HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date :
Permit Number:
COUNTY
-M Building Permit Application
Plannf'ng 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 TYPE :
PROPOSED IMPROVEMENT LOCATION : .............
Address : 9415 BUNTING LN
Property Tax ID #: 1334- 502-0057-000 - 4 Lot No. 140
Site Plan Name : MONTE CARLO COUNTRY CLUB Block No .
Project Name .- ..... SNOWE
...... .....................
DETAILED DESCRIPTION OF WtJfflK:
INSTALLING ALUMINIUM SCREEN ENCLOSURE
�-I Imo l Cor►� QaV� �
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit — check all that apply:
_M echa nica l _ Gas Tank _ Gas Piping Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction : s rJ � Utilities: _ Sewer _ Septic Building Height :
OWNER/LESSEE: CONTRACTOR :
N am e JOHN & BETH SNOWE Name : MICHAELNEWMAN
Address : 9415 BUN'I'INU LN Company: PIONEER SCREEN CO, INC II
City: FORT PIERCE State: FL Address : 1682 SW BILTMORE ST
Zip Code : 34951 -- Fax: City: PORT ST LUCIE State : FL
Phone No,-- � Zip Code: 34984 Fax:
E-Maiks Phone No
Fill in fee simple Title Holder on next page ( if different E-Mail
from the Owner listed above) State or County License,__,,-,,_RX1 166919
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRICTION LIEN LAW INFORMATION :
DESIGN ER/ENG I NEER: N o t A p p l i c ab l e MORTGAGE COMPANY: "�� Not Applicable
N a m e : t YYl dft r�-SSo - Name :
Address : 1?c) K. Address :
City: State ,:--
City: State :
Zip : Phone 5 5 Zip : Phone :
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY; Not Applicable
Name : Name:
Address : RAN Address :
City: City :
Zip : Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated .
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County mikes no representation that is granting a permit will authorise the permit holder to build the subject structure
which is in conflict with any applica6ie Hame Owners Association rul es, 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 bounty 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 COMMEN EMENT M T BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INT TO OB FINANCING, CONSULT
WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOT OFCIJ�N_ C EMENT."
W P 04L_'6_ 12Z
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature f Contractor/Lic nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY of -d'2NA- L.�,J COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instru (int was acknowledged before me
this 10t day of 120 by th is L*'day of 4 i 20 by
2L
wc�lo MICHAEL NEWMAN dw
Name of person making statement. Name of person making statement.
Personally Known OR Produced identification Personally Known �_ 0 roduced Identification
Type of Identification Type of Identification
Produced �l+1.YA(% ' , �,E�CY A � ela
i " �� Notary public Stag of Nadda r
� Cwmmiiji9 d GC 937274
..� � *Y jr#f Des a, 2023
.. BGrY�?C thrG4�r Nr� :Grp:
(Signature of Nota Pu a of Notary Florida )) Nota Pu��ic=S �., te of TrIda )tfubhc Stag of Florida
f='rancene Newman
Commission No. {Seat} Commission No. � �:. ,:_ :`:._ � my cjSea4ion GG 221434
Expires 05/413/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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SERVICES DEPARTMENTCOMMISSIONERS F . 1 0 R I _ D _ A i OUN Y
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Reaulred Documents ,
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Sub Agreements with Notarized Signatures
OWner Builder Affidavit
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Affidavit (prior issuance) . ,, , , # • ■ i • • * 6 i 0 i # # i • f i • 0 0 & ■ i * 0 * * # 0 i # f Th • stove ■ i • i # # 4 . . . . Yes
Recorded Warrany
Deed, if applicable . a '&- * O '
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Recorded Notice -of encemement (Prior issuance
Ufili AgreementorPwe Rcp (pnor to issuance) . . . * a a as an a * we a q IN q moos a a a of 0 & a *WOYes
Vegetation Removal Application
with co- py of survey. W Is a a 9 W e 0 a 0 a 9 a 0 Is W IV 9 a IV -W 0 1P a W 6 Is 0 10 0 W 9 9 W Yes No N/A
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Plans, .Calcula
ions & Attachmenis 3 copies commercial 2 copies residenfial)
Complete set of plans with En'gm" per Architect Raised Seal . 0 a a 8 a W 0 6 a W 1W 00060No N/A
eviewe roved Engi-neer Architect. . ■ # • � � # • , • . • # • f # ■ Yes No
Truss Plaris rd d � A
Landing
�sca and Parmag plan (under • ■ s • i" ■ f
i * � # # i i ¢ # � i � * � # i # # # i • • • i. # f i i ! • # Yes '
No NIA
Approved Site, Plans . i Yes No N/A
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SealedSurvey # ! i• i � -
with �esins Fshed Yes No N/A
Elevations
Plotplan With Setbacks . . . . . . . . . . . # ■ i . , # # • ■ i 4 P ! a # i # a * # # ■ a # # # # i i # • # • • # # # i # . # • ■ . # # • ## # Yes /No N/A
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Health Department approval stampedYes
. . . . . . . .
No N/A
Health De' partmentFood Establishment
stamped. on door plan . . Yes- No N/A
Manual "F' r Manual "Y' -
+ t p ip t P # * r . # a . a � ■ � it # f ■ i • a � r • a~ IF # s s 49F ■ . i r! f V � W Yes
N/A_
S i ed Energy' Calculations
Sealed Wind Load C* ompliance Certification . v 8,0 to V W N dw a 1, V A 4, 0. Yes No N/A
Product Review Affidavit. . . evir wo 0 0 WV WON w # Do wow t ■ * ■ r see 0 owe go woo we t # •� i ■ ■ • t r # # ■t • r # ■ # ■ ■ # • # • ■ • Yes No N/A
Other,Health Departme�nt -
Pest Paperwork .
CD for Fire Department if commercial or multi-family. ; Yes No N/A
DEP, SFVVMID or Anny Corp of Engineers 0 0 Yes No NIA.Af
beach) t i # # ! f * # i i
Pool sir Affidavit. . . * ■ # ihii . .
woo i • # # * a # i ow 00 s • •`# we i # M ■ V R Woo i Woo * * * # # # o i i 00 # * # #R ! s • e # # • f # w ■ # # Yes No N/A
Ground Siv Landscape *Affidavit
Bum' Rate for Sign
a * a a * Woo # # # # • y * # f ■ # s ! i • # # a • * ! • i • # a # • a • a i a a # ! Yes No
RV and
Mobile Home- Tie-Down 0 (2 coples' )
Permit- Worksheet ( # # 09 f • # # • # a # i i # i # # # # • i i i # # # R• ■ • iw • • M # i , i Yes No N/A
Manufacture Set-Up *and Wlation Manual . . . . . . w a 0 a W a & *. w 10* V96 avoid on so W16 0 -Iff 11101 60606 * 0 see Yes No N/A
Manufacture Blocking Documen*t' sib • . . . r , 0 W 0 a a 0 6 0 6688OW006 0 . . . . Yes No N/A
Signed PeneYes No N/A
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Mobile Home con Re orRelocdtion for i
Copy of Title for i
Relocation (used only) , f f * . # . # ! . . i s i * i r i # . . . owes # # , . . , , . . . . # . 01 r _ 0 0 0 Ib a a V wyes No N/A
Pr-ivate Pro not m mobile homypark
Class A perty-Approval fromor file it # * * • f # O i # R # # # i * • • * • • i # e rat # . * a , . ■ i ■ p ■ # Yes No
N/A
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