Loading...
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 � � � r 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 r 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 i t K } S + J s ■ t Revised 7/27/ 1