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HomeMy WebLinkAboutSirmons SLC Permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: O 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: 2207 N 51st St Fort Pierce, FL 34946 Property Tax ID #: 1413-701-0218-000-0 Site Plan Name: HARMONY HEIGHTS ADDN BLK M LOTS 5,6 AND 7 Project Name: Sirmons Residential X I DETAILED DESCRIPTION OF WORK Install a 30' x 21' aluminum/screen enclosure with a 30' x 21' poly roof on existing slab. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. 5,6 & 7 Block No. M 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: $ 12,450.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE CONTRACTOR: Name Mary Sirmons Name: Michael J Newman Address: 2207 N 51st St Company: Pioneer Screen Co. Inc. II City: Fort Pierce State: Zip Code: 34946 Fax: Phone No. 205-5410 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 -- - -- ------- - --._•• •- - -.- .-. ...v.c, w IVULMU U1 wmrnencement Is requlrea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: —Not Applicable '' MORTGAGE CO f'ANY: Not Applicable Name ; Oo }Cim &Associates � m e Address: PO Box 10039 Address: r'Ity: Tampa State: FL � State: Zip: 33679 City: p Phone 813-857-9955 Zip: Phone: I I FEE S.MPLE TITLE BOLDER: k/ Not Applicable BONDING COMPANY: Ncit Applicable Name: Name:Address: Address: City: . City: Zip: Phone: Zip: Phone: )WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit. ,t. 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 tructure. Please prohibit such consult with your Home Owners Association and review your deed for any restrictions which may apply. n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work i 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 toyour property. A Notice of Commencement must be recorded and posted on the jobsite before the firsts spection. If yo intend to obtain financing, consult with lender an attorney�efore commenrina r� rk nr rprnrrJin ,.,I lr nl.,+�, —C _ ---- ---•-��•...... v• ...vst111y,111.L 111Cl1i. Signatur of Owner/ L see/C ntractor as Agent for Owner Signature of Connr ctor/License old r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF saint Lucie COUNTY OF Saint Lucie The fo oi$ng instryment was acknowledged 'before me this day of ' 20A by The if r sing instr e t was acknowledged before me this ay of wr 20 24bv Michael J Newman r Michael J Newman Name of person making statement Personally Name of person making statement Known V" OR Produced Ide . ication Personally Known Produced Identification Type of Identification Type of Identification Produced r ! Produced I (Signature o N tary Public- S_,� nature of N tary Public- ate(of Florid_ a ) o�prr !o ufPublic State of Florid Commission NO. GG221434I t rie ilc J4rrat, ( acr "•iotar P C GG22i434 �,< F q y t r,mmission GG 221434 Qg mi5slon No. Y 4 c 1 (S-A#te of Florida i rala r,� Newman a� ©Fo xe i a , 05/23I2022 "as � Y9T���s•'°3' a r ,� My Commission ssion GG 221434 ;. e a t. L-xpi'es 6 "1/ 022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE — I COMPLETED Rev. 8/2/17 BOARD OF COUNTY PLANNING & DEVELOPMENT SERVICES DEPARTMENT CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT 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 N/A Owner / Builder Affidavit (signed in office ............................... Yes No N/A Y Filled Land Affidavit (prior to issuance)......................................................Yes No N/A Recorded Warrany Deed, if applicable...::....... ........ Yes-- No N/A V Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes_ No ✓ NIA Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No NIA ne Vegetation Removal Application with copy of survey ..................................... Yes No N/A v Plans, Calculations & Attachments ( 3 copies commercial, 2 copies residential) Complete set of plans with Engineer / Architect Raised Seal ........................... Yes V No N/A Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No N/A Landscaping and Parking plan (under 6,000 sq$)...............:......................... Yes No N/A V Approved Site Plans .....................:. Yes No N/A V Sealed Survey with Dimensions, Finished floor .........................................:. Yes No ✓ N/A Elevations and Setbacks.............................................................. Yes No '� N/A_ No N/A Yes _ Plot plan with Setbacks .............................................................. — Health Department approval stamped on survey and floor.plan......................... Yes No . N/A Health Department Food Establishment Permit stamped. on floor plan ......:......... Yes No N/A J Manual "T' or Manual "N' Calculations .... :................................. . Yes No N/A V Signed Energy'Calculations (1 original signature) ................. ...........:.....:.... Yes: `No N/A Sealed Wind Load Compliance Certification ...................... ..... :.........:...... Yes - No N/A V/ Product Review Affidavit ............................................... .............. Yes /No N/A Other: Health Department Permit Paperwork....................................................... Yes No NIA y CD for Fire Department if commercial or multi -family.; .................................. Yes No N/A 11 V DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A V Pool Barrier Affidavit......................................:.................................... Yes No NIA Ground Sign Landscape Affidavit (signs) ................................................... Yes— No — N/A_/ BurnRate for Sign Cabinets.................................................................. Yes No NIA RV and Mobile Home Tie -Down Oniy (Z copies) Permit Worksheet (Tie -Down Diagram) ...................................:................ Yes_ No —NIA d Manufacture Set -Up and Installation Manual ..................:............................ Yes No N/A V Manufacture Blocking Documents............................................................ Yes Signed Penetrometer Test (1 copy)......................................................... Yes No No N/A V N/A .7 Stair Details ................... :.............................................................. .... Yes_ No _ N/A_V Mobile Home Inspection Report for Relocation (used only) ........................... Yes No N/A V Copy of Title for Relocation (used only) .................................................... Yes_ No N/AJ— Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes No N/A COMMENTS Revised 7/27/18