HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 TYPE:Aluminum Enclosure without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 8051 Plantation Lakes Drive
Property Tax ID #: 3321-803-0043-000-3 Lot No.39
Site Plan Name: Reserve Plantation -Phase II A
Project Name: Williams
DETAILED DESCRIPTION OF WORK:
Install a 62' x 48' aluminum/screen pool enclosure on existing pool deck.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Total Sq. Ft of Construction:
Block No.
Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Plumbing _ Sprinklers _ Generator _ Roof Pitch
Cost of Construction: $ 28,671.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSuzanne Williams
Name: Michael J Newman
Address:8051 Plantation Lakes Drive
Company: Pioneer Screen Co. Inc. II
City: Port St. Lucie State:
Zip Code: 34986 Fax:
Phone No.773-447-3040
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-4626
Phone No 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pioneerscreen@msn.com
State or County License RX11066919
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.
J.UrrLtivit1M I AL L>L}1`4J i KUC 11L3.N LILN LAW INFORMATI[O
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY. _ Not Applicable
Name: Do Kim & Associates
Name:
Address: Po Box 10039
Address:
City: Tampa State: FL
City: State:
Zip: 33679 phone 813-857-9955
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
U`JVINtK/ WIN I KALI UK AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior tcr 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 conflict with any applicable Home Owners Association rules, 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 County 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 Wyour property. A Notice of Commencement must be recorded and posted on the jobsite
before the firsf jhspection. IfXqu intend to obtain financing, consult w' nd or an a rney before
commenci ork or ecor n our Notice of Commencement.
l
Signature of Ownecf"Lesseettractor as Agent for Owner
STATE OF FLORIDA
CO U NTY OF Saint Lucie
The fgrgQ`ng instrument was acknowledged before me
this p day of C _ 20_d4by
Michael J Newman
Name of
Personally Known
Type of Identificat
(Signature)6f Notary
Commission No.
making statement
_ OR Produced Identification
1tv pu Notary Publj.c State of Florida
Frar,req Nvman
tJy Com GG 221434
�£� Expires 3;2Q22
OF
Signature dif Contracto/fiLicense
STATE OF FLORIDA
COUNTY OF saint Lucia
er
The forgoing instrument as acknowledged before me
this f+^day of 263q by
Michael J Newman
Name of person making statement
Personally Known ✓ OR Produced Identification
TViQe of Identificatio/ /
(Signature 0 Notary
No.
o�o(l� is State of Florida
Francene Ne-man
My CoinGG 221434
Ex. iie... t)5123rLU22
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
BOARD OF
COUNTY
COMMISSIONERS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Cade Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
ect Location: L09 [� n t A �eS Dr. Date:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes— /XO NIA
Sub Agreements with Notarized Signatures (prior to issuance). . ........................ Yes No N/A-LI
Owner / Builder Affidavit (signed in office). ,................................................ Yes No N/A_V
Filled Land Affidavit (prior to issuance)......................................................Yes No NIA
Recorded Warrany Deed, if applicable....................................................... Yes No NIA
Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes 1%No N/A
Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No NIA
Vegetation Removal Application with copy of survey. ................................. Yes No NIA
Plans, Calculations & Attachments ( 3 copies commercial, 2 copies residential), f
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes— No N/A
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No N/A V/
Landscaping and Parking plan (under 6,000 sgfi)....... .................................. Yes No NIA V/
Approved Site Plans........................................................................... Y / Yes— No N A
Sealed Survey with Dimensions, Finished floor ........................................... Yes— — / No "" A
jN
Elevations and Setbacks ... . .. ....................................................... Yes No v N/A
Plot plan with Setbacks ............................................. ....... ........... Yes \ N® N/A
Health Department approval stamped on survey and floor plan .............. ........... Yes_ No N/A
Health Department Food Establishment Permit stamped- on floor plan ................ Yes No NIA
F P P j
Manual " J" or Manual "N" Calculations ...................... _ 1�
............................. Yes No N/A
Signed Energy Calculations I original signature) ...................................... Yes No N/A
Sealed Wind Load Compliance Certification ...... ........... ....................... I ... ... Yes No N/A V
Product Review Affidavit..................................................................... Y / Yes No N A�/
—
Other:
Health De .. , . , Department Permit Paperwork......... . . .. ..................................... Yes— No N/A
CD for Fire Department if commercial or multi -family .................................... Yes_ No _ N/A I,/
0
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A
Pool Barrier Affidavit ......:..... . ... . . . .. . ............. ..:.................................... Yes No N/A l/
(mound Sign Landscape Affidavit(signs).. .......................... Yes No N/A L/
Burn Rate for Sign Cabinets,. .. .......... . ..... . .......... ............................... Yes No NIA
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ................................................... Yes_ No N/A
Manufacture Set -Up and Installation Manual ............................................... Yes No N/A
Manufacture Blocking Documents.......................................................... Yes— No — N/A_
V
Signed Penetrometer Test (1 copy)......................................................... Yes— No N/At/
StairDetails..................................................................................... Yes No N/A
Mobile Home Inspection Report for Relocation (used only) ........................... Yes No N/A_
Copy of Title for Relocation used only) ............. _ ......... Yes No N/A
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ........................................ ........ Yes No N/A v
COMMENTS -
Revised 7127/18