HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date .. Permit Number:
ITO LL UCE IE
U L CO ffN�!, I ff k -- Building Permit Application
Planning and Development Services
Building and Code Regulation Divi5ion Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462- 1553 Fax : (772) 462- 1578
PERMIT APPLICATION FOR : Aluminum0
without concrete
PROPOSED IMPROVEMENT LOCATION :
Address : 9139 Pumpkin Ridge Rd Port St Lucie , FL 34986
Property Tax I D # : 3322-505-0072-000-3 Lot No . 63
Site Plan Name : Maidstone Lot 63 Block Na
Project Name: Almodovar
DETAILED DESCRIPTION OF WORK :
Install a 24' X 10' aluminum/screen enclosure on slab by others .
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 : $ 51400-00 Utilities : _ Sewer _ Septic Building Height :
OWNER/LESSEE : CONTRACTOR :
Name Ruben Almodovar Name : Michael J Newman
Address : 9139 Pumpkin Ridge Rd Company: Pioneer Screen Co . Inc. II
City : Port St Lucie State : � Address : 1682 SW Biltmore St
Zip Code : 34986 Fax : City : Port St Lucie State : FL
Phone No. 418-9165 Zip Code : 34984 Fax : 772-340-4626
E-Mail : Phone No 772-340-4393
Fi l l in f ee si mple Title H older on n ext page if d iff erent E-Mail pioneerscreen@msn . com
from the Owner listed above) State or County License RXI 1066919
If value of construction is 2500 or more, a RECORDED Notice of Commencementis required .
If value of HAVC is $7,,500 or more, a RECORDED Notice of Commencement is required .
SUPPLEMENTAL CONSTRUCTION .-LI-EN LAW INFORMATION .
DESIGN ER/ENG IN EER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name : Do Kim & Associates Name :
Address : Po BMX 10039 Address :
City: Tampa State : FL citV.: State :
Z11) : 33679 Phonee) 13-857-9955 Zip : Phone :
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: �./Not Applicable
(Name : Name:
Address : Address:
City; City :
Zip : Phone : zip : Phone :
OWNER/ CONTRACTOR AFFIDVIT's Applicationis hereby made to obtain a permit to do the work and installation as indica��d. �
i certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counfiy 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 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building fades and St. Lucie County Amendments.
The following building wo.. [-rnit applicat;ans alr Q exempt from u ndergo= gig a full c�rcurrercy reviavv: ror..)m 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 mush be recorded and pasted on the jobsite
before the first inspec '�n . If you intend, io obtain financing, consult with le der or an attorn : before
commencing work ar recording vour,,-Notice of Commencement.
Signature of OFVner/ Lessee ontra for as Agent for (?caner Signature of ontr�ctorf Lice se older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF saint Lucie
t t _ . 1 E 1 J 1_ � �11� fVl �11 I ��L1 i.fliiCl,1L VY�J �l.l\I tL1 YYi C L.i G 41 � �Vie 1 { }e
� The f -going ir�s�re� rri � �,ras ac����i�ni�e�geU uef��� rr�e � �
is '��da o� Z� ' b this ���day of - L4byth Y '� Y
Michael .i Newman - Michael J Newman
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Person ly Known ✓` O �oduced Identification
Type of ldentificatio Type f Identification
Produced i Prod d
` nature of N a Public- State of Florida
(Signature of otary Qublic Sfi� '�flf .� - � pu�l�� State of Florid { � _)
,���.Y are �totas�,� � --;'�,
GG221434 - ` ` � �- � �e�� (VeWt�l�}1 a� �,;� . data hli Star of Flarlaa
Commission No . a �. ,'�� ` � Y �ommiss�on GG �z� 43� Co .. mission No . GG22't434 �: ��• �, ` r�
tM; ,_— _4 � e �'S'y r !- r�3 s��.�fiewman
� '� � Expires 0512.312Q2 � e:. � � h�t� commission GG 221434
Expires 0511212022
ONO
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev . 8/2/ 17
' S
BOARD OF AS el, el I E
{ PLANNING & DEVELOPMENT
COUNTY SERVICES
O (J N y
COMMISSIONERS Oamp
F 1 0 R I D A i Building
C CKLI
q13, q iu a- .. d�
PrRj* ect Location , Y e-
Permit Numbere,
Technicians
EmNow
Reouired Documents .
Application completely filled } No N/A
Sub Agreements with Notarized
'Yes No N/A too�
OW- ner / Builder Affidavit signed ffice . . � * . . t . . . * . . . . , � .� . � � # � . . . . . . # , # . . :
Filled Land Affidavit (prior to issu(9nce) . * 00 0 W *- ad & ib a 0 go as ego a & & 0 -46 a 9 40Yes No N/A V1
Recorded War' ranyDeed,
applicable . . de'
# we 04 * * i # £' i i i i # % W Emma i i * * W # & 46 . # * t t Y s N N/A
Recorded Notice -of C encemement (PHOrtoissu ceor *"C!Pectioh). . . . .. . .,. . . . . . l. . Yes' No 'woo N/A
UtilitY Agreement or Payment Receipt (Pnor to i ss cmc . . . . . * i . ! �R i v i # * * • ! i 49 i . # i . . i 0 * 4 . Yes No N/A
Vegetation Removal
Pla ions & Attachments 3 copies commercial 2 copies residential)
Complete set of plans with Eng.a . l Architect Raised Seal # • • • ■ • a W • • i ! • s • • • • • • ! • • Ycs N N/A
Truss Plans reviewed 'and approved by Engineer / Architect . a 0 0 a a 6 0 a a 0 0 9 0 qk .0 0 a W a a 0 0 V a It Yes No NIA
r
Landscapingan . Yes No NIA
Approved Site Plans . . . . . . - . - N/A
s ■ woo• ► � � � ■ � ■ r # � • • t • . ■ r � F � • s � �r # � � � � ■ ■ � r * � � � • • s � f � e • � • r M � • ■ � f � s � t s � � �
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Sealed N o N/A
Elevations and Setbacks . . _ . . . . . . . . . . . . . . i . . . . . . . * * Yes No N/A
Plod plan with Setbacks . 0 iW & % W * 0 W W # m 0 a go WW * 4 ow -vae 'vVe 6AS440 me 0000 goosesoose ■ I es No N/A
.•.irk lf....l••I.�l��F irP•.1i�.E
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Health Department
a.l stamped on survey
Health ant Food Establishment
ManualCalculations , . . .
Si ed Energy' Calculations ( I original # -
• r s i e # • #
i # # # # � # • ■ # r # # # # f # ram # • � � * # # a # a #
Yes No N/A
Sealed Wm* d load 'ComplianceCertification .
Product - C
Review Affidavit. , , * . . . # #
# # # t t # f s � r ■ • t f 4 • # ■ r ■ ■ r ■ # i No ■ # # i • f # # * 0. 8 Oman r # r i r # a # * # ■ ■ * ■ A f s ■ Yes No N/A
OthersHealth - -
Department Pennit Pap
V V 0 0 0 a 0 a 0 ova OW0606006 #9 ab go WO & VOWSP . Yes No N/A
CD for Fire Department Yoe N N/A
DEP, SFWMD or Army Corp of E erg (dock
, seawall, SF on beach) . a a a 0 0 a 4P IF a 0 0yes No N/A
Pool Bier Affidavit
* ■ # ■ # # # a a • ! 1 # • # # • s # a ■ 7 a i a a ! ■ 0 a # 6 # # # # # a f • ■ # * # • M • # a a a • # ■ • t • # 0 #M # ■ IF • • # . ■ # ■ a ■ • Yes
Ground Si Landscape "Affidavit
Bum Rate for Sign Cabinets . 11 a o a . . a * * s • 9 3 s • a � • # # • • # * � !' • • � �► � � • a ! i• i~ # • i # # # # s i V O s # # 4 i~ • iw # No so i * f t • Yes No N/A
RV and mobile Home TimDown 0 (2 copies)
0 W 0 a 0 M W gP 0 4W 9 0 W & 4W a j1p j 9 9 a 0 a V 0 Yes No N/A
Permit Worksheet (Tie-Down Diagram)
Manufacture Set-Up 'and tallation Yes No N/A
F
Manufacture Bloc
f
r
Si ed Penetrometer
# • • sow a 0 • 0 4 0 ■ # • Yes No N/A L00001
r
Stair Details' . . . . . . # # i • a # ■ i ■ # # 4 � * a i! • # i ■ * s e i # • # r . a • ■ Yes No N/A
Mobile Homy Inspection Report for ReloctItion (used . ,. . Yes ' No NIA.
dF
of Title for Relocation # .
� i • i • • ; ■ 'a � * a • � � # # # a 4 ■' • ■ # r • * � # i4 • � # f # � ■ r i ■ ar il • • 64 ■ • i # yes No N/A
Private PropertyF
got � � �
Class "'A" Approval from or file . . ! • * ■ A . * . # Yes No N/A
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Revised 7/27/ 1