HomeMy WebLinkAboutBUILDING PLAN 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 Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR:Aluminurn without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 5513 Hickory Dr Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0212-000-1 Lot No.34
Site Plan Name: Indian River Estates Unit 08 blk 57 lot 34 Block No. 57
Project Name: Vencill
DETAILED DESCRIPTION OF WORK:
Install a 39' 4" x 25' 6" aluminum/screen pool enclosure on slab by pool company.
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 _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10, 041.50 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoe Vencill
Name: Michael J Newman
Address:5513 Hickory Dr
Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No.878-7752
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 value ur cunstrucinon is c5uu or more, a KtcuKutu Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
.-.. —61v %.vi. a ruiv. i vn mrriu vi 1 : 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 paying twice for
improvements to your property. A Notice of Commencement must beretorded in t�e public records of St.
Lucie County and posted on the jobsite before the first inspection. If you u intend to obtain financing, consult
with lender or an attornpv hpfnrp rnmmcnrina ,.,.,rl..,r . .,,:.....1�,_,:__ _r
--- - - - --
1u W1u111• 1 wVIdLV U1 Lurnrnencement.
Signatur Owner/ Lessee/Contractor as Agent for Owner
Signa ure Contractor tens Holder
STATE OF FLORIDA
COUNTYOF ST. LUCIE
STATE OF FLORID
COUNTYOF , LAC e,
SwSrn to (or affirmed) and subscribed before me of
y Physical Presence or Online Notarization
this ' j�-, day of J U LY 2026 by
Sworn_to (or affirmed) and subscribed before me of
Physical Presence or. Online Notarization
this day of 2026 by
JOE F. VENCILL
`..
p, I, f
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
P du RIVER LICENSE
Name of person making sta ement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Publ
�v Pvm Notary Public State of FI
Commission No. GG262653 a° ` ekl ather Vizza
o My Commission GG 262
°rF el Expires 11/13/2022
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Com sign No. �n Franc(
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L . R I . Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
R1
Date:�—
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)... ...............................................
Yes
es
Na
— N/A i�
—
Filled Land Affidavit (prior to issuance)................................................Y
.....
es
No
N,SA
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
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 ..............1.............. Yes_ No N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A—
Approved Site Plans .... . ....... .........:..................................................... Y _ / Yes— No N A
Sealed Survey with Dimensions, Finished floor ........................................... Y — — / .
Yes— No N A
Elevations and Setbacks.............................................................. Yes N_ �N /
//o A
Plot plan with Setbacks ...... . . .................................. . . .................. Yes ✓No — N/A
Health Department approval stamped on survey and floor plan .............. ........... Yes No N/A L11
Health Department Food Establishment Permit stamped. on floor plan ................
Yes_
No
— N/A
Manual "J" or Manual " T ' Calculations....:
ye
/
Signed Energy Calculations (1 original signature) ....................................... Yes No — N/A
Sealed Wind Load Compliance Certification .......... ................................. . ..... Yes No N/A 1/
Product Review Affidavit........... y i
Other:
Health Department Permit Paperwork .............. ........................... Y — / ............. es No N A LZ
CD for Fire Department if commercial or multi -family .......... ....................... Yes No N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A
Pool Barrier Affidavit ............... ....... Y /
Yes No — N A�
Ground Sign LandscapeAffidavit (signs) . ....... . . . . .............................. . ........ Yes No N/A ✓�
Burn Rate for Sign Cabinets... . ................. ......... .... . ........................ , .. , Yes No N/A
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) .................................................... Yes No N/A /
V
Manufacture Set -Up and Installation Manual .......... ........ ............................ Yes No N/A
Manufacture Blocking Documents..........................................................
Yes
No
N/A_
Signed Penetrometer Test (1 copy)... , , . I .......... . ................. . .....................
Yes_
No
N/A
Stair Details .............. ................... , ............... , .....
Y
/ A L11
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes_
No —
N/A
Copy of Title for Relocation (used only) ...................................................
Yes_
No
_ N/A t/
Private Property not in a mobile home park
Class "A" Approval from Planning or file #............. . .............. . ...................
Yes_
No
NIA
COMMENTS -
Revised 7A27I18