HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - POOL ENCLSURE`f, i O t �'lkT rN k A'V
Permit #
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 ttie 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 AIlt CONDITIONERS, 1:TC., not otherwise included with this building permit
application. j
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
RECORDINGtYOUR•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..
OWNERYRic N CTOR'SIGNATURE Cb OR SIGNATURE
STATE OF FLORIDA
COUNTY OF Sk Lu C a
The foregoing instrument was acknowledged
before me this3&day of -Gt C) , 2(U� by
RE D Gr 2 L
Y who is personally
known to me or who
has produced
as identification.
I^ '.^,
1
Signature of Notary
Type or Print Name of Notary
Commission No. (Seal)
STATE OF FLORIDA
COUNTY OF Sk . l A IjC A e
The foregoing instrument was acknowledged
before me this day ofSGrl, 20gby
who is personally
CHRISTINA BROWN known to me or who has produced
Notary Public, State 01 Florida as identification.
1JIy ComNo.D 3 7778 ,2009_ i
-No. DD397778
Signature of Notary Al.
c.N-rL (srl t g �b¢u, 3 ».
CHRISTINA BROWN Type or Print Name of Notary
Notary Public, State of Florida
My Comm.ExpresFeb.f7,2009 Commission No. (Seal)
No.DD397778
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS
BUILING PERMIT AS AN OWNER/BUILDER TIIE .OWNER MUST PERSONALLY APPEAR TO SIGN THIS
APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
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SECTION
i`Z
TOWNSHIP
345
RANGE
39 C
MAP NO.
13
�S_(
LAND USE
RI ,�
LOTCVG%
Addifional,�4esZONING
Permitsv1
REPORT
CODE
1 I 1
BIMS FEE
$
MISC FEES
$
TOTAL FEES
$
a_T
,.. :3- '.'--.. .�"-e.
IRON
N
REVIEWS
ZONING
ZONING
REVIEWED BY
PLANS
EXAMING
MISC.
VEGETATION
DATE
COMPLETE
t-t
INITIALS
OFFICE USE ONLY:
Date:.4
I q OC 0
Fee Due: QS _
Receipt# 3� 33
Permit # a�
3
ALL INFO MUST BE COMPLETE & FILLED IN TO E ACCEPTED,
St. Lucie County Building and Zoning
a _- '1 2300 Virginia Avenue
o . Ft. Pierce, FL 34982-5652
772462-1553 SCANNED
BY
St. Lucie County
APPLICATION FOR BUILDING PERMIT
FOR ALUMINUM STRUCTURES
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 53 I P:i ,1 eO P V nP_
2. S/D NAME: SITE PLAN NAME:
3. PROPERTYTAXID#:
4. LEGAL DESCRIPTION (attach extra sheets if necessary): t4nucry "PI nl'
5. PLAT 6. NO. A7. N OCK LOT
BOOK 8. NO. u
_ .
9. PARCEL SIZE: cA-CRES/SQ'FT--2_ JOT-DIvIENSIONS= I D e1 .9R �'oZ
10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: -4-n
J3 3 '
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT: LEFT:
SIDE SIDE
12. EV14EW CONSTRUCTION [I EXPANSION/ADDITION
13. TYPE OF STRUCTURE (Check all appropriate boxes)
[ ] SCREENROOMS [ ] CARPORT/PATIO ROOF [ ] GLASS ROOM [ ] SHED
[ POOL ENCLOSURE [ ] MOBILE HOME ROOF OVER [ ] HANDRAILS/GUARDRAILS
FOUNDATION
L AISLAB ON GRADE [ ] RAISED SLAB W/FOOTER [ ] RAISED WOOD DECK ON FOOTING
,EKlS%lNG-
14. DESCRIPTION OF PROPOSED USE: L' A E
15. 5q f7CONSTRIICTION:_ 1 D,2, !j 16. VALUE OF CONSTRUCTION: $ cZOi (p )iq .00
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 30 days after
notification it will be voided and returned to you by mail. An additional fee will be charged if
resubmitted.
SLCCDV Form No.: 001-02 Rev. 8117105 dmg
OWNER INFORMATION
NAME: _?) ..SA{-G
ADDRESS: 53 I I -� 1 are 1�i n e_ ' CC r-
CITY: 51? STATE:
rL ZIP 3LIq,5 1
PHONE (DAYTIME): L11o0-10(o33
email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER)
IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL INNAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER
ADDRESS:
CITY: STATE:
ZIP
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG./CERT #:
ST. LUCIE COUNTY CERT #:(I
BUSINESS NAME:
QUALIFIERS NAME: CdoII
ADDRESS: 7003 Broo*'' ave.
6009
eW7003 Brookline Ave.
CITY: 772465-5441 465-544gf E:
Fort Pierce,
,72A65 A+t 465 1 Fax
PHONE (DAYTIME): FAX NO.
email:
ARCHIT/ENGINEER:�f�Y1P-I��
ADDRESS: -20 '31 o x c� 1 Uc3 to�R-
CITY: S. `1ct�rEanc� a STATE: ZIP a )
PHONE (DAYTIME): --i y
DESIGN INFORMATION (Contractor has the option to provide site specific engineeringfor Structure&C(adding Components)
Product
15• maximum height
Minimum Design
Pressure MPH
Design
Pressures
Manufacture
Model
Number
Method of Attachment
As per 1707AAA FBC
120
130
140
140C
Component Table 1606.213
Windows
37.7
40.7
47.2
57.1
wing Doors
32.4
38
44
53.2
liding Glass
32.4
38
44
53.2
Structural Components * Table 1606213 for enclosed structure only. All open / partially open structures refer to FBC Ch. 20
oof , * 0-10 degrees
1 54.2
1 63.6
1 73.8
1 89.3
•
JyVall 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
Type
Minimum Design
Pressure MPH
Product Compliance Report #
Method of Attachment
120
130
140
140 C
SBCCI
Dade
Other
Anchor Type
Spacing
Removable Panels
Other
DESIGN PROCEDURE
Florida Building Code
Exposure M (A
Wind Zone 1600mph
from Lawrence Bennett, Robert Monsour, Do Y. Kim, or other
approved engineering manual to the top of this sheet.
CHECKLIST
Items needed:
C� 2 copies of site plans to scale, with all dimensions of Existing and New
structures, and showing front, sides, and rear, set backs.
NJ 1.
I� 2 copies of clean; precise, and scaled plans, on a minimum of 8.5 x 11 and
maximum of 11 z 17 sheets.
C1 Top View, showing beam sizes and span lengths, column locations, line
indicating overhang, host attachment, and all dimensions.
51 Front View, column location and distance. between, beam sizes & length,
girt locations, and all dimensions.
d Side View, colurmvlde_ation,and distance between, beam sizes & length,
girt locations, and all dimension's.
Cd 2 sets of highlighted engineer's sheets from appropriate manual for all
attachments. .
J.
❑ 2 copies of the Design Procedure: Cliecklist�from the Manual to be used.
❑ 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`h wall design details.
NOTE. If application, plans, or checklist are incomplete they -will not be accepted at
the counter or if received by mail they will be returned to the applicant.
I, the Contractor, take full responsibility for complying with the 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,1606.213,1606.2C, and
1606.21) or chapter 20 of the Florida Building Code.
rut � _4611mo
N�DateCnaor