HomeMy WebLinkAboutApostle Faith Church Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C C CS` L� L L Z= __- -
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
PERMIT APPLICATION FOR:Alurninum with concrete
PROPOSED IMPROVEMENT LOCATION:
41z lhC AI An_I n.. r
/_WUfe55: I— —U . U1L riCiuu, rL 54y4f
Residential X
Property Tax ID #: 2406-506-0070-000-6
Site Plan Name: Lots 1,2, 3 and 4 block 8 according to the revised plat of blocks 1 thru 10 inclusive keystone heights
Project Name: Apostle Faith Church
DETAILED DESCRIPTION OF WORK:
Install a 45' x 24' 6" aluminum/screen pool enclosure on slab by pool company
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.1,2,3,4
Block No. 8
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:
Cost of Construction: $ 12,640.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height-
NER/LESSEE:
CONTRACTOR:
e Apostle Faith Church of Deliverance Inc.
fAddress:
Name: Michael J Newman
1505 N 43rd St
Company: Pioneer Screen Co. Inc. II
City. Fort Pierce _
State:
Zip Code: 34947 Fax:
Phone No. 878-7752
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 more. a RFrnRnFn rv„+;, -4:
E-Mail pioneerscreen@msn.com
State or County License RX11066919
-...... -.._..... ....� .., .cyuu cu.
If
value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:,
Name: 1)6'k 10A
Address:
Not Applicable
6 C I ika4s
MORTGAGE COMPANY: ! of Applicable
Name:
Address:
__1_(_
City: ,.)A
`� Zip: phone
State:
J ' <�
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ of Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City.
Zip: Phone:
City:
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 re It in paying t 'e for
improvements to your property. A Notice of Commencement must be r ded in the u tic records of St.
Lucie County and posted on the jobsite before the first inspection. if i end to ob In Inancing, consult
with lender or an attorneybefore commencingwork or recordingr otice of Co ncement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor icense Folder
STATE OF FLORIDA,,-,STATE OF FLORIDA ,,rr
COUNTY OF tA LGt �' COUNTY OF - (r�� -` 6
Sworn to ,or affirmed) and subscribed before me of
ical Presence or Online Notarization
this 'day of i, � J jld l; 202Q by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatio
Produced
(5ignatu ota rPub id'Statei6f Floridal3i_ of Florida
=n7n
Commission No. (Seal) 22'1a34
Sworn t or affirmed) and subscribed before me of
�rsical Presen a or Online Notarization
his , t tday of %����. 202b by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
P pduced
,t
(Signature Nota i State of f IQ[fde� ).,,c state of F16"'Ja .Yf.
Frjaf1 scene Newman
Commission No. t��yr �,(Seatj-,n ,c z-i34
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
nuv. JJOJGu
BOARD OF OR PLANNING &DEVELOPMENT
COUNTY SERVICES DEPARTMENT
•7�
COMMISSIONERS . R I • A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERART
Pro iect Location: 1 SQS N - �3rd 5 i Date: I )4
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ...............I............ Yes / No _ N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A U
Owner / Builder Affidavit (signed in office)............ ...................................... Y _ /
Yes Na N A
Filled Land Affidavit (prior to issuance).....................................................Yes No — J N/A —
Recorded Warrany Deed, if applicable.............................................:......... Yes_ No — NIA_AZ
Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes No NIA
Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No NIA"
Vegetation Removal Application with copy of survey. .............. ..................... Yes_ No — NIA —
Plans, Calculations & Attachments (3 copies commercial, Z copies residential),
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes— /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 _ NIA_
Approved Site Plans............................................................................ YesNo N/A
—
Sealed Survey with Dimensions, Finished floor .................................... ...... Yes No V/ 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 NmN/A �^
Health Department Food Establishment Permit stamped, on floor plan ................ Yes . No — NIA v1
Manual "F` orMuooa} ^N` Ca]oo|atiooa--...—...—..'—....----..-----.
Yes
Nm___
Signed Energy Calculations /} original signature).'--..--.-.....----.--
Yes
Nm
NIA
____
Product Review Affidavit ..... ........ .......... ............ .................... ..........
Yes
NwN/A
Ll
�
Health Department Permit ...--.—.....-.---........--..---.—.
Yes
��mN/��
y'
L ^,
CDfor Fire Department if cqozozocoial ocozu]ti.'..—..—..._.---`---..
DEP. SFWMD orArmy Corn of Engineers (dock, seawall, SF on beach).._.......
Yes
Yes
NmN/A
NaN/A
Pool Barrier AfFidovi ................... .—....—.....—.---..----..
Yes—
No ___N/A
Ground Sign Landscape Affidavit .—.._--'.'-''—..........................
Burn Rate for Sign Cabinets ........ ........................... * ......... * .....................
Yes
No
N/A:/
No
RV and Mobile Home Tie -Down 0 (2 copies)
Pecod1.................................................. Yes No
Manufacture Set -Up and }noto{ utinuManual ................................ ............. Yes No___
'
Manufacture I�o . .........—..._..—..--.—.—'---..--- Yes ��m___ L��
Signed Test /Icopy) ...... ................................................... Yes No___N/A
___
Stair ` No
Mobile Home Inspection Report for Relocation (used only) ............... ........... Yes No — N/A
Private Property not iuumobile home park
Class "A" Approval from Planning or file 4................................................ Yes ___Na___N/A ',Z
COMMENTS -
Revised 7/27/18