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Building Permit Application
BOARD OF COUNTY COMMISSIONERS PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT : 60q5] &11; Permit Number: Required Documents: Date: Technician: 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 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 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 sgft)......................................... Yes—No N/A Approved Site Plans........................................................................... Yes No N/A Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/A 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 CD for Fire Department if commercial or multi -family ................................... 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 Product Review Affidavit..................................................................... Yes—No—N/A No N/A Excavating a pond for fill: Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No N/A_ 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 N/A If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No N/A_ 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 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 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 Stair Details.................................................................................... Yes No N/A 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 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 3i PIK 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: Pool enclosure PROPOSED IMPROVEMENT LOCATION: Address: 6251 Arlington Way Legal Description: Portofino Shores Phase Two Lot 184 Property Tax ID #: 1312-502-0085-000-1 Lot No. 184 Site Plan Name: Portofino Shores Phase Two Block No. Project Name: Lorange, Bob Setbacks Front NIA Back: 14' Right Side: 16' Left Side: 9.1' DETAILED DESCRIPTION OF WORK: Pool enclosure on existing deck with new concrete footer CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that appy: HVAC _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch Total Sq. Ft of Construction: 800 Sq. Ft. of First Floor: Cost of Construction: $ 11,250.00 Utilities: —Sewer —Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Casey R Lorange Name: James R. Brann Address: 6251 Arlington Way Company: The Porch Factory LLC City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. (860) 794-9371 Address: 705 N 39th Street, Fort Pierce, FL 34947 City: Fort Pierce State: FL Zip Code: 34947 Fax: (772) 465-3252 Phone No. (772) 465-6772 E -Mail: admin@theporchfactory.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: admin@theporchfactory.com State or County License: CBC 1258459 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable Name: Seaside Engineers Address: 4265 60th Ct. City: Vero Beach State: FL Zip: 32967 Phone (772) 202-8008 FEE SIMPLE TITLE HOLDER: X Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: 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 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Cl- — /l z�— /t Signa ure r Owner/ Lessee/Contractor as Agent for Owner Signature g Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St. Lucie COUNTY OF St. Lucie The forgiging instrum nt was acknowledged before me a The forgoing instrum nt yvas acknowledged before me thiso� ay of 20, by this v�tlay of n) 20Z by James R. Brann James R. Brann Name of person making statement Name of person making statement Personally Known X OR Produced Identification Type of Identification Personally Known X OR Produced Identification Type of Identification Produced Produced of Notary Public Sta fiFlorjda (S gnature of Notary Public- F' r:RISI I lE MIC`1ELLE TAl L R `' I y'r„ ,, (RISTINE MICHELLE iAY l GG 1556181- '.' of Florida- fJotary Commission No. (" e�� omission u,l� GG 15561 $I °'r ,St� Florida PJotaiy Pi m ission No. _ / Seal. ��', GG 155( _ # GG 155318 My Commission Expiies °!My 0, r n n ission Commission Expir I October 29, 2021 �,� Oc'.obor 29, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE _ COMPLETED Rev. 8/2/17 4/14/2020 Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Casey R Lorange 6251 Arlington Way Fort Pierce, FL 34951 Legal Description PORTOFINO SHORES -PHASE TWO- (PB 43-33) LOT 184 (OR 3412-1499) Current Values Just/Market Value: $200,900 Assessed Value: $126,403 Exemptions: $50,000 Taxable Value: $76,403 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. 6251 Arlington WAY 1312-502-0085-000-1 154541 13/12N 0100 Planned Un Saint Lucie County Total Areas Finished/Under Air (SF): 2,475 Gross Sketched Area (SF): 3,609 Land Size (acres): 0.15 Land Size (SF): 6,403 Taxes for this parcel: SLC Tax Collector's Office ❑ Download TRIM for this parcel: Download PDF ❑ All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. https://www.pasic.org/RECard/#/propCard/154541 1/1