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Home My WebLink AboutMORRIS PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: WO UWffr/� P `' c �" ° L' k" ,- Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: Site Plan Name: Project Name: Lot No. /% Block No. I DETAILED DESCRIPTION OF WORK: I New Electrical Meter Second Electrical CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ lb 65S;V • (� Gas Piping Sprinklers _ Shutters _ Generator 1w indows/Doors Roof _ Pond Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height:_ OWNER/LESSEE: CONTRACTOR: Name M' Name: MADELYN GUZMAN Address:el/4f m kl'w Company: WRIGHTS IMPACT WINDOW & DOOR city: j2zS GLGI - State: f_G Zip Code: ,3 4/ ek Fax: Phone No. Address:7816 S. DIXIE HWY City: WEST PALM BEACH State: FL Zip Code: 33405 Fax: Phone No 561 588 7353 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail laura@wrightswindow.com State or County License CBC1262617 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: Address: BONDING COMPANY: _Not Applicable Name: Address: City: City: Zip: Phone: 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 Counttyv makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in coAlct 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 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 le der or an attorney before commencing work or recording our Notice of Commencement. 40A""-(-- JWurblof Owner/ aXee/Contractor as Agent for Owner Signature of Con* � nse Holder STATE OF FLORIDA STA OF FLORID/,! I COUNTY OF e4iZ- N � tv�� COUNTY OFF /A l Sworn to (or affirmed) and sub ribed before me of gt n to (or affirmed) and subscribed before me of bdiot(i A_Physical Presenceor—Online Notarization hysica or Online Notarization this, day of Y 20,2o by this '_9r"ay of Q&ft)DC7 .2020 by ,D %A. 016= Name of person making statement. Name of person making statement. ✓ Personally Known OR Produced Identification Personally Known _V�OR Produced Identification Type of identification Type of identification Produced Produced (Sighature of Notary Pu -, A AMEADINGER (Sig re of Notary ub - a o orida ) ; Notary Public - State of Florida Commission No. vZ C p GG 939502 1 Laura M Mcss a°�pRygsso NOTARY PUB Commission No. vQa , '..,.a, n"I My Comm. Expires Dec 12, 2023 o a E OF FL.ORIL��( Bonded through National Notary Asir. 1 Comm# GG067864 "NCE!y1 Expires 1/30/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/20 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_ _ Owner / Builder Affidavit (signed in office) ................................................. Yes —No— N/A_ Filled Land Affidavit (prior to issuance) ................................................... Yes _ N/A_ —No 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_ ApprovedSite 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 - 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_ Excavatine 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_ 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) ................................................... No -N/A - Yes — No -N/A -Manufacture Set -Up and Installation Manual .............................................. Yes — No -N/A -Manufacture Blocking Documents.......................................................... Yes_No_N/A_ Signed Penetrometer Test (I 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 — Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes —No— N/A_ COMMENTS Revised 10/5/18