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HomeMy WebLinkAboutBragg Permit App & ChecklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: a Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE:Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: rl.J..,,.-. RSO7 Fmorcn A. c,.� ........I-11--__-'--......... v. -1-, 1 L Property Tax ID #: 1301-610-0075-000-6 Lot No. 5 Site Plan Name: LAKEWOOD PARK UNIT 8-B-BLK 5- LOT 5 Block No. 5 Project Name: Bragg DETAILED DESCRIPTION OF WORK: Install a 44' x 25.5' aluminum/screen pool enclosure with a 9' x 13' poly roof on existing pool deck. CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 11,700.00 Sq. Ft. of First Floor: Utilities: _Sewer _ Septic OWNERAESSEE: Name Angela and David Bragg Address: 6507 Emerson Ave City: Fort Pierce State: Zip Code: 34951 Fax: Phone No. 772-359-6704 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) —Windows/Doors - Roof Pitch Building Height: CONTRACTOR: Name: Michael J Newman Company: Pioneer Screen Co. Inc. II Address: 1682 SW Biltmore St City: Port St Lucie State: FL Zip Code: 34984 Fax: 772-340-4626 Phone No 772-340-4393 E-Mail pioneerscreen@msn.com State or County License RX11066919 If value of construction is $2500 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. Ut!)IUNER/ENGINEER: Name: Do Kim & Associates Address: PO Box 10039 City: Tampa Lip: 33679 Phone 813-857-9955 FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: FL Zip: - Phone: Not Applicable State: Not Applicable 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, 1 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 jobsite before the first in ction. If yo Mend to obtain financing, consult with ender or a ttorney before commePg!! MVO r recordin your Notice of Commencement. // F Signature of Owner/ STATE OF FLORIDA COUNTY OF saint Lucie ctor as Agent for Owner The forgging instr ent was�1,cknowiedged before me this ''°aayof l .,V,4.20 ,+' by Michael J Newman Name of person making statement Personally Known OR Produced Identification Type of ldentific io Produced of Contra ctf6r/U4nse Holder STATE OF FLORIDA COUNTY OF Saint Lucie The f Ing instrument was acknowledged before me this ay of 11.�ina b/ 20 —4-4Eby Michael J Newman Name of person making statement Personally Known OR Produced Identification _ Type of Identificatiork- (Signatuk of Notary P6ib 'c of I�i�it9� blic State of Florida i (Signature of Notary PuL I Fran cene Newman Commission NO. GG2214 ^' .a- My Cpp��nm44 Sion GG 221434 4 Expit3�Y 3(2022 COmmISSIOn 0. GG22 34 u REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIOI COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED I Rev. 8/2/17 of Florida ) Notary Pub)IC M e of Florida Francene Newman My Commission GG 221434 REVIEW I REVIEW _•• •- ST COUNTY F L O R I D A A& PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERK H T Proiect Location- `PC�/� Dater 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 V Owner / Builder Affidavit (signed in office).......... . ...... Yes No / N/A ✓ Filled Land Affidavit (prior to issuance) ........................ ....:Yes' No . N/A Recorded QVarrapplicable any Deed, if ............................................................. Yes — Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes j No � N/A Utility� Agreement or Payment Receipt (prior to issuance) .................................. Yes_ No N/A V 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 En gineer /Architect Raised Seal ........................... Yes No N/A Truss Plans reviewed and approved by Engineer / Architect.......... . .:............... Yes_ No NIA Landscaping ping and. Parking plan (under 6,000 sgft)............... Yes Yes' No v ......:. -- N/A Approved Site Plans................................................V — ...............:............: Yes No N/A Sealed Survey with Dimensions, Finished floor ............................................ Yes No N/A ,/ Elevations and Setbacks..................................................... .... Yes No t/ N/A Plot plan ' with h Setbacks............................................................... Yes No N/A Health De partment approval stamped on survey and floor:plan .............. ...... Yes No . N/A ` / V Health Department Food Establishment Permit stamped. on floor plan ......:......... Yes No N/A Manual "J" or Manual "N" Calculations .... :............................................... Yes No N/A V Signed Energy'Calculations (1 original si ature....................................... Yeses No N/A V Sealed W' - ind Load Compliance Certification ................. .............I. ...... Yes® No N/A V Product Review Affidavit,.........:.... ... s Yes No NIA Other: Health Department Pe " rout Paperwork...:................................................... Yes No N/A CD for Fire Department if commercial or multi -family.:.................................. Yes No N/A EP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A PoolBarrier 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 1V[obile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram) gr ).............................. . Yes No N/A V Manufacture Set -Up and Installation Manual .............. •...:. . Yes No N/A� Manufacture Bloc*king king Documents:......................................................... Yes— No N/A V Signed Penetrometer Test (1 copy)... ....................................... Yes No N/A V Stair Details. . .. ' ... ... .... .... ..... ... .... Yes No N/A Mobile Home Inspection Report for Relocation (used only)..... . .......... ..No Copy of Title for Relocation (used only)........... . Yes No N/A �f Private Property not in a mobile home park Class "A" Approval from Planning or file #........:.......... ....................:.... Yes No N/A C OMWNTS Revised 7/27/18