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Home My WebLink AboutSUBMITTED PAPERSOFFICE US ONLY: Date: a Due: Receipt# Permit # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION ��OI�iVECI 2300 Virginia Avenue Q Y Ft. Pierce, FL 34982-5652 t. LUcj(3 („Oust 772-462-1553 y APPLICATION FOR ALUMINUM STRUCTURES PERMIT ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PROJECT INFORMATION p 1. LOCATION/SITE ADDRESS: .� 7 i �h� I e ��}' 1 C Cr a 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: .2 3 2 2 — $ O — O OO 3 O OO — Z. 4. LEGAL DESCRIPTION (attach extra sheets if necessary): _lA0 )ate R% sa-lb Ln 5. PLAT BK S2 - \b PAGE BLOCK LOT d 6. PARCEL SIZE: ACRES/SO FT. f LOT DIMENSIONS �� L 7. SETBACKS (ACTUAL) FROyi7._ BACK: RIGHT SIDE: LEFT SIDE: 8. TYPE OF STRUCTURE (CHECK ALL APPROPRIATE BOXES FOR EACH AND EVERY TYPE OF STRUCTURE) TYPE OF CONSTRUCTION N = New A = Addition R = Rebuild SG = Slab on Grade SR = Raised Slab WD = Wood Deck DIMENSIONS SQUARE FEET OF CONSTRUCTION ❑ SCREEN ROOM ❑ NEW ❑ EXISTING X ❑ CARPORT/PATIO ROOF ❑ NEW ❑ EXISTING X ❑ HABITABLE GLASS ROOM ❑ NEW ❑ EXISTING X ❑ CAT 1, 2 OR 3 SUNROOM ❑ NEW ❑ EXISTING . X ❑ ALUMINUM COMP. SHED ❑ NEW . ❑ EXISTING X ❑ POOL ENCLOSURE ❑ NEW ❑ EXISTING X ❑ M H ROOF OVER ❑ NEW ❑ EXISTING X ❑ ROOF SYSTEM OVER EXISTING ACCESSORY STRUCTURE ❑ NEW ❑ EXISTING X 14 OTHER: TA f I t 1 — ❑ NEW ^9 EXISTING X'7 ❑ ALUM POOL FENCE Linear feet TOTALSQUARE FOOTAGE OF CONSTRUCTION $ 9. VALUE OF CONSTRUCTION: $ Z 0 0 O Go 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. SLCCDV Form No.: 001-02 Rev.04/26/2010 OWNER INFORMATION L NAME: ADDRESS: CITY: T k i r t-C L�. -Sri !.� ZIP PHONE (DAYTIME): 01%J Z3 i " 3 S 3 ! EMAIL: FILL IN NAME AND ADDRESS BELOW IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE: FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME): (� CONTRACTOR INFORMATION STATE OF FLORIDA REG`./CERT #: n ST. LUCIE COUNTY CERT #: d 1 Sr 1 BUSINESS NAME: \J �i � iZ�(Q t' 1 Q Q,'S U L. QUALIFIER'S NAME: V �_,�i a V1 � '� '% L3 3 ADDRESS: S ``I,l � \V�1 rz', `L- - CITY: e on. yt - '+ -u a e STATE: f 1.. 1_ ZIP 14 7 p l9 3 PHONE (DAYTIME): �il )4 Z) - IQ `1 D l FAX NO. I')I- (9'1 ' �s�11 email: V A !Exl : i ki l h L O ARCHITECT/ENGINEER: ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME): () NOTE: IF APPLICABLE, SUBCONTRACTOR AGREEMENTS MUST BE ATTACHED TO APPLICATION FOR ROOFING, ELECTRIC, PLUMBING, AND HVAC ZONING REQUIREMENTS All such structures will be subject to the requirements of the ST. LUCIE COUNTY LAND DEVELOPMENT CODE. ❑ 2 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 ONLY SECTION TOWNSHIP RANGE MAP NO. Additional ZONING LAND USE LOT CVG % Permits Required REPORT I I BIMS FEE CODE BUILDING & ZONING REVIEW FRONT REVIEW COUNTER ZONING DATE COMPLETE INITIALS $ I MISC FEES I $ PLANS SUPERVISOR I EXAMINER VEGETATION TOTAL FEES I $ VALUE OF CONSTRUCTION USING ICC TABLE CERTIFICATION: 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 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: 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. V OWNER OR C NTRACTOR SIGNATURE CONTRACTOR SIGNATURE STATE OF FLORI A \ STATE OF FLORIDA i p COUNTY OF S LV Q L COUNTY OF S+ LV 41 The foregoing instrument was acknowledged beforeme me this A7 day of V 'AM V A ?1 , 20 by VF1vc,1��J 1\osk��lys , who is personally known to me, or who has produced as identification. 1�µ Signature fNotary JEAN RALPH GILBERT GACHETTE MY COMMISSION # DD965940 IMPORTANT NOTIC ; EXPIRES February 28, 2014 The foregoing instrument was acknowledged before me me this X? day of ZATV V A" , 20 14 , by V AV q�N kOSk. N S , who is personally known produced Z*fiQcation. \` � ,,'u to me, or who has (Seal) 4k JEAN RALPH GILBERT GAGHETTE MY COMMISSION # DD965940 • TWO (2) SIARE FFmQW9ADaw1!s�ltCH NATURE MUSTIB'F�;W ARI��'ED'`R�',KPp'CYI`MG FOR HIS BUILDING R/BUILDER THE OWNER MUS�(4atIR�§toi'RuAT Ty�'ft'��'ri°�`'eft4'`#iE OXICE , T�2 CIC, ITY l l lL LISTED ON THE FRONT OF THE APPLICATION, TO SIGN THIS APPLICATION & THE OWNER/BLDR 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 AVAILIBILITY, IT WILL BE VOIDED. IF THE APPLICATION IS RESUBMITTED, AN ADDITIONAL FEE WILL BE CHARGED. Property Appraiser - St.Lucie Countv- FL Page 1 of 1 Thomas Burke Record: 1 of 1 Property Identification Site Address: 2774 GENTILE RD Sec/Town/Range: 22:35S:39 E Map ID: 23/22S Zoning: AG-2.5 Ownership and Mailing Owner: Thomas Burke Janet Burke Address: 1760 Coral Way N Vero Beach FL 32963 PROPERTY RECORD CARD ¢{Prev Next>> Spec.Assmnt Taxes Exemptions Permits Home Print �G2 ParcellD: 2322-800-0003-000-2 �� ,� `� Account #: 173245 Use Type: City/Cnty: Vac Res Saint Lucie County Legal Description GENTILE LAND (PB 58-16) LOT 2 (2.99 AC) ((OR 3375-2470) Sales Information Assessment 2013 •; 1001 tal Land and Building Date Price Code Deed Book/Page 2013 Final: 41900'---- nd Value: 41900 Acres: 2.99 3/27/2012 48000 5/20/2011 44000 0001 0002 WD WD 3375 / 2470 3298 / 1705 Assessed: Ag.Credit: 41900 y uValue: 0 0 Fib rea: 0 SgFt 1/26/2006 405000 02 WD 2496 / 1096 Exempt: Taxable: N �� Taxes: 848.58 �. L'-i�1L�LL�31J��7dirL'tiL�l�l No Sketch Available Exterior Features View: RoofCover: RoofStruct: - ExtType: YearBlt: Frame: - Grade: - EffYrBit: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: Electric: PrmintWall: FullBath: HeatType: AvgHUFI: 1 /2Bath: HeatFuel: Prm.Flors: %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Use Type Type Measure Depth 1 0000-Vac Res N -Acres 2.99 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/paslc/prc.asp?prclid=232280000030002 1/6/2014 04c0- fit, 1�A�k �OrC.�n ACQ�r1 11 yY1 evnb�,�,