HomeMy WebLinkAboutBrooks SLC Permit App & ChecklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
F. C G Q D
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 with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 5282 Oakland Lake Cir Fort Pierce, FL 34951
Property Tax ID #: 1311-800-0038-000-9
Site Plan Name: Oakland Lake Estates Lot 25
Project Name: Brooks
DETAILED DESCRIPTION OF WORK:
Residential X
Lot No. 25
Block No.
Form and pour a 8' x 16' concrete slab with 8" x 8" footers and Install a 8' x 16, aluminum/screen enclosure on 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: $ 4,960.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robin Brooks Name: Michael J Newman
Address: 5282 Oakland Lake Cir Company: Pioneer Screen Co. Inc. II
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City: Fort Pierce State: . Address: 1682 SW Biltmore St
Zip Code: 34951 Fax: City: Port St Lucie State: FL
Phone No. 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 71;nn nr morn , orrnonrn R1
q 1t:4U1FeU.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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BOARD ,..
COMMISSIONERS"COUNTY
Wfiffixifflyll"M NIZIMM-M-41
CHECKLIST FOR RESIDENTIAL/COIVIIMRCLAL BUILDING PERK UT
Pro i.ect Location- C f f-,(6vj? (� Date.0?—/// /C)/1
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 V1
Owner / Builder Affidavit (signed in office) .............:................................... Yes No N/A V
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 V No N/A
Plans, Calculations & Attachments ( 3 copies commercial, 2 copies residential). /
Complete v p set of plans with Engineer Architect Raised Seal ........... . ............... Yes No 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—
Approved Site Plans .................. ............. Yes No N/A
Sealed Survey with Dimensions, Finished floor .........................................:. Yes No J N/A
Elevations and Setbacks.............................................................. Yes No /N/A
Plot plan with Setbacks............................................................... Yes 1INo — N/A
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
Manual ' '
or Manual "N" Calculations....:....... .:. Yes No N/A 1/
Signed Energy`Calculations (1 original signature) .............. :......................
... Yes® No N/A V
Sealed Wind. Load Compliance Certification ............. ............:......,.......:..... Yes No N/A�
Product Review Affidavit..:........ Yes No N/A 1/
Other:
Health Department Permit Paperwork....................................................... Yes No N/A
CD for Fire Department if commercial or multi -family.; ...................... Yes No N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A v/
Pool Barrier Affidavit.....................................:........................ .. Yes No N/A
Ground Sign Landscape Affidavit si
( gns) .............................:..................... Yes No N/A V/
Burn Rate for Sign Cabinets................................................................ Yes No N/A�
RV and Mobile .Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ................................:..:................ Yes No N/A
V
Manufacture Set -Up and Installation Manual ............................................... Yes No N/A V
Manufacture Blocking Documents........................................................... Yes
No
N/A 1/
Signed Penetrometer Test (1 copy)..........................................................
Yes
No
N/A V
StairDetails .................... :............................................... .................
Yes
No
N/A
Mobile Home Inspection Report for Relocation (used only) ...........................
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
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