HomeMy WebLinkAboutSongbandit SLC permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
�`Lo CC�'C�LC
C�-C�Cti'ti S�'
L
E! ff
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:Aluminuma A
with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 6040 Santa Margarito Drive, Fort Pierce, FL
Property Tax ID #ffi- 1312-502-0008-000-8
Site Plan Name: Portofino Shores - Phase Two
Project Name: Songbandit
DETAILED DESCRIPTION OF WORK:
Residential X
Lot No. 1
Block No.
Form & Pour a 121f x 12" concrete footers and install a X x ' aluminum/screen pool enclosure with ' 601
2' poly goof an pool deck,
3
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
Total Sq. Ft of Construction:
Cost of Construction: $ 22,740.00
Sprinklers
Generator
Sq. Ft. of First Floor:
Utilities: � Sewer _Septic
Roof
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Preeda Songbandit
Name: Michael J Newman
Address-, 6040 Santa Margarito Drive
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State:
Address: 1682 SW Biltmore St
Zip Code: 34951 Fax:
City: Port St Lucie State: FL
Phone No. 462-0250
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
!f
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.
SUPPLEMENTAL CONSTRUCTtON LIEN LAW I�VFORMATIE}N::
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:
NAYY1P�Do Kim Rn Q„�;�fe�
- - -_".. -. .vvvvrG iG.7
Address: Po sax 10039
City: pampa State: FL
Zip: 33679 phone 813-$57-9955
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name,
Address,
City:
Zip: State .. _�
_Not ADoltcablp-
Name:
Address:
City:
RL
Phone:
BONDING COMPANY:
OWNER/ CONTRACTOR AFFlD1lIT: Apl`catip�;� is hiareby made to obta;;�; a p�rm;t to d� the v�rork a;;�+ i;-� f' ►�indicated.
i certi�`y that no work or installation etas commenced prior to the issuance of a permit. ����l�`��"��
St. Lucie County makes no representation that is grantiong a hermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Associativn rules, bylaws or and structure. Please consult with your Home Ornrners Associatian and revie+�vour deed for any restants rictions o�$ wyhichtma apply..
Prohibit such
y � Y
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 ElQrida Building Codes and St, Lucie County Amendments.
The following building paxe'rmit aNplicatie;�s are exempt �r�m ;�rde;g�ing a full cvncurrercy review: room additions.,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residents I
a use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result inyour a in twice improvements your prop ray. A Notice of Commencement mush be recorded end ostec� ong for
before the firspection p e J�bsite
,�f you intend to obtain financing, consult with nder ar are atto�r b
commen��r� �� �r reca�-din vour N e
� a once of Commeneer;�`ent.�`
Signature of Owner/ Ce sse
STATE OF FLORIDA
COUNTY OF Saint ucie
/Contractor as Agent for Owne--r
The fVooing instruml ni was acknowieagby
�ci before me
this �= day of20... �
Michael J Newman
Name of person making statement
Personally Known {' OR Produced Identification
Type of ldentification
Produced �
Signatu e of Notary PubKc--- Stpte at09rjda,4 State of Florida
FranceFrancene Newman.
MY r
Commis ion No GG22i<34 0 Fn R. G(':j' 221434
' sir' t 02
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
Signature of Contractor/license Holder
STATE OF F
COUNTY OFSaint Lucie
10
Thy for i , srym� '1
�� 1,E-;c1bellore me
th is -d ay of LLatnL- 2 0 by
Michael J Newman
Name of person making statement
Personally Known OR Produced identification
Type of Identific ion
Produced
{.:
sir of Notary Public -Tit '
e-I.
Commission No GG1
,i
PLANS
REVIEW
VEGETATION
REVIEW
Notary Publ"C State of Florid
KlrnV Newrnaii
AMISS= GG 221
r -31 �`:
SEA TURTLE
REVIEW
MANGROVE
REVIEW
y
f
IF
BOARD OF
COUNTY
COMMISSIONERS'
ter. * • �11r .t«Li
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUELDING PERMIT
Proiect Location:
Permit Number:
•i
Reauared DocumenN:
Date:
Technicianle
Appli cati
out with Notanzed Signatures Yes' /'XNo NIA
Sub A eem
9 ts Nwvlffi Notarized Signntnrpq
Owner / Builder
�} i . O f s * i i # # • . R ? f N ! _ � y � 4 • * � � � ! . # • • ! � iF it #
I0 INA
rior to issuance)..... 6 49 0 S 0 6 jF W Yes No N/A
RecordedY - - •
■ t # • ■ r # i • # f i # ■ r a w # iF # i r3 • & • * • i ■ M ! # # ■ ■ • . f i i # Yes No N/A
Recorded Notice
Commencemement (prior to issuance or �spection),, . Yes No kal- N/A
Utility
(prior to issuance)........... Yes No N/A
Vegetation Removal AppIkation with copy of survey--. **wow 0
Filled Land Affidav'I
it (p
110
IN/A
Plans, Calculation's & Attachments- (3 cop
Complete set of plans with Engineer l Archite
is commercial 2 copies residential),
ct Raised ......Yes No N/A
Truss Plans reviewed and approved hv Engineer / Architect .............:.............. Yes No N/A
Landscaping and parking plan (under 6.000 soft)_ _ _ _ _ _ __ _ _ _ _ _ _ _ vow iv„ NUT/ A LO/
Approved Site Plans
* ! # * v o s ■ i * * f # i W # # i G # * i ■ i * # * i # # # • * ■ s # ■ ■ 4
r+•# �! M s +� ••• t••*•■■ f o} r■ a r■ t f. r r t a w �r �r * q6t& i• r +i i W t■# es
No N/A
Sealed Surrey with D ensi
Elevations and Set
ors Fimshed floor...t ! # # 1! # �€ i i # # 4 # # # f # ■ # ■ # # ■ # # b t # i i • * i t # Yes No
backs,
vac
A
Plot plan with Setbacks
i �i R +f • • qM 4 • r • i s • • * . r i q f w • # * i la * * 4 a 0 a ■ iAN■ r * # • 8 3 s . ■ i i i ■ # * # • f ! ■ Yes / N N/A
H
Health Deparftnent royal stamned on survev and flc)nr Inn
Health Department Food Establishment P em� t stamped. on floor plan. 0 Ila 0 a 0 Yes No NIA Lool
Manual C&T17 r Manual W Calculations....�.......... wo. wow • it * • ■ • • * • * • # • �r r ■ • t • i ■ • f Yes No
Si
ed Energy'Calculations I original signature)
Sealed Wind Load 'Compliance
Product Review
■ # # ■ r # t • . # M. f ■ • # ! # # * • # • # • #! # .F # * • F # iF • • • # * # # 4 ■ # • •
• # • # Yes No
■�` '.."ter ��
Other:
Health Department Permit Paper -work
# f # i � r # ■ r * # • ■ a at i • i 'D � • * � * age ! * # t • # R # • f R # # ■ F ■ ■ ■ � i ■ i �■ ■ a # ! ■
Yes No N/A
CD for Fire Department if commercial or multi -family.... qpavw@%Mda-warsyes No N/A G-41
CorpDEP, SFWMI[) or Army Enneers (dock, seawall. SF on beach).... Yes No N/A
am
Pool B- wer t
Affidavit.......".. # # # iF ■ • # # • # WIN 010 f # al' # woo OWS ON ■ * i ■ * * • # # * ! ■ O A ■ i # * # # • ■ a ■ i # m ■ # ■ * . w -* r • Yes No
r
Ground Si
r`
*Affidavit ,�+� � # i * ■ 94 D tr # Q V i6 a # * # aF # # i * i M * at o • # # ■ * # ■ s # i • # •
.0 dw a Q� & qg myes No N/A
Bum Rate for S-
Cabmets. 3 Q * D i i o F i t
# �J * 9 ■ i L * # ■ ? � i # i * * t i ■ w � # i • # # � #
_ !!fi■#**#.. ■#! Yes No N/A
RV and Mobile Home Tie -Down Only (2 Copies)
Permit, Worksheet
(Tie -Down Diagram). a ■ m # * w ■ r go • ■ 09 • it # # s f � � � i � � # Ii aM : • � i • ■ W V * • r * . • ■
Manufacture and tallation
Manufacture Blocking
Documen'ts,,_, # • • #' GPM 4 i iF al r • M ! # i # # * # b • # # # � # ; * # i ! # � ■ # i } • � ■ # n age 00 ..Yes No N/A
+�
i ed Penetrometer Test N convl. _ ... _ _ _ _ _ _ _ ve., u..
+ a t ■ f # i s # ■ �! i * # # ■ * # # ! i R • ■ # it # # # # i • i * • # # # # * # • • ! ■ o 00 item -we .l • V_a O A
� ` F
f # i • • # R # i # # i i ■ o * # * # • i o # see a e w i a • ■ ■ a # * .! s a 7F w i! i # i # # # # # # ! • ■ ■ a ■ si ■ # # * t # # # # # # Y
.# we •-04it•i.. Yes No NIA
Mobile Home Inspecton Report for Reloca'tion
Copy of Title for Relocation (used nd# • i # * i ■ • ! # moo .} t s ■ s Yes No N/A
Private Property
not m mobile homy park
Class '"A" royal fromYes No N/A
Planning ! 0 #a a0 O i # L a 0 i • # # # # # t * 6 i 0 y 4 # 0 0 # 0 a • # a v 0 w r * * 0 if • #
Stair Detail
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COMMENTS
tr
Revised 7/27/18
t
t
Revised 7/27/18
t
t
t
r
41