HomeMy WebLinkAboutBanyan StPLANNING & DEVELOPMENT
BOARD OF SERA ICES DEPARTMENT
COUNTY
COMMISSIONERS ® • -^ Buildjng & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Project Location: llate:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................
es_No_N/A_
XX
Sub Agreements with Notarized.Signatures (prior to issuance)..........................Yes
_No
Owner / Builder Affidavit (signed in office) ..................................
Yes
—No--
xx
N/A_
Filled Land Affidavit (prior to issuance)........... ..............................:....
Yes
—No
xx
_ N/A
Recorded Warranty Deed, if applicable ............................................
Yes
—No
xx
_ N/A
Recorded Notice of Commencement (prior to issuance or inspection).................
:Yes
xx No
_ N/A_
Utility Agreement or Payment Receipt (prior to issuance) ...................... .J.Yes
No
xx
_ N/A
Vegetation Removal Application with copy of survey.....................................Yes__No
_ N/Al�&
Plans. Calculations & Attachments ( 3 copies commercial, 2 copies
xx
Complete set of plans with Engineer / Architect Raised Seal ...........................
xx
Truss Plans reviewed and approved by Engineer / Architect ................. Yes—
No-N/A-xx
Landscaping and Parking plan (under 6,000 sgft).........................................Yes—No _ N/A —
ApprovedSite Plans...................................................................:......:
Sealed Survey with Dimensions, Finished floor............................................'Yes_No_N/A �C
Elevationsand Setbacks ...................................... ....................... � Yes_No_N/Aj
Plot plan with Setbacks .................................................. :..:......... 1':Yes_No — N/AjA
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit
Wale �
Permit Number:
P 'Cl=.o,p, ;,p �h
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax: (172) 462-1578
PERMIT APPLICATION FOR: Residential ReRoof
Address: 7703 Banyan Street, Ft. Pierce, FL 34951
PropertyTaxlD#: 1301-603-0076-100-2 Lot No.15
Site Plan Name: Block No. 19
Project Name: Weiser ReRoof
Remove existing shingle roof down to plywood deck and re -nail to code. Install new
26ga. accessary metals and 5V Crimp metal panels.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit - check .all that apply:
_Mechanical — Gas Tank _ Gas Piping _Shutters _ Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1,600 Sq. Ft: of First Floor:.1,600
Cost of Construction: $ 11,500.00 Utilities: _ Sewer _Septic Building Height:
- Y t
Name Kenneth Weiser
Name: -&r or)
Company:cn oo
Mo c6
Address:3M A
City: 9h,ar+,
Zip Code: 3yQ9-7
Phone No iDC7(� - 7g -►
E-Mail 'Lu i s 0 ,Mn4
State or County License C GC
Address: 7703 Banyan Street
, r
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 321-505-1662
c
Stater
Fax:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
! �!'h0 ;N e C 2r
134 2 2 '?7
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-• i� couv ur mum, a nnwnutu Nonce atcommencemegt is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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Health Department approval stamped on survey and floor plan ........................
Health Department Food Establishment Permit stamped on floor plan................
Manual "J" or Manual "N" Calculations....................................................
Signed Energy Calculations (1 set original signatures & signed in 2 spots)........... .
Sealed Wind Load Compliance Certification ...............................................
Product Review Affidavit ............................................. ................. :......
Excavating a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size,
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.........
Depth of excavation does not exceed 12 feet in depth .....................................
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit
Other:
Health Department Permit Paperwork ............................................ :............
es_No_N/A%&X
_ N/A
No_ N/A
�t}C
No_ N/A.XC .0
No_ N/A—W
No_ N/A —)QC
CD for Fire Department if commercial or multi -family ..............................:.... Yes —No —N/A XK
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
PoolBarrier Affidavit..........................................................................
Ground Sign Landscape Affidavit (signs) ................................................... Yes —No _ N/A_)CX
Burn Rate for Sign Cabinets.................................................................. Yes No N/A_yC
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram)... .................................................
Manufacture Set -Up and Installation Manual ..............................................
Manufacture Blocking Documents ............................ :.............................
Signed Penetrometer Test (I copy).........................................................
Yes_No_N/A
V V
StairDetails.. ............................. ...................................................
Yes
No_N/A_)L(,
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes_No_
N/ABC
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 # ................................................
es_No_
N/A_CX
COMMENTS
Revised 10/5/18
FEy� .,MA
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
Address:
City: State:
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:.
Address:
City:
Not Applicable
Address:
P.
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the vyork 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 ppermit holder fo build the subject structure
which is in contlict 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 restrict'ons 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 iF paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you Intend'to obtain financing, consult
with lender or -an attornev before commencing work or recording vou"otice of Commencement.
as
STATE OF FLORIDA, STATE OF FL
COUNTYOF IV�L2iC�In COUNTYOF
S o o (or affirmed) and subscribed before me of
hysical Presence r Online Notarization
this day ofQuIll 12020 by
NON
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificati�
(Sig'natujie bf Notary
Commission No. rl��
C�c' 2g cl2
Floyd k0 r JAMES QUINN
Notary Public - State of Florida
+—CommlSilpn p GG U 2
My Co pees Jan 7. 2023
�d through National Notary Assn.
Svioln to (or affirmed) and
Physical Presence or
tii s a day of k
(L bai
Name of person making st+
Personally Known
Type of Idenbficat
(Signature
61)892s
Me
ribed before me of
Online Notarization
2020 by
v I Iviij
Identification
REVIEWS I COUONTER I REVIEW I. REVIEW R I REVIEW W I VREVIEWON I EV EWLE I M EV EWVE