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Home My WebLink AboutBuilding Permit App & checklistAll 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 APPLICATION FOR:Aluminum with concrete PROPOSED IMPROVEMENT LOCATION: Address: 9214 Champions Way Port St Lucie, FL 34986 Property Tax ID #: 3334-501-0093-000-1 Lot No.15 Site Plan Name: LAKES AT PGA VILLAGE BLK B LOT 15 Block No. B Project Name: Falco — DETAILED DESCRIPTION OF WORK: Form and pour a 8' x 23' slab with 8" x 8" concrete footers and install a 8' x 23, aluminum/screen enclosure. 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: $ 7,292.00 Utilities: —Sewer _ Septic Buildine Height- OWNERAESSEE: CONTRACTOR: Name Louis and Catherine Falco Name: Michael J Newman Address:9214 Champions Way Company: Pioneer Screen Co. Inc. II P Y� City: Port St Lucie State: Zip Code: 34986 Fax: Phone No.917-455-4438 Address: 1682 SW Biltmore St City: Port St Lucie FL State: 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 value of construction is 2500 or mnrp a aFmRnGn ��,.«:,.,...� �_._._ E-Mail pioneerscreen@msn.com State or County License RX11066919 __ _ _ _ 1c4U1ICu. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: J 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: ;J Not Applicable BONDING COMPANY: :''Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: J OWNER CONTRACTOR AFFIDVIT: A pp!ication is hereby made to obtain a permit to do the work and installation as indicated. � 1 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. 1 The following building permit applications are exempt from undergoing a full concurrercy review: room additions, i 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 your property. A Notice of Commencement must be recorded and posted on jobsite before the first ins ction. If you inte ` to obtain financing, consult with I er or an attorn before comm ncin wo or recording ou otce of Commencem t:- Z/'] le Signature of Owner/ Lesse Connr ctor as Agent for Owner Signature o Contractor/Lic se H Ider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie COUNTY OF Saint Lucie The forgoAng instryq�en was acknowledged before me this day of 207( by The forgo. instrume� t was,acknowledg before me this rA1 �j =�,� Al , c�'ay of -Sp e 20fA by Michael J Newman Michael J Newman Name of person making statement Name of person making statement Personally Known V OR Produced Identification Personally Known ✓' OR Produced Identification Type of Identification Type of Identification Produced-.f Produced A (Signatur f Notary P i tt=,of Signatur of Notary Pub' 4 Notary Public State of Flonda Commis On NO. GG221434 `� F1( lfie Newman �� gv"d, 0 Not P}}�� Iic ate of Florida OmmIS5lon No. GG2214' $ o Franced man Commission GG 221434 pAf o� �a Q Expires OS/23/2022 goo �og�MY v Expires 221434 es 05/23/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE 1 COMPLETED Rev. 8/2/17 B iect BOARD OF PLANNING & DEVELOPMENT COUNTY COUNTY - SERVICES DEPARTMENT COMMISSIONERS F 1 . R I • Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT C.1c/ Date: (� 1 Permit Number: t Technician. Required Documents: Application completely filled out with Notarized Signatures ............................ Yes V/ No N/A Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A Owner / Builder Affidavit (signed in office) .......................... . ...................... Yes No N/A v1 Filled Land Affidavit (prior to issuance)...............................................Y / ....... es No N A Recorded Warrany Deed, if applicable ............. :.................................... ...... Yes— No N/A r/ Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes No N/A Utility Agreement or Payment Receipt (prior to issuance).. .......... v .................... Yes No N/A V Vegetation Removal Application with copy of survey. . ................................... Yes ✓ No NIA_ Plans, Calculations & Attachments (3 copies commercial, 2 copies residential). Complete set of plans with Engineer / Architect Raised Seal ........................... Yes V No N/A Truss Plans reviewed and approved by Engineer / Architect .............:.............. Yes No N/A f Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No NIA Approved Site Plans ..... . . . ... . .. ............................... Y — / 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 N/A Health Department Food Establishment Permit stamped_ on floor plan... ............. Yes— No N/A Manual "F' or Manual "N" Calculations ........... . ............. . ......................... Yes Y No N A / Signed Energy Calculations (1 original signature) ....................................... Yes No NIA Sealed Wind Load Compliance Certification.. ............................. ....... I ...... Yes— No N/A Product — Review Affidavit .................... . ............. . ... I ......... , _ ................... Yes No N/A V Other: Health Department Permit Paperwork ............. .......................................... Yes— No NIA 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 V/ Pool Barrier Affidavit ........................ . ............. :........... .. . ...................... Y Yes No l NIA Ground Sign Landscape Affidavit (signs) ................................................... Yes_ No N/A Burn Rate for Sign Cabinets.................................................................. es YN/A No R`' 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 — NIA Manufacture Blocking Documents.......................................................... YNIA—VI es No Signed Penetrometer Test (1 copy) ...................... ................................... Yes— No N/A Stair Details ....................................... .......................................... `.... Yes No NIA Mobile Home Inspection Report for Relocation (used only) ........................... Yes No N/A Copy of Title for Relocation (used only) ........................................ .. .. .... Yes No NIA v Private Property not in a mobile home park Class "A" Approval from PIanning or file 9..................... .................... Yes No N/A COMMENTS - Revised 7127118