HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONy" r
OFFICE USE ONLY:
iDATE FILED:
!PLAN REVIEW FEE: RECEIPT NO.: PERMITNUMBER:
CONCURRENCY FEE: RECEIPT.NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning SCANNED
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 BY
561-462-1553 St Lucie County
APPLICATION FOR BUILDING PERMIT
FOR ALUMINUM STRUCTURES
PROJECT INFORMATION
LOCATION/SITE ADDRESS:y 0 I r) 6 4 Ql n �` n d fn
S/D NAME: SITE PLAN NAME: P1l ck n �_ ct Uoa R dC
PROPERTY TAX ID 4: 13 I 00 " — —
o 5 1
LEGAL DESCRIPTION (attach extra sheets if necessary): LQ 1
PLAT 6. PAGE A 7. BLOCK 8. LOT
BOOK O Nn XTn ATf % P)
PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS
DESCRIPTION OF
OR WORK
SETBACKS (ACTUAL) FRONT: np BACK: jY RIGHT: LEFT:
SIDE SIDE
[ J NEW CONSTRUCTION [\kXPANSION/ADDITION
i1�
13i . TYPE OF STRUCTURE (Check all appropriate boxes)
[ ] SCREENROOMS [ ] CARPORT/PATIO ROOF [ ] GLASS ROOM [ ] SHED
[ POOL ENCLOSURE [ ] MOBILE HOME ROOF OVER [ ] HANDRAILS/GUARDRAILS
FOUNDATION 6AB
SLABONGRADE ] RSE17 SW3OTER [ RAISED WOOD DECK ON FOOTING
14� DESCRIPTION OF PROPOSED USE: K?C-K ?-.GA T l 0n0J
151 Sq. Ft./CONSTRUCTION: 16. VALUE OF CONSTRUCTION: $ 8 oO
The value of construction is used to determine the amount ofpermit 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.
I '
IMPORTANT NOTICE: When a permit is ready to be issued and it is not picked up within 60 days after
notification it will be voided and returned to you by mail.
SLCCDV Form No.: 001-02 Rev. 1214103 dmg
ER INFORMATION
ADDRESS:
i
[ONE (DAYTIME):? —Q email: A I�
THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
,L IN NAME AND ADDRESS BELOW.
SIMPLE TITLEHOLDER:
CITY: STATE: ZIP
PHONE (DAYTIME): ( )
CONTRACTOR INFORMATION
ST. ofFL REG./CERT #: C.i a S 13 ST. LUCIE COUNTY CERT #: �-
BDSINESSNAME: Ri. SC� -P ns d-End OJoIk n� .
QUALIFIERS NAME: C1 ,Sk - f .j
ADDRESS:
CITY: O-- pp �T�TE:.//,,�� � zIP 3�
PHONE (DAYTIME): a b �--1 s FAX NO. "1 -�%� - I S ail: �. h c1 OS L7o�
ARCHIT/ENGINEER:
ADDRESS:
CITY: STATE: ZIP
PHONE (DAYTIME): ( )
DIESIGN INFORMATION (Contractor has the option toprovide site specific engineeringfor Structure & Cladding Components)
Product
15' maximum height
Minimum Design
Pressure MPH
Design
Pressures
Manufacture
Model
Number
Method of Attachment
As per 1707.4.4.1 FBC
120
130
140
140C
Component Table 1606.213
indows
37.7
40.7
47.2
57.1
Swing Doors
32.4
38
44
53.2
Sliding Glass
32.4
38
44
53.2
Structural Components * Table 1606.213 for enclosed structure only. All open / partially open structures refer to FBC Ch.'20
oof Y 0-10 degrees
54.2
63.6
73.8
89.3
Wall Table 1606.2A
22.8
26.8
31.1
37.6
®� Impact glazing will be provided Type of Surface attachment: Wood Frame ❑ Aluminum ❑
For enclosed structures only
Shutters
yPe
Minimum Design
Pressure MPH
Product Compliance Report #
Method of Attachment
120
130
140
140 C
SBCCI
Dade
Other
Anchor Type
Spacing
Removable Panels
Other