SH -8100 Impact) Ddf Verified By: Lucas A. Turner 58201 Created by Independent Third Party: Yes Evaluation Reports FL5823 R7 AE DuPont PVB NOA 13-0129 27.odf FL5823 R7 AE EvaiReD CWS -155C (SH -8100 Impact) Ddf FL5823 R7 AE Ouanex (Mikron) NOA 12-1017 02,odf Created by Independent Third Party: Yes 5823.2 SH -8100 Cont. Hd. & Sill SH -8100 Cont. Hd. & Sill (double Single Hung), Impact, 74 1/8" x 63". Limits of Use Installation Instructions Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: N/A FL5823 R7 1I CWS -440B (SH -8100. IMP, 74x63. CONTHDSL),Ddf Verified By: Lucas A. Turner 58201 Created by Independent Third Party: Yes Other: Max. unit size 72-7/8" x 61-3/4". Outer lite in I.G. Evaluation Reports must be safety glazed when used above 30 ft. in HVHZ. Glass complies to ASTM E1300-04. FL5823 R7 AE DuPont PVB NOA 13-0129 27.pdf FL5823 R7 AE EvalRep CWS -440B (SH -8100 IMP 74x63, CONTHDSL).odf FL5823 R7 AE DuPont PVB NOA 13-0129 27.Ddf FL5823 R7 AE EvalRep CWS -4918 (SH -8100 IMP 74x72 FL5823 R7 AE Quanex (Mikron) N0q_12-1017 02.Ddf Created by Independent Third Party: Yes 5823.3 SH -8100 Cont. Hd. & Sill SH -8100 Cont. Hd. & Sill (double SIngle Hung), Impact, 74 1/8" x 72". Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL5823 R7 II CWS -4918 (SH -8100. IMP. 74x72. CONTHDSLI,,Pdf Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +67.5/-67.5 Verified By: Lucas A. Turner 58201 Created by Independent Third Party: Yes Other: Large Missile, DP = +/- 67.5 psf, Max. size 74-1/8" Evaluation Reports x 72". Outer lite in I.G. must be safety glazed when used FL5823 R7 AE DuPont PVB NOA 13-0129 27.Ddf FL5823 R7 AE EvalRep CWS -4918 (SH -8100 IMP 74x72 above 30 ft. In HVHZ. Glass complies to ASTM E1300-04. CONTHDSI..).Ddf FL5823 R7 AE Quanex (Mikron) NOA 12-1017 02 pdf Created by Independent Third Party: Yes 5823.4 SH -8100 Vinyl Single Hung Oriel SH -8100 Vinyl Single Hung Oriel Window w. HD FMR, 5 HI sash. Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL5823 R7 11 CWS -295D (511-8100. IMP. 52x96).ydf Verified By: Lucas A. Turner 58201 Created by Independent Third Party: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +70/-70 Evaluation Reports Other: Large Missile, 52" x 96" w/ 5 HI sash, +/- 70 psf. Fl 5823 R7 AE EValReD CWS 295D (SH -8100. IMP. 52x96).pdf FLANGE ONLY. Outer lite in I.G. must be safety glazed when used above 30 ft. in HVHZ. Glass complies to ASTM E1300- FL5823 R7 AE Kurarav PVB NOA 14-0916 10 Ddf FL5823 R7 AE Kurarav SGP NOA 14-0916 11.Qdf 04. 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Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 ekoss@cws.cc Authorized Signature Koss Erin ekoss@cws.cc Technical Representative Erin Koss Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352)368-6922 Ext 291 ekoss@cws.cc Quality Assurance Representative Jay Lathrop Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext 291 jlathrop@cws.cc Category Windows i Subcategory ," Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ® Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Lucas A. Turner PE -58201 Keystone Certifications, Inc. 07/21/2020 Steven M. Urich, PE 9 Validation Checklist - Hardcopy Received FL16177 R1 COI EvaIReD CWS -8128 (SH -8100, IMP, NoSiilAnch).Ddf Standard Year AAMA/ W DMA/CSA/ 101/I. S.2/A440-08 2008 ASTM E1300-04 2004 ASTM E1886-05 2005 ASTM E1996-09 2009 PA TAS 201/202/203 1994 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvyf4ngAXh l 0y... 8/13/2015 Florida Building Code Online C Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Method 1 Option D 04/14/2015 04/21/2015 04/25/2015 06/22/2015 Page 2 of 2 L # Model, Number or Name Description 16177.1 IjSH-8100 PVC Single Hung SH -8100 PVC Single Hung Impact Resistant window. se Installation Instructions Approved for use in HVHZ: Yes FL16177 R1 II CWS -812B (SH -8100. IMP. NoSillAnch).Ddf Verified By: Lucas A. Turner 58201 Approved for use outside HVHZ: Yes Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: +70/-70 Evaluation Reports Other: SH -8100 PVC Impact, no sill anchors required. FL16177 R1 AE DuPont PVB NOA 13-0129 27.Ddf FL16177 R1 AE EvalReD CWS -812B (SH -8100, IMP, Safety glazing required on outer lite above 30 ft. in HVHZ. NOSiilAnch).udf Glass complies to ASTM E1300-04. FL16177 R1 AE Ouanex (Mikron) NOA 12-1017 02.ud_f Created by Independent Third Party: Yes Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. -Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: ,e; ® et Irr}, Es http://www.floridabuilding.org/prlpr_app_dtl.aspx?param=wGE VXQwtDgvyf4ngAXh 1 Oy... 8/13/2015 -( ti ^ z w W= V ® a0U d W cc u a S SNOTS IAMB 111111 I If Iqf� ,��JaEF. *,�J; slL •4! 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