HomeMy WebLinkAboutPiner SLC permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Ford Pierce FL 34952
Phone,- (772) 462-1553 Fax.- (772) 462-1578
Commercial
PERMIT APPLICATION FORPa Aluminum0 0
without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 7803 Pensacola Rd Fort Pierce, FL 34951
Res45
idential X
PropertyTaxlD#: 1301-606-0126-000-6
Site Plan Name: LAKEWOOD PARK UNIT 6 - BLK 63- LOT 18
Project Name: _finer
DETAILED DESCRIPTION OF\ wtO1111111111 1('V
Install a 36'x 30'aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. $
Block No. 63
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 Firsloor:
Cosh of Construction: $ 9;690.00 Utilities: _ Sewer � Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Karen and Daniel Piner Name: Michael J Newman
Address: 7803 Pensacola Rd Company:Pioneer Screen Co. Inc. li
City:Fort Pierce State: r"'Le-- Address.* 1682 SW Biltmore St
Zip Code: 34951 Fax: City: Port St Lucie State: FL
Phone No. 875-7752 Zip Cade: 34984 Fax: 772-340-4626
E-Mail: Phone No 772-340-4393
dill in fee simple Title Holder on next page (if different E-Mail pioneerscreen@msn.com
from the Owner listed above) State or County License RXI 1066919
If u hin nf rnnctnirtinn c oirnn o%v. mA.. r%r7df* r%rwrar% a :�! - t .•.
.. ; ..~. V.M ..WE %d%mF§ 1%0%1 "%p%,, , f Ja &.aVV V1 11 J J , rZ. r t 110111Ce OT Lommencement is required.
If value of HAVC is $7,500 orr moreRECORDED~
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: "71Not Applicable MORTGAGE COMPANY: of Applicable
Name' �LCCu�P� Name:
Address: � " 4 C 1 Address:
City: State: City: State:
Zip: Phone — Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY., t Aot 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.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which isin conwict with and 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 pions, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are
exempt from undergoing a full
concurrency review; room
additions,
Ro.
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 pay in 'ce for
improvements to your property. A Notice of Commencement must regarded in t blic records of St.
Lucie County and pasted on the jobsite before the first inspection Qu i nd to in financing, consult
with lender or an attorneybefojr�Depmmenc*n work or recordi ur Notic of Qr'r mencement.
7
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Signature of Owner/ Lessee/Contractor as Agent fix Owner
STATE OF FLORIDA
COUNTY OF
Sw
/arn to (or affirmed) and subscribed before me of
�G Physical Pr ence or online Notarization
this;4(oOday of 1 0 2026 by
nor
Name of person making statement.
Personally Known
Type of identification
Pco-duced-c4fi 1 JI �S
{Signafiure of Notary Pu
Cowission4
No.
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REVIEWS
DATE
RECEIVED
DATE
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Sworn for affirmed) and subscribed before me of
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Name of person making s;a�ernent.
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BOARD OF
COUNTY
COMMISSIONERS
IT
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMAMRCL4L BUELDING PERMIT
Pr ect Locatiow � ' � � �3 ' � 210e) - _�� � � � � �� t � - _,Dade.
Permit Number: Technician:
Required Documents8
:
i
Application completely filled out with No
tanzed
Simatures. • wows* Rooms ■ r•• i i• D# R■ i■# Q#
yes,
No
N/A
Sub Agreements with Notarized Signature
S (prior to No NIA vZ
OW-ner l Builder Affidavit (Sigmed in office
Filled Land Affidavit (prio
Recorded Warrany Deed
Recorded Notice -of
i 3 R age W# R? i 0 ## a R R C- W i i W R Yes No N/A
to issuance)....... * * i i 6 # v e # R * 12k R # # • # pip a s e O, * s a * & ,P# # a # f • r i t e i i * # t i Y" No N/A
9 ifc e##
Yes
-�
NIALoo`
#i.-*.#A#*Ikki.t#.■b■am#a**ii##■*#■##i."■si■#.*#i#r#.*
3
Utility Agreement or Payment Receipt b0
rio
r to issuance). . 0 V 4W W 0 W .0i.,VwItW#i...*##M* Ye T No N/A
Yegetation Removal Application with copy of survey
f # # # a * # # * i # • i i i i i i i • * i i • # # i i # • # * vp-.q
No
N/A
Plans, Calculation's & Attachments (3 copies commer
or
cial, Z copies residential).
` Complete set f n ans with E 4 er / Architect Raised Seal. . P W 0 0 * a a * 8 0 0 Savo W& ew a W 4 0 a 0 Yes No N/A
A
i
Truss Plans reviewed and approved by Engineerhic # ..... R * # * . ■ . i*, .... *.... Yes No N/A
Landscaping and Parking plan (under 6,000 sqft)..... . 066 ORO a* r
Yes"'
i
Approved Sitememo wag&#..move_...#W#o*.*W...rIry .#.0IN•8 yes No .NA
Yes No N/A
Sealed
Survey wif D ensions Fuushed floor... • , • • #*sea**&
Elevations andSetbacks...... i i • i i. ease awe i • i O * 1 # # • # # • i i • • # • i • f i # � # ■ • # i a # • � # • ! # •
•* yes No N/A
• r
Plot /XT
� • i 6.M 0 i i a # # # i • ■ i # • fi # i # i !` i f # # # # # # � # � � # # * # # a � ! i i< i � ■ � � * � � � * # * � YCS
1000/
* V r• s f s ■F @■ E f• 0 4 R Yes No
r
■,■!#*!r~d!#*�#..��..##*.�....�S.0w#.aPow Yes No N/A
1-11 ie)••.*..,....:.# egos* 0.•+0•�•!r0#.0*■ �� ��
Sealed Wind Lnqd n Un-nop ('PrtiI;r%!nti i k -
Product Review Affidavi
Other,
4
to
woo f # ■ • # i # a # i • owes see a # • # # # ■ # ■ i No # # w ## #• M W ■ f i # i # s s t #
Yes
No
N/A Ll
Health Department Pest Paperwork. .: ■ v . * W
!� ! 4 ! f t i # f # # # ■ swamp we We ! # • i # # • M• • # i s r # f # # • • i # # Y es No N/A
CD for Fire Department if commercial or multi' -family. Yes No L000el
DEP, SFVVMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A �
Pool Ba'm*er Affidavi
Health Departrnent approval stamped an surrey and floor -plan
0IFI&Was0i4V!I■ iJF #.#.. i.#.. Yes No N/A
Health Department Food Establishment Permit stamped. on floor plan
Manual "J" or Manual "N" Calculatio
Signed Energy*
Calculations (I orIr iginal
K.*VW&*sv Pow* 0 VIF Yes No N/A
Ground Si Landscape Ravit (signs),.... a pop&** sO06i• • 6. i# •
40 to eon 0 Q & 0 It eYes No N/A
Bum Rate for Si Cabinets.,
RV and Mobile Home Tie -Down Only (2 copies)
PermitWorksheet (Tie -Down D
Manufacture S
Manufacture Bloc Documents. Y # M i IF i 0 i i i ,t 1 f # # ! • t' i # f # # woe* son i 1 * so w # • # # # ! # • it win a o ► f r 4 f i Yes
No N/A
Signed
-
y
Stair Details-. . 10 0 Yes No X/A
- r
r r
f
Mobile Home . rwr..flb&&■_Spotsip'MIRa* iYes' No N/A.
4
Copy of Ti e for Relocation (used only)...... .iii•-•# ..#.*.##i#i * #...#!..##t■.!#.ai•# Yes No N/A
a
Private Property not m ai mobile
MW
Class "A" Approval from Planning or fi
r
le
#%I*& ■. • •• 0* oil ......Yes
No
� �► -
a 0 4&goo so fidev0d
.