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Home My WebLink AboutFurgason SLC permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: Sri" umE 7 ��,� . CC 1Ku U c �� G A 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: 2171 S Brocksmith Rd Fort Pierce, FL 34945 Drnncrty Tay in tt• 2317-343-0020-000-9 _ . _I - SitaPlan NamP: 17 35 39 S 315FT OF W 691.43 FT OF E 740.43 FT OF S 1/2 OF SE 1/4 OF SW 1/4 Project Name: Furgason DETAILED DESCRIPTIONOF WORK: Install a 14' x 36' aluminum/screen enclosure with a 14' x 38' 3" poly roof on existing slab. New Electrical Meter Second Electrical Meter Lot No. — Block No. I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit— check all that apply: Mechanical Gas Tank — Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: _ Cost of Construction: $ 9,900.00 Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Michael Furgason Name: Michael J Newman Address: 2171 S Brocksmith Rd City: Fort Pierce State: �� Zip Code: 34945 Fax: Phone No. 205-5871 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 If value of construction is z5uu or more, a KtLUKULU rvvnce U1 — ._., If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. St.1PPLEIViENTAL CONSTRUCTION LIEN�A3� r`:�i` FORMATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: J Not Applicable Name: Do Kim & Associates Name: Address: Po sox 10039 Address: City: Tampa State: FL City: State: Zip: 33579 Phone 813-857-9955 Zip: Phone: i 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 1 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 cencurrency 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 ipspection. If y to intend to obtain financing, consult wit ender or an attorney before commencing w rk or reco di our Notice of Commencement. rp Rev. 8/2/17 Signature of caner/ Le ee/ ontractor as Agent for Owner Signature o Contractor/ cens Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie COUNTY OF Saint Luce I The forgoing instrumen was ack wiedged before me I � Theforgoing instru � }}t way cknowledge efore ��e this (.day of �tC�� 20by �a of 20 by this y , 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 "� T e of Identificati -Produced I P aduced (Signature of No ry Pu (Signatur of Notary Publ' , tote of Florida ) r vty` Notary Public State of Florida Commission NO. GG2214 z° r Fraewman " COmmI5510n NO. GG2214 ',�°��`� Notary f�� BOARD OF PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS F L . R I • A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Date: l 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__y/ Owner /Builder Affidavit (signed in office). . ............. ............................... Yes No — N/A— Filled Land Affidavit (prior to issuance)......................................................Yes No NIA ✓ Recorded Wairany Deed, if applicable.......................................................... Yes -No N/A_Z ® Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes No V NIA_ Yes No NIA V Utility Agreement or Payment Receipt (prior to issuance)......... — 'Vegetation Removal Application with co of survey ..................................... Yes No N/A g PP copy — — — 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 ............................ Landscaping and Parking plan (under 6,000 sgft)......................................... Approved Site Plans ....................... .......................................... Yes_ Yes Yes No No — No N/A_j N/A— — 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 Depairtment�d flo�n�n u��m��u�uo��vm� c---'''-'-'-'''-'-'-'' »�m-__ �� ^°��_�- ./ � Health Department Food Establishment Permit stamped. mmfloor plan ................ No____ ./ Manual "I"ozManual =N"Calculations .................................................... ___ NmSig / ned Energy* Caloolotioom(l ....................................... No____ / \/ Sealed Wind Load Compliance Ccztifisotioo--..--.---'---'..-'~------- . Review Affidavit..* NoProduct o/ No Other: � CDfor Fire Department ifcommercial mr .................................. Yes___No___ DBP'SFVVM0mzArmy Corp of Engineers (dock, seawall, SF mobexcb)............ Nw___ NIA Pool Barrier Affidavit ............................................................................. Yem___No____ NIA V Ground Sign ' ' .................................................... Bum'Rate for Sign Cabinets ................................................................... Yes Yes— No_-_- N/A__\( NIAY No � RV and Mobile Home Tie -Down 0 �� `-_p-_.Permit. Worksheet / ----------------'-'-----'~' N�»__- 'Diagram) Manufacture Set -Up -and Installation Manual ................................................ No _-_ . / (� � �� Manufacture T�000z�eotu-.--.--_---------.-~---`------ um�____ ox/�__�_ � \/ Test(1copy) ........................................................... No / � ^/ No NIA ' (used only) �J� Mobile ��mzoe for Re}oca�oo`..._~^~//..---_-------. ��m___ ___m/AV Private iva-�zobDchozuooazk /�� Property from or ...................................... Yes — Class "A" Approval' COMMENTS Revised 7/27/18