HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
91ro
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 7259 Reserve Creek Dr Port St Lucie, FL 34986
Property Tax ID#: 3322-601-0006-000-5 Lot No.5
Site Plan Name: RESERVE CREEK PARCEL 4 LOT 5 AND THAT PART OF SEC 22-36-39 Block No.
Project Name: Bausell
DETAILED DESCRIPTION OF WORK:
Install a ')( aluminum/screen enclosure on existing slab. 0 '
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:$ 31,112.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Bausell Name:Michael J Newman
Address:7259 Reserve Creek Dr Company:Pioneer Screen Co. Inc. II
City: Port St Lucie State: Address:1682 SW Biltmore St
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.882-8742 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 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEWNTAL CQN"S Rl3 It3N fEN LAW I Ft R1 C l :
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Do Kim&Associates Name: I
Address:PO Box 10039 Address: j
p City: Tampa State: FL 11Ii City: 'State: !!
Zip: 33679 Phone813-857-9955 Zip: phone:
FEE SIMPLE TITLE HOLDER: 4�{ Not Applicable BONDING COMPANY: ANvt Applicable
Name: Name:
Address: Address;
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 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 plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurr envy 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 in ction. If you ' ,end to obtain financing, consult with lender or an atto ey before
commencingw 'or recordingofr Notice of Commencement.. ;°
Signature of Owner/Less e/Contractor as Agent for Owner Signature of ntract)r/Lip rise H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF SaintLucie
The forgoing instrument was acknowledged before me The forgoing instroffibt was acknowledge,d efiore me
this ° '°dayofi� _ , �.' F 2Q by this ,"!"day of 20 by
Michael J Newman Michael J Newman
Name of person making statement Name of person making statement
Personally Known V OR Produced Identification Personally Known '' _OR Produced Identification
Type of Identification r Type of Identification
Produced i Produced
LA
(Signature o Notary Pu w (Signature Notary Pu c� o 16~�Aid�Jblic state of Florida
tiotar,PubFic State of Florida iyr�r,Cen@ IVewnlan
k ranS��alewmanb
Commission No. GG2214 a Commission/No. GG22143 ' ' My co 43i1 GG 7.21434
My C minis ion GG 221434 F' 4 x. "s'(TS723-.hh022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
I COMPLETED I
Rev.8/2/17
BOARD OF PLANNING & DEVELOPMENT
COUNTY ® SERVICES DEPARTMENT
UNTYI
COMMISSIONERS' F L . R I • ABuilding & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERA/HT
Proiect Location: C / -� i`. (J/r Dater
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 Y/
Filled Land Affidavit(prior to issuance)......................................................Yes No N/A V1
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
Ym P (P ).................................Yes No N/A
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 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
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 V/ 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......:......... Yes No NIA
Manual 'T'or Manual "N" Calculations....:............................................... Yes No N/A J
Signed Energy'Calculations(I original signature).....:....:. ........................... Yes No N/A ✓.
Sealed Wind Load Compliance Certification................ ..........1.....................Yes No N/A
Product Review Affidavit............................... . ......... . ...................... Yes No N/A
Other:
Health De partment Permit Paperwork...:................................................... Yes No NIA ✓
CD for Fire Department if commercial or multi-family.:........................t........ Yes No N/A 'v/
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A
Pool Barrier Affidavit................. .............................................Yes No N/A
Ground Sign Landscape Affidavit(signs)....................................................Yes No N/A
Burn Rate for Sign Cabinets.................................................................. Yes No N/A Y
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 t�
Manufacture Blocking Documents...........................................................Yes No N/A /
Signed Penetrometer Test(1 copy)......................................................... Yes No N/A a/
StairDetails................. .............. ..............: ........... :.......�..., Yes_No N/A
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 /
Private Property not in a mobile home park
Class"A"Approval from Planning or file#................................................ Yes No N/A
COMMENTS. ' -
Revised 7/27/18