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Home My WebLink AboutLewis SLC Permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �LyCEE ; z 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) 462-1S78 Commercial PERMIT APPLICATION FOR:Aluminum poly roof PROPOSED IMPROVEMENT LOCATION: Address: arz nwuen raver ur Fort 5t Lucie, FL 34983 Property Tax ID #: 3427-311-0002-000-9 Site Plan Name: 27 36 40 BEG NE COR LOT 1 BLK 2 HIDDEN RIVER ESTS Project Name: Lewis DETAILED DESCRIPTION OF WORK: Install a 1 V x 9' aluminum poly roof over existing slab. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Residential X Lot No. 1 Block No. 2 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: $ 2,240.00 Utilities: —Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Richard and Lorraine Lewis Name: Michael J Newman Address: 594 SE Hidden River Dr Company: Pioneer Screen Co. Inc. II City: Port St Lucie State: Zip Code: 34983 Fax: Phone No. 233-9933 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 I if different from the Owner listed above) E-Mail pioneerscreen@msn.com State or County License RX11066919 NwuLa ui %.U11I(I1enGemeni is requirea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. UtblUNER/ENGINEER: Not Applicable Name: Do Kim & Associates Address: PO Box 10039 City: Tampa State: FL Zip: 33679 Phone 813-a57-9955 FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: -UKIVIATION- MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name:_ Address: City:_ Zip: Phone: of Applicable 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 corcurrercy 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 insp ction. If you "end to obtain financing, consult with lea"rder or an att rney before col mmencin� g WOX,,6r ecordirn&AU'r Notice of Commencement. Signature of Owner/ Lesser/C tractor as Agent for Owner STATE OF FLORIDA COUNTY OF Saint L... The fa Ding instru t m. was �acknowiedged before me this day of _� 2Q by Michael J Newman Name of person making statement Personally Known +V" OR Produced Identification Type of IdentificaY n Produced of Notary/ublic- ,.,,, o COmmission NO. GG2214 t �o � nWrubiic State of Florida i rant e Newman My Commission GG 221434 osFloa" Expires05/23/2022 REVIEWS FRAT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED I DATE I COMPLETED Rev. 8/2/17 Signature of Contractor/(fInse Holder STATE OF FLORIDA COUNTY OF Saint Lucie The forgoing instrument was acknowledged before me this day of ✓ 20 by Michael J Newman Name of per , n making statement Personally Known..., OR Produced Identification Type of Identifi tion / n iture of Notary Public``-'S " A.ar�" WIti+*r✓1/v 4o r�Votary Public State of Florida ISSIOn NO. GG221134£ _ 38eak} e Newman Q Y Commission GG 221434 �'kof n Expires 05/23/2022 sPLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW BOARD OF E PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT TY COMMISSIONERS . . Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Date: M )C2L/ 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 NIA Owner / Builder Affidavit (signed in office) ................................................. Yes No NIA ✓ Filled Land Affidavit (prior to issuance)......................................................Yes No N/A Recorded Warr any Deed, if applicable.............................................:......... Yes �No NIA Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes No NIA V/ Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No N/A V 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 NIA �_j Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A__V/ Approved Site Plans........................................................................... Yes_ No — N/A� Sealed Survey with Dimensions, Finished floor ........................................... Yes No ✓ N/A Elevations and Setbacks.............................................................. Yes No L) N/A Plot plan with Setbacks............................................................... Yes No N/A Health Department approval stamped on survey and floor plan ......................... Yes No N/A V, Health Department Food Establishment Permit stamped. on floor plan ................ Yes No N/A V11" Manual 'T' or Manual 'W' Calculations .... ; ............................................ .. Yes No N/A V Signed Energy* Calculations (I original signature) ............. ......................... Yes No N/A Scaled Wind Load Compliance Certification ................................................. Yes— No N/A kJ Product Review Affidavit........... ..................................... Yes J No — N/A_ Other: Health Department Permit Paperwork ........................ Yes— No N/A V/ 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 — NIA V Pool Barrier Affidavit ................................ ............................................ Yes— No N/Aj/ Ground Sign Landscape Affidavit (signs)............ .................. I ..................... Yes— No NIA Bum- Rate for Sign Cabinets ................................................................... Yes No N/A RV and Mobile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram) ........................... ......................... Yes No NIA 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 .................... ; ............................................................. I .... 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_ Private Property not in a- mobile home park Class "A" Approval from Planning or file # ................................................ Yes— No — N/A_ Revised 7127/18