HomeMy WebLinkAboutTurmelle SLC Permit App & ChecklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
0
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR:Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 Bent Pine Dr Fort Pierce, FL 34951
Property Tax ID #: 1327-701-0089-000-6
Site Plan Name: MONTE CARLO COUNTRY CLUB UNIT THREE LOT 269
Project Name: Turmelle
DETAILED DESCRIPTION OF WORK:
Install a 24' x 42' aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No. 269
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters — Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 13,690.00
_ Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE; CONTRACTOR`.
Name Donald and Karen Turmelle Name: Michael J Newman
Address: 3100 Bent Pine Dr Company: Pioneer Screen Co. Inc. II
�^ p Y�
City: Fort Pierce State: Address: 1682 SW Biltmore St
Zip Code: 34951 Fax: City: Port St Lucie State: FL
Phone No. 603-970-0126 Zip Code: 34984 Fax: 772-340-4626
E-Mail: Phone No 772-340-4393
Fill in fee simple Title Holder on next page ( if different E-Mail pioneerscreen@msn.com
from the Owner listed above) State or County License RX11066919
If value of construction is 7Snn nr mnro n RCrnnncr% ru .a: . _s _
..1c11�.c1 11=1 IL 1J Ic4ull eu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLE MENTAL,.CE 1ST iJ TIO �1'-' tt l €�R G .
DESIGNER/ENGINEER: - Not Applicabie
MORTGAGE COMPANY:Not Applicabie
Name: Do Kim &Associates
----
Name.
Address: PO Box 10039
Address:
I
City: Tampa State: FL
City:
33fi79 Phone813-857-9955
-State-:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: foot }applicable
Name:
Name:
Address:
Address:
l
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 bylaws
rules, 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 jobsite
before the first ins ction. If you i nd to obtain financing, consult wi h nder or an at ney before
'
cowmen ,�w or recordin Notice of Commencement.
Signature o Owner/ Less /Con ractor as Agent for Owner
Signature of Contractor/ icense older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OF Saint Lucie
The forgoing instryn4ent was acknowledgeq oefore me
this day of f zp_ by
i The for ping instrui ent was acknowledge efore me
this day 'L1
_- ,
of)(� � 20., by
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'J
Michael J Newman
Michael J Newman
Name of person making statement
Personally •fication
Name of person making statement
Known OR Produced Ide
Personally Known _) OR Produced Identification
Type -f Identification
Type of Identificatio
Prod ed
Produced
I
{Signature of N tary Public to tgnd `` "° Nc
sty ene Newman
ommission GG 221434av0
(S nature Nota PubIie� t
ry
I` ;
Commission No. GG221434 4$ (Seal)es 05125'202.2
Notary
GG221434 ° � Public State of Florida
mission No. Franj�ewman
o¢
v My Commission GG 221434
�a
�it,o' Expinas 05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
1\G V. O, LEI/
• 1 R O
COUNTY
•
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
CHECKLIST FOR RESIDENTIAL/COMNVIERCIAL BUILDING PERMIT
Project Location: ?l f(,%-f` f'/ I �' Date: JS
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures........... .................. Yes VINO N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A
Owner / Builder Affidavit (signed in office .................................. Yes No N/A
Filled Land Affidavit (prior to issuance)......................................................Yes No N/A r/
Recorded Warrany Reed, if applicable...::.................................................. Yes-- No N/A ✓
Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes No �/ N/A —
Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No N/A ✓
Yegetation Removal Application with co y of survey ..................................... Yes No N/A
pp P s — e
Plans. Calculations & Attachments ( 3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes
✓ No
N/A
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes
No
N/A
�!
Landscaping and Parking plan (under 6,000 sgft)...............:......................... Yes
.
No
— N/A
V/
—
Approved Site Plans ..................................................... ....... Yes
No
N/A
Sealed Survey with Dimensions, Finished floor ............................................ Yes No ✓ N/A
Elevations and Setbacks.............................................................. Yes No V N/A—
Plot plan with Setbacks............................................................... Yes No _ N/A
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
Manual "J" or Manual "N" Calculations ....:...............
Yes
No
N/A
v
Signed Energy'Calculations (l original signature)............ .:............:............
Yes
No
N/A
Sealed Wind Load Compliance Certification .........................::....... ..
No
N!A
/
�/
......Yes
_
Product Review Affidavit ............................................. ...................................
y eA
No
N/A
/
Other:
Health Dep
artment Permit Paperwork .. .:................................................... Yes No N/A
CD for Fire Department if commercial or multi -family.; ........................ ........ Yes No N/A vl
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No NIA
Pool Barrier Affidavit ........................... ,............................................... Yes No N/A J
Ground Sign Landscape Affidavit (signs) ................................................... Yes No N/A t1
Burn Rate for Sign Cabinets ............................ .... /
.................. ................ Yes No N/A V
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) .... ............ ...................................... Yes
No
NIA V
Manufacture Set -Up and Installation Manual ...............................................
Yes
No
N/A
V
Manufacture Blocking Documents .................................................. .........
Yes
No
N/A
/
V
Signed Penetrometer Test 1 co .......................................
Yes
No
N/A
V
Stair Details ................... :............................................................. ....
Yes
No
N/A
1/
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes.
No
N/A
Copy of Title for Relocation (used only) ....................................................
Yes
No
N/AV
- /
Private Properly not in a mobile home park
Class "A" Approval from Planning or file # ................................................ Yes No N/A
COMMENTS
Revised 7/27/18