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Home My WebLink AboutPetri SLC Permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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:Aluminurn without Concrete PROPOSED IMPROVEMENT LOCATION: Address: '120 E ivlidway Kd Fort Pierce, FL Property Tax ID #: 2436-701-0015-000-5 Lot No. Site Plan Name: Fishers S/D LOTS 14,15 AND W 1/2 OF LOT 16 AND THAT PART OF LOT 1 OF D Block No. Project Name: Petri DETAILED DESCRIPTION OF WORK: Install a 48' X 45' aluminum/screen pool enclosure on existing deck. 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 _ Windows/Doors Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 20,954.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Peter and Kathleen Petri Name: Michael J Newman Address: 125 E Midway Rd Company: Pioneer Screen Co. Inc. II City.. Fort Pierce State: fA- Zip Code: 34982 Fax: Phone No. 216-4787 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 vauc vtAJ1IaLl uLUV11 1b L7Vv Of more, a KtLVKUrU ryoxice oT commencement 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: 33679 Phone 813-857-9955 FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Applicable Not Address: City: State: Zip: Phone: — BONDING COMPANY: Not Applicable Nance: Address: City: 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 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 corcurrency 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, nspection. If ` u intend to obtain financing, consult with lender or an a rney before rni'nnnPnrinu nrlt nr rnrn rrl'rr 7is .,r,� �r 1%1—+;__ _-C r _._ _ C- - Signat re of Owner Less e/Contractor as Agent for Owner Signature fl Contracto Lice se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie COUNTY OF SaintLucle Instru ntrwas acknowledged before me of ENV � t c 20 t-g(by instrupn was acknowledged before me The 7/011y this of .•�� v46c�c,' 20 by I The fo to this i s Michael J Newman . i Michael J Newman Name of person making statement Personally Name of person making statement Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Iden Lificatio Produced P oduced I (Signature of Nota Publ' -S e.o 40fid ublic State Florida (Signature o Notary Publi Francene New Commission NO. GG221434 w , a My (Seadilssion foFr Expires 05/23/20 of an G 221434 2 Commission �o�yarsr, Votan- Public State of Florida o. GG221434 i'ran(Seel State n = oR MY Commission GG 221439 Foy Expires nod 05/23/2.22 REVIEWS FRONT ZONING SU I ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE I COMPLETED ► l I Rev. 8/2/1 BOARD OF COUNTY A1111 I I• CHECKLIST FOR RE PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulation KTIAL/COMIVIER IAL BUILDING PERMIT Proiect Location:_ Required Documents: Date: Application completely filled out with Not ed Signatures ........................... Yes \%No N/A Sub Agreements with Notarized Signatures ( rior to issuance) ......................... Yes No N/A ✓ Owner / Builder Affidavit (signed in office). i................................................. Yes No N/A Filled Land Affidavit (prior to issuance).....................................................Yes No N/A Recorded Warrany Deed, if applicable ....................................................... Yes-- No N/A v/' Recorded Notice,of Commencemement (prior to issuance or inspec ion) ............... 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 J Plans. Calculations & Attachments ( 3 copies commercial, 2 cop#es 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 s ft)......................................... Yes No N/A Approved Site Plans ......................... ............: Yes No N/A Sealed Survey with Dimensions, Finished floor ............................................ Yes No ✓ N/A N/A� Elevations and Setbacks............... ............................................ Yes No V N/A _.Plot plan with Setbacks ............... .............................................. Yes No _ Health Department approval stamped on Health Department Food Establishment and floor.plan.... ...... ........:...... Yes No . N/A ✓ it stamped, on floor plan ......:......... Yes_ No N/A Manual' ' or Manual "N" Calculations....; ............................................... Yes No N/A ✓ Signed Energy'Calculations, (I original signature) Yes No N/A Sealed Mind Load Compliance Product Review Affidavit..... ....:............. Other: i...................................:.... ...::. Yes No N/A ................................................ Yes No N/A Health Department Permit Paperwork...:................................................... Yes No N/A CD for Fire Department if commercial or ti-family.:.................................. Yes No N/A DEP, SFWMD or Army Corp of Engineers dock, seawall, SF on each)............ Yes No ® N/A_ Pool Barrier Affidavit ....................................:................................... Yes No NIA Ground Sign Landscape'Affidavit (signs).... Burn Rate for Sign Cabinets ................... RV and Mobile Home Tie -Down Only (2 ............................................... Yes No N/A V .............................................. Yes - No N/A v ) Permit Worksheet (Tie -Down Diagram).... ............................. .; ................ Yes No N/A Manufacture Set -Up and Installation Manual . Yes No N/A Manufacture Blocking Documents............. Signed Penetrometer Test (1 copy)............ ............................................. Yes No N/A ............................................ Yes No N/A J Stair Details ------------------- :................... ..........................1............ I.... Yes No NIA Mobile Home Inspection Report for Relocati n (used only) .......................... Yes, No NIA 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 7/27/18