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Home My WebLink AboutBUILDING PERMIT APPLICATION - ALUMINUM STRUCTURE1 Date: Due: Receipt# Permit # " - m PLANNING & DEVELOPMENT SERVICES J� = = p ". � _ - BUILDING & CODE REGULATION DIVISION `+--:."o �' - m. - 2300Virginia Avenue l\IAICtS A Ft. Picrcc, FL 34982-5652 J`IIINNVGED 772-462-1553 BY St. Lucie Cour APPLICATION FOR ALUMINUM STRUCTURES PERMIT ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PROJECT INFORMATION 1, LOCATION/SITE ADDRESS: 2. PROJECT NAME: S "r z C SITE PLAINT NANh-.- �} G�.,ot,-• S 3. PROPERTY TAX ID SD 1 - no0 r0 - Q^0t7 0 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BK� PAGE -, -191 BLOCK LOT 13 S 6. PARCEL SIZE: ACRES/SQ FT. C.t'}" LOT DlIvIENSIONS �i 1'5 I t-%[A 6.13 f.7w 7. SETBACKS (ACTUAL) FRONT: BACK: 15t, 6b RIGHT SIDE: ,lo.� LEFT SIDE: �r�y-► 8. TYPE OF STRUCTURE (CHECK ALL APPROPRIATE BOXES FOR EACH AND EVERY TYPE OF STRUCTURE) TYPE OF CONSTRUCTION N = New A = Addition R=Rebuild SG - Slab on Grade SR= Raised Slab WD=Wood Deck DIMENSIONS SQUARE FEET OF CONSTRUCTION ❑ SCREEN ROOM ❑ NEW ❑ EXISTING X ❑ CARPORT/PATIO ROOF ❑ NEW ❑ EXISTING X ❑ HABrrABLE GLASS ROOM ❑ NEW ❑ EXISTING X ❑ CAT 1, 2 OR 3 SUNROOM ❑ NEW ❑ EXISTING X ❑ ALUMINUM COMP. SHED ❑ NEW ❑ EXISTING X POOL ENCLOSURE ❑ NEW W EXISTING 0 ox 401 1060 ❑ M H ROOF OVER ❑ NEW ❑ EXISTING X ❑ ROOF SYSTEM OVER EXISTING ACCESSORY STRUCTURE ❑ NEW ❑ EXISTING X OTHER: ❑ NEW � EXISTING X ,i ❑ ALUM POOL FENCE L' ear feet TOTALSQUARE FOOTAGE OF CONSTRUCTION 9. VALUE OF CONSTRUCTION: S 0O The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question mid/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 S2500 or more, a RECORDED Notice of Commencement must be submitted PRIOR TO FIRST INSPECTION. SLCCDV Form No.: 001-02 Itn•.04126120I0 OWNER INFORMATION I - NAME: ' I � c OI �,�i. A� cee l2P r 319 rkler ADDRESS: Ag 2L c I , WOL t CITY:STATE: GA ZIP PHONE (DAYTIME): (_� EMAIL: 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 �j� �y STATE OF FLORIDA R.�EG+�./CERT #: C-aiaS b4G 9 ST. LUCIE COUNTY CERT #: 1' l O BUSINESS NAME.I : V- po rCsl FcR' -C !: j QUALIFIER'S NAME: C3 Lt .yl ADDRESS: 4-%v'fY1e'rC., �r. Utni CITY: 1:4 -Pi e-rce. STATE: El of ZIP PHONE(DAYTIME): �MALs' 72PAXNO. �%7aTt•�t��laail:/ ARCHITECT/ENGINEER: �A ✓1 C�DCc GC a ��e 4:'FZ..2 ✓� a' C l (d7- ADDRESS: /7/ CITY: (•; La../u)a I Gr STATE: t'i ZIP 37�0 PHONE (DAYTIME): 5 --,. a - (- O CO NOTE: IF APPLICABLE, SL'BCONTR4CTOR AGREE31ENTS MUST BE ATTACHED TO APPLICATION FOR ROOFLNG, ELECTRIC, PLLIBING, AND HVAC ZONING REQUIREMENTS All suc ctures 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 aluminutn addition. All setbacks including fronk 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 USE ONLY , SECTION TOWNSHIP RANGE MAP NO. Additional ZONING LAND USE LOT CVG% Permits Re uircd REPORT y I L BIMS FEE $ MISC FEES $ TOTAL FEES ODE BUILDING & ZONING REVIEW FRONT PLANS VALUE OF CONSTRUCTION REVIEW COUNTER ZONING SUPERVISOR R VEGETATION USING ICC TABLE I{ COMPLETE � / /ubOQx�2•Qb: IrrITIALS c0h 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 IN YOU 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 THE 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 further 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 IIVAC, etc., not otherwise included with this budding 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 inexistence prior t9ATEOFFLORID the storms. O OR CONTRACTOR SIGNATURE COTOR SIGNATURE STATE OF FLORIDA A�COUNTYOF k3' 64-VLf- �Cie COUNTY OF d iLL7�- LG% G The foregoing ��instrument was acknowledged befo *e The foregoinginstrumentwas acknowledged me this -t2tay of yl1✓a � 20 me this / 98giay of R m OP a Eo 0 01 Uy i of byyar'3"t2s /5'f^Q vi, who is personally known to me, or who produced by e S J7 h S o 9 00 m O who is personally known, to me, or who h N d em = E N O produced as identifi ation. " it / �3� • be�o v� C Sigoanue oFNo ( •��a ❑ TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERBUILDER, THE OWNER MUST PERSONALLY APPEAR, IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION, TO SIGN THIS APPLICATION & THE OWNERBLDR 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 WILL BE VOIDED. IF THE APPLICATION IS RESUBMITTED, AN ADDITIONAL FEE WILL BE CHARGED.