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 __.
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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