HomeMy WebLinkAboutTenedorio - Building Permit App All 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 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: 8701 Citrus Park Blvd Fort Pierce, FL
Property Tax ID#: 1301-610-0047-000-1
Lot No.7&8
Site Plan Name: LAKEWOOD PARK UNIT 8 BLK 4 LOTS 7&8
Block No. 4
Project Name: Tenedorio
DETAILED DESCRIPTION OF WORK:
Install a 33'x 15'aluminum/screen enclosure with poly roofs I 1V �C 32� q n d I ZI 12c��� n✓�
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: $ 13,610.00 Utilities: —Sewer —Septic Building Height:
f
WNERAESSEE: CONTRACTOR:
me Antonio and Maria Tenedorio Name:Michael J Newman
dress:8701 Citrus Park Blvd Company: Pioneer Screen Co. Inc. II
City: Fort Pierce State: Z Address: 1682 SW Biltmore St
Zip Code: 34951 Fax: City: Port St Lucie 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.
! I SUPPl.EMENAL LaNSTRUCTifl•NI LIEN, LAV1►' INFC3RVt/fA1 tf}t1:. 1
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Do Kim&Associates Name:
Address:Po sox 10039 Address:
City: Tampa State: FL. City: State:
Zip: 33679 phone 813-857-9955 Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: `Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: I 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 your paying twice for
improvements to your property. A N tice of Commencement must be recorded and posted on the jobsite
before the first i f pection. If you ' end to obtain financing, consult with der or an attor ey before
comrraencin w k or re+�rdin o- Notice of Commencement:
` c t
Signature of Owner/Le ee/Con ractor as Agent for Owner Signature f Contractor/ � ense older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucre
1
The fo' g insir ent was acknowiedg, d before me The f�r �l tg inst YJ S1eii`4M1ia5 acki Gwledged before me
thisy of ` .Z ; r 20Z by this day of f -f mac.! 20- by
Michael J Newman Michael J Newman
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known ✓' OR Produced Identification
Type of Identificati- n Type of Identificati
Produced Produced
(Sig ture o Nota ubl -State of orida) (Signatu a of Nota :t o Flori a
Commission No. GG22' 34 Notary N(.S,eai�e of Ronda Commission No. Jotary I'uboc.,Cate nondo
GG221434 � to '
irrancene fye^wrnall ��ancene i E
1,Ay commission,GG 22143q � a" My Commission GG?.21434
Expires 05:23r2022
�`�. o� L=.xpires 05/:"3!20?2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
I COMPLETED I I I I I
Rev.8/2/17
PLANNING & DEVELOPMENT
BOARD OF
COUNTY � SERVICES DEPARTMENT
COMMISSIONERS F L . R I D A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERNUT
Project Location: '700—,r1 ) k1d 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 J
Owner/Builder Affidavit(signed in office).................... ..,........, Yes No N/A V
Filled Land Affidavit(prior to issuance).....,a.....:....... ..... ...........................Yes No N/A
Recorded Warrany Deed, if applicable................ .............:......... Y /......,.... ., es No N A
Recorded Notice of Cornmencemement (prior to issuance or inspection)...........—, Yes No N/A
Utility Agreement or Payment Receipt (prior to issuance)................................. Yes No N/A V/
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 V/�No N/A
Truss Plans reviewed and approved by Engineer/Architect............................ Yes No N/A V
Landscaping and Parking plan(under 6,000 sgfl)..............I.......................... Yes No N/A
ApprovedSite 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,.........................................e..----.............. Yes/No N/A
Health Department approval stamped on survey and Boor plan............ _.,..,. Yes No N/A
Health Department Food Establishment Permit stamped.on floor plan............ Yes—No—NIA—VI'
Manual "3" or Manual "?V" Calculations................................................... Y — / —
Yes No NIA
Signed Energy Calculations (1 original signature).......................... ........... Yes—No —N/A
Sealed Wind Load Compliance Certification......................... :. V. ................... Yes—No—N/A
Product Review Affidavit........................ . ...... Yes No —N/A
Other:
Health Department Permit Paperwork....................................................... Y /A 1/
Yes Na N
CD for Fire Department if commercial or multi-family.:................................. Yes No N/A__L/
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 Landscape Affidavit (signs)................................................... Ye
s—No —N/A /
Burn Rate for Sign Cabinets................................:................................. Yes No N/A J
RV and Mobile Home Tie-Down Only (2 copies)
Permit Worksheet(Tie-Down Diagram)....7............ ......... ........ .... Yes No N/A
Manufacture Set-Upand Installation Manual..................:............................ Yes No N/A
—
Manufacture Blocking Documents.......................................................... Y /es No N A �
Signed Penetrometer Test(1 copy)......................................................... Yes—No N/A
Stair Details................................................................................`.... Ye — — /
s No NIA
Mobile Home Inspection Report for Relocation (used only)........................... Yes No—N/A J
Copy of Title for Relocation (used only)................................................... Yes_No N/A_/
P e ark Private Property not in a mobile home p
Class "A" Approval from Planning or file#................................................ Yes No N/A—
C
Revised'f(2�It8