HomeMy WebLinkAboutIndarjit Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax.- (772) 462-157$
Commercial
Residential X
PERMIT APPLICATION FOR :Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION'.'
Address': 613 Beach Ave Port St Lucie, FL 34952
Property Tax I D #: 3419-510-0130-000-1 Lot No. 12
Site Plan Name: River Park Unit 2 Blk 14 Lot 12 Block No. 14
Project Name: Indarjit
DETAILED DESCRIPTION OF WORK:
Install a 21'x 10'aluminumiscreen enclosure with poly roof on existing slab.
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Add itiona I work to be performed under this permit— check all that apply:
Mechanical _Gas Tank � Gas Piping ,Shutters Windows/Doors Pond
Electric _Plumbing � Sprinklers w Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floore
Cost of Construction: $ 43560-00 Utilities: � Sewer � Septic Building Height:
OWNER/LESSEE:-
CONTRACTOR:
Name Dave lndarjit Name: Michael J Newman
Address; 613 Beach Ave Company: Pioneer Screen Co. Inc. II
City.. Porgy St Lucie State: Address: 1682 SW Biltmore St
Zip Code-. 34952 Fax: city; Port St Lucie State: FL
Phone No. 754-246-1540 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 pioneerscreengmsn.com
from the Owner listed above State or County License RXI 1066919
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7500 or more, a RECORDED Notice of Commencement is required.
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BOARD OF
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Permit Number,,
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Building & Code Regulation
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completelyApplication filled out with Nota M'ed Si atures......... I's ft:bV1t* Yes' No N/A
Sub Agreements with Notarized
* O 8 0 0 O# 9 0r#*Q Q It OIt 9 i t f 1, f 4 0 Yes No N/A v�'
oWner BIR"Ider Affidavit
(siguedce,5 ;1 E O h o ■ 0 R i.0 i i # 3?# L+ r a Nov P 4a mad a 4 E*■■ 6WW0A6ftVW**Yes No N/A
s
Filled Land
Affidavit (prior to issuan.. � eNo
� � * ! i O O 'J a r ! * rt O * i 4 • # F a ■ # • 6 # # b # A t � � ■ ■ • q r � # 4 b•!F#!■!b .�� MIA
Recorded Warrany Deed applicable. # * # ■ f # +! • . # Y i f` t T. * ■ # ■ f ■ � t a Y O O ! O f # Q � # ■ # # # ! • ■ s # • i WA * ■ i # O s
Recorded Notice -of Co=encemement (prior to issuance or Yes No NIA
Iftility Agreement ore Receipt (prior to issuance).,,,,,,,,,, o Gas 9
n a u s as n 4o a e a w a0 a4 Yes No N/A v/'�
Vegetation Removal ApplicationYes No NIA
With copy of survey......... .. a as 4• a n eF o r# o r t ■¢ a ■ f r
Plans, calcuRation's & Attachments (3 copies commercial, 2 copies residential).
Complete set of plans with Engineer Architect Raised Seal,..... . . . . . .. Yes............../No N/A
Truss Plans reviewedArchitect.
Landscaping and Parking plan (under 6,000 sqft). 0 * W a W a 0 a 0 a a IS a a a 0 W 11 1P Yes No N/A
AprovedSite Plans.... ia2■i#YaQU■■.■4*g*■a •s c►� f is * 6 # QI 4 4 # C Y 8 T a 1 0 9 # 0 # i # # D 4 W d2 0 O ryes No N/A
Sealed Survey with .i ensions Flmshed floor.- K # e O a r i n 4 a y* M • # a O f 4!* n • A& # a• 7## f a• ■! 7 v 0• i
yes No N/A
Elevations
and Setbacks..,,,,., 3 . a * 90 # ■ ! i a V eq N n / NIA
blot plan with S
W W W ■ W •##
etbacks. . ■ . . . 0 . 13 s ■ . . a a # # ! . • * a r t ! ■ * r • ! 9 # # # y a ,. # # rt # # a ■ # ■ a A # a s ■ d . t # . ■ W # . ■ . Yes
t
Health Department approval stamped on survey and floor plan, . ps 0 0 a a 0 , ........._...... Yes No N/A
Health ant Food Establishment Permit stamped -on
floorplan.... Yes No N/A
Majaual "J" or Manual Calculations..
W 0 a 0 a V a 6wommesoff Em dwmww�.* Dow Yes No N/A
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Signed Energy Calculations (I ongmal signature)
■ 0 a a o G ti ■ a a a a# R d 4 a 4* 4 • a # a a u r W e g t • 4 a' a t e Yes No
Sealed Wind Load Compliance Certification. . # a 1D.1 i ■ Y 0 • a 0 . # 0 i r .. jr * . a * i ! IF * ,,■ i# 0 4 #,0 0 . # o a f 9 it y e- S No N/A V_
Product review Affidavit.,V/
a s ■ o■ 4 F#}■ e i b r v e e MOM t a R 6 ■ ■ ■ T ■ O ■ r e M` RID moo b t w e ! s r V■! +r ! a w t DYes No N/A
Other.
,:
Health
Departmeiat Paper -work... A s a a} n Dow o n• r no a#■ ■ o* •! a a*! t•� t t O• ar ■ a r■ *■ s it ! i *� i o� p a Yes
CD for Fire ant if commercial or mW-family..., a.
of Eea*#metro"fa to &QVz inlYes No N/A
D EP7 S FVV�M or Army C orp of Engineers (dock seawal l S F on bead _ . i - . . ■ .. Yes No N/A V10'
PoolBa-m'er Affidavit.,. Y g ■ rs : . 1 _ � ■ a ! a a r q ■ 4 4 iS V a n a - r 4 # * # # IF * ■ . ■ ■ ■ o - _ # . ■ i o . m i as ■ # i i * i W • - s 9 rr • W o 40 e yes No N/A
Ground Si"Yes No N/A_�(
(signs)v i ■ 4 - f Q v a 4 # * # 6 # i 4 ii 4 R!■ b a• ■ f a: P C V*- a 4 O■ A y O o
Bum Rate for SiCabinets.i .
4 4 ! � Q * • 4 ? 3 la _D 4 5i ii O 7 6 8 * #. i K * • # tl T 4 • t # # ■ # # ■ # # ■ W ■ rt M # • s ■ o c Yes No NIA
RV and Ma
bile Home Ti&-Down Only (2 co i
Dies)
i
Pe,rrM't_ Worksheet (Tie -Down Diagram
Manufacture Set -Up and tallation Manual
t• o +e s a tr• 4 a a o s i s s o ar a# !+ er p a s 1a a E 4 .10 a a w Da o■_ a a Y s No N/A
b i t■ O- ■■ NSA ■ d# o e' s* 4• O ■ 0 r 0 M *as a - b# r O■ ■# 4■■ r. 4■■ Yes No N/A.
Manufacture Bloc cume s■i■ A .. 9 9a Qrt■*}Oa-linow ■.*! .■## is i■ G#r■ # t 8
r R * � a Sf m b s • i 06 t-- r YEE No N/A
Signed
Penetrometer Test copy),., # 0**- 4 i V 0 W 3 6 s to a
1&0 so go 00 .414.. Yes No NIA
Stair
e a � 4 � ! # o ■ e o ■ a o ■ s• ■ � a * * a � � ■ a t - ; � - a � . a a . * � • s ■ a a a rw s � o M � • r n w � r i � . r � • * *Yes No NIA
Mobile, Home Inspection Report for Reloc
+ O � t a � � � h ¢� 9 � 4 b � w � r es * � 4 4 P a � N/A
Copy of Title forRelocation
�■/��iy■�rt�i■ (usedonly) O O 8# s 4• [4 # i f i i i a a• iA L# i +f ■ b, f#• SN f O i iti *# f i a x= ■Ah� / rt■ i s a -eyes
Pr-ivate Property
Class "A" oval from file #19,00004 a IF.Qi.cc* 4wo 0g4at*t■0lR4o.ft.■, *9 as 9019009t0 yes No
C0MIVIENTS
x
Revised 7/27/18
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