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HomeMy WebLinkAboutBuilding Permit Application FAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
9ro
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
PERMITAPPLICATION FOR:Aluminum Without Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 9304 Scarborough Ct Port St Lucie, FL 34986
Property Tax ID#: 3322-507-0020-000-0
Lot No. 15
Site Plan Name: PODS 12 AND 13 PUD 1 AT THE RESERVE SCARBOROUGH ESTATES LOT 15
Block No.
Project Name: Tripodi
DETAILED DESCRIPTION OF WORK:
Install a gO'X.�'?J'aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
CONSTRUCTION lNFORMATlON:
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:$ 16,055.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE. CNTRACTOR:
Name Massimo and Teri Tripodi f[Na:
me:Michael J Newman
Address:9304 Scarborough Ct Com an Pioneer Screen Co. Inc. II
Port St Lucie p y�
City: State: -Z- Address:1682 SW Biltmore St
Zip Code: 34986 Fax: City: Port St Lucie
State:FL
Phone No.878-7752 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 ploneerscreen@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.
'UPPLEM.EL�fTAL�E NSTRUCT#©N L(E L,-3W':1NF0RMAT1Q,v
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY _Not Applicable
N a me:Do Kim&Associates Name:
Address:Po sox 10039 Address:
City: Tampa State: FL City: State:
Zip: 33679 Phone 813-857-9955 Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not 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 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 yo "' roperty.A otce of Commencement must be recorded and posted on the jobsite
before the first in e ion. If you tend to obtain financing, consult with lender or an attorney before
commencing wo recordin kbur Notice of Commencement.
Signatur of caner/Le ee/Cot
ractor as Agent for Owner Signat re of Contra c r/Lic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The f r.gp ing instr ne ,L was acknowledged before me The forgoing instru nt was acknowledged before me
this `�day of ✓ 211 by this Zday ofA_,t2V1,&5kk 20 by
Michael J Newman Michael J Newman
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature Notary PubI' t of for (Signature of Notary Public-St o e va 11 IIII! � ✓�,
Corr ern Notary ublic State of Florida Notary Public State of i
Fra e Newman GG221434 ne Newman
Commis$io No. GG221434 a,: ` M A Commission No. •,
o Y Sion GG 221434 � mission GG 221.�
of 'o'F Expires 05/23/2022 k 8,ai v;o� Expires 05/23/2022
v
>
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
COMMISSIONERS F L . R I • i Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Proiect Location: fG' C i Date:
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 L l
Owner/Builder Affidavit(signed in office).............:...................................Yes No NIA L�/
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 V-/N/A
Utility Agreement or Payment Receipt(prior to issuance)................................. Yes No N/A
Vegetation Removal Application with co of survey .......................... Yes No NIA
PP PY Y — —
Plans, Calculations &Attachments (3 copies commercial,2 copies residential).
Complete set of plans with Engineer/Architect Raised Seal........................... Yes 40 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 '/N/A
Plot plan with Setbacks............................................................... Yes " No N/A
Health Department approval stamped on survey and floor Yes No N/A
Health Department Food Establishment Permit stamped-on floor Yes No N/A
Manual "J"or Manual "N" Calculations.................................................... Yes No NIA
Signed Energy Calculations(I original signature)............. ......................... Yes No N/A
Sealed Wind Load Compliance Certification................................................. Yes_No N/AZ
Product Review Affidavit...................................................................... Yes—No N/A
Other:
Health Department Permit Paperwork....................................................... Yes—No N/A L,,/
CD for Fire Department if commercial or multi-family................................... Yes—No N/A L11
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes-------No N/A-
Pool Barrier Affidavit.............................................................................Yes No N/A L/
Ground Sign Landscape Affidavit (signs)....................................................Yes_No NIA_�Zl
Burn'Rate for Sign Cabinets.................................................................. Yes No NIA
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
Manufacture Blocking Documents...........................................................Yes No N/A
Signed Penetrometer Test(I copy)......................................................... Yes No N/A
StairDetails....................;................................................................ Yes—No NIA
Mobile Home Inspection Report for Relocation used only)-
--------------------------- Yes* No NIAZ
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
i� '''
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