HomeMy WebLinkAboutBuilding Permit App - Marin All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
>N1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Aluminum Enclosure with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 3205 Trinity Circle, Fort Pierce, FL 34945
Property Tax ID#: 2327-502-0075-000-7 Lot No.67
Site Plan Name: Creekside Plat No.4 Block No.
Project Name: Marin
DETAILED DESCRIPTION OF WORK:
Form & pour concrete around existing porch slab to make 20'x 23' overall with 8"x 8"footers and
install 23'x 20'aluminum/screen enclosure with a 4'x 8' poly roof and a 9'x 8' poly roof on slab.
CONSTRUCTION INFORMATION:
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: Sq. Ft. of First Floor:
Cost of Construction: $ 12,440.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Claudia Marin Name:Michael J Newman
Address:3205 Trinity Circle Company:Pioneer Screen Co. Inc. II
City: Fort Pierce State:_ Address:1682 SW Biltmore St
Zip Code: 34945 Fax: City: Port St Lucie State:FL
Phone No.305-746-7198 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 HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: k Not Applicable
N a m e: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: �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.
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, 1 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 you .property. A Ni ce of Commencement must be recorded and posted on the jobsite
before the first ins ion. If you ind to obtain financing, consult with len r oran attor before
Comm cin wa recor 'n otice of Commencem t.
I
Signa re of 0 ner/Lessee/Contra for as Agent for Owner Signature of ntractor/License H der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The ding instrument wa acknowledged efore i m�e
this ay of 20�by this day of c 20 tby
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 Type of Identificatio
Produced Produced
r
(Signature of otary Pub -State o Florida) (Signature f Notary P ili'i c' _tieLnc
ic State of Florida
Commission NO. GG221434 G"g {J hJ��fi��biiC State of Florida GG22 .34 r �l allommission No. G 221434
F rancene Newman n 3/2022
:47 My Commission GG 221434 a rvx: i
QF y.550 Expires 05/23/2022
i
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 PLANNING & DEVELOPMENT
COUNTY COU NTY
SERVICES DEPARTMENT
COMMISSIONERS F 1 . R I • A
I Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Pro'ect Location: R - 2A
�� 1 �� �'r 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 NIA_
Owner/Builder Affidavit(signed in office)................................................. Yes No N/A ✓
Filled Land Affidavit(prior to issuance)......................................................Yes / No N/A
J —
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 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 Sea]........................... Yes No N/A
Truss Plans reviewed and approved by Engineer/Architect............................ Yes No N/A v
Landscaping and Parking plan(under 6,000 sq$)......................................... Yes No N/A V/
Approved Site Plans........................................................................... Yes No NIA ✓
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 NIA
Health Department Food Establishment Permit stamped.on floor plan................ Yes No NIA V
Manual "F' or Manual "N" Calculations............. 4 /
-.. ..... ....................... Yes No N/A V
Signed Energy Calculations (1 original signature)........... ........ Yes No NIA
Sealed Wind Load Compliance Certification.................... ...... Yes No NIA
Product Review Affidavit........... yes /A
..............................
No N
Other:
Health Department Permit Paperwork.................. ....... y /
CD for Fire Dep
artment if commercial or multi-family.:................................. Yes No N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No NIA
Pool Barrier Affidavit...... Yes No NIA
Ground Sign Landscape Affidavit (signs).............................. ..................Yes No NIA
Burn Rate for Sign Cabinets... ... ............................................... Yes No `N/A�
RV and Mobile Home Tie-Down Only (2 copies)
Permit Worksheet(Tie-Down Diagram)................................................... Yes No NIA
Manufacture Set-Up and Installation Manual...............................................Yes No NIA ✓
Manufacture Blocking Documents.......................................................... Y I
Yes No NIA ✓
Signed Penetrometer Test(1 copy)......................................................... Y I Yes No NIA
StairDetails...................:................................................................. Yes
—
Mobile Home Inspection Report for Relocation(used only)................I........... 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 NIA
COMMENTS
Revised 7127/18