HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI C11111 L 1f
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 informations accurate and that all work will be done in compliance
with all applicable laws regulating construction and zoning.
O'W)4ERICONTRACTOR SIGNATURE CO ACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF Sr. L-vc./E
The foregoing instrument w acknowledged
�}y�efore me this day of , 20py� b
tEy('AULT, MAQCoi7G w o is
n o or who has produced
as identification.
STATE OF FLORIDA
COUNTY OF Sr. L ue /4
The foregoing instrument way acknowledged
before me this Jg day of 20a by
PF1uc. T. Mater o TT C- 4o t er
own to m r,who has produced
as identification.
�Si alure ofNola - Sigma" - tort u(tdolary .
a� L SwliUso� ,�azcn/ L. S'w�;usc,J
Type or Print Na mc of N Type or ol'Q`�PfOrl L. Swinson
Karen L. issionn ,t *M Commiss 991758
Commission No . t r�il7'IISSIOn CC991758 � Commis o. Y tQ�eari�
Ex ires Jan 3, 2009 a plres an , 2009
NOTE: Two (2) S� R IURESPARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILING PERMIT AS
AN OWNERIBUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE
FRONT OF THE APPLICATION.
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SECTION
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TOWNSHIP
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RANGE
MAPNO.
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Additional
Yes
-
ZONING
LAND USE
LOTCVG%_
Permits
no
rp
REPORT
CODE
7y, (
B,IMS FEE
$
M1SC FEES
$
TOTAL FEES
$
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REVIEWS
ZONING
ZONING PLANS
MISC.
VEGETATION
REVIE BY EX NG
DATE
COMPLETE
INITIALS.
OFFICE USE ONLY: DATE FILED: G� /
PLAN REVIEW FEE: O C7 ' RECEIPT NO.: PERMIT NUMBER: OSO�
CONCURRENCY FEE RECEIPT NO.: CERT. CAP. NO.:
ALL
MUST BE COMPLETE & I1+'IL D IN TO BE ACCEPTED
�e�ll/i T t-.'
St. ucie County Building and Zoning
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 2
772-462-1553 . (% . f'�(:(�7 / T•
OSD�Fr 00
APPLICATION FOR BUILDING PERMIT
FOR ALUMINUM STRUCTURES ,
��eflNl��
PROJECT INFORMATION
St. Ludecoun@v
I.
LOCATION/SITE ADDRESS:SS'YO
OLE/9MDEt¢ A.G.
2.
S/D NAME: WH 1 rF C11 T y
SITE PLAN NAME:
3.
PROPERTYTAXIDtt:
.
4.
LEGAL DESCRIPTION (attach extra sheets if necessary): ", rr= Ctry S J42.5V
QF OUTL.OT g" -LESS W
530'AMD LMS S 75.83"mP A(
80.83/ne E /5-01 OP 5,90,Vaimp
L-cs-s Al5/
5.
PLAT 6. PAGE
7. BLOCK
8. LOT
BOOK NO.
NO.
NO. ' S
75-1 8'3 " X
9.
PARCEL SIZE: ACRES/SQ FT.
LOT DIMENSIONS /5'B r X I
AI. 7Y X %.?O /.
10.
DE/S1CRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
_C,on1ST/LU�T JW/MH1�rJ�
PGryL Civc,.osU2E
: 11
12.
SETBACKS (ACTUAL) FRONT: BACK: ' p / RIGHT: / LEFT: /
07 SIDE 63.5 SIDE 130
[ ] NEW CONSTRUCTION [ )EXPANSION/ADDITION
13. TYPE OF STRUCTURE Check all appropriate boxes
() .
(] SCREENROOMS ., [I CARPORT/PATIO ROOF
POOL ENCLOSURE [ ] MOBILE HOME ROOF OVER
FOUNDATION
[ ] SLAB ON GRADE [ ] RAISEDSLABW/FOOTER
14. DESCRIPTION OF PROPOSED USE: KCC2ERT/BA)
[I GLASS ROOM [ ] SHED
[ ] HANDRAILS/GUARDRAILS
[ 1 RAISED WOOD DECK ON FOOTING
is. Sq. FUCONSTRUCTION: /06 �IO - r 16. VALUE OF CONSTRUCTION: $ 9�2 ao
TLC value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question andfor 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 $2500 or mote, a
RECORDED Notice of Cotmnencement must be submitted with this application.
IMPORTANT NOTICE: When a permit is ready to be issued and HIS not picked up within 60 days after
notification it will be voided and returned to you by mail.
SLCCDV Form No.: 001-02 Rev. 5123102 dmg
INFORMATION
NAME: _
ADDRESS: aL of IlJ(t/ `G1221S U2
CITY: PQe7 ST, Ll1G/C STATE: FL ZIP 3 W 3
PHONE (DAYTIME_): (_) 370^ 3sea email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY
PHONE (DAYTIME): (—)
CONTRACTOR INFORMATION
ST. of FL REG./CERT
BUSINESS NAME: _
STATE:
ZIP
t a n ., t
QUALIFIERSNAME: '-HUL r `"/�It92coTTc
ADDRESS:� lay9r_13 Sty/ 6/L7-A10je6 ST. `
CITY:' tD2T ST: BUG/C '=- STATE: ZIP 31083
PHONE (DAYTIME):' (_)a-y0-ti$Ffb' FAX NO: .ago -ail ` -\ email'
ARCHIT/ENGMER: L E / JCtUNGTT
' ri iu0 i_CC
CITY:
PHONE (DAYTIME)-. d& 76 %' V?7lf
STATE: F L ZIP 39191
DESIGN INFORMATION (Contractorhas the option toprovide sitespecifie engiieeringfor 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 1606.2B
Windows
37.7
41047.2
57.1
wing Doors
32.43d.7
44
53.2
Tiding Glass
32.444
53.2
Structural Components . Table 1606.21) for enclosed structure only. All open / partially open structures refer to FBC Ch. 20
oof * 0-10 degrees
54.2
63.6
1 73.8
1 893
all Table 1606.2A
22.8
26.8
131.1137.61
❑ Impact glazing will be provided Type of Surface attachment- wood Frame _ Aluminum _
.
enclosed structures only
Panels
Minimum Design I Product
Dade I Other
Method of Attachment
DESIGN PROCEDURE
-- —
Florida Building Code
Exposure
Wind Zone mph
Attach_ all appropriate Engineering Designs and Specifications
from Lawrence Bennett, Robert Monsour, or other approved
engineering manual to the top -of this sheet. ,
CHECKLIST
Items needed:
❑ 2 copies of site plans to scale, with all dimensions of Existing and New
structures, and'showing front, sides, and rear set backs.
❑ 2 copies of clean, precise, and scaled plans, on a minimum of 8.5 x 11 and '
maximum of 11 x 17 sheets.
i'O Top View, showing beam sizes and span lengths, column locations, line
indicating overhang, host attachment, and all dimensions.
l7 Front' View, column location and distance between; beam sizes & length,
girflocations, and'all dimensions. -
❑ Side View, column location and distance between, beam sizes & length,
girt locations,' and all dimensions.
❑2 sets `of highlighted engineers sheets from appropriate manual for all
attachments:. .'
❑ 2 copies of'the-Design Procedure Checklist from4he'AAF'Manual
OR the design component checklist from 200113eririett l ngineering Manual
❑ All window and door pressures and attachments noted on plans & checklist.
❑ 2 copies of Dealer signed attachment letter with lot and block number, and
street address of installation. Or 4"' wall design details.
NOTE- If application, plans, or checklist are incomplete they )pill not be accepted at
the counter or if received by mail they )pill be returned to the applicant.
I, the Contractor, take full responsibility for submitted calculations of the design pressures for the
openings of the structure being permitted. I certify that the components being used, fastener type, and
fastening pattern meets the proper design pressures for the structure located in the designated wind
zones set by the county, along with applicable tables 1606.2A, 1606.2B, 1606.2C, and 1606.21) or chapter
20 of the Florid
r�a,,�/Building Code.
Pf1UL T, I me-o7-TE
Contractor Name Signature Date