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HomeMy WebLinkAboutBuilding Permit App & checklistAll APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 113 12,1 Permit Number: (, L o�L�� uc—LL fir. L L C5 tti t Lit ~-" Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residential X PERMIT APPLICATION FOR:Aluminum screen enclosure PROPOSED IMPROVEMENT LOCATION: Address: 2981 Bent Pine Drive, Fort Pierce, FL 34951 Property Tax ID #: 1327-701-0043-160-1 Site Plan Name: Monte Carlo Country Club- Unit Three Project Name: Shover DETAILED DESCRIPTION OF WORK: Install a 16' x 28' aluminum/screen enclosure with a 17' x 32' on existing slab. New Electrical Meter Second Electrical Meter Lot No.74 Block No. CONSTRUCTION INFORMATION: I Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 12,700 Generator Sq. Ft. of First Floor: Utilities: Sewer Windows/Doors Pond Roof Pitch Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Michael Shover Name: Michael J Newman Address:2981 Bent Pine Dr Company: Pioneer Screen Co. Inc. II City: Fort Pierce State: FL, Zip Code: 34951 Fax: Phone No.518-707-6866 Address: 1682 SW Biltmore St City: Port St Lucie State: FL 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) E-Mail pioneerscreen@msn.com State or County License RX11066919 V0 Utc u1 wiibuucnon is caw or more, a KtLUKUtu Notice of commencement is required. 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: V Not Applicable Name: Do Kim &Associates Name: Address: PO Box 10039 Address: ICity: City: Tampa State: Ft_ State: Zip: 33679 Phone 813-857-9955 1 Zip: Phone: 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, Notice of Commencement must be recorded and posted on the jobsite before the first irlepection. If ypr'u,.intend to obtain financing, consult with lender or an a ,to.rney before commencin w&lkcir recordip,. . ``our Notice of Commencement.. - `' Signature of Owner/ L see/Contractor as Agent for Owner Signature of Contra ctor/L cense!Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF saint Lucie COUNTY OF Saint Lucie The f9rgrg inst went was.acknowiedged before me this, V day of ��ovL fi 20--) by The forgoing instr meat was a knowledged before me this.-1, day of F 24--) 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 v'r, OR Produced Identification Type of Identification Produced , Type of Identification Produced �J (Signatur¢ of Notary Pu&& to of �tbi�d�a }` "'�* t "" -v(Signature of otary Public Mate c Fla d - asia� `+otar, Public State of Florida COmml$SIOn No. GG221434 r F'r(��ry1 e Newman My Commission GG 221434 , y ' ;rotary Public State of Florid: Ommi5510n NO. GG221434 a �` �� - FSeW)e Newman Evo Expires 05/23/2022 � e My Commission GG 221434 I t� ! " 4-Expires 05/23/2022 ," REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED 1 I Rev. 8/2/17 _...- PLANNING 8� DEVELOPMENT BOARD OF COUNTY SERVICES DEPARTMENT COMMISSIONERS F 1 . R I • A Building & Code Regulation CHECKLIST FOR RESFDENTIAL/COMMERCIAL BUILDING PERMIT Proiect Location: 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) ................................. ..................... 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 V 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 Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A Approved Site Plans ............................................. I.............................. Yes No N/A Sealed Survey with Dimensions, Finished floor ............................................ Yes No N/A Elevations and Setbacks............................................................... Y / es— No _ N A Plot plan with Setbacks............................................................... Yes— No N/A_ A- rzuuloh Department approval stamped oosurvey and floor ...... Yes �[� | \/ Health Department Food Establishment Permit stamped. oofloor plan ................ Yes � ��» / �[�� v' Manual =J^orManual "W`Calculations .................... ................................ Yes ��a Signed Energy Calculations (I original signature) ....................................... Yes ��/ Son}odWiod[oad Compliance Certification .......... Yes No Product Review Affidavit ..................................................................... Yes /No N/A ttco]tz Department Permit Paperwork ....................................................... Yea ��� ���L »/ CD � for Fire com mercial ozozo}ti-znf�ilv.................................... Yes No NIA \y DEP, SFWMD OrArmy Corp of Engineers (dock, seawall, SFmo6enc@_..___Yem �J� �/�^ w __ Pool Barrier Affidavit ................. ................................... ............. Yes NmN/A _v` Bum Rate for Sign Cabinets ............ ....................................................... Yes �7� _-- -__ �--~_ RV and Mobile Home Tie -Down 0 ' �2 ' � ' rezzozz vvozusoeet[1ze-Dom«z ...................................................... No / »/ Manufacture Se��/oand Toota�a�no��noual-.--...—_-.-----...---.—Yes �Jm / w/ Manufacture Blocking D. ........................................................... Yes— _ ��m ___ _-_- Signed Penetrometer TcotO ___ cnnv\...._�____.___._~._._^___._ Yes ---- ��/ --- --- / ` Qta�'I�mto�b-----..—'_-.----...—.---_-------..----.... Yes Nm___ &3UUzbe Home for }��}Oo��Oo (�3�d unh�....---.--.-- Yes I�� N��� �y - ---- ---- ---- ' Private Property not in mobile home park COMMENTS Revised 7/27/18