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HomeMy WebLinkAboutBuilding Permit ApplicationBOARD OF PLANNING & DEVELOPMENT COUNTYCOUNTY SERVICES DEPARTMENT COMMISSIONERS , Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Pro'ect Location: 13-L 1 t S � ; ; �, ��,�, `rt �'°� Date: Permit Number: N ; I Technician: Re uired Documents: Application completely filled out with Notarized Signatures ..................... . ..... Yes -/No N/A Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A Owner / Builder Affidavit (signed in office)........... ....... Yes No N/A Filled Land Affidavit (prior to issuance)............ ...Yes No N/A Recorded Warrany Deed, if applicable.......... .... Yes No N/A'� Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes No --**N/A Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No NIA Vegetation Removal Application with copy of survey........ ...... Yes No N/A Plans, Calculations & Attachments (3 copies commercial, 2 copies residential) Complete set of plans with Engineer / Architect Raised Seal ........................... Yes No N/A Truss Plans reviewed and approved by Engineer / Architect ........................... Yes No N/A Landscaping and Parking plan (under 6,000 syft)................... Yes No N/A Approved Site Plans ................ Y / Sealed Survey with Dimensions, Finished floor............ ... Yes No NIA Elevations and Setbacks...... _ .... ... _ ..... Yes No N/A Plot plan with Setbacks ................................ . ......... Yes No N/A Health Department approval stamped on survey and floor plan ........................ Yes No N/A Health Department Food Establishment Permit stamped on floor plan ................ Yes No N/A Manual "J" or Manual "N" Calculations....... ............................................ Yes No N/A Signed Energy Calculations (I original signature) ....................................... Yes No N/A Scaled Wind Load Compliance Certification......... y No/ / Product Review Affidavit......... Yes— No / Other: Health Department Permit Paperwork......... .... Yes No N/A CD for Fire Department if commercial or multi -family ... . ............................... Yes No N/A DEP, SFWMD or Array Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A Pool Barrier Affidavit .......... Y / Ground Sign Landscape Affidavit (signs)........, Y / Burn Rate for Sign Cabinets........,.............................:. Y es— No / RV and Mobile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram)......... ......... Yes No N/A Manufacture Set -Up and Installation Manual......... ... Yes No N/A Manufacture Blocking Documents........, Y l Signed Penetrometer Test (1 copy) .............. Y / Stair Details ......................... Y / Mobile Home Inspection Report for Relocation (used only) ........................... Yes No N/A Copy of Title for Relocation (used only)........ ........... Yes No N/A Private Property not in a mobile home park Class "A" Approval from Planning or file #........... ..... Yes No N/A COMMENTS Revised 7/27/18 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8122118 Permit Number: CoU N -r Y F L L] R I Q A.. Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462.1578 Commercial Residential x PERMIT APPLICATION FOR: Electrical PROPOSED IMPR+DVEMENT LOCATION Address: 13211 S INDIAN RIVER DRIVE, BUILDING 1 Legal Description: 9 37 41 N 112 OF THAT PART OF SEC 9 AS IN DBK 49 P 235- LESS RR AND LESS SR 707 (OR 3614-679) Property Tax ID #: 4509-130-0004-000-2 Site Plan Name: LEITCH Loi No. Project Name: LEITCH Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK COMPLETE OVERHEAD 200 AMP METER MAIN MAIN LUG PANEL REPLACEMENT, UPDATE THE GROUNDING SYSTEM, REVIOIRE W/H WHIP, SURGE PROTECTION, GFCI RECEPTACLE IN KITCHEN, D/W DEDICATED CIRCUIT IN PVC FROM METER MAIN CONSTRUCTION INFORMATION: Aacitiona workto e e orme un er t is permit — c ec a appy; I�HVAC Gas Tank DGas Piping_ Shutters JQ Windows/Doors Electric Plumbing OSprinkiers E Generator Roof Roof pitch Total Sq. Ft of Construction: S. Ft. of First Floor: Cost of Construction: $ 5641.04 UtilitiestSewer 0Septic Building Height: OWN ERAESSEE: CONTRACTOR: - NameMiilenback Properties, LLC/Rodger Leitch Name: John Pankraz Address: 13211 S Indian River Dr Company: Elite Electric and Air City: Jensen Beach State:FL Zip Code: 34957 Fax:Port Phone No.804-513-8777 Address: 1691 SW South Macedo Blvd St Lucie City: State: FL Zip Code: 34984 Fax: 772`340-3702 Phone No. 772-340-3797 E -Mail: flipper-03-99@yahoo.com Fill in fee simple Title Molder on next page ( if different from the Owner listed above) E -Mail: permit@eliteelectricandair.com State or County License: EC13006036 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: o Not Applicable Name: Millenhack Properties, LLiCIRudgerLeitch Na,Jme: John Pankraz Address: 73211 S INDIAN RIVER DRIVE, BUILDING 1 Address: 13211 S Indian River Dr City: Jensen Beach State: City: Port St Lucie State: Zip: Phone Zip: Phone: ] FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:1691 sw sauth Ma -do Blvd Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, perform the work in accordance with the approved pians, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property, A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. if you intend to obtain financing, consult with lender or an attorney before commencing work or reco�sAng your Notice of Commencement. I Signature of Owner/ Lesseontractor as Agent for Owner Signature of ContractorKieense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF l..COUNTY OF S'F The forgoing instrument was acknowledged before me this 'ZS day of 406 + °x . 20 I `i4 by Name of person making statement Personally Known �6 OR Produced Identification Type of Identification Produced (Signature of Notary Public- State KONNI LENAE DI £� a °� `'- NolaryPublic - State Commission No. 6G ` ftc(v f t4 Commission9GG my colm. ••' t a X41; oY. lres E BoWed through Na o aal REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev_ 8/2/17 Thefor Ding instrument was acknowledged before me this 3Tdayof .A,;%t° ,. 20 �'�by -Sib, s4 tj C },.i it i2!} L Name of person making statement Personally Known OR Produced Identification Type of identification Produced I�{jSign ure of Notary Public- Stat Florida t� {v,, KDNNI LENAE DFVVf7 c - i,r . taryPublic-State of F! sign No. L'° i I'h pmmissiorr # GG 1659 ary Assn. My Comm. Expires Dec 10, Banded through National Notary S REVIEWOR REE W I VEVI WON I SEEVEWLE I MEVIEWVE 6 Ly [a hj 43 ELECTRICAL RISER PLAN NOT TO SCALE O Underground VOverhead NMI tG� f 77z.34Q.3797 1691 SW. Macedo Blvd. Port St. Lucie, FL 34984 Z66A j 1. Size Service 2. ConductorSize E91DE:L*V 9 3. a. Meter Main b. Meter Can Only: Grounding Electrode Conductor Size ##6 [ °J #4 #2 Other CONSTRUCTION TYPE: Residental 11 Mobile Home New Installation OId Installation G, D6 ivL L+' I T[H (3L(11') S i u+ 9-ivrea Elite Electric & Air, Inc. Load Calculations Phone #: Email address: Customer Name : C�6 Location Existing Service Feeder Size: c7 Existing Panel Size: Main Breaker Size: Number of Breakers: ESisting Loads 9DO3 Sq. Ft. X 3 watts per sq. ft.. . ......................... e2 _ � Minimmn 2 Appliance cir- @1500 watts each...... watts 3 ocro Laundry cir. @ 1500 watts each ..................... watts --I—Range @ 8 kw... . ................. watts ... watts _.__Dishwasher and disposal @ 1500 watts each...... > -Wall mounted Microwave @ 2000 watts.......... watts _Water heater @ 4.5 kw................................5(K watts watts __,_Dryer @ 5 kw........... Air blower ................ .. •watts Extra refri erator 1500 watts ............... " watts —_-Sprinkler Pump ................. ... Other i Other `j�;, j R P watts ) watts __..Dwatts Other ................ ......... watts Other ... watts Subtotal """" Watts New Loads Pool pump .................. watts Poollight ................................................. watts Heatpump ............................................... watts Chlorine generator ............................. watts Air blower ................ ... watts Boatlift................. ... Other i watts .. watts Other ................ watts Other .......... . ..... watts ,r�(� -IS First 10 kw @ 100% ................. V watts Total Zo Watts �Remainder @ 40% .............• .. ® watts AIC @100% vs. heat @ 65% .................................... watts Total watts Divided by 240 volts = Prepared by: Amps _- �, Date: A Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 13211 S Parcel TD: 4509-130-0004- Account #: 122909 Sec/Town/Range: 09/37S/41E INDIAN RIVER DR 000-2 Map ID: 45/09N Zoning: RE -2 Use Type: 0800 Jurisdiction: Saint Lucie County Ownership Legal Description Millenbeck Properties LLC 9 37 41 N 1/2 OF THAT PART OF ;SEC 9 AS IN DBK 49 P 235- 13211 S Indian River DR LESS RR AND LESS SR 707- (OR 3614-679) Jensen Beach, FL 34957 Current Values Historical Values 3 -year JustJMarket: $491,200 Assessed: $401,962 Year Just/Market Assessed Exemptions Taxable Exemptions_ $0 Taxable: $401,962 2018 $491,200 $401,962 $0 $401,962 2017 $405,600 $365,420 $0 $365,420 2016 $332,200 $332,200 $0 $332,200 Date 03-05-2014 02-14-2014 04-01-1978 View: Year Built: 1950 Primary Wall: Wood no Sh Bedrooms: 0 Full Baths: l Half Baths: 0 Roof Cover., Metal Frame: Story Height: 1 Story A/C %: 0% Heated %: 0% Sprinkled %: 0% Exterior Data Roof Structure: Gable Grade: C - No. Units: 1 Interior Data Electric: MAXIMUM Heat 'Type: Heat Fuel: Total Areas Price $340,000 $0 $0 Building Type: HC - Effective Year: 1960 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Carpet m, Finished/Under Air 2,209 (SF): Gross Area (SF): 5,322 Land Size (acres): 4.29 Land Size (SF): 187,024 Total Building Count: 5 Special Features and Yard Items Type Qty Units Year Blt WOOD DOCK 1 200 1979 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved. Sale History Book/Pagc Sale Code Deed Grantor 3614/0679 0001 WD Wagner Fred 3605/1528 0111 PB Wagner (EST) Donald F 0285/2060 XX01 Cv Primary Building Information Finished Area of this building: 625 SF Gross Area of this building: 789 SF Roof Cover., Metal Frame: Story Height: 1 Story A/C %: 0% Heated %: 0% Sprinkled %: 0% Exterior Data Roof Structure: Gable Grade: C - No. Units: 1 Interior Data Electric: MAXIMUM Heat 'Type: Heat Fuel: Total Areas Price $340,000 $0 $0 Building Type: HC - Effective Year: 1960 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Carpet m, Finished/Under Air 2,209 (SF): Gross Area (SF): 5,322 Land Size (acres): 4.29 Land Size (SF): 187,024 Total Building Count: 5 Special Features and Yard Items Type Qty Units Year Blt WOOD DOCK 1 200 1979 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.