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Home My WebLink AboutHolzmacher SLC Permit App and checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: IS La LEM LJ L „,.4�.... 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 Residential X PERMIT APPLICATION FOR:Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: 10725 Henrys Rd Fort Pierce, FL 34945 Property Tax ID #: 2321-501-0004-000-8 Site Plan Name: FORT PIERCE GARDENS OF 21-35-39 BLKAE 1/2 LOT 4 AND E 10 FT OF W 112 LOT LESS RD R/W TO ST LUCIE CO AS IN OR 285368 Project Name: Holzmacher DETAILED DESCRIPTION OF WORK: Install a 45' 6" x 30' 6" aluminum/screen pool enclosure slab by pool company. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. 4 Block No. A Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 12,950.00 Utilities: _ Sewer — Septic Building Height: OWNER%LESSEE: CONTRACTOR: Name George and Jeanie Holzmacher Name: Michael J Newman Address: 10725 Henrys Rd Company: Pioneer Screen Co. Inc. II City: Fort Pierce Stater Zip Code: 34945 Fax: Phone No. 284-9587 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: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail pioneerscreen@msn.com State or County License RX11066919 -------------•- •- ----- -• •••-, . .,.- .vu'_c v1 �.vInI[nencemeni is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I S'UPPLEi1�ENTAL-CQNST�t�lC�t�3�i`. �.AUV 1NC2R�ti;A�`C3€�; DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: �'` Not Applicable Name : I7a Kim &Associates - AddCeSs: PO Box 10039 i�iame. Address: ; City: Tampa State: FL City: State: Zip: 33679 Phone 813-857-9955 I Zip: f Phone: 1 FEE SIMPLE TITLE HOLDER: F Not Applicable BONDING COMPANY: �Not Applicable Name: Name: Address: Address: l City: City: Zip: Phone: Zip: Phone: I OWNER/ CONTRACTOR AFFIDVIT :Application is hereby made to obtain a permit to do the work and iinstallation, as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count yy 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 the Florida Building plans, 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. Ardice of Commencement must be recorded and posted on e jobsite before the first in fiction. If you i to obtain financing, consult with len or an attorn efore .n commenc n w r record Notice of Commencement. Signature of caner/ Lessee/Coot ctor as Agent for Owner Signature o Con actor/Licen e Ho er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie COUNTY OF -Saint Lucie The fo g inns ent was acknowledge before me I The If 9 ins r'; ent was acknowledged before me this ay o�s v��,t G �✓ 20 by this Y day o CC L.v� 20 by '� �d Michael J Newman Michael J Newman v' Name of person making statement Name of person making statement Personally Known ° = N OR Produced Identification Personally Known OR Produced Identification Type of Identificati . - Type of Identific orll N Produced Pr, duced z M ,� W rJ a L T Q u eta g,x � A (Signature Notary Publi 'd (Siga of Notary Public- State of Florida GG221434 ` Y `k- Not y'Pj�blic State of Florida 3 ' Commission NO. Fr i Newman Commission No. GG221434 p PLC N b�l�l eSt�te My Commission GG 221434 :Fr l aiAA�a �r < , �' c 2 43 Expires 05/23/2022 M Ex�WgU�IL3 �ZONINGTREVIE7WTR:E:VIEW REVIEWS FRONT VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED l Paw Q /)/17 BOARD OF TL PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS . R I • Building & Code Regulation CHECKLIST FOR RESIDENTIAL/CON VIERCIAL BUILDING PERMIT Pro'ect Location: ;-� '� `I�G�( E Pfil(ck Date: kl� 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 ✓ Owner / Builder Affidavit (signed in office) ................................................... Yes No — N/A ✓ Filled Land Affidavit (prior to issuance)......................................................Yes No N/A Recorded Warrany Deed, 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 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 Engineer / Architect Raised Seal ........................... Yes INO 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_✓ Approved Site Plans..........................................................................: Yes No N/A Sealed Survey with Dimensions, Finished floor ............................................ Yes No /N/A Elevations and Setbacks............................................................... Yes No ✓rN/A® Plot plan with Setbacks............................................................... Yes INO N/A Health Department approval stamped on survey and floor.plan......................... Yes No N/A 1/ Health Department Food Establishment Permit stamped. on floor plan ......:......... Yes_ No — N/A Manual ' ' or Manual "N" Calculations....:.............................................. Yes_ No NIA Signed Energy'Calculations (1 original signature)......... .................... Yes No N/A " Sealed W' � _ / Wind Load Compliance Certification ............................................... Yes No NIA J Product Review Affidavit ........... ........ .............. Yes— No —N/A2 Other: Health Department Permit Paperwork....................................................... Yes No NIA I/ CD for Fire Department if commercial or multi -family.; ................................. Yes No NIA V DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No NIA V Pool Barrier Affidavit........................................................................... Yes No NIA t✓ Ground Sign LandscapeAffidavit (signs) ................................................... Yes No NIA �! 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 N/A Manufacture Set -Up and Installation Manual ............................................... Yes— No — N/A V Manufacture Blocking Documents........................................................... Yes No N/A V Signed Penetrometer Test (1 copy).......................................................... Yes— No — N/A 1/ Stair Details ................... :................................................................. Yes_ No N/A t/ Mobile Home Inspection Report for Relocation (used only) ........................... I Yes No _ N/A V Copy of Title for Relocation used only) ..................... ...... Yes No N/A V Private Property not in a mobile home park Class "A" Approval from Planning or file #.................................................. Yes No N/A COMMENTS Revised 7/27/18