HomeMy WebLinkAboutBUILDING PERMIT APPICATION ALUMINUM STRUCTUREOFFI.CG USE ONLY: [C�
DATB'FILED: M�_
PLAhi REVIEW FEE: QVjCV 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 SCAMLLI
2300 Virginia Avenue BY
Ft. Pierce, FL ��yy 34982-5652 ♦7l. uelp rn11 tv
561-462-1553
APPLICATION FOR BUILDING PERMIT
FOR ALUMINUM STRUCTURES
PROJECT INFORMATION
1. LOCATION/SITE Jp��'(
2. S/D NAME: / //KL�dfwxyrk- 341a� SITE PLAN NAME: R V��
3. PROPERTY TAX ID #:"aAA a 2
4. LEGAL DESCRIPTION (attach extra sheets if necessary): zor 121&%C AO-rw%? #;- 7/* sou
5. PLAT 6. PAGE 7. BLOCK 8. LOT
BOOK _ NO. :�2 NO. NO. �U
e
9. PARCEL SIZE: ACRES/SQ FT. Lq�LOT DIMENSIONS Sa 1C 1
10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: ?04 C
q7- 'Mail- TOj?4CkL
11. SETBACKS (ACTUAL) FRONT BACK: RIGHT: LEFT:
SIDE _4 SIDE..
12. [NEW CONSTRUCTION [ ] EXPANSION/ADDITION
13. TYPE OF STRUCTURE (Check all appropriate boxes)
[ ] SC1 NROOMS [ ] CARPORT/PATIO ROOF [ ] GLASS ROOM [ l SHED
[ 'J POOL
ENCLOSURE [I MOBILE HOME ROOF OVER [ ] HANDRAILS/GUARDRAILS
FOUNDATION
[ /SLAB ON GRADE [ ] RAISED SLAB W/
14. DESCRIPTION OF PROPOSED USE:j
'J fi
15. Sq. FUCONSTRUCTION: 3 V t
[ ] RAISED WOOD DECK ON
B
16. VALUE OF CONSTRUCTION: $
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.
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
iWNEK INFORMATION
NAME: y O .M ICJ 662:
ADDRESS:
,y / ZIP 1 —
CITY::— �`,STATE: _—
PHONE (DAYTIME): WL WfO' 3y3-7 email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP
PHONE (DAYTIME): (^
CONTRACTOR INFORMATION
GJCERT #• (� �.G.SZr/� ST. LUC1E COUNTY CERT #:
ST. of FL RE /J
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS: V4 T �V
STATE: ZIP 3zy� 9
CITY:�/ / ��rr
PHONE(DAYTIME): �� 5-7HG ) —FAXNO. $Tt7—ff� email:
ARCHIT/BNGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
DESIGN INFORMATION (Contractor has the option to provide site specifiicengineeringjorStructure&Cladding Components)
Product
15' maximum height
Minimum Design
Pressure MPH
Design
Pressor
Manufacture
Model
Number
Method of Attachment
As per 1707A.4.1 FBC
120
130
140
140C
Component Table 1606.2B
indows
37.7
4
47.2
57.1
wing Doors
tiding Glass
4
32.4
38
38
1 44
44
153.2
53.2
. T.W. ieiu 7n fnr enclosed structure only. All open / partially open structures refer to FBC Ch. 20
oof * 0-10 degrees
54.2
63.6
73.8
89.3
all Table 1606.2A
22.8
26.s
31
37.6
❑ Impact glazing will be pro*6d
structures only
Minimum
140
Type of Surface attachment: Wood Frame
Dade I Other
Aluminum —
Method of Attachm
Anchor Type Spay
Panels
CERTIFICATION:
This application is hereby made 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. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, AND AIR CONDITIONERS, ETC., not otherwise included with this building permit
application.
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: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE,
AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS
PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and zoning.
SIGNATURE
STATE OF FLORIDA
COUNTY OF Sr1r11m 2\VPX
The foregoing instrument was acknowledged
before me this 31 day of 3CA , 20� by
'P-tY\C]n �1-U 4-P Y" who is personally
known is me
9Jt� .Q
Signature of Notary a............................................i
MICHELE C PETERS
s` p"rv"w, Comm# DD0261712
Type or Print Name of Not&' ` N E"P'ma s/tsrzoo7
• =°s . o. moo`" '° Bonded tnn, (800)4324254:
s•.�
Commission No. 3•••• •(5aei�.:No'a7 ..": °:uf
CO � SIGNATURE
STATE�OF FLORIDA
COUNTY OFt�d
The foregoing instrument was acknowledged
before me this 31 day of Jam, 209�, by
zinc \T I W r . who is personally
known to me t>r-whAes-preduced
��tion.
Signature .............................•..........
MICHELE C PETERS
o•"'�p'w, Com.0 OD0261712
Type or Print Name of Nota'ry3= . _ Exaime e11512007
='a Bonded Inns (800)432d254:
Commission No. i....:. (.. .i
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUBdNG PERMIT AS
AN OWNERBUIIAER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON TBE
FRONT OF THE APPLICATION.
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