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Home My WebLink AboutQuaglia SLC permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S�Vo ILUM - 0 c� 71 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: 5811 Palm Dr Fort Pierce, FL 34982 Property Tax ID #: 3402-609-0355-000-5 Lot No. 37 & 38 Site Plan Name: LOTS 37 AND 38 BLOCK 61 INDIAN RIVER ESTATES UNIT EIGHT Block No. 61 Project Name: Quaglia DETAILED DESCRIPTION OF WORK Install a 26' x 10' aluminum/screen enclosure with poly roof on existing slab. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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: $ 5,390.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Robert J Quaglia Name: Michael J Newman Address: 5811 Palm Dr City: Fort Pierce State_ Zip Code: 34982 Fax: Phone No. 708-5035 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: 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 ------------•-•• •- --. - -- ...-y w -nvw 11vawc vi wrnmencemeni is requlrea. 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Pro'ect Locations (i„' i� 7`l Date: Permit Number: Technician: Required Documents: Application completely filled out with Notarized Signatures ............................. Yes No NIA Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No NIA f 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 J Vegetation Removal Application with copy of survey ..................................... Yes No N/A 7 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 V Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A v Approved Site Plans..........................................................................: Yes No NIA Sealed Survey with Dimensions, Finished floor ............................................ Yes No ✓ N/A Elevations and Setbacks.............................................................. Yes No ✓ N/A Plot plan with Setbacks............................................................... Yes /No N/A Health Department approval stamped on survey and floor.plan......................... Yes No . N/A Health Department Food Establishment Permit stamped. on floor plan.......* ......... Yeses No _ N/A Manual "J" or Manual "N" Calculations .... :....................... No / N/A V .Yes Signed Energy'Calculations (1 original signature)......................... .......................... 'Yeses No — N/A Sealed Wind Load Compliance Certification ............... -Yes No � / N/A v .. Product Review Affidavit.........._ / — ............................................................ Yes e/ No N/A Other: Health Depa rtment Fermat Paperwork...:................................................... Yes No N/A CD for Fire Department if commercial or multi -family.; ................................. Yes No N/A t/ DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A Pool Barrier Affidavit ......................................:.................................. Yes_ No N/A . .. — Ground Si gn Landscape�Affidavit (signs) ................................................... Yes No / N/A BurnRate for Sign Cabinets....................................................I.............. Yes No N/A RV and Mobile Rome Tie -Down Only (Z copies) Permit Worksheet (Tie -Down Diagram)...................................................... Yes No N/A V Manufacture Set -Up and Installation Manual ............... ...:............................. Yes No N/A Manufacture Blocking Documents........................................................... Yes No NIA V Signed Penetrometer Test (1 copy)......................................................... Yes No NIA V StairDetails ................... :.............................................................. .... Yes No N/A Mobile Home Inspection Report for Relocation (used only) ........................... Yes No N/A a/ Copy of Title for Relocation (used only) .................................................... Yes No N/A Private Property not in a mobile home park Class "A" Approval from Planning or file # ........:....................................... Yes No N/A COMMENTS