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HomeMy WebLinkAboutBuilding Permit ApplicationV � f All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �\ Date: Permit Number: 2 O Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: RQPaS �p IMP rQ1fE E� ROBERT,WN• Address: 020t:5 -:3. ?'TZ' -0�7-6 X 6 Property Tax ID #: !._/z 7 _ 4,01— 042KO - (00CD/0 Lot No. Site Plan Name: �,rJil2��sr��;, Block No. Project Name: New Electrical Meter_Second Electrical Meter IN* ' STRUCTIdN IRM SA RN, Addi ionalwork tobeperformed under this permit- check all thatFa`pply°: Mechanical _ Gas Tank —Gas Piping _ Shutters ` _ Windows/Doors _ Pond Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: /: Y Z Sq. Ft. 'of First Floor: Cost of Construction: $ 40D Utilities: _Sewer ":Septic Building Height: • WNOR/LESSEE. r(J TRAC OR: Name G.� Name: Address: 32oo S. 97 -s�_. ��� 99 ''//p Company:�/cZ,rnc>_!'lo,,y_ n10ye�yS City: J4;"-1 e��xza_ '2 State: _ Zip Code:.? Fax: Phone No. i 77- �SZg� Address: T�- -s-le. 10y;q City: � pycP� Stater Zip Code: Fax: Phone No 77Z E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail a.0 e �efQ���, Z2// 9 � `S' r�..+a,i State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. RUPPLUt7500AICON!.,, TIO LIEN i.AW INFO +MAT tON. DESIGNER/ENGINEER: Name:, 2!!E Lo, -eJ©o Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: 9_,T� Sc &/f y,• Address: City: a �% Zip: yg 53 Phone 77 �� State: d!E6 �8—?32.� City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: Address: City: City: ,Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Counter 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County 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 your Notice of Commencement. Signa re essee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �� �-tJ G,7� COUNTY OF Sworn to (or affirmed) and subscribed bef a M�p��,, Sworn to (or affirmed) and subscribed before me of Physical Presence or 'd �'� Online N ar, �; Physical Presence or Online Notarization y • this _L7 day of JL.*.eC_ ,202 :,.by mom; this day of 12020 by � C i Name of person making statement. V , Name of person making statement. Personally Known OR Produced Id i a'. Personally Known OR Produced Identification Type of Identification d3o�.•� ,2 y o a Type of Identification Produced �C o1•� c� �o�oL Produced A rom�t N X � �"• (Signature of Notary Public- ate of Florida) y N j (Signature of Notary Public- State of Florida ) Commission No. (Sea -� °^ Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20 i 14 PERMIT' ORKSHEET PERMIT NUMBER Installer �c%�,�Q_ License •Ifs/�IJ % l Owner Name & Address of home being installed 3,?00 S.' a Manufacturer G 2��%/ Length x width 9-/+' 2,y 10 NOTE: if home is a single wide fill out one half of fho blocking plat if home is a triple or quad wide sketch in remainder of home I understand Lateral Arm Systems cannot be used on any home (new or used) where the sidewa)l ties exceed 5 ft 4 in. Installer's initials_^_ Typical pier spa:�� in lateral 7' Show locations of Longitudinal and Lateral Systems ai,udmi (use dark lines to show these locations) marriPncwalllDiu %vitiun2'of end of hnme par Rule 15C �l r7. New Home ❑ page 1 of 2 Used Home Year Model Home installed to the Manufacturer's Installation Manual [) Home is installed inaccordance with Rule 15-C ❑ Single wide ❑ Wind Lone 11 d Wind Zone III Double wide ( Installation Decal # c4// 6' Triple/Quad ❑ Serial # ?'Z PIER SPACING TABLE FOR USED HOMES l.aad bearing rapacity Fo.oter size: (sq in) 16" x 16" (256) 18 1/2" x 18 1i2." (342.) 20" x 20" (400) 22" x 22" (484)` 24" X 24" (576)' 2ti" x 26" (676) 1000 sf a 4' S' 6' '' 81 1500 sf 4' (Y 7' 8' a' 2000 psf G' 8, 8' 8' 8' 2.500 psf •7' 6" 8' 8' 8' 8' 8' 3000 sf 8' 8' g 3500 sf 8' 8' 8' uuerpurne;u rwut mute im -i pier spacing raoit __ PIEfi PAC► SIZES i/ I-beam pier part size Perimeter pier pad size 17ZA, Other pier pad sizes / 2� (required by the rnfq.) Draw the approximate locations of marriage wall openings A foot or greater. Use this symbol to show the piers. I POPULAR PAD SIZES AtVCpipRS Opening er pad size f A4 ft 5 t :.... . �.G TIES within 2' of end of home spaced at 5' 4" oc 1- TIEDowN CON{PokVETd1'S OTHl:12 TIES 1 (LSD Sidewall ^ Lon S#abilrz�ng evice SD Number M Purer SyTr�2w Longitudinal - - - � St G inal abilrzfr el Device w/ L.) l Alrm: Marriage wall zctureIV r!i1 Syo Shearwall v r �e f ERMIT r HEET j page 2 of 2 List all marriage wall openings greater than 4 foot and their pier pad sizes below. PERMIT NUMBER E'OCKET PANE _0M1"TEIR T SST DTI The pocket penetrometer teats are rounded own to psi or check here to declare 1000 lb. soil ° without testing. X X POCKET PENETROMETER TESTiNG METHOD 1. Test the perimeter of the home at 6 locations. 2. Take the reading at the depth of the tooter. 3. Using 500 lb. increments, take the lowest reading and round down to that increment. X [� CQRQU PROBE tP Tile results of the torque probe test is 2C' / inch pounds or check here if you are declaring V anchors without testing . A test showing 275 inch pounds or, less will require 5 foot anchors. Note: A state approved laleral arm system is being used and h It. anchors are allowed at the sidewall locations. I understand 5 It anchors are required at all centerline tie points where the torque test reading is 275 or less and where the mobile home manufacturer may requnPes anchors with 40 0 lb holding capacity. Z Installer's initials ALL TESTS MUST BE PERFORMED RX A LICENSED INSTALLER Installer Name 1 _i l?.•/ Date 'rested V— ZCD -Za t� Electrical Connect electrical condurtors between multi -wide units, but not to the main power source. This includes the bonding wire between molt -wide units, Pg./ —" —` Plumbin — Connect all sewer drains to an existing sewer tap or septic tank. Pg.—**" Connect all potable water supply piping to an �cistinq water meter, water tap, or other independent water supply systems. Pq.t/ w _ site Prcia%itinr Debris and organic Material removed Water drainage: Natural Swale Pat, Oil ►or �~ Fastening tnoth vilde units I'=ioor. Type Fa. ever: � Length-.3 Spacing- Walls: Type Fastener:A;5, Length: j Spacing: j i ;oof: 'Type Fastener./&"� Length: Spacing: I Z For used homes a'min. 30 gauge, 8" wide, galvanized metal strip will be centered over the peals of the roof and fastened with galy. roofing nails at 2" on center on both sides of the centerline. Gasltel Iwcathcmroot)np rcryulremeaq - I understand a properly installed gasket is a requirement of all new and used homes and that condensation, mold, meldew and buckled marriage walls are a result of a poorly installed or no gasket being installed. 1 understand a strip of tape will not serve as a gasket. Installer's initials Type gasket Installed: I'tg- Between Floors Yes ^� Between Walls Yes Bottom of ridgebeam Yes �oo/ Weatherproofing The bottomboard will be repaired and/or taped. Yes,/ rug. Siding on units is installed to manufacturer's specifications. Yes fireplace chimney installed so as not to allow intrusion of rain water. Yes .� % Miscallaneotts _ - Skirting to be installed. Yeso No Dryer vent installed outside of skirting. Yes NIA Range downflow vent installed outside of skirtin Yes N/A Drain tines supported at Q foot intervals. es7 Electrical crossovers protected. Yes Other : --- Installer verifies all information given with this permit worksheet is accurate arts rue based on the Installer Sigria"w. Date -1 All information on this w sheet be filled out completely to be accept(