HomeMy WebLinkAboutTelese SLC Permit App & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
� 1r01�(
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
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: dU24 Spendthrift Ln Port St Lucie, FL 34986
Property Tax ID #: 3321-502-0053-000-2
Site Plan Name: SABAL CREEK PHASE II LOT 104
Project Name: TELESE
DETAILED DESCRIPTION OF WORK:
Install a 55' x 33' 4" aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
Residential X
Lot No. 104
Block No.
CONSTRUCTION INFORMATION: I
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: $ 22,290.00 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name John and Edith Sztankovits
Name: Michael J Newman
Address: 5200 N Ocean D
Company: Pioneer Screen Co. Inc. II
City: Riviera Beach State: rN,
Zip Code: 33404 Fax:
Phone No. 260-4655
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
vaur uwnauuILuon ns z3uv or more, a KrLUKutu Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
INEER: Not Applica
Name: Do Kim & Associates
Address: Po Box 10039
City: Tampa State: FL
ZiIJ: 33679 Phone 813-857-9955
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: ±% Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: i Not Applicable
Name:
Address:
City:
Zip: Phone:
vvvaven/ t-WIe I KHS.I UK All-tIUVI I : 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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first in ction. If you int nd to obtain financing, consult with I er or an atto ey before
commenci or recordin vo Notice of Commencement
I i1 /J
Signature of ontractor/L' ense H Ider
Signature of 0 ner/ Lesse Contr ctor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucia
COUNTY OF Saint Lucie
The for ing instr ent was,acknowiedged before me
this.�day of
I
The f rgying instr merit w ;acknowledged before me
20 by
this! day of L 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 Identificatio
T e of Identificati n
Produced �7
(P oduced
(Signature of otary Publ- - S of F 0 idad
Diary uState of Florida
(Signaturf Notary
e .blic
Francene Newman
Commission No. GG221434 'i ,_, a` My ((rala�)ssion GG 221434
flFg4 Expires 05/23/202.2
argv>U Notary PublWtate of Florida
Commission No. GG2 44 �` Francene n
My Commission GG 221434
forFyo� Expires05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
I COMPLETED
Rev. 8/2/17
_._..._ - BOARD OF I - PLANNING & DEVELOPMENT
COUNTY OUN SERVICES DEPARTMENT
COMMISSIONERS F L • R I • ABuilding & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
ion: _ 5
YAS44t'C'e Date: A3 61,)4
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
Filled Land Affidavit (prior to issuance)......................................................Yes
No
N/A
Recorded Warrany Deed, if applicable.. .::............... ........ Yes--
No
NIA
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
Vegetation Removal Application with copy of survey ..................................... Yes No N/A
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 N/A
Plot plan with Setbacks............................................................... Yes No N/A
Health Department approval stamped posurvey and floor x'__'----'.--_--'Yes No
Health Department Food Establishment Permit stamped. on floor Yes . No N/A
Manual "F` or Manual "Y` Calculations --'---------------------'- Yes Nm___
ozgoeO Calculations(} -'---------------- Yes No N/A
Sealed Wind Load
Compliance Certification .................................................. Yes No N/A
Product Review Affidavit -'------------''------------------- Yes No N/A
Health ��To��
^^��a/uuc�� Paperwork ............................ ........................... Yes
Y��
����
CDfor Fire Deparjmpnt ifcommercial nrmulti-family-----~---'-------'Ymm
��m
���k
DEP'SFVVMDnrArmy Corp of Engineers (dock, seawall, SPmnbeach) ............
Yes
I��
���^
Pool Barrier Affldom�t -....................................... .....................................
Yes
l��
�0��
Ground Sign "Affidavit ' ..............................
l��
Bum Rate for ��,n
-'�_Caoozetm-_-----_----.-...--_------------'
Yes
No
RV and Mobile Home Tie -Down 0 �3
' copies)
Permit Worksheet (Tie -Down Diagram)
...........................
...................... ' NwN/A_
�
DocumentsManufacture Blocking .............. ............................................ Yes No N/A
�
StairDetails ................... ,................................... .......................... '....
NwMobile ____
Home Inspection Report for Relocdtion (used only) ...........................
Yes ----
�J� ---
���� ---
Copy mfTitle for Relocation (used only) ...................................................
Nm____
Private Property not iuu-mobilehoouonazk
Clamm=A" from Planning orfile # .................................................
No
COMMENTS
Revised 7/27/18