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HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 PERMIT APPLICATION FOR: Pool Enclosure Address: 5405 Deer Run Dr. Legal Description: Holiday Pines S/D - Phase III Lot 461 Property Tax ID #: 313-502-0038-000-0 Lot No. 461 Site Plan Name: Holiday Pines S/D - Phase III Block No. Project Name: Chaloux, John Setbacks Front N/A Back: 95' Right Side: 37' Left Side: 39' Pool enclosure on existing deck and footer. amonai wom to oe perrormed under this permit —check all that apply: _ HVAC _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: 888 Cost of Construction: $ 8,850.00 Name Johns and Susan Chaloux Address: 33 Falvey St. Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: City: W Springfield State: MA Zip Code: 01089 Fax: Phone No. (413) 301-6132 E -Mail: jr-scjc@comcast.net Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: James R. Brann Roof pitch Company: The Porch Factory LLC 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 State or County License: CBC 1258459 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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 vour Notice of Commencement. Si natu of Contractor/License Holder Signature Own / Lessee/Contractor as Agent for Owner STATE OF FLORIDA r.�.,.d,,�;U1£ i'As.«'�X�e t � �." L3 £z�.. TfiS'�_£kk Y�:.},;,3,£ '✓ .. .�.. , .....:wv.._l. ,w,. .._.a £ � � DESIGNER/ENGINEER: _Not Applicable The fojgoing instrumept was acknowledged before me rl.0 MORTGAGE COMPANY: X Not Applicable Name: Seaside Engineers James R. Brann Name: Name of person making statement Address:4265 60th Ct. Personally Known X OR Produced Identification Address: Type of Identification City: Vero Beach State: FL Produced .. City: State: Zip: 32967 Phone (772) 202-8008 KRISTIt Public �y <, State of Florida4 a�Y � Commission tufo ° a f QeJlj561° 6 Zip: Phone: _ ssion Expires MY October 2 2G 1 FEE SIMPLE TITLE HOLDER: X Not Applicable -ifi�i�-= BONDING COMPANY: X Not Applicable Name: REVIEWS Name: ZONING Address: PLANS Address: SEA TURTLE City: City: REVIEW Zip: Phone: REVIEW Zip: Phone: REVIEW 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 vour Notice of Commencement. Rev. 8/2/17 Si natu of Contractor/License Holder Signature Own / Lessee/Contractor as Agent for Owner STATE OF FLORIDA STATE OF FLO DA COUNTY OF .��(A 04-C, COUNTY OF A wo 000 The fojgoing instrumept was acknowledged before me rl.0 The forgoing instrume t was acknowledged before me 'U thi y of 20' by thiLjq ay of _ %JUtLC. 20,LOby James R. Brann James R. Brann Name of person making statement Name of person making statement Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced .. Produced r ( ignature of � LC )TAYLOR lE- �itl C (Si ature EllgtaraV � li M + KRISTIt Public �y <, State of Florida4 a�Y � Commission tufo ° a f QeJlj561° 6 , KRISTINE MICHELLETO ' Commissloi�N\ FYI `� State of Florida NinaCommission _ ssion Expires MY October 2 2G 1 I a n F, ire My October o P, -ifi�i�-= 1 t� ,���•�' October 29 2U?'I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 BOARD OF " ' r= �' PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS o .^' Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Project Location: 5405 Deer Run Dr. Date: Permit Number: Technician: Reauired 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 Warranty Deed, if applicable ......................................................Yes N A / No N/A Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes No NIA Utility Agreement or Payment Receipt (prior to issuance).................................Yes Yes—No—N/A No _ N/A Vegetation Removal Application with copy of survey.....................................Yes 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........................................................................... Y es 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 Manual "J" or Manual "N" Calculations.................................................... Yes No N/A Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes_No Pool Barrier Affidavit.......................................................................... N/A Sealed Wind Load Compliance Certification ............................................... Yes—No—N/A Product Review Affidavit..................................................................... Yes 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)......................................................... Y es No N A / Stair Details.................................................................................... Y es 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 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4656569 OR BOOK 4363 PAGE 503, Recorded 12/27/2019 09:02:20 AM AFTER RECORDING -RETURN To, PERMIT NUMBER: "i'4i. •>, ;r.'. is r�sarvc:f for recurdior iota NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 1313-502-0038-000-0 SUBDIVISION HOLIDAY P NES BLOCKTRACT PHASE m LOT 461 BLDG UNIT HOILDAY PINES S/D PHASE III LOT 461 5405 DEER RUN DR FORT PIERCE FL 34987 2. GENERAL DESCRIPTION OF IMPROVEMENT: INSTALL SCREEN ENCLOSURE FOR SWIMMING POOL 3. OWNER INFORMATION: a. Name JOHN CHALOUX b. Address 5405 DEER RUN DR FORT PIERCE FL 34987 c. interest in property OWNER d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER' THE PORCH FACTORY 705 N 39TH ST FT PIERCE FL 772.465-6772 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) 20 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I SECTION 713.13. FLORIDA STATUTES, AND CAN R _ ULT 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 Y01j of Owner or Owner's Authorized Officer/Director/Partner/Manager JOHN CHALOUX Print Name and Provide Signatory's Title/Office State of Florida County of MARTIN The foregoing instrument was acknowledged before me this 13 day of DECEMBER 2019 By JOHN CHALOUX as OWNER (Name of person) JOHN CHALOUX (Type of authority... e.g. Owner, officer, trustee, attorney in fact) (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID: DRIVEPo uO Gwyneth Ellyn Wood Notary Public, State of Flndda GWYNETH ELLYN WOOD cYhrG Commis.ion No. FF 988516 IIIJJJcccla ' •.91,... My Cay,,ir Exp. May 8, 2020 ll (Printed Name of Notary Public) (I ature #Notary Pub] Q' i Sea t Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (section 92.525, Florida Statutes). k ure(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above: By By JOHN CHALOUX m 09/30/2007(Rwording) 6/5/2020 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 John Chaloux Susan Chaloux 33 Falvey ST W Springfield, MAO 1089 Legal Description HOLIDAY PINES SID -PHASE III- LOT461 (MAP 14/075) Current Values Just/Market Value: $46,900 Assessed Value: $38,940 Exemptions: $0 Taxable Value: $38,940 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. Taxes for this parcel: SLC Tax Collector's Office 0 Download TRIM for this parcel: Download PDF 5405 DEER RUN DR 1313-502-0038-000-0 4923 14/07S 0000 RS -4 Count Saint Lucie County Total Areas Finished/Under Air (SF): 0 Gross Sketched Area (SF): 0 Land Size (acres): 0.69 Land Size (SF): 29,994 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.paslc.org/RECard/#/propCard/4923 1/1 , . The Parch Factory, LLC Enclose It So You Can Use It LICENSED/INSURED 705 North 39th Street • Fort Pierce, FL 34947 Office 772-465-6772 - Fax: 772.465-3252 • www.ThePorchFactory.com CBC 1258459 Customer o111,1 C N A Liv x _� Date Email . �l ��'ly,Nr i l.17 Phone Address ,vo�GCSE —___. City --- State ZiPy Job Name 011141 OUX - Address — City -- State Zip — Job Phone — PTION: �QL N . SCREEN PORCH �, POLY_ ROOF; r �anear A -Frame Flat WALLS: 1 - COLOR: Bronze White SCREEN MESH: 8/ 20120 Other_—___-_ KICKPLATE: Yes o Super ,y,�L�� Height ------------- � 5"—K 7" -- - GUTTER: .. 4x5 DOWNSPOUT: - 3x4 CHAIR RAIi,,;., 18" 24" 36" Other_- _ DOORS: �l - K/P — paullt to Code ermlts & Engineering Included Approximate Completion Date: TOTAL CONTRACT PRICE�- Deposit % - $ �a �-�= v�. Payment due on final day of Installation. $ -- 3-�--�-� -- Total Contract Price is for Cash/Checks, Credit Card Fee Is 3.95%. _ /411-1 CUSTOMER SIGNATURE DATE COMPANY REPRESENTATIVE DATE TERMS AND CONDITIONS 1. The seller oxpressly reserves all contractors, mechanics and material man's Ilan rights which may be asserted under any provision of low to secure payment of the contract price and may assert and fix the same pan upon the real property upon which Installation is made. 2. in the avant payment of this contract in onforcod through attorney or by suitor In bankruptcy or probate proceedings. the seller may recover wW the purchaser hereby agrees to pay reasonable attorney feoa and costs of court. 3. As an Ihducament for The Porch Factory to enter Into this contract, the signer certifies that the above legal owner and address are correct. file also understood t t ro are no verbal agreemonte and all Items discussed are covered by this wrttten contract -thin Is a proposal until signed by an ofrker of the corporation at which time It becomes on executed contract. Any additions to title contract shall be covered by ad to change or. a r. Additional costs of yanggee orders shall be due and may cancel this a"bl od� in�lhroe (3)wance orking king days sten. Acceptance bytheowner mustbewithln,,_,,..) A signing. Any change orders must be InwrtUngandroceivedpriortoflnalmeaaurement. 4. AND two year guarontoo agoinstdefect In purchased assemblies, materials and workmanship goes Into oflocl at completion of this At"Ocontrasted work covered by this contract and any change orders In effect, Anywarrantyworknecessary.however,shalinotbedoneunittgy4(Littilg-p>3.11atdR3tSR n1hs1t2siBgIIIsm, or 5. In the event that any work perfomtadyby the contractor is wholly or partially doetroyad or damaged duo to fire, water, vandalism, or any ether cafes not undhOL of this contract and o. the control of the of the contractor. Tho acontractor, the loss shall cknowledges that he/she has sustained oad and understand the contents thereof anthe d accepts the some on the terms and conditionsned as a staated herer, and shah not beidges n . IpThia contract t of a true copy hall be binding upon Inae�loBhor to.thoiha elre,successors ccessorsand l assigns. Note: The thiacedtprice act. Is based ondfmonslonashown Insketch. Any variance will be proportionately calculated. ifmalerialcost ease a\ s-