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HomeMy WebLinkAboutLynch Permit App & Checklist (SCREEN)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S- 3 _L—1_W' COUNTY Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 452-1553 Fax: (772) 452-1578 PERMIT TYPE: PROPOSED INPROVEMENT LOCATION: Permit Number: Building Permit Application. Commercial Residential x Address: 8441 MUIRFIELD WAY, PORT SAINT LUCIE, FL 34986 Property Tax ID #: 3328-802-0022-000-8 Lot No. 19 Site Plan Name: POD 27 AT THE RESERVE MUIRFIELD REPLAT Block No. Project Name: LYNCH DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical _ Gas Tank —Gas Piping _ Shutters Windows/Doors Electric _ Plumbing _ Sprinklers T Generator Roof Pitch Total Sq. Ft of Construction: p�Y� Cost of Construction: $ Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Nam eDOROTHY LYNCH, EDWARD LYNCH, DARYL E. LYNCH Name: MICHAEL NEWMAN Address: 8441 MUIRFIELD WAY Company: PIONEER SCREEN CO, INC. 11 Address: 1682 SW BILTMORE STREET City:. PORT SAINT LUCIE State: FL City: PORT SAINT LUCIE State: FL Zip Code: 34986 Fax: Phone No. r y? X77 Zip Code: 34984 Fax: E -Mail: Phone No 772-340-4393 Fill in fee simple Title Holder on next page (if different E -Mail PIONEERSCREEN@MSN.COM from the Owner listed above) State or County License RX11066919 It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. VVV1YC1%J I.UIV I KAL I UK AI-IFIUVI 1: 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.. whchLucie is In confli tV makes no any applicable�Home Owat is ners Associationnting truies, bylaws ohorizer and covpermit nants thto at maydrestr restrict or subject structure bit 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 yr ying twice for improvements to your property. A Notice of Commencement must be recorded and po ouon the Jobsite before the first inspection. If you intend to obtain financing, consult wi ender or an arney before com!;Qencing work or recordiDZyour Notice of Commencement. Signature of Owner/ STATE OF FLORI COUNTY OF as Agent for Owner f Signage —of6—n older The forgoing instrument was acknowledged before me this'=t'�' day of ( 26,;4Q by �-h n Name of person making'statemerd Personally Known OR Produced Identification Type of Identification Produced cl li lum ' ) LaJ\St (Signature of Notary Public to of Florida } Commission Ni&GaGX53 REVIEWS FRONT COUNTER DATE M PLETED #4�(Srl Q1ry Public State of Heather Vizzo Ny Commission GG REVIEW I REVIEW STATE OF FLORIDA` COUNTY OF A— The forgoing instrument was acknowledged before me this day of _-`i!(,`a� -Q ^- 202ZO by Name of person making statement. Personally Known OR Produced Identification Type of Identification / (signature of rotary Public - Notary Public State: No. ?j Qacancene Newma y Commission GG 'F OFA Expires 0512312022 RREEVVIIE�W VREVI WON SEREVEWLE I MANREVIEWVE BOAR© OF PLANNING DEVELOPMENT COUNTY SERVICES DEPARTMENT' COMMISSIONERS r L . R I D A Building &Cede Regulation CHECKLIST FOR RESIDENTULL/COMMERCIAL BUILDING PERMT Date: Permit Number: Technician: Required Documents: Application completely filled out with Notarized Signatures ............................. Yes No NIA Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A OWvner / Builder Affidavit (signed in office) .............:.................................. Yes No NIA Filled Land Affidavit (prior to issuance)......................................................Yes Yes No NIA `/ Recorded Warrany Deed, if applicable.. ...................... ............................. Yes-- No NIA Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes_ No ✓ NIA Utility Agreement or Payment Receipt(prior to issuance ........................ Yes ' No NIA Vegetation Removal Application with copy of survey ..................................... Yes No N/A "' Pians Calculations & Attachments (3 copies commercial, 2 copies residential). Complete set of plans with Engineer / Architect Raised Seal ........................... Yes VINO NIA Truss Plans reviewed and approved by Engineer / Architect .............................. Yes No N/A Plot plan with Setbacks............................................................... Yes Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/AV Approved Site Plans...................................................................... Yes_ No N/A V Sealed Survey with Dimensions, Finished floor ............................................ Yes No Vf NIA Elevations and Setbacks .......................... I..................................... Yes— No ✓ N/A— Plot plan with Setbacks............................................................... Yes J No NIA Health Department approval stamped on survey and floor plan .............. Yes No N/A v' Health Department Food Establishment Permit stamped. on floor plan ................ Yes , No NIA \i Manual "J" or Manual "N" Calculations....;............................................... Yes No N/A Signed Energy* Calculations (1 original signature) .............;......................... Yes No NIA Sealed Wind Load Compliance Certification ............................................... Yes— No NIA Product Review Affidavit.. .............. .................. Yes No NIA Other: Health Department Permit Paperwork...:................................................... Yes No N/A V CD for Fire Departrnent if commercial or multi -family.; .................................. Yes . No NIA E/ DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No NIA V1 Pool Barrier Affidavit ............................................... ........................ Yes No NIA V . Ground Sign Landscape Affidavit (signs) ........................... ..:.....,...:._......... Yes No NIA Bur, Rate for Sign Cabinets .............................. ................................. Yes No NPA v RV and Mobile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram) ................................:..:................ Yes No N/A 'l Manufacture Set -Up and Installation Manual ............... t.............................. Yes No N/A V Manufacture Blocking Documents........................................................... Yes No N/A Signed Penetrometer Test (1 copy)......................................................... Yes No NIA W Stair DetaiIs................. ..........Yes No N/AV.....:.... Mobile Home Inspection Report for Relocation (used+only)........................... Yes, No NIA V Copy of Title for Relocation. (used only) ................................................... Yes No NIA V Private Property not in a mobile home park Class ``A" Approval from planning or file #................................................. Yes No N/A COMM9NTS Revised 7/27118