HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMITTYPE:Alurninum Enclosure with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 3205 Trinity Circle, Fort Pierce, FL 34945
Property Tax ID #: 2327-502-0075-000-7
Site Plan Name: Creekside Plat No.4
Project Name: Marin
Lot No.67
Block No.
I DETAILED DESCRIPTION OF WORK: I
Form & pour concrete around existing porch slab to make 20' x 23' overall with 8" x 8" footers and
install 23' x 20' aluminum/screen enclosure with a 4' x 8' poly roof and a 9' x 8' poly roof on slab.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 12,440.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Claudia Marin
Name: Michael J Newman
Address:3205 Trinity Circle
Company: Pioneer Screen Co. Inc. II
p Y�
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.305-746-7198
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
11 Vd1UW of LUMU GLUH IS ?zavu or more, a Kt LUKutu Notice or commencement is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
')UPIPLEMENTAL CONSTRUCTI N LfEN. LAW
.DESIGNER/ENGINEER: _Not Applicable
Name: Do Kim & Associates
Address: PO Box 10039
City: Tampa State: FL
Zip: 33679 Phone 813-857-9955
FEE SIMPLE TITLE HOLDER: JNot Applicable
Name:
Address:
City:
Zip: Phone:
=0RMA T IQN.
MORTGAGE COMPANY: J Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR 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 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 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 to you .property. A N tce of Commencement must be recorded and posted on the jobsite
before the first ins ctlon. If you in end to obtain financing, consult with leny{r or,an attoy before
comm .ncing w_, recor 'n r'Notice of CommencemAnt ���i11
Signature of O�rner/ Lessee/Contra for as Agent for Owner
STATE OF FLORIDA
COUNTY OF saint Lucie
The f r Ding instrument was acknowledged before me
this ay of � 20�9 by
Michael J Newman
Name of person_ making statement
Personally Known OR Produced Identification
Type of Identificati
Produced _
(Signature of�fVotary Publ' State o�Florida )
Commission No. GG221434 Ina' bra
Y f�. Lblic State of Florida
g ai Gene Ne,rrran
y r P,- ? M Commission GG 221434
Signature of ontractor/License H
STATE OF FLORIDA
COUNTY OF Saint Lucie
The, r ding instrument wa acknowledged efore me
f
this day of t 20 by
Michael J Newman
Name of person making statement
Personally Known --," OR Produced Identification
Type of Identificat10 t -
(Signature�lf Notary Pub(Ic to 6f"F(od j'
' N r r.'y Pubi-c State of Florida
r- nane
cP
:ommission No. GG22143d /I lan
' N4 Corr ni1� G 221134
L x'pif eS 05/23/2022
�a ,. n.h:....
REVIEWS FRONT ZONING
COUNTER
SUPERVISOR
PLANS VEGETATION SEA TURTLE
MANGROVE
REVIEW
DATE
REVIEW
REVIEW REVIEW REVIEW
REVIEW
RECEIVED__
DATE
--
COMPLETED
I
`
tev. 8/2/17
BOARD OF ° PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
UNTY
COMMISSIONERS F L . R I • Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
ion:.�;%05 air', nkc'rc
Date: -,;- 24
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A
Owner / Builder Affidavit (signed in office).:. ..................................... ... Ye
s— es No N/A
Filled Land Affidavit (prior to issuance)......................................................Yes J No N/A
Recorded Warrany Deed, if applicable.... ............. ............ Yes No NIA
Recorded Notice of Commencemement (prior to issuance or inspection) ...............
Yes
No ✓
N/A
Utility Agreement or Payment Receipt (prior to issuance) .................................
Yes
No
N/A
V
Vegetation Removal Application with copy of survey ..................................... Yes No N/A
Plans, Calculations & Attachments (3 copies commercial, 2 copies residential).
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
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A
Approved Site Plans........................................................................... Y !
Yes— No NIA
Sealed Survey with Dimensions, Finished floor ........................................... Yes No ✓ N/A
Elevations and Setbacks
.............................................................. Yes
No
'� N/A
Plot plan with Setbacks...............................................................
Yes
/No
N/A
Health Department approval stamped on survey and floor plan .........................
Yes
No
NIA
Health Department Food Establishment Permit stamped. on floor plan ............ I ...
Yes
No
NIA
_V/
Manual "T' or Manual 'W' Calculations ....... .............................. I .............
Yes
No
NIA
V
Signed Energy Calculations (I original signature) .......................................
Yes
No
NIA
Sealed Wind Load Compliance Certification ................................................. Yes No NIA
Product Review Affidavit ..................................
Yes No N/A
.................................. V/
Other:
Health Department Permit Paper -work ....................................................... yes No NIA
CD for Fire Department if commercial or multi -family .................................... Yes No N/A V"
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A
Pool Barrier Affidavit......:.. ............................................... yes No N/A X/
Ground Sign Landscape Affidavit (signs) ......... ......................................... Yes No N/A
Bum Rate for Sign Cabinets ............. _ .................................................... Yes No N/A
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ..............................
Yes—
No
NIA_
Manufacture Set -Up and Installation Manual ...............................................
Yes—
No
N/A
✓
Manufacture Blocking Documents ................................................
Yes—
No
X/A
Signed Penetrometer Test (1 copy) ...... ... .................................................
Yes
No
NIA
I....
StairDetails ................... e .............................................................
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
COMMENTS
Revised 7/27/1 8