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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date ccclnc��.M 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 Residential X PERMIT APPLICATION FOR:Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: touu i apaya Ur Fort Pierce, FL 34982 Property Tax ID #: 3402-610-0286-000-4 Site Plan Name: INDIAN RIVER ESTATES UNIT 09 -BLK 79 LOT 21 Project Name: Groendyke Lot No. 21 Block No. 79 DETAILED DESCRIPTION OF WORK: Install a 45' x 22' aluminum/screen pool enclosure on existing deck. PEPLPC11JG EKI STING 0NccoSo(Zt' 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 Electric _ Plumbing _ Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 12,640.00 Sq. Ft. of First Floor: Windows/Doors Pond _ Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Jerry Groendyke Address: 5808 Papaya Dr Name: Michael J Newman Company: Pioneer Screen Co. Inc. II City.. Fort Pierce State:'lT� Zip Code: 34982 Fax: Phone No. 418-7506 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 . — — vI—.. YUL VI1 3 L uv UI 11 lute, d rict unucu nonce or l..ommencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. `bUFFLLIVIENIALCONSTRUCTION LitN LAV'tr` iNF€3RtVtAT(C3N: -1 DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: Not Applicable Name: �oKim&associates Name: Address: Po Box 10039 Address: City: Tampa State: FL City: State: Zip: 33679 Phone 813-857-9955 Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable BONDING COMPANY: Name: Address: City: Zip: Phone: of Applicable UvvlmtK/ LUN 1 KAL I UK 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 your property. A Notice of Commencement must be recorded and posted on the jobsite before the first ins ctian. if you in , d to obtain financing, consult with lender_or an attorne before comme5 wo "r recording yo Notice of Commencement �' ! f r Signature of STATE OF FLORIDA COUNTY OF Saint Lucie ctor as Agent for Owner I Signature The forgoing instr m nt was acknowledged before me this _4�'?"day of 20 by Michael J Newman Name o prson making statement Personally Kn n 1 ice' OR Produced Identification Type of IdentAica on j7 {Signa re of NotaIPubIi q AyRL, Notary Public State of Florida Commission No. GG221434, ; Frdj$�Wl Newman My Commission GG 221434 Lorna Expires05/23/2022 ctor/Licen0e Hol STATE OF FLORIDA COUNTY OF Saint Lucie The for wing instr m nt was acknowledged before me this day of i 26,& by Michael J Newman Name of person making statement Personally Known ✓�`` OR Produced Identification _ Type of Identifi tion r' j re of Notary P ty " v a Notary Public State of Florida ;ion No. GG22 34r°� '� Francene��eyl z21434 My Comm? �6 Expires O5/23I202 FV REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE I COMPLETED I I Rev. 8/2/17 PLANNING & DEVELOPMENT BOARD OF SERVICES DEPARTMENT COUNTY COMMISSIONERS F L . R I • Building & Code Regulation CHECKLIST FOR RESIDENTIAL/CONIM ERCIAL BUILDING PERMIT i ,4' a ,lit i"�'f' e e Date: '3A '� 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 NIA Owner / Builder Affidavit (signed in office) ................................................. Yes No N/A Filled Land Affidavit (prior to issuance)......................................................Yes No NIA Recorded Warrany Deed, if applicable.............................................:......... Yes—, No N/A Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes- No — N/A_ j Utility Agreement or Payment Receipt (prior to issuance) ................................. 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 VINO 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 J Sealed Survey with Dimensions, Finished floor ............................................ Yes No ✓ N/A Elevations and Setbacks... ............................................................ Yes No t/ N/A Plot plan with Setbacks............................................................... Yes v/ No N/A Health Department approval stamped on survey and floor.plan......................... Yes No . NIA Health Department Food Establishment Permit stamped. on floor plan..... ­ I ....... Yes . No N/A Manual " J" or Manual "N" Calculations............................................... ..... Yes No N/A Signed Energy'Calculations (1 original signature) ............. :.................... ..... Yes No N/A Sealed Wind Load Compliance Certification ..........................:..................... Yes No N/A t/ Product Review Affidavit ................................ ......... .................. ........... Yes No N/A V Other: Health Department Permit Paperwork....................................................... Yes No NIA CD for Fire Department if commercial or multi -family ....................... Yes No NIA v DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A V Pool Barrier Affidavit ....................................................................... Yes— No — N/A 1� Ground Sign Landscape Affidavit (signs) ................................................... Yes No NIA Burn Rate for Sign Cabinets.................................................................. Yes No NIA V 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 ✓ Manufacture Blocking Documents.......................................................... Yes No N/A t0 Signed Penetrometer Test (1 copy)......................................................... Yes No N/A StairDetails ................... :................................................................. Yes No N/A� Mobile Home Inspection Report for Relocation (used only) ........................... Yes' No N/A� Copy of Title for Relocation (used only) .................................................... Yes No N/A_Z Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes No NIA COMMENTS Revised 7/27/18