HomeMy WebLinkAboutBuilding Permit Application and ChecklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/13/20 Permit Number:
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
PERMITTYPE:Window Door
PROPQ5 0 IMPROVEMEIUT LOCATIQW
Address: 5608 Sun Valley Drive
Property Tax ID #: 1312-501-0073-000-1
Site Plan Name: Sullivan's
Project Name: Sullivan's
Portofino Shores
Lot No. 138
Block No.
Replacing 9 Windows and 2 Doors with Impact Rated Products
Single Hung SH5500 NCA# 17-0630.05 Horizontal Roller HR5510 NOA# 17-0411.08
Architectural Window AR5520 NOA# 17-0614.09 Sliding Glass Door SGD5570 NOA#17-0420.06
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 19,877.00
Name Daniel Sullivan
Address: 68 Hunt Drive
City: Florida, NY
Zip Code: 10921
Phone No. 845-649-8017
State:
Fax:
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael ODonnell
Company:ODonnell Impact Windows and Storm Protection'.
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E -Mail odonnelipermitting@gmaii.com
State or County License CRC1331273
f value of construction is $2500 or more. a RECORDED Notice of Commencement is rem,ired
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
0
SUPPLEIVfENTAL CONSTRLICTIOWLIEN LAW
FORMATION:
DESIGNER/ENGINEER: NotAppl' le
MORTGAGE COMPANY: Aot Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip:
FEE SIMPLE TITLEER: _ Not Applicable
BONDING CO ANY: _Not Applicable
,H
Name:
Name:
Address:
Address•
City:
City:
Zip: 7Phone:
Zi Phone:
O ER/ CONTRACTOR AFFIDVIT: Application is her made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1 lict 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 I will, in all respects, perform the work
in accordance with the approved plans, 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC COMMENCEMENT."
ignature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLOR
STATE OF FLOR�/
COUNTY OF
COUNTY OF t� €fr'
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The f i str e was ' knowledged before me
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The fo i mstr t wa jacknowledged before me
this of 206Oby
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Name of person making statement.
Name of person making stateme
making
Personally Known ✓ OR Produced Identification
Personally Known Identification
Type of Identification
Type of Identification
Produced
Produced
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(Si naturp' f Notaar,ry Pq lic- States of Florida )
(Sig h ture of G tary Public- Stat6 of Florida )
Commission N "l�"` ••1��n( r1
Commission Nto. n 66n
Comm. 366562
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30.2023
REVIEWS NT RVISOR
PLANS VEGETATIO" SEATURTLEE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
BOARD OF
COUNTY
COMMISSIONERS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Date:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes _No—N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes—No _ N/A_Zlz
Owner / Builder Affidavit (signed in office).. . ....... ...................................... Yes No N/A b�
Filled Land Affidavit (prior to issuance) ..................................................: Yes—No _ N/A
Recorded Warranty Deed, if applicable ......................................................Yes No _ N/A +'
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes /No _ N/A_
Utility Agreement or Payment Receipt (prior to issuance).................................Yes_No _ N/A
Vegetation Removal Application with copy of survey.....................................Yes No NT/A-7
Plans. Calculations & Attachments (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes_No—N/A v
Truss Plans reviewed and approved by Engineer / Architect ............................
Landscaping and Parking plan (under 6,000 sgft).........................................
ApprovedSite Plans...........................................................................
Sealed Survey with Dimensions, Finished floor ...........................................
Elevations and Setbacks..............................................................
Yes—No—N/A V
11
Yes—No _ N/A V%
Yes _No_N/A +//
Yes _No_N/A i
Yes No N/A
Plot plan with Setbacks............................................................... Yes—,No — NIA—
Health Department approval stamped on survey and floor plan ........................ Yes_No_N/A
Health Department Food Establishment Permit stamped on floor plan ................ Yes—No—NIA
Manual "J" or Manual "N" Calculations.................................................... Yes—No N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes_No_N/A
Sealed Wind Load Compliance Certification ............................................... Yes—No—N/A X
Product Review Affidavit..................................................................... Yes NoN/A /
Excavatine a pond for fill:
Site plan showing 25-foot(minimum) setback from all property boundaries, size, Yes_ No_ NIA
shape, location and quantities of proposed excavation and fill areas
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A
Depth of excavation does not exceed 12 feet in depth .................................... Yes_ No_ NIA
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A
MMMT
Health Department Permit Paperwork.......................................................
Yes
No
N/A ,/"
CD for Fire Department if commercial or multi -family. ... ........................
Yes—No—N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Yes
No
N/A
Pool Barrier Affidavit..........................................................................
Yes_No^N/A_,//
Ground Sign Landscape Affidavit (signs) ...................................................
Yes—No
_ N/A_%
Burn Rate for Sign Cabinets..................................................................
Yes
No_N/A
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes—No—N/A
o
Manufacture Set -Up and Installation Manual ..............................................
Yes—No—N/A
Manufacture Blocking Documents..........................................................
Yes—No—N/A
,
Signed Penetrometer Test (1 copy).........................................................
Yes—No—N/A
StairDetails....................................................................................
Yes—No—N/A
f
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 10/5/18