HomeMy WebLinkAboutJohnson Permit App - Spanish RiverAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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
PERMIT APPLICATION FOR:Aluminum2 0
with concrete
Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: 5624 Spanish River Road, Fort Pierce, FL 34951
Property Tax I D #: 1312-503-0050-000-0 Lot N o.244
Site Plan Name: Portofino Shores -Phase Three- Lot 244 Block No.
Project Name: Johnson
DETAILED DESCRIPTION OF WORK:
install a 25' x 40' aluminum/screen pool enclosure with 6 ' x 42' poly roof on existing slab
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be
performed under
this permit — check
all that apply0
:
_Mechanical
_Gas Tank
_Gas Piping
� Shutters Windows/Doors Pond
Electric
Plumbing
Total Sq. Ft of Construction:
Sprinklers
Generator
Sq. Ft. of First Floor:
Roof
Cost of Construction.- $ 14,690 Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE: CONTRACTOR:
Name LMilton Johnson Name: Michael J Newman
Address: 5624 Spanish River Road Company: Pioneer Screen Co. Inc. i I
City: Fort Pierce State: Address: 1682 SW Biltmore St
Zip Code: 34951 Fax: City: Port St Lucie State: FL
Phone No.561-261-3384 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 pioneerscreen@msn.com
from the Owner listed above) State or County License RX1 1066919
If
value
of
construction is
2500 or more, a RECORDED Notice of Commencement is required.
If
value
of
HAVC is $7,500
or more, a RECORDED Notice of Commencement is required.
- A- IV
4T - - - -- "' ' I : - . . - , . . .. I , , - - - . . . - . . - 7- - ' ' - - - " - - : - ' ' . . . . . '. , ' IL - - - '-' 7-
I R 1 -7
"RUCT
.-P 'LE.M.-E L---.-
_.0
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY. Not Applicable
Name: Do Kim &Associates
Name:
Address: PO fax 10039 Address:
City'd Tampa StateA F�- City:
� 7E�: 33679 Phone8l3-857-9955 Z�State:
� p' Phone:
FEE SAMPLE TITLE HOLDER: �V Not Applicable BONDING COMPANY: i)Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRA OR AFFIDVIT: Application is knreby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confiEict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may aprohibit
ly.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved ,Mans; the Florida Building Codes and St. Lucie County Amendments,
The �rJli0wif:g building�'',amr;;;� apr^.�1���iQ,ri$ ��� pXeCI?L�� fr�Jl7] :�:IS�P!'FninST q fidl ["nnr�irrdnr�� ratisiou.• ..,.,.Y..,,3,l7�:....,..
accessory structures,, swimming pools, fences, galls, signs, screen rooms and accessoryuses tnon-residential
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paving twice for
improvements t
before the first i
commenciniz arc
o your propert . A Notice ot Commencement musfi be recorded and j�osted on the jobsite
ctian. If �intend to obtain financing,consult wi � lender ar.,�` / an attorney before
�r or r�4card,ng your Notice of Comm encement_ �
0000, 000
Signature 6f Owner/ Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OFSaint Luce
The forg9ffiig instr
thisr--�J-f �`ay Of _
urnfeni
'L
pwas acicnow'edgeci before me �
Michael J Newman
Name of person making statement
Personally Known V' OR Produced Identification
Type of identification /
(Signature of
Commission
Rev. 8/2/17
otary PubliC- State of Florida
Florida
max' ` � � (5N�b
�rr 221434
-_ 44, +t_
Signature of ContractorJLicense Holder
STATE OF FLORIDA
COUNTY OFSaint Lude
The
forg,--ing"nstrument i � owleu*� befog
1
Michael .! Newman
Name of person making statement
Personally Known �-'� OR Produced Identification
Type of Identification
Prod:uced
i
. A s
COMMISSIONERS
SERVICES DEPARTMENT
Project Location.4 Dateo', L" L
Permit Number: T n #
R �.�°ed Docume.nts4.v
FWN
Application completely filled out with Not =dS* � �
S ub Agre ements with Notarized S ignatares (pri or to issumce) . ff 0 0 19 e a 9 a V■■! a on a v 0 Y O'M v #• ** Yes N N/A
018 Mer / Builder Affidavit (signed in office) rl
■ Y i 6 e #• ! i 'i i i` i i ■ i a O # •■ i F ti 4 8 t■ ■ t y ## ■ O r! ■ 00 O Y es No N/A
all
Filled
Affidavit
(prior
issuance)i........
-
Land
i g t 4 4## f a r 0 s a s fa # a a b b. d i b Z O# a* 0• ! 0 w o b* Yes No NIA
}Y
Recorded Warr y Deed, 'if applicable. . a M -d - w A -M 0 X M
YP w w ■ i w 41 s 1r -3 w' t # # • qk # F # # f f • w 7 ! * * F i ! • r } w ■ ■ n 'l w Yes N N/A
Recorded Notice -of Co encemement (prior to issuance or insp ecti-on) 1h 0 0 0 0 ado a a -0 Y" N o N/A
No N/A
UtilityA m e '4/ r P R c i i �� � ■ x e e b 6 Y* a 4 4 * f 4• Q■ f # 4 * a O 4 d * 0 �*
r■..�,....r��Tr.
f
(P
Vegetatiori
Appli
cation d
th copy of survey., o ! O ! f # # t 0 s # a # # b # ■ ! # h► • # w it b # ■ ■ r -W 1 # f w Yes No N/A
Plans, Calcul2tions & Attachments (3 copies commercial, 2 copies residential),
V
.. * * ■ f * # 0 # * . Yes No' N/A
Complete set of plans with Engineer / Architect Raised Seal
Truss Plans reviewed d approved by Engineer Architect.Yes No
f
sqft)..
five o a n aO a a« v o. *a e u Kt 4
Yes No N/A
Landscaping and Parking plan (under 6,000
Approved
or b4�a*•a1■0■�0 i4 0a 00 OVAa� � � Site Plans......,. i # # # � ¢ V w 4 ! n n a i � t O ! # • # e 4 A • �l f ■ f � i # w V Y 4 O . a f ■ S * � ■
Se'aled Survey with D ensions, F shed floor. _... *memo ovimadve .00 an am a .4 00 i• !■ t f! n c a s •m p i r b b Yes No
Elevations and Setbacks.
rt s s.■ e t • w■ a■■ o 0■ a C s■ a r■ a a# O O 0 CO 7 G e b b YesPlot
L'O'No N/A
plan With Setbacks... 4 • b r • i 04 i r! * b d a i 4 * • ■ J 0 9 # 94 i # meow i 1W love f . i a e e
8
Health Department approval stamped on survey and floor -plan.. ■ ■ r if * t ■ a ■ •-. ■ r a # Yes No N/A
Health De'partment Food Establishment Pemiit stamped. on floor plan..,..... Yes No N/A
ManuA "F1 or Manual 'W' AWWO.S40 an ■ e■ r■ .. ova we i d i 4 4• •*!*■ J d ■ IN r W i W i*■ e a V Yes No N/A
r�
r*
S e d Energy'Calculations origi"nal signature) Q * i# 0 a a it i#! 4 jot a *,F .7 # d •• M #* i - it a It G 4* a a Yes No N/A
r
Scaled Wind Certification. . ff was MV-060*00d 00MMM0044 on -so ', S'Ahad V.0 #00%&Do*so* Yes No N/A V
Product Review Affidavi
Other:
tow 0 0* rowaffe V 0 Do &"WWWU W&D van ON&OWDSWR wavems*WN 6*VffV6 mvpIrElps III; V& go: r4a 04F 0
Yes
/.N
N o
N/A
Health Department Permit Paperwork
an*
e�
■ ■ goo i i i i• Q# 0 V IVi e b 0 i i ■! a■ ■ W i r*■ t v i 4 e Yes No N/A
CD for Fire Department if c
— am e! a* i a i•■ e o UDWI s n o w s xa so a r# a• e r e 4 ao Yes No N/A
DES S FVA4D or Army Corp of Engineers (dseawall SF on beach)a . , . * . a qP qP ■ . Yes No N/A
Pool Bier AfEdavit. .■ cG■ms#F#■O■#•8 rt•• ■O.#.•• 44.t*9A #■ 7 aPrft ■s f■ #_■#wWaWeyes No N/A
■ G ounSi .�L�adsc�vi(signs). O f 4 ■ Mao 440 O m a 8 0 i # * k nerve Goo * P 4 O E I/■ we 00 Q Q 4 Q* o 7 isb yr s No N/A
!x
Bum Rate
for
Si C ab M et S 0 -1 V z F, W U, a V 6 ,p 0 21 'r 'n W Er 0 1 Y 0 a i IF r. ■ b 4 X 2 : P . ■ # 4 V6a R ■ a a ■ C NO c y■ i n # ■ D P 1 4 4 Q fi Yes No N/A
RV and Mobile HomeTic-Down 0 (2 copies -
Permit.Woks(Tie—Down■ r ■ • . O ■ • t r r ■ • ■ KR # # s . , ■ _ * A n . . ■ ■ . . MEOW 1 O . _ Y .. " f f A s yes No N/A
ti
f
Manufacture S et -Up 'and InstbIlation Manual.,
b 8. 4 *■ i f 4 4 i**. i f O■ a Q 4■ b ## ■# i. 8 t■ 4 i P Q■ Yes No N/A
i.
'Oro
L/
Manufacture t ! M i E♦!}! i O!*•# M i R#* M f*•! w #■ On an VP ■ 4 o 0 Yes No N/A
a'
Signed Penetrometer Test (I
.r
copy).
!Yes No N/A
Staira x # C a b * .L .� ■ ■ r i f* i Y ••# f f* f a■ * y ■ 9 own i*■■ ■ n ■ dPs a• 0 0 ea 0 Yes No N/A
Details'.. 4 s 4 ■I ■ 4 4 # * • # i! ■ ! a b Ik o a � a ■ • i # ; a # # � #
F`.
a • L i,}
Mobile Home Inspection Report for Reloca'don (used only)............ .-. HIM 6 90• O ..
Copy of Title for Relocation fused only
Private Pro �er�y not in a ' mobile home park
"A" �4
Class "�pProval from Planning or file #
• i• it i •#•• a O # s a= a [' CP v V a # a ■ M F- V es No NIA
v d s # # f 4+ ■ # a G S c [ a •• 4 t • 0 4&j3jW4O& 4
a•■.# a■•• 04 a r ■. r%* r g# No N/A
1p
Revised 7/27/18
C OMNIENTS
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