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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� " ��uC b !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 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print 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 I t C.nl { / `l 1 t G I LO To: P&go 1 of 1 2012.06-1710:63:61 (GMT) 17722640412 From:9tcvw Roddgu®x rt