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HomeMy WebLinkAboutAPPROVED, Panzica Permit ApplicationBOARD OF PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COUNTY COMMISSIONERS .R I r A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT CL o ZI Lit Date: I I ) HI 1 o) 0 Permit Number: Technician: Rcduired Documents: Application completely filled out with Notarized Signatures ............................ Yes_j/ No NIA Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A ✓ Owner / Builder Affidavit (signed in office) ................................................. Yes No NIA ✓ Filled Land Affidavit (prior to issuance) ................................................... Yes No NIA ✓ Recorded Warranty Deed, if applicable ......................................................Yes No N/A/ Recorded Notice of Commencement (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 NIA k Plans. Calculations & Attachments ( 3 copies commercial, 2 copies residential) Complete set of plans with Engineer / Architect Raised Seal ............. . ............. Yeses/ No N/A Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No N/Ay/ Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No NIA VI ApprovedSite Plans........................................................................... Yes No NIA Sealed Survey with Dimensions, Finished floor ........................................... Yes No NIA 1% Elevations and Setbacks.............................................................. Yes —No —NIA- v/ Plot plan with Setbacks............................................................... Yes No N/A V Health Department approval stamped on survey and floor plan ........................ Yes No NIA Health Department Food Establishment Permit stamped on floor plan ................ Yes No N/A_Z Manual "J" or Manual "N" Calculations.................................................... Yes No NIA_Z Signed Energy Calculations (I set original signatures & signed in 2 spots) ........... .Yes V No NIA Sealed Wind Load Compliance Certification ............................................... Yes V No NIA Product Review Affidavit ................................................... . .... Yes �/No NIA Excavatine a pond for fill: Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes— No_ NIA V 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 NIA_Z 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_L/ 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 NIA Pool Barrier Affidavit.......................................................................... Yes No NIA Ground Sign Landscape Affidavit (signs) ................................................... Yes No NIA V Burn Rate for Sign Cabinets.................................................................. Yes —No —N/A RN' and Mobile Home Tie -Down Only(2 copies) Permit Worksheet (Tie -Down Diagram) ................................................... Yes —No —NIA Manufacture Set -Up and Installation Manual .............................................. Yes —No —N/A V Manufacture Blocking Documents.......................................................... Yes No N/A_Z Signed Penetrometer Test (1 copy)......................................................... Yes —No —NIA ✓ Stair Details.................................................................................... Yes —No —N/A V/ Mobile Home Inspection Report for Relocation (used only) ........................... Yes —No —N/A- ✓ Copy of Title for Relocation (used only) ................................................... Yes —No —NIA Private Property not in a mobile home park v Class "A" Approval from Planning or file # ................................................ Yes No NIA COMMENTS Revised 10/5/18 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: COUNTY FLO R I D A Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application PERMITTYPE: Windows & Doors PROPOSED IMPROVEMENT LOCATION: Address: 9940 S OCEAN DR 805 Property Tax ID #: 4502-502-0082-000-2 Site Plan Name: Panzica Project Name: Panzica DETAILED DESCRIPTION OF WORK: Replacement of Windows & Doors with Impact FL NOA 20-0722.09 FL NOA 19-0603.03 FL NOA 20-0729.06 CONSTRUCTION INFORMATION: Commercial X Residential Lot No. Block No. Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank — Gas Piping _ Shutters Windows/Doors Electric — Plumbing _Sprinklers Total Sq. Ft of Construction._ Cost of Construction: $ 15,300 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: NameTeresa Doreen Panzica Address:1053 Coral DR Name: Jeffrey Walsh Company: Liberty Impact Windows & Doors Inc City: Boynton Beach State: Zip Code: 33426 Fax: Phone No. 954-401-2922 Address: 257 SE Monterey Road City. Stuart State: FL Zip Code: 34994 Fax: 772-324-8578 Phone No 772-444-7112 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail info@libertyimpactwindows.com State or County License CGC 1528257 it vawe oT construction is :�LSUU or more, a KtCUKUtD Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: X Not Applicable MORTGAGE COMPANY: Name: X Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Address: Not Applicable BONDING COMPANY: Name: XNot Applicable 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 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 JOB prlfk BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER A TTORNEY BEFORE RECORDING FOUR NOTIM OF-tOMMENCEMENT.1° as Agent for Owner Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA LL COUNTY OF COUNTY OF rim The forgoing instru t was acknowledged before me this day of I/JfAb{,r 1_, 20J& by t��� Gt1wl S� Nance of person malting sVement. Personally Known _r OR Produced Identification Type of Identification ProAced 'Mg -nature of N( Commission No. REVIEWS DATE RECEIVED DATE The forgoing instru nt was acknowled ed before me this �(1day of 2Q )Q by kJAIJA Name o person 7�R ment. Personally Known Produced Identification Type of Identification Produced aryPublic- Sta nature of Notary Pub �? .. CHRISTINA FORTIN �j tia*�?tigr.. CHRISTINA FORTIN +� 4Seaio Public # GG 9374State of o dL miSSlOn No. t N !ic State of Florida 7 o My Comm. Expires Dec 5, 2 23 k tide MY COMM. Dec 5, 2023 Boded thro H Natign I N n __. aryitssrr FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW Project Layout: Homeowner Initials: C� 109X96 SGD Panzlca Contract - 09-18-20