HomeMy WebLinkAboutCovey SLC Permit App & ChecklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICA
Date:
O
Building N
Planning and Development Services
Building and Code Regulation Division Commerc
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Aluminum encll
PROPOSED IMPROVEMENT LOCATION:
Address: 801 Ideal Holding Rd Port St L
Property Tax ID #: 3215-801-0041-000-7
Site Plan Name: Lot 12 Block 2 of Aero Acres
Project Name: Covey
DETAILED DESCRIPTION OF WORK:
Install a 39' x 22' aluminum/screen pool enclosure on existing
BE ACCEPTED
� Permit Number:
Application
III I Residential X
New Electrical Meter Second Electrical Meter
Li
CONSTRUCTION )NFORMATION:
Additional work to be performed under this permit — the
_Mechanical _ Gas Tank —Gas Piping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 9,990.00 utilit
without concrete
34987
Lot No. 12
Block No. 2
RE�LAetnf6 r��157'rNG ir1JCLo5JRl:�
II th t apply:
Nutters _ Windows/Doors _ Pond
Generator Roof Pitch
I. t of First Floor:
Sewer _ Septic Building Height:
OWNER/LESSEE:]
,TRACTOR:
Name Lawrence Covey
i
7i
-
tt
d
•
e: Michael J Newman
Address: 18500 Kitty Hawk Ct
pany: Pioneer Screen Co. Inc. II
City: Port St Lucie State:-
Zip Code: 34987 Fax:
Phone No. 418-4947
ess:1682 SW Biltmore St
fort St Lucie State: FL
ode: 34984 Fax: 772-340-4626
a No 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
it pioneerscreen@msn.com
or County License RX11066919
If value of construction is 2500 or more, a RECORDED Notice of C��n cement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Com c ant is required.
SUPPLEMENTAL CONSTRUCT101 IVEN LAWA
1
"TION:.
DESIGNER/ENGINEER: _ Not Applicable
r
10RtGAGE
COMPANY: Not Applicable
Isla j'g'1e: Do Kim & Associates
a
Address: PO Box 10039
Address:
City: Tampa State: FL
: State:
t
Zip: 33679 Phone 813-857-9955
p
�
p.
1 Phone:
i
FEE SIMPLE TITLE HOLDER: Not Applicable
BONI
ING COMPANY: �,//Not Applicable
Name:
A
Jill
Address:
rE ss:
City:
C
t
Zip: Phone:
Phone:
2
p
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madt
th
obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuancel6f
a permit.
St. Lucie County makes no representation that is granting a permit
which is in with Home Owners Association
ill
i,
authorize the permit holder to build the subject structure
conflict any applicable r
s
,laws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and
i
our 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
t. Lucie County Amendments.
The following building permit applications are exempt from underg
i ig
a f,ull concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen r
nd accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice ofJe
cement may result in your paying twice for
improvements tp your property. A Notice of CommenceJeust
be recorded and posted on the jobsite
before the fir ;inspection. If yo intend to obtain finan
sultwit enderor an atto ey before
com -ncin ork or recordin our Notice of Commen
/
4 `2
7
Signs re of Owner/ *see ontractor as Agent for Owner
ignat
ire o Contractor/ ' ens Holder
STATE OF FLORIDA
TATEOF
FLORIDA
COUNTY OF saint Lucie
CO
M ITY OF Saint Lucie
The forgoing instru ent was a knowledged before me
OV: 11f,
e
is
a going instru ant was acknowledged before ,aye
" day �.. a 20 by
this day of 20 by
of N
Michael J Newman
ch
el J Newman
Name of persor
making statement
Name of person making statement
Personally Known V'
OR Produced Identification
F
ersorally
Known -,.� OR Produced Identification
Type of Identificati
DVIDE,
cf'Identification
Produced
Fioduced
I
(Sig natur of Nota
� af„ ry
i
ture of No ry Ppj�5 qff A
Commission No. GCC22'14
Notary Public State of Florida
; Francene N15e lin
� �Y�'� Notary Put��e of Florida
i sion Nd. GG221 34`' {
s Franeen an
a m Commission GG 221434 a
Y
Ty Expires 05/23/2022 +
My Commission GG 221434
� �a � Expirec 05/23,12022
f�m�
REVIEWS
FRONT
ZONING
SUPERVISOR
S
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
IE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
1
COMPLETED
I
{
Rev. 8/2/17
Required ]Documents:
Application completely filled out with Notarized Sil
Sub Agreements with Notarized Signatures (prior to
Owner / Builder Affidavit (signed in office). . ............
Filled Land Affidavit (prior to issuance) ...................
Recorded Warrany Deed, if applicable....':................
Recorded Notice'of Commencemement (prior to issuan
Utility Agreement or Payment Receipt (prior to issuanc
Vegetation Removal Application with copy of survey....
i
Piaris, Calculation's &Attachments ( 3 copies comet
— -
i
Complete set of plans with Engineer / Architect Raised
Truss Plans reviewed; and approved by Engineer / Archi
Landscaping and. Parking.plan (under. 6,000 sgft)........
Approved Site Plans. ..................................... ,
Sealed Survey with Dimensions, Finished floor..........
Elevations and Setbacks .............................
Plot plan with Setbacks ..............................
:a.
1s,
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT'
Building & Code Regulatior6
Technician:
.. ..Yes i✓ No N/A
I .......................... Yes No N/A
............................ Yes No N/A
,.........................:Yes ' No NIA f
........................... Yes - No N/A
aspection)............... Yes No f N/A
.......................... Yes No N/A V
.. Yes No N/A 1/
Z. copies residential).
........................ Yes No
N/A
...........:............. Yes No
N/A ✓
......................:.. Yes No
N/A ✓,
�
✓
.......................: Yes No
N/A
.......................: Yes` No ✓ N/A
........................... Yes No N/A
...................Yes 1 No ! N/A
r
Health De partment approval stamped on survey and f 0
o
Yes
-plan ...... ..... No N/A
Huth Department Food Establishment Permit slam p
floor .
plan Yes
................ No .-N/A
e'
Manual GG 9
ManualY' or Manual WI Calculations ....:.............
YesNo N/A
.....
Signed Energy'Calculations (1 original signature) ......
Yes
.
..: ...... No nT/A V
Sealed Wind. Load Compliance Certification.......:..
...
............... Yes No NtA
Product Review Affidavit....
...... ... ...........:........
. ............. ...Yes
No NIA ✓
Other:
Health Dep n
artme t Permit Paperwork ...:........... . ......�'
p
.
... . ......................... Yeses No NIA V
CD for Fire Department if commercial or multi -family.:
.
.... ...:.Yes
............... ... —No N/A,/
DEP SFWMD or Arm Corpf Engineers dock sea
Y P gl (
I
S /
F on beach)..:......... Yes_ No N/A �/
Pool Barrier Affidavit ........................... .....
Yes No N/A
Ground Sign LandscapeAffidavit si
( gns).................
..................:............
Yes No N/A
Burn Rate for Sign Cabinets ................
Yes
...... No N/A
RV and Mob& Rome Tie:Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram)
Permit. gram.)............. ..
......................... �d
Yes No N/A /
. _
Manufacture Set- p 'and Insaa�tion Manual...............I
.
........................... Yes No N/A
Manufacture Blocking Documents:..........................................................
Yes No N/A v
Signed Penetrometer Test (Icopy)........................
_
............ .....:...... Yes No. N/A
StairDetails ....................................... ....,....
....:...,...................
Yes . No N/A V
Mobile Home Inspection Report -for Relocation (used onl)
Copy of Title for Relocation
used onl
( y)....................,
.
..
....................... Yes No N/A,
Private Property not in a'mobile home park
Class "A" Approval from Planning or file #...................
.....................:.... Yes No N/A