HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:
Date: & P /l - 1 Fee Due: (T ! Receipt#
Permit # 42-0 6, 0
PLANNING & DEVELOPMENT SERVICES SCANNED
BUILDING & CODE REGULATION DIVISION BY
2300 Virginia Avenue St. L Ft. Pierce, FL 34982-5652 UCIO COUnt
772-462-1553 y
APPLICATION FOR ALUMINUM STRUCTURES PERMIT
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
Q
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 3 3 -1 1 ctn erv�4
2. PROJECT NAME: GII l� C�c C5 SITE PLAN NAME:
3. PROPERTY TAX ID #: �d I `- I CIO I — G 0 n — (
4. LEGAL DESCRIPTION (attach extra sheets if necessary): , J 3 �1 ,3 / 5—?. &
5. PLAAK'3 )-( PAGE �—+
6. PARCEL SIZE: ACRES/SQ FT
7. SETBACKS (ACTUAL) FRONT:
BLOCK
LOT
_ LOT DIMENSIONS
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
Id- 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
❑ OTHER:
❑ NEW ❑ EXISTING
X
❑ ALUM POOL FENCE
Linear feet
TOTAL SQUARE FOOTAGE OF CONSTRUCTION
9. VALUE OF CONSTRUCTION: $ /,)-) ()
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 0412612010
OWNER INFORMATION
NAME:1han,056n.
ADDRESS: L3 3 =Eq n -e VA a
CITY: r C4P STATE: ZIP
PHONE (DAYTIME): ^ � L(-)"— �4_ 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 #: ST. LUCIE COUNTY CERT
BUSINESS NAME: ✓w► L/
QUALIFIER'S NAME: 4 C4 C, r
ADDRESS: L
CITY: I �(�-_�- 61 STATE: ZIP
[� _
PHONE (DAYTIME): /M Z �� ` �3 �� FAX NO.�� �/� f; p Imo/email
o�rl
ARCHITECT/ENGINEER:
ADDR /
WO tfw
S: c
CITY. t u) Gi/ e- ZIP 7
U ��
2 )STATE:
PHONE (DAYTIME): ��—f Lv�/ G —3✓ v
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.
ZONING
LAND USE
LOT CVG %
Additional
Permits
Required
REPORT
BIMS FEE
MISC FEES
TOTAL FEES
CODE
\
BUILDING ' & ZONING REVIEW
FRONT
PLANS
VALUE OF CONSTRUCTION
REVIEW
COUNTER
ZONING
SUPERVISOR
VEGETATION
USING ICC TABLE
OMPLETE
� o
/EXAfMINER
�P ! �v
LIN=ITl
-4
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
exc th ootprint of the struct re that was in existenceq?rJortto remov y t e storms.
r�
"
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!U n Y3
WNER OR CONTRACTOR SIGNATURE j s i,. ONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF w l e�
The foregoing instrument was acknowledged before me
me this l day of �A k l: may— , 201'4
by C
who is personall own to me, or who has
produced
as identification.
Signature of Notary
IMPORTANT NOTICES:
`��z
10
CE U
2
x z m °-
Cd VS
o�
M m
crMir2
=oaf
E>-w�
m
STATE OF FLORIDA J
COUNTY OF � gCAr, IC-1
The foregoing instrument
}was acknowledged before me
me this --�L day of ..J �il,�� , 20_1
who is personally own to me, or who has
identification.
• TWO (2) SIGNATURES ARE REQUIRED. EAIMATURE MUST BE NOTARIZED. IF APPLYING FOR THIS
BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR, IN THE OFFICE
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 (7- �nty, FL Page 1 of 1
r ;
PROPERTY RECORD CARD
Wynne Building Corp Record: 1 of 5
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Property Identification
, \\ CIE OO
Site Address: 14 LA VILLA WAY B
ParcellD: 1301-111-0001-000-5 G,L
Sec/Town/Range: 01 :34S :39E
Account*: 317
Map ID: 13/01N
Land Use: PRKG/MOBILE
City/Cnty: St Lucie County �'
Zoning: PUD
,•
Ownership and Mailing
Legal Description
Owner: Wynne Building Corp
134 39 E 1/2-LESS AS IN ORS 2639-2,263: 2652-2429: 2664-2695:
Address: 12804 SW 122nd Ave
2678-378,381: 2688-516: 2701-276: 302
Miami FL 33186-6203
More...
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page 2011 Final: 28141400 Land Value: 9480000 Acres: 317.38
1/1/1980 950000 00 CV
0324/2491 Assessed: 28141400 Building Value: 18661400
11/1/1978 390000 00 CV
0307 / 1544 Ag.Credit: 0 Finished Area: 21783 SgFt
Exempt:
Taxable:
Taxes: 572556.48
BUILDING INFORMATION
Exterior Features
View: -
RoofCover:
-
RoofStruct: -
ExtType: MHPK - MH
Parks YearBlt:
1982
Frame: -
Grade: C - C
EffYrBlt:
1982
PrimeWall: -
StoryHght: 0010 -1 Story
No.Units:
1260
SecWall: -
Interior Features
BedRooms: 1260
Electric:
-
PrmintWall:
FullBath: 0
HeatType:
AvgHUFI:
1/213ath: 0
HeatFuei:
-
Prm.Flors: -
%A/C: 0
%Heated:
0
%Sprinkled: 0
Special Features and Yard Items
Land Information
Type
Y/S
Qty,
Units Qual, Cond.
YrBlt.
No. Land Use
Type Measure Depth
CNC2 - CONCRETE LOW
Y
1
7200 AV
AV
1982
1 2800-PRKG/MOBILE 176 -Site 1255
CNC2 - CONCRETE LOW
Y
1
6952 AV
AV
1982
FEN1 - CHAINLINK 10
Y
1
200 AV
AV
1982
FEN4 - CHAINLINK 4'
Y
1
160 AV
AV
1982
FEN6 - CHAINLINK 6'
Y
1
665 AV
AV
1982
ASP1 - ASP1 HIGH
Y
1
199380 AV
AV
1982
CSAV - COM POOL AVG
Y
1
2720 AV
AV
1982
PA01 - POOL DK-AVG
Y
1
6304 AV
AV
1982
CURB - CEMENT CURB
Y
1
695 AV
AV
1982
ASP1 - ASP1 HIGH
Y
1
360000 AV
AV
1982
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=130111100010005 6/11/2012
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