HomeMy WebLinkAboutBuilding Permit ApplicationALL 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: J L 5 toy
Legal Description: 21 35 `ib ryo'yi 5C- ( cel- c:{ 2 �5 Dfi,J i 2- rf ti,'LL i�y Cf SZ u
cif S�� t iu qtA _n L_ _ d��T 31 O� tit 2 5 sed 4,,9 z 5 - h� '? (-)
Property Tax ID #: -Xia1 - 3.31 - Q�(,� �l- I." -(1O _ 4 Lot No.
Site Plan Name:
Project Name:
Block No.
0—tional work to be performed
orme under this permit - check all appiy:
HVAC I _I Gas Tank
]Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing 11 Sprinklers 0 Generator 11 Roof
Total Sq. Ft of Construction:
y
Cost of Construction: $ 2 I , -7 575
S Ft. of First Floor: _
Utilities:11 Sewer D Septic
Name ,\k r, !11)e -4P ISI
Address: 6o5 n h,I inn hz 1�
City: - . P1f. C- c'( _State:
FL-
ZipCode: 3146('B-2.. Fax:
Phone No. 803-14N1- 01H-1
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael ODonnell
Building Height:
Company: ODonnell Impact Windows
Address: 6402 SE Federal Hwy
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772-408-0200
E -Mail: rcodonnel1311@gmaii.com
State or County License: CRC1331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
_ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
SUPERVISOR
REVIEW
Name:
Address:
SEA TURTLE
REVIEW
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
— Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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.
z' s
_ Signature of Owner/ Lessee/Agent Sig ature of ontractor license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF W (J Ii t) COUNTY OF On (i i fl n
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I_ day of r r ?,(Y7 6,1 / 20 i�by this _� day of i r' W ✓ , 20 Ll by
DDIDnr 1° 11111.61tC l L%)ohe;fl
(Name of_person acknowledging) (Name of person ackn�yvledging )
aw.
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Pr dude ...•., Type of Identification Produced
Commission No. cN MY "MISSION #FF064558 Commission No. tiA ':. (SeaIPALE FULLER
EXPIRES October 20, 2017 ':._. ,\o;, MY COMMfSSfON #FF06
107 � 398-0153 ;re °e;
4 071 398-0153
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
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REVIEW
MANGROVE
REVIEW
DATE
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Impnct 1'Vindaays & $=}sem
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Fort Pierce, FL 34982
Storm Protection
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6402 SE Federal Highway, Stuart, FL 34997
Ph: 772 408-0200 Fax: 8888330167
Order #: 449080
Attention: RACHEL
Order Date: 11/14/2016
Cust PO#: Hill
Ship Date: 12/1/2016
12/6/16 12:25:54PM Page 1 of 6
Order
Item No. 1 Qty: 1
Model: PVC SH -SH Color: WHITE
Desc: 8100 PVC SINGLE HUNG - SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT,
Dimensions
i
— 1
Customer to field mull, Standard "T" Clip, WHITE FRAME, 3" FLAT MULL, 18 x16
i
btitt
Screen
LOW E 366, Insulated
DLO: 95 x 491/2
TIP: 96 1/4 x 50 3/4
STANDARD GRIDS, W/ SCREW SUPPORTS, SCREEN
SCREEN: 18 x 16
AAMA Std. Gold Labeling
[1 - 8100 -SH]
- ....
[No Sill Anchors this SH -8100], FPA #16177.1, WHITE
DOES NOT MEET EGRESS
[2 - 8100 -SH]
WHITE, ID: 1,2
11 tl 111, 1 iV.Transmit--0.43
I ICWS-K-11-00415-00002 t , 1
Item No. 2 Qty: 1
Model: PVC SH -SH Color: WHITE
Desc: 8100 PVC SINGLE HUNG - SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT,
Dimensions
Customer to field mull, Standard "T" Clip, WHITE FRAME, 3" FLAT MULL, 18 x16
Screen
51, J,
LOW E 366, Insulated
DLO: 79 1/4 x 49 1/2
TIP: 80 x 60 3/4
STANDARD GRIDS, W/ SCREW SUPPORTS, SCREEN
SCREEN: 18 X 16
AAMA Std. Gold Labeling
[1 - 8100 -SH] u
[No Sill Anchors this SH -8100], FPA #16177.1, WHITE
DOES NOT MEET EGRESS
[2 - 8100 -SH]
WHITE, ID: 3,4
li 11• 1111 1 iV-Transrn1t=0.43
. If 11' 1111 ! iV-Transmit=0.43
Item No. 3 Qty: 1
i
Model: 8100 -SH Color: WHITE
Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHITE FRAME, 18 x16
Dimensions
` 'A
Screen
1 1
LOW E 366, Insulated
7
W/ SCREW SUPPORTS, SCREEN
DLO: 47 x 49 1/2
TIP: 481/4x503/4
L ;z
AAMA Std. Gold Labeling
SCREEN: 18 X 16
FPA #16177.1, WHITE, [No Sill Anchors this SH -8100]
V<
DOES NOT MEET EGRESS, ID: 5
11 CWS -K-11-0041"0002 1 1V-TMnSrnIt=0,43
12/6/16 12:25:54PM Page 1 of 6
Order #: 449080
6402 SE Fcdcral Highway, Stuart, FL 34997
Ph: 772 409-0200 Fax: 9888330167
Attention: RACHEL
Order Date: 11/14/2016
• •
O'DONNELL IMPACT WINDOWS & STORM OTECTION
Cust PO#: Hill
Bill To: • To:
Ship Date: 12/1/2016
Order
Item No. 4 Qty: 1;
»
s
Model: 8100-SH Color: WHITE
FRAME, 18
Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHITE x16
Screen
Dimensions
71
LOW E 366, Insulated, WHITE INTERLAYER
W/ SCREW SUPPORTS, SCREEN
x
L A ,. /"�
TIP: 32 1/4 x 38 1/2
TIPDLO: 32 x 38
AAMA Std. Gold Labeling
SCREEN: 18 X 16
FPA #16177.1, WHITE, [No Sill Anchors this SH-81001
---
DOES NOT MEET EGRESS, ID: 6
OR
,
Item No. 5 Qty: 1
Model: 8100-SH Color: WHITE
Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHITE FRAME, 18 x16
Dimensions
Screen
LOW E 366, Insulated
W/ SCREW SUPPORTS, SCREEN
DLO: 47 x 49 1/2
TIP: 48 1/4 50 3/4�
AAMA Std. Gold Labeling
x
SCREEN: 18 X 16
FPA #16177.1, WHITE, [No Sill Anchors this SH-8100]
DOES NOT MEET EGRESS, ID: 7
8100-SH- NFRC Rating: ,,. ,,,,V-Transmit=0.43
Item No. 6 Qty: 1
Model: PVC SH-SH Color: WHITE
Desc: 8100 PVC SINGLE HUNG - SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT,
k "
Customer to field mull, Standard "T Clip, WHITE FRAME, 3" FLAT MULL, 18 x16
Dimensions
Screen
X
LOW E 366, Insulated
DLO: 79 x491/2
W/ SCREW SUPPORTS, SCREEN
TIP: 80114 x 50 3/4
SCREEN: 18 X 16
AAMA Std. Gold Labeling,
[1 - 8100-SH]
[No Sill Anchors this SH-8100], FPA #16177.1, WHITE
DOES NOT MEET EGRESS
[2 - 8100-SH]
WHITE ID: 8,9
: 0, „ , , .
8100-SH- NFRC Rating: CWS-K-1 1.00415-00002 ,
12/6/16 12:25:54PM Page 2 of 6
6402 SE Federal Highway, Stuart, FL 34997
Ph: 772 408-0200 Fax: 8888330167
Item No. 7 Qty: 1
Model: PVC SH -SH Color: WHITE
Desc: 8100 PVC SINGLE HUNG - SINGLE HUNG DP:+701-70, [FLANGE], IMPACT,
Customer to field mull, Standard "T" Clip, WHITE FRAME, 3" FLAT MULL, 18 x16
Screen
LOW E 366, Insulated
W/ SCREW SUPPORTS, SCREEN
AAMA Std. Gold Labeling
[1 - 8100 -SH]
[No Sill Anchors this SH -8100], FPA #16177.1, WHITE
DOES NOT MEET EGRESS
[2 - 8100 -SH]
WHITE, ID: 10,11
Item No. 8 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, W/ SCREW SUPPORTS, SCREEN
AAMA Std. Gold Labeling
FPA #16177.1, WHITE, [No Sill Anchors this SH -8100]
DOES NOT MEET EGRESS, ID: 12
Item No. 9 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, W/ SCREW SUPPORTS, SCREEN
AAMA Std. Gold Labeling
FPA #16177.1, WHITE, [No Sill Anchors this SH -8100]
DOES NOT MEET EGRESS, ID: 14
Order
Dimensions
DLO: 79 x 49 1/2
TIP: 80 1/4 x 50 3/4
SCREEN: 18 X 16
ONW-- Mv
Dimensions
DLO: 31 x 61 1/4
TIP: 32 1/4 x 62 1/2
SCREEN: 18 X 16
Dimensions
DLO: 31 x 61 1/4
TIP: 32 1/4 x 62 1/2
SCREEN: 18 X 16
mnw_-� 19
4IM
Order #: 449080
Attention: RACHEL
Order Date: 11/14/2016
Cust P0#: Hill
Ship Date: 12/1/2016
EMSI
11111111=0
REIMMI
11
I
LoE
12/6/16 12:25:54PM Page 3 of 6
6402 SE Fcdcral Highway, Stuart, FL 34997
Ph: 772 408-0200 Fax: 8888330167
I
Item No. 10 Qty: 1
Model: 8100 -SH Color: WHITE
Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHITE FRAME, 18 x16
Dimensions
Screen
LOW E 366, Insulated
W/ SCREW SUPPORTS, SCREEN DLO: 39 x x
TIP: 40 1/4 x 388
1/2
AAMA Std. Gold Labeling SCREEN: 18 X 16
FPA #16177.1, WHITE, [No Sill Anchors this SH -8100]
DOES NOT MEET EGRESS, ID: 15
1.1
Item No. 11 Qty: 1
Model: 8100 -SH Color: WHITE
Desc: 8100 SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, WHITE FRAME, 18 x16
Dimensions
Screen
LOW E 366, Insulated, WHITE INTERLAYER
W/ SCREW SUPPORTS, SCREEN DLO: 31 x x
TIP: 32 114 x 388
1/2
AAMA Std. Gold Labeling SCREEN: 18 X 16
FPA #16177.1, WHITE, [No Sill Anchors this SH -8100]
DOES NOT MEET EGRESS, ID: 16
Item No. 12 Qty: 1
Model: PVC SH -SH Color: WHITE
Desc: 8100 PVC SINGLE HUNG - SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT, Dimensions
Customer to field mull, Standard 'T" Clip, WHITE FRAME, 3" FLAT MULL, 1806
Screen
DLO112
LOW E 366, Insulated TIP: 80 / 4 50
3
W/ SCREW SUPPORTS, SCREEN SCREEN: 18 X 164
AAMA Std. Gold Labeling
11111011.1i-
[1 - 8100 -SH]
[No Sill Anchors this SH -8100], FPA#16177.1, WHITE .dt
DOES NOT MEET EGRESS
[2 - 8100 -SH]
WHITE, ID: 17.18
Order #: 449080
Attention: RACHEL
Order Date: 11/14/2016
Cust PO#: Hill
Ship Date: 12/1/2016
12/6/16 12:25:54PM Page 4 of 6
6402 SE Federal Highway, Stuart, FL 34997
Ph: 772 408-0200 Fax: 8888330167
Item No. 13 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
W/ SCREW SUPPORTS, SCREEN
AAMA Std. Gold Labeling
FPA #16177.1, WHITE, [No Sill Anchors this SH -8100]
DOES NOT MEET EGRESS, ID: 21
Item No. 14 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
W/ SCREW SUPPORTS, SCREEN
AAMA Std. Gold Labeling
FPA #16177.1, WHITE, [No Sill Anchors this SH -8100]
DOES NOT MEET EGRESS, ID: 23
Item No. 15 Qty: 1
Model: PVC SH -SH Color: WHITE
Desc: 8100 PVC SINGLE HUNG - SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT,
Customer to field mull, Standard 'T" Clip, WHITE FRAME, 3" FLAT MULL, 18 x16
Screen
LOW E 366, Insulated
STANDARD GRIDS, W/ SCREW SUPPORTS, SCREEN
AAMA Std. Gold Labeling
[1 - 8100 -SH]
[No Sill Anchors this SH -8100], FPA#16177.1, WHITE
DOES NOT MEET EGRESS
[2 - 8100 -SH]
WHITE. ID: 24.25
12/6/16 12:25:54PM
Dimensions
DLO: 47 x 49 1/2
TIP: 48 1/4 x 50 3/4
SCREEN: 18 X 16
Dimensions
DLO: 39 x 49 1/2
TIP: 40 1/4 x 50 3/4
SCREEN: 18 X 16
Dimensions
Order #: 449080
Attention: RACHEL
Order Date: 11/14/2016
Cust PO#: Hill
Ship Date: 12/1/2016
a II
1
DLO: 95 x 49 1/2 z....a
TIP: 96 1/4 x 50 3/4
SCREEN: 18 X 16
HI s
rim
Page 5 of 6
6402 SE Federal Highway, Stuart, FL 34997
Ph: 772 408-0200 Fax: 8888330167
Item No. 16 Qty: 1
Model: PVC SH -SH Color: WHITE
Desc: 8100 PVC SINGLE HUNG - SINGLE HUNG DP:+70/-70, [FLANGE], IMPACT,
Customer to field mull, Standard "T Clip, WHITE FRAME, 3" FLAT MULL, 18 x16
Screen
LOW E 366, Insulated
STANDARD GRIDS, W/ SCREW SUPPORTS, SCREEN
AAMA Std. Gold Labeling
[1 - 8100 -SH]
[No Sill Anchors this SH -8100], FPA #16177.1, WHITE
DOES NOT MEET EGRESS
[2 - 8100 -SH]
Order
Dimensions
1
DLO: 95 x 49 1/2 z. t...
TIP: 96 1/4 x 50 3/4
SCREEN: 18 X 16
Order #: 449080
Attention: RACHEL
Order Date: 11/14/2016
Cust PO#: Hill
Ship Date: 12/1/2016
12/6/16 12:25:54PM Page 6 of 6
Building Code Online
Page 1 of 2
Dq
pr a SCIS Home i Log In r User Registration t Hot Topics $ Submit Surcharge E Stats & Facts f Publications I FBC Staff I SCIS Site Map Links j Search
3u5i1 Ia �*USER:
Product Approval
Professi�iral Public User
Regulation 1�plIIII��
iyLlY"ii1f1+'YiYY1HliICInGY6i Product Approval Menu > Product or Aoolication Search > Application List > Application Detail
FL #
FL16177-R1
Application Type
Revision
Code Version
2014
Application Status
Approved
Comments
Archived i a
Product Manufacturer Custom Window Systems Inc.
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.
Florida License
Ocala, FL 34474
Quality Assurance Entity
(352)368-6922 Ext 291
Quality Assurance Contract Expiration Date
jlathrop@cws.cc
Category
Windows
Subcategory
Single Hum
Compliance Method
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
9 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
9 Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
FL16177 R1 COI EvalReD CWS -8128 (SH -8100. IMP. No5illAnch).Ddf
Standard YM
AAMA/ W D MA/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/prlpj _app_dtl.aspx?param=wGEVXQwtDgvyf4ngAXh 10y... 8/13/2015
Fl�rida Building Code Online
Sections from the Code
Description
Product Approval Method
Method 1 Option D
Date Submitted
04/14/2015
Date Validated
04/21/2015
Date Pending FBC Approval
04/25/2015
Date Approved
06/22/2015
Z
Summary of Products
I
Page 2 of 2
L Model, Number or Name
Description
16177.1 SH -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 -8128 (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 NQA 13-0129 27.)d
FL16177 RS AE EvalReu CWS -8126 (SH -8100. IMP,
Safety glazing required on outer lite above 30 ft. in HVHZ.
NoSillAnch).Ddf
Glass complies to ASTM E1300-04.
FL16177 RI AE Ouanex (Mikron) NOA 12-1017 02 Ddf
Created by Independent Third Party: Yes
Back Nett
Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Coovriaht 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 mail. 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:
W] MOMS Ed 0
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http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvyf4ngAXh l 0y... 8/13/2015
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