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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' � 1 � The f i str e was ' knowledged before me this i fdaaynoo 20 by E The fo i mstr t wa jacknowledged before me this of 206Oby 1 /%day iAdhk 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 AA (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 "w mm.06G36 562 �,� 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