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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. � Scalp w Signature of Not aa + v 6 v 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.