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