The URL can be used to link to this page

Home My WebLink AboutRogers SLC Permit App & ChecklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: cEC_IL c11k � 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 L ERMIT APPLICATION FOR:Aluminum with concrete ROPOSED IMPROVEMENT LOCATION: Address: 5837 Sunberry Cir Fort Pierce, FL 34951 Property Tax ID #: 1312-501-0120-000-6 Site Plan Name: Portofino Shores Lot 461 Project Name: Rogers Residential X Lot No. 461 Block No. DETAILED DESCRIPTION OF WORK: Form and pour a 14' x 16' concrete slab with 8" x 8" concrete footers and install a 14' x 16' aluminum/screen enclosure with poly roof. New Electrical Meter Second Electrical Meter 1.90—NSTRUCTION INFORMATION: 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: $ 9,730.00 Utilities: _ Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Verona M. Rogers Name: Michael J Newman Address: 5837 Sunberry Cir Company: Pioneer Screen Co. Inc. II City: Fort Pierce State: LL Address: 1682 SW Biltmore St Zip Code: 34951 Fax: Phone No. 561-306-1023 City: Port St Lucie State. FL 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 pioneerscreen@msn.com from the Owner listed above) State or County License RX11066919 If value of construction is 7snn or mnrc n RrrnRnrn hi,...:, r __ _. ...., ... ..rvv.'_ . '..,.'W 0..vnunenmernent is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER ENGINEER: Not Applicable Name: Do Kim & Associates Address: PO Box 10039 City: Tampa State: FL Zip: 33579 Phone 813-857-9955 FEE SIMPLE TITLE HOLDER: V Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: 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 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 in ection. If you intend to obtain financing, consult with lender or an attorney before commencing w rk or recordi!k your Notice of Commencement. 1 of Owner/ STATE OF FLORIDA COUNTY OF saint Lucie as Agent for Owner The forgoing instrument was acknowledged before me this day of 20_ by Michael J Newman Name of person making statement Personally Known OR Produced Identification Type Identificat� / Produced (Signature o0otary Public- to Florida f ran Commission NO. GG221434 : e�t i r ss'on (,C 21434 OF KO' Expires 061213t2U:'<- REVIEWS ( FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Signature of Contractop%Licen+ Holder STATE OF FLORIDA COUNTY OF Saint L.ae The forgo; ng instrument was acknowledged before me this day of 20_ by Michael J Newman Name of perso aking statement Personally Known OR Produced I tification Type f Identificatio Prod ced 4 ignature o Notary Pub 'c--�S t of llgf��ja�� State of Florida f-rancene Newman C mmiss n O. GG221434 wa. = u My C Sr�r,�{ion GG 221434 e ,;�,o`s Expire U (2022 SUPERVISOR PLANS I VEGETATION I SEA TURTLE MANGROVE REVIEW I REVIEW REVIEW REVIEW I REVIEW BOARD OF LW PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS F L . R I • Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Pro'ect Location: ��" �t�i .,� � (� o Date: Permit Number: Technician: Required Documents: Application completely filled out with Notarized Signatures ............................ Yes iJ No N/A 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 N/A Recorded Warrany Deed, if applicable.......................................................... .......................:......... Yes No N/A Recorded Notice -of Commencemement (prior to issuance or inspection) ............... Yes- No N/A_ Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No NIA f 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 V 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 ✓ ApprovedSite Plans........................................................................... Yes No N/A J Sealed Survey with Dimensions, Finished floor ............................................ Yes No ✓ N/A Elevations and Setbacks.............................................................. Yes No N/A Plot plan with Setbacks............................................................... Yes V No N/A Health Department approval stamped on survey and floor.plan .......... Yes No N/A Health Department Food Establishment Permit stamped_ on floor plan ................ Yes No NIA Manual "T' or Manual 'W' Calculations .... ; ............................................... Yes No NIA Signed Energy'Calculations (I original signature) ............... Yes No NIA V/ Sealed Wind Load Compliance Certification ................................... I .............. Yes— No N/A Product Review Affidavit .............................................. .............. I .......... Yes V"No N/A Other: Health Department Permit Paperwork ............................ Yes— No NIA ........................... CD for Fire Department if commercial or rnulti-familY ..................................... Yes— No N/A DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach) ............ Yes— No — N/A �i Pool Barrier Affidavit ........................................................................... Yes— No N/A V/ Ground Sign Landscape Affidavit (signs) .................................................... Yes— No N/A V/ 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 N/A V/ Manufacture Set -Up and Installation Manual ............................................... Yes— No N/A. v/ Manufacture Blocking Documents............................................................ Yes No N/A V/ Signed Penetrometer Test (1 copy) .......................................................... Yes No N/A StairDetails .................... ; ................................... ......................... I.... Yes— No N/A v/ Mobile Home Inspection Report for Relocation (used only) ............................. Yes' No N/A Copy of Title for Relocation (used only) .................................................... Yes No NIA Private Property not in a- mobile home park Class "A" Approval from Planning or file # ................................................ Yes— No N/A Revised 7/27/18