HomeMy WebLinkAboutAPPLICATION FOR ALUMINUM STRUCTURESOFFICE USE ONI,
Date: g �-� Fee Due: Receipt# Permit # /qdS ,Q7
PLANNING & DEVELOPMENT SERVICES (SCAMW
® , " BUILDING & CODE REGULATION DIVISION
! o « p 2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
t _ _. .�.� 772-462-1553
APPLICATION FOR ALUMINUM STRUCTURES PERMIT
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: cSZy9 MAr;9a.JeAr4f- 3U
2. PROJECT NAME:C�' fo7i SITE PLAN NAME:
3. PROPERTY TAX ID #: 3K2 (o
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
5. PLAT BK PAGE I BLOCK LOT 11
6. PARCEL SIZE: ACRES/SQ FT. 1 5� LOT DIMENSIONS
7. SETBACKS (ACTUAL) FRONT: 7-0 , BACK: l b RIGHT SIDE: -7 • LEFT SIDE: • 4
8. TYPE OF STRUCTURE (CHECK ALL APPROPRIATE BOXES FOR EACH AND EVERY TYPE -OF •STRUCTURE)
TYPE'OF CONSTRUCTION
N = New
A-`-ddition
R = Rebuild
SG = Slab on Gr
= aised Slab
WD = Wood Deck
DIMENSIONS
SQUARE FEET OF
CONSTRUCTION
❑
SCREEN ROOM
❑
NEW ❑
EXISTING
X
5?-
CARPORT/PATIO ROOF
V-A
❑
NEW M
EXISTING
X
(50 r4
❑
HABITABLE GLASS ROOM
❑
NEW ❑
EXISTING
X
❑
CAT 1, 2 OR 3 SUNROOM
❑
NEW ❑
EXISTING
X
❑
ALUMINUM COMP. SHED
❑
NEW ❑
EXISTING
X
❑
POOL ENCLOSURE
IH
❑
NEW ❑
EXISTING
X
❑
M ROOF OVER
❑
NEW ❑
EXISTING
X
❑ ROOF SYSTEM OVER
EXISTING ACCESSORY STRUCTURE
❑
NEW ❑
EXISTING
X
❑
OTHER:
❑
NEW ❑
EXISTING
X
❑
ALUM POOL FENCE
Linear feet
TOTAL SQUARE FOOTAGE OF CONSTRUCTION
9. VALUE OF CONSTRUCTION: $ < I- 4 6 3
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
PRIOR TO FIRST INSPECTION.
SLCCDV Form No.: 001-02 Reu04/26/2010
J
OWNER INFORMATION
NAME: ,k- v. o �,kP I L7
ADDRESS: g � 9 ��'4t� ��� �•-
CITY,. Tuy�. �r �....e 6 STATE: FL ZIP 3 45Z
PHONE (DAYTIME): 64 1 g 7 3- i( 7 4 to EMAIL:
FILL IN NAME AND ADDRESS BELOW IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM
THE OWNER LISTED ABOVE:
FEE SIMPLE TITLEHOLDER: �waE:Z
I
ADDRESS:
I
CITY: STATE: ZIP
PHONE (DAYTIME): (�
CONTRACTOR INFORMATION
STATE OF FLORIDA REG./CERT #: e Q C S^ c� O 1-1 ST. LUCIE COUNTY CERT #: Zc5 J4 3
BUSINESS NAME: �, •�b�"reo�... pt'�r►�.-:-... -� �' �1ny.e.r Cmrp
QUALIFIER'S NAME: —��``� �- �• ��� eN
ADDRESS: ---kAbO\ `j*- C7ya.-� �1 w..� WA J
CITY: STATE:- ZIP 3ji 49
PHONE (DAYTIME): (-J-LZ 'L 07 b4 7b FAX NO. "1'I Z - L8- 9 Lt 0 email:
ARCHITECT/ENGINEER: SA-.4ccn A S'T
ADDRESS: k-'b%- 3 O SAI-e.4- QJ 5w kc. l O 1
CITY: (' 14�+�r►+r STATE: eL. ZIP 3 37 Co 0
PHONE (DAYTIME): rIZ'1) 632- - 9 000
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.
❑ 11 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 -USE, ONLY,....
SECTION
TOWNSHIP
RANGE
MAP NO.
Additional
ZONING
LAND USE
LOT CVG %
Permits
'
Re uired
REPORT
BIMS FEE
$
MISC FEES
$
TOTAL FEES
CODE
BUILDING- O ZONING REVIEW
FRONT
PLANS
VALUE OF CONSTRUCTION
REVIEW
COUNTER
ZONING
SUPERVISOR
EXAMINER
VEGETATION
USING ICC TABLE
DATE
-S I
COMPLETE
0
INITIALS'