HomeMy WebLinkAboutAPPLICATION FOR ALUMINUM STRUCTURES PERMITOFFICE USE ONLY: MW
Date:
Fee Due: e3D
Receipt#
Permit # D d
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning _p�S. bal3
a 2300 Virginia Avenue
+e 61 a Ft. Pierce, FL 34982-5652 CANNED
772-462-I553 By
St. Lucie County
APPLICATION FOR ALUMINUM STRUCTURES PERMIT
PROJECT INFORMATION
1.
LOCATION/SITE ADDRESS: 9332 Scarborough Ct Port St Lucie FL 34986
2.
PROJECT NAME: Tolley Pool Enclosure SITE PLAN NAME: Tolley Pool Enclosure
3.
PROPERTY TAX ID #: 3322.507-0013-000.8
4.
LEGAL DESCRIPTION (attach extra sheets if necessary): PODS 12 AND 13 PUD 1 AT THE RESERVE SCARBOROUGH
ESTATES (PB 45.13) LOT 8 (OR 2955.1098)
5.
PLAT 6. PAGE 7. BLOCK 8. LOT
2955 -1098 8
BOOK NO. NO. NO.
9.
PARCEL SIZE: ACRES/SQ FT. •033 LOT DIMENSIONS 15 .55 l05 . S
ir0; o r ,Y X �o9.4a
10.
SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: , • S LEFT SIDE:
to
11.
TYPE OF STRUCTURE (CHECK ALL APPROPRIATE BOXES FOR EACH AND EVERY TYPE OF STRUCTURE)
TYPE OF CONSTRUCTION
N=New
A=Addition
SG = Slab on Grade
SR =Raised Slab
DIMENSIONS
SQUARE FEET OF
R = Rebuild
WD = Wood Deck
CONSTRUCTION
❑
SCREEN ROOM
❑ NEW ❑ EXISTING
X
❑
CARPORT/PATIO ROOF
❑ NEW ❑ EXISTING
X
❑
HABITABLE GLASS ROOM
❑ NEW ❑ EXISTING
X
❑
SUNROOM
❑ NEW ❑ EXISTING
X
❑
SHED
❑ NEW ❑ EXISTING
X
It
POOL ENCLOSURE
❑ NEW 1� EXISTING
❑
M H ROOF OVER
❑ NEW ❑ EXISTING
X
❑
ROOF SYSTEM OVER
❑ NEW ❑ EXISTING
X
EXISTING ACCESSORY STRUCTURE
❑
OTHER:
❑ NEW ❑ EXISTING
X
❑
POOL FENCE
Linear feet
TOTALSQUARE FOOTAGE OF CONSTRUCTION
/ O p
12.
VALUE OF CONSTRUCTION: $ 10,000
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 $2500 or more, a RECORDED Notice of Commencement must be submitted
PRIOR TO FIRST INSPECTION.
SLCCDVForm No.:001-0a Rev.2119/07el
OWNER INFORMATION
NAME:
o)
CITY:
PHONE (DAYTIME): (772 )
"V VVVV EMAIL:
t0
FILL IN NAME AND ADDRESS BELOW IF THE FEE SIMPLE.TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM
THE OWNER LISTED ABOVE:
FEE SIMPLE TITLEHOLDER:
&u 114:9RA
CITY:
PHONE (DAYTIME): (_)
CONTRACTOR INFORMATION
STATE:
ZIP
STATE OF FLORIDA REGJCERT #: CRC1327247 ST. LUCIE COUNTY CERT #:�
BUSINESS NAME: Everlast Screen Enclosures, INC.
QUALIFIER'S NAME: Blake E. Shinnick
ADDRESS: 2941 SE Gran Park Way
CITY: Stuaf STATE: Flonda zrn 34997
PHONE (DAYTIME): ( 772) 287-5305 FAX No. 287-5942 email: toreyamici@yahoo.eom
ARCHITECT/ENGBVEER: Tamowskl
ADDRESS: 7360 NW 5th Street
CITY: Plantation STATE: Florida ZIP
PHONE (DAYTIME): ( 954) 727-2027
33317
NOTE: IF APPLICABLE, SUBCONTRACTOR AGREEMENTS MUST BE ATTACHED TO APPLICATION FOR ROOFING, ELECTRIC, PLUMBING,
AND HVAC
ZONING REQUIREMENTS
Alh structures will be subject to the requirements of the ST. LUCIE COUNTY LAND DEVELOPMENT CODE.
V2 scaled plot plans showing lot size, dimensions of existing host structure, and proposed aluminum addition. All setbacks
including front, side, rear and distance between adjacent property structures in MH Parks shall be indicated on the plot plan.
❑ 2 sets of color photos for all storm damaged areas to be reconstructed. One picture must include house address number for
inspection verification. ( not required for construction unrelated to storms)
OFFICE USE ONL
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
I t `1
LSD
LAND USE
LOT CV G %
Additional
Permits
Rennired
REPORT
CODE
1-r ' 1 ,
( I
BIMS FFF$
' Ord
MISCFEES
$
TOTAL FEES s
BUILDING -;&?ZONING
REVIEW m ^s
FRONT
PLANS
VALUE OF CONSTRUCTION
REVIEW
COUNTER
ZONING
SUPERVISOR
EXAMINER
I VEGETATION
USING ICC TABLE
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 INT 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 HVAC, etc., not
otherwise included with this building 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 in existence prior to removal by the storms.
X
OWNER OR CONTRACTOR SIGNATURE RACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
6
The foregoing instrument was acknowledged before Mel— 11GG � N o
r of cr
me this � day of
by t!LP Cr-- 6-SH Ir.1[ t if (W 00
who is personally known to me, or who has
a
produced
• v
as identification. z'.% m°
�• — — (Seal)
Signature of N ry
IMPORTANT NOTICES:
STATE OF FLORIDA
COUNTY OF M OhYz—r
The foregoing instrument was acknowledged before me
me this k % day of AU 3'�—, 20 Dom,
by 5K
tl mo�
who is personally known
nN "
to me, or who h2ft!.5:4 v U0
G1
produced
F4 0
aU 00$
as identification.
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Signature of Not
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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 AVAILIBH.ITY, IT WILL BE VOIDED. IF THE APPLICATION IS RESUBMITTED, AN
ADDITIONAL FEE WILL BE CHARGED.