HomeMy WebLinkAboutBuilding Permit App - Robbins All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Oiro
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial _ Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Aluminum Without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 9140 Pumpkin Ridge Rd Port St Lucie, FL
Property Tax ID#: 3322-505-0019-000-4
Lot No.10
Site Plan Name: Maidstone Lot 10
Project Name: Robbins Block No.
DETAILED DESCRIPTION OF WORK:
Install a 39' 11"x 28' 6" aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
[:CONSTRUCTI�NlFORMATION.
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: $ 12,061.20 Utilities: _Sewer _Septic Building Height:
FAddress:9140
ER/LESSEE: CONTRACTOR:
Thomas and Sherry Robins Name:Michael J Newman
Pumpkin Ridge Rd Company Pioneer Screen�Colnc. IICity: Port St Lucie
State: L Address: 1682 SW Biltmore
Zip Code: 34986 Fax: Port St Lucie
878-7752 City: State:FL
Phone No. Zip Code: 34984 Fax: 772-340-4626
E-Mail: Phone No 772-340-4393
Fill in fee simple Title Holder on next page(if different E-Mail pioneerscreen@msn.com
from the Owner listed above) State or County License RX11066919
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
if value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
**THIS PAGE IS FOR PIONEER OR PRINCE FOR HOMEOWNER TO SIGN**
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ,,Not Applicable
Name: _ i ��'� � i r -e Name:
Address: � ' Address:
City: r "�i,M se_. . State: City: State:
Zip: Phone `� �-k ��' `5 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 to Record a Notice of Commencement may result in paying twice for
improvements to your property.A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you; tend to o in financing,consult
with lender or an attorneybefore.commencing work or recordingour otce of C mencement.
� - �61 LL_A�
Signature f Owner/ essee/Contractor as Agent for Owner Signature of ontractor/ cen a Holder
STATE OF FLORWA
a STATE OF LORID) I
COUNTY OF COUNTY OF
Swornto(or affirmed)and subscribed before me of Sworn tolor affirmed)and subscribed before me of
P Ical Pre ce r Online Notarization �hysical Presence or Online Notarization
this ay :f Y 2020 by this "'day oit`� f 7.��,� 2020 by
�h�rrLbint
Name of perszwbaking statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known �-'OR Produced Identification
Type of lclpQtification Type of IdentifiCiop
Produced G — Produced
TRACEY W.MCGHEE
NO BLIC � �� $'
urdfof Adia a GfrPM15d0FJ FLORIDA (Signat/re of Notate c t FIW uo:1c state of Honda
Comm#GG360070 1 1=rancene idewman
Commission No. i 1 Commission No. .. ion GG 2zlasa
Expirg�40l202.3 = n�v 310
4' EXP 3207.2
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COUNTY
F . R I • A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Pro"ect Location: � f�Y'1 ,,� 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_No —N/A
Filled Land Affidavit(prior to issuance)........ .............................................Ye
s No N/A
Recorded Warrany Deed, if applicable....................................................... Yes No N/A
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 V
Plans, Calculations &Attachments (3 copies commercial, 2 copies residential).
Complete set of plans with Engineer/Architect Raised Seal........................... Yes�' � _N/A
Truss Plans reviewed and approved by Engineer/Architect............................ Yes No NIA
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........., ....... .... Yes_No /N/A____
................. .....
Elevations and Setbacks....................... ............................ ......... Yes No ✓N/A_
Plot plan with Setbacks............................................................... Yesj No N/A
Health Department approval stamped on survey and floor plan.............. ........... Yes No N!A V
Health Department Food Establishment Permit stamped-on floor plan. ........... Yes—No N/A
Manual "F' or Manual `W-' Cal culations.............................. .......,.,....... Yes No N/A
Signed Energy Calculations (1 original signature)....................................... Yes—No N/A 1(
Sealed Wind Load Compliance Certification_................. ......... _........... Yes—No—N/A
Product Review Affidavit_................................I...........,...................... Yes 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 NIA—/
V
Burn Rate for Sign Cabinets.............................. ...................._............ Yes No N/A v
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 co .... Yes No N/A V
Stair Details..............................................................I................. Yes No N/A
Mobile Home Inspection Report for Relocation (used only)........................... Yes No NIA
Copy of Title for Relocation used only) ............................... Yes No N/A J
Private Property not in a mobile home park
Class "A" Approval from Planning or file 4.........,. .......................... Yes No N/A
COMMENTS
Revised 7/27118