HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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:Aluminum Without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 1, 1 vv vvayonwneei Ln i ort 5t Lucie, FL 34987
Property Tax ID #: 3211-701-0008-000-5
Site Plan Name: Carlton Country Estates Lot 6
Project Name: Guerriero
DETAILED DESCRIPTION OF WORK:
Install a 57' x 34' aluminum/screen pool enclosure on existing pool deck.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.6
Block No.
r c h . �► �5��� �i I I 1
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:
Cost of Construction: $ 25,932.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Building Height:
Pond
OWNER/LESSEE:
CONTRACTOR:
Name Joseph and Diane Guerriero
Name: Michael J Newman
Address:17700 Wagonwheel Ln
Company: Pioneer Screen Co. Inc. II
p Y�
y,
City: Port St Lucie State: I 1
Zip Code: 34987 Fax:
Phone No.772-460-6725
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)
IF. 1 —4
E-Mail pioneerscreen@msn.com
State or County License RX11066919
--- ---------- •-•• •- ---� •-• •• �•.. �. ••�a.vnv �✓ �wul.c VI wInrnenLemem is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERENGINEER: _Not Applicable
MORTGAGE COMPANY: Not Applicable
Name; Do Kimm8 Associates
Name:
Address: Po Box 10039
Address:
City: Tampa State: FL
Citv: 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:
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 t Record a Notice of Commencement may result in your paying twice for
improvements to your"property. A, otce of Commencement must be recorded and posted on the jobsite
before the first inspection. If yogi intend to obtain financing, consult with lender or an at 'rney before
commencing work r"recewdin t our Notice of Commencem
17
Signature of 1 wner/ Less /Conkractor as Agent for Owner
t
Signature Contractor. icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucie
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged"before me
this ��day of 20 by
t
The for{'n�g instrument as acknowledged before me
this clay of 20by
Michael J Newman
Michael J Newman
Name of person kings atement
Name of person making statement
Personally Known v R Produced Identification
Personally Known v OR Produced Ide ification
Type of Identification
Type of Identification
roduced
Pr duced
(Signature of ota ry P�;
f
(Signature of NoVary Public- Stat f FI ida
CM1tar
1 t tiatary Public State of Florida
France fppvvman
Commission NO. GG221464i
-� M Com4ni`ssi6n GG 221434
GG22143 Vatcr4 c rate of Florida
Commission No. j' �^
— s; F�ran'c'NA ^dman
' expires 05 23/zo2z
My Commission GG 221434
Expires 05/23/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
i
Rev. 8/2/17
BOARD OF a e I PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F . R I • Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/CONVURCIAL BUILDING PERMIT
ect Location: �" nwr zp 1Vi Date:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures......... ................ Yes /No NIA
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No NIA
Owner / Builder Affidavit (signed in office).......... ••.... ............ I............... Y . .. es No N/A
Filled Land Affidavit (prior to issuance)............................................Yes No N/A
.,.,.�.., /
Recorded Warrany Deed, if applicable.............................................:......... Yes No N/A V
Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes No N/A
Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No NIA
Vegetation Removal Application with copy of survey.. ................................... Yes No NIA J
Plans, Calculations & Attachments ( 3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ...........................
Yes
d 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
NIA J
Approved Site Plans .... ........ .................... ............................................
Y es
— No
N/A AJ
Sealed Survey with Dimensions, Finished floor ...........................................
Yes_
No
— N/A
Elevations and Setbacks ...... ........................................................
Yes—
Y
No
I
_ NIA
Plot plan with Setbacks ...... . . . .....................................................
Yes
V No
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
Manual 'T' or Manual 'W. ' Calculations ..............
y
/
Signed Energy Calculations (I original signature) ..... . ...... . ................ . .........
Yes
No
N/A ✓
Sealed Wind Load Compliance Certification ....................
Yes
No
NIA V
Product Review Affidavit, ......... ....
Y es
No
/
N A
Other:
Health Department Permit Paperwork ..................... .....................
Yes
No
N/A
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
/
NIA
Ground Sign Landscape Affidavit (signs)_ . ..... . ..... . ... .................. _ .......
Yes
No
N/A
Burrs Rate for Sign Cabinets .... . ....... . . .
Yes
No
NIA
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ........................................... ............ Yes No NIA L/
11
Manufacture Set -Up and Installation Manual ............................................... Yes No N/A ✓
Manufacture Blocking Documents.......................................................... yes es Na !—NA
Signed Penetrometer Test 1 co ................................ Yes No NIA
StairDetails .............. ...................................... Y /
Mobile Home Inspection Report for Relocation (used only) ............... . . .. . ....... Yes No NIA
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 7/27/18