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Home My WebLink AboutAPPLICATION BUILDING PERMIT CERTIFICATE OF CAPACITY ZONINGDATE FILED: PLAN REVIEWTEE: /y 0. 0 RECEIPT NO.: CONCURRENCY FEE: fir. ��_ RECEIPT NO.: PERMIT NUMBER CERT. CAP. NO.: &-?, 03—a ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS D ION 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 772-462-1553 -4' 1/eA t"x t APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: �D� JCI� iF�tM�� I POW-r SZ 2. PROJECT NAME: PW44 LC 13 V1 WIN &S SITE PLAN NAME: C!Z4,C-6 &MnA0UV.- 60-&Y� 3. .PROPERTY TAX ID #: '44- [6j - 6'0 1 - 00+1 - DO U - O 4. LEGAL DESCRIPTION (attach extra sheets ifnecessary): 5. PLAT BOOK 6. PAGE NO. 9. PARCEL SIZE (ACRES/SQ FT.): 7. BLOCK NO. 8. LOT NO. LOT DHAENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: CEO Q k V 6- f bn<4d3 • EUbt-Ids"45 , &L&;,l2lGt -L, knin %Ai&4 , CoAIN c7r--f -ro 61 m -"- C� /t. d�, !au< 1�11b) L.D1 U in- I . 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: 12. TYPE OE, CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) ,, CC C 13. DESCRIPTION OF PROPOSED USE: ��tA 67 4f4.11 CAi/ W 7 ulC �i 911 AAj &a&rt. K 14. SQ. FT OF CONSTRUCTION: Z+�X 5Go S 15. SF. FT 1st FLOOR y 41-W �- 16. VALUE OF CONSTRUCTION: $ �® e9 aD 9 The value of construction is used to determine the amount of permit fees to be assessed St Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities_ If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNER INFORMATION NAME: Gr-ctce Emrnanvcl (—`hu r- , ADDRESS: - -707 RJ. CITY: Porgy S-l. Lc{cic STATE: ZIP -349-'Z PHONE(DAYTMffi): (77D $3V-978Q EMAIL: I @ 6cf/sou4-k, nc-E FILL IN NAME AND ADDRESS BELOW IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE: FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME): (_) CONTRACTOR INFORMATION STATE OF FLORIDA REGJCERT #: GCSC- 05 5?'7 2 ST. LUCIE COUNTY CERT #: BUSINESSNAME- C 9 F d+ r 1 D•'L' v ; /J.?-Zj c: , �B QUALIFIER'S NAME: #-,v�� !�V f-� t-o �►f�% ADDRESS: Q4i 1 ) 0 CITY: Po z•r r L�vc_• r STATE: � ZIP 31 q Ci 5 Z— PHONE (DAYTIME): U 3 1� c -- O SA 9 FAX NO. email:. lala`rr,•J�J'R nz: � ll$r i, r 1 �Jl7GtX.11 I�� 1, ARcHITECT/ENGINEER: �b Ta rr a r n .tp: bca�D ADDRESS: Avc CITY:- Fo r4r SI LL.a _i c STATE: F L ZIP 34 4 $.3 PHONE (DAYTIME): (7TO :R 7 Fr-.5o7? NOTE: IF APPLICABLE, SUBCONTRACTOR AGREEMENTS MUST BE ATTACHED TO APPLICATION FOR ROOFING, ELECTRIC, PLUMBING, AND HVAC ZONING REQUIREMENTS All such structures will be subject to the requirements of the ST. LUCIE COUNTY LAND DEVELOPMENT CODE. ❑ 2 scaled plot plans showing lot size, dimensions of existing host structure, and proposed aluminum addition. All setbacks including front, side, rear and distance between adjacent property structures in MH Parks shall be indicated on the plot plan. ❑ . 2 sets of color photos for all storm damaged areas to be reconstructed. One picture must include house address number for inspection verification_ ( not required for construction unrelated to storms) OFFICE . 'E SECTION TOWNSHIP RANGE MAP NO. ZONING LAND USE LOT CVG % Additional Permits Re quired REPORT BIMS FEE $ MISC FEES TOTAL FEES CODE } FRONT PLANS VALUE OF CONSTRUCTION REVIEW COUNTER ZONING SUPERVISOR EXAtMq R VEGETATION USING ICC TABLE DATE l 0�.�/y �� f COMPLETE INTITAISL 416 ,le ntj 41 CERTIFICATION: This application is hereby made in order to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOU 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. NOTICE TO APPLICANT: IN THE EVENT IT IS NOT YOUR RIGHT TITLE OR INTEREST THAT IS SUBJECT TO ATTACHMENT, THE APPLICANT DOES HEREBY MAKE A GOOD FAITH PROMISE TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO TIE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT, AND DOES SO AS A CONDITION PRECEDENT TO THIS PERMIT 1. If utilizing the AAF Guide to Aluminum Construction in High Wind Zones, I the Contractor/Owner Builder hereby certify that the components being used, fasteners type and fastening pattern meet all the requirements for the designated wind zones established by the county and take full responsibility for complying with the submitted design of the structure being permitted. 2. I farther certify that all the foregoing information is accurate, that no work or installation has commenced prior to the issuance of a permit and that all work shall be performed in compliance with all applicable laws regulating construction and zoning in this jurisdiction. I understand_ that separate permits may be required -for ELECTRICAL, and HVAC, etc., not otherwise included with this bmldiag permit application. 3. I , the Contractor / Owner Builder, have verified that the existing foundation meets the requirements of the Engineer of Record and is in adequate condition to withstand -the uplift and weight of the aluminum structure and said structure will not exceed the footprint of the structure that was in existence prior to removal by the storms. OWNER OR CONTRACTOR SIGNATURE CO CTOR S' GNA 1 -^ _.._.., STATE OF FLOIPDA COUNTY OF ISi LCIi _1 t? The foregoing instrument was acknowledged before me me this 4� day of r� i 20 , by \111W-S Gf bbl7 who is personally known t/to me, or who has produced as identification. Sig uture ofNotary IMPORTANT NOTICES: DEWWH BOERCK MY COMMISSION #FF001, EXPIRES April 12.2017 STATE OF FLOWPA COUNTY OF Uf Lio e- The foregoing insttumearwas acknowledged before me me this day of A �l I 20 by who is personally known Vto me, or who has produced as MY COMMISSION #F EXPIRES April 12, • TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOT BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR, IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION, TO SIGN THIS APPLICATION & THE OWNER/BLDR AFFIDAVIT. • ALL SIGNATURES ON APPLICATION SUBMITTED SHALL BE ORIGINAL, SIGNED IN INK. COPIES, FAXES, OR STAMPED REPRODUCTIONS ARE PROHIBITED. • WHEN A PERMIT IS AVAILIBLE FOR ISSUANCE BUT IS NOT PICKED UP WITHIN THIRTY (30) DAYS AFTER NOTIFICATION OF AVAILIBILITY, IT WELL BE VOIDED. IF THE APPLICATION IS RESUBMITTED, AN ADDITIONAL FEE WILL BE CHARGED.