HomeMy WebLinkAboutMeno Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
4LN PJ14
�-Co . -Li' . . . . . . . . . . .
Cr - L CO
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 Residential X
PERMIT APPLICATION FOR :AluminumI&
without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 8932 SW Champions Way, Port St Lucie, FL
Property Tax I D #: 3334-501-00062...000-5
Site Plan Name: Lakes at PGA Village
Project Name.. Meno
DETAILED DESCRIPTION OF WORK:
Cut a 11' 6" x 24' picture frame portal opening in front wall.
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
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 21380
Sprinklers
Generator
Lot No. 48
Block No. A
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer � Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJim Meno Name: Michael J Newman
Address: 8932 Champions Way Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State: � Address: 1682 SW Biltmore St
Zip Code: 34986 Fax: pity. Part St Lucie State: FL
Phone No,. 772-429-2828 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 RXI 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.
.S
Oil
A T -
N.
EN' L'.. AMI.---- N-F
-PLEMENTA N'STRU- -0 1':
S' P CTI -,N-
I r
DESIGNER/ENGINEER: Not Applicable M
Name: Do Kim &Associates ORTGAGEORTGAGE COMPANY: V Not Applicable
Name:
Address: P0 fax 10039 Ad dress:
City: Tampa State: FL City: Stake:
L i �j ; 33679 Phone8-413-857-99,55 j zip: Phone:
I
f
FEE SAMPLE TITLE HOLDER: V Not Applicable BANDING COMPANY, Nat Applicable
Name: Name:
Address; Address:
City: City:
Zip: Phone. Zip: Phone:
1 E
OWNFR/ C0?uWTRACTn,,,.R AFFIDVIT: #�p��;cat:Q;; is hiareb�,� made t� �btaf;� a piarMjt to �o the work a:�;d installation as �r,�i�a��d.
� certify ghat no work or installation has camme��ed prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a hermit will authorize the permit holder to build the subject structure
which is in conk#ict 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 approhibit
ly.
In consideration of the granting of this requested hermit, 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 County Amendments.
The following building permot applicatiens �; � exemp* from undergoi^g a full co^currency review: room addstions,
accessory structures, swimming pools., fences, wails, 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 properleuiJ
Notice of Commencement must be recorded and posted on the jobsite
before.the.-first in:�pecfiion. If tend toobtain financing,Y consult with I ,der -or an attorney before
com -encin� w�k`or re-cordir -our Notice of Commencement.�
.,
Signature of
weer/ Lesse'e/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTS OFSaint Lucie
The f - r ✓o�ing instru eni was acknowledges` before me
this' flay of . _� ,� �t��. 20by
Michael J Newman
Marne of person making statement
Personally noIdentification�i, ��oe
Type of Neill ion'..
o used 1�
r
(Signat-Kre of Notary Pu
bficState of Florida
IOS
Commission . oG14, ��°�'�' -fig.:{a:f(Si��stae of -I�:�-r�
France, Newrnan
NA Commission mission G 221 f�
Eypirems 0%15)f.e_ /
REVIEWS
DATE
RECEIVED
DAT11.7-
COMPLETED
Rev. 8/2/17
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
Signatur'e**"of Contractor/Liven
STATE OF FLORIDA
BOUNTY OF saincLucie
Holder
Th e for oi ; i ri e n t w a is C k In o w I ee: uA g e Url b e f r, i eo1n1 1
h is � oT Wft
ZQ)V bV
Michael J Newman
Name of person malting statement
Personally Known R Produced Identification
Type of Identificatio
P oduced
(Signaturi/of Notary Public
Commiss"ilon No. GG221434
%Ur x� 41
PLANS
REVIEW
VEGETATION
REVIEW
ida
P- P - - W, I
0 0
221434
SEA TURTLE
REVIEW
MANGROVE
REVIEW
I
CO"MMISSIONERS
& Code Regulat'gon
Bufldi'nq
J-H
ITWO
*1151,111 "M iol` P'NOWN, (t bIe-' 14 T ff%l� ta -a
. 1 Tj
Pro ect Locatio�p
Dade:
Permit Number: Technician*
Requared Documents.:
Application completely filled out with Notarized Signatur
■J
_ 91 _ W , ; ■ ■ . yes No N/A
8 R ■ 'issuance).
SubAgreements s uance. De Da•4tal..#sip DOi#a*0*■ Yes NY N/A
s
Ov�mer /
_r
No
uENhA
r.�
r a
Filled Land Affidavit (pn to issuance)_ a f # s # 4 L • . d # # 4 t 4 . a u r � 7 a e ■ a R � yl •r # * i ■ ■ i • ■ ■ • . # - r tr ■ a a . � � a Q i Y. es No NI/A
Recorded War'rany Deedapplicable. _ _ _ .. . z Yes No N/A
* a � • s # t �s : r ■ r � r � a a s # 8 M. s # ■ # ■ # Y r ■ W i # ■ � i • i # ■ e s i} # at
Recorded Notice -of Co encemement (prior to i s su anc e or insp ecti Yes No N/A
issuance)..
0 ai•##■ 4; f a s• W a a! a Y R# L L L a a a' ■ T■; ka Ayes N N/A
���F
Vegetation survey. C * Q L .F ## i ■ ■ a 4 0 0 ev s 7 4 R A ## f# 4 a C. a a a t is a # # In .y e s No NIA
Plans, Calculations & Attachments 3 copies cammercial, Z copies residential).
plans Cc�mPIete set of with Eng-i"neer if Architect Raised Seal.......... . ... ... .
......... Yes_ � ��.
-
Truss gyred by Engineer
a ■ ■ # f P 6 ■ a a 1 ii ■ ti i a * MT n F # ■ [F P ■ Yes NO
Landscapm'g
• ■*esYia.i.&*�#■■•F■JL4a#•yYf 4 Y � Parking plan (under 6,000 � � ■ ■ # O � ■ i J 7 �
4
Approved Site
PI b k S, 'k 4 R Ch 4b �■ L !F ■ Q * a ! R e # f 6Y s ,N` , e� �� ■ � # � S i � 4 �} i � � R a * # 4 P Q ■ 1 i w i +i P ; A O � * # g 'J 7� Q i f 4 ! a 3 c � • ■ 1 a# K 7 U �wsr■ �--�r-..�
IA
� +Fmished
a Ij/A
Sealed a ensions,
floor... Poo ) he rD De 9 D bbDVqOOIVO ft906*. Yes N
N
Yes No
Elevations Setbacks. # ■ Q Q ] O r M 0 ,. 7 W . a '# a r G 7 W:'1� ■ ¢ C a a f Q s a 6- P■ b 4# V o a ■# 0 0 at Cr U iF , M 4 • 0�
Plot plan with Setbacks., q [ r .1. a a n , # a u st w 7b ■ a A a r * . • i w . a * # a a # l L -, u . * # . a . n _ w # a • .z # . " • - - - ----------�-- -
Health Moir Dal i i■ * WrR } Y I X f yp-.q
No N/A
3f
f
Health De'partment t# f. ff 7!i t4 ¢4E Yes No NIA
Manual "F' or Manual W Yes No N/A
Si Calculations
a ' ignature)
ed Energy
mal s
af'
Scaled Wind Load
Compliance Certification ■ ■ ■ +a . s R f a i r K can t '■ a ■ 9.10 Yes No N/A
Product Review a r . . . _ i ? .. . . .T ■ i ■ ! y i * # i ■ r . ■ ■ ■ # .If ■ . ■ f # ■ b a . ■ # WWWPWD .. WIN . - ■ f . ■ . Yes No N/A
Other:
Health Depaftment Pennit
���rt•tPrr•�#i * hg a� Rsa R�fi!rg. ■a■■■rt044 t#4 q�!!rr *IY F�t. 1� ■■o*■ �� � I
' (.400el
CD for Fire Department if commercial or multi -family . • ■ lg f Q 4 4■• R a peg R 4 O S L* f be **## 9 d a t a a■ yes No N/A
DEP SFWME Com of Fn r n eers (dock 'J wal SF on beach) .6 i a . i 0 * . * . 1 Yes No N/A
Pool Ba'.m'erAffidavit. y es N NIA
r
Ground Si" Lanclseape -Affidavit (signs). rt a 1 M i V 91 s r 4 • # f F • w #" a h •- ri ■ bad Yr F* Vaasa 90 M r y # L * f F i K# y s No N/A
'�fi+� •�`
1
f �
for Burn Rate Sign Cabi-nets.... r • # 4 7 _k •F _a8 a # % 0 * t # 1 v } o o .7 i g * f i • i o n 7 * * V * 0 L i •'m • • fi .r i • # Is ■ i a a # Yes No NIA
(2 copies)
PermitWorksheet Dia&ram)..ii■■,si iar it. i&■U 0 ■a #S7#..400*98 !#.■i0.W 0 0*.t0i_aaU y No N1A__,_j
yT���y � e
Manii 3! � Set -Up Manual....... ■ i a i boss !. i ■ L rap t o M* f � Yes—
r
Manufacture
Documents. a Yes No NA
� # � D ♦ � � � i it i # a i ■� ■ Y i# 6 f i n 'rt i Y i R i � 8 ! � Y * 4 f L 8 f b #! g! ! R i■ i i # i R i ■ a
f
F
Signed
F
! ! p 4 � u t
i *■* eve ■ ■* F too we 6 F y ■ 4 i O! Yes No NIA
4
StairDetails'......■ a s #i i! ■# ip t a 4 d R e 5 d V #! v MAO b i # a! 4 ■#■ s *a s f ■*■ W■ a Yes N N/A
# Q � L # # r w i � . b !` i a a � # i � o # e a ■ a b # � • * d
Mobile
Inspection
Reloedtion
i
ago U 0 Q Q Z b 4 P P■* i L# i e1R s 9*! ! 1-VYes N o N/A -
Copy
Title for Relocation only) `J - i % T q 6 , . Z = . 3 # ¢ # 3 . ■ l a _ • • 4 ■ r . o r 4 Ye's No N/A��
Pn* ile home p
In Yes No
Class An Approval from file 4 Q a% a It # r f t O k 1 L r. i a 7 * f i 't t 0 0 . f G 6 i V W a i ■ A a t a ■ �■ * L Y! R� ��� ��
NIA
G
lk
Revised 7/27/18
COMNIENTS
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