HomeMy WebLinkAboutBriesch Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 /19/21
Permit Number:
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
PERMIT APPLICATION FOR:Aluminum With concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 12164 Riverband Lane, Port St Lucie, FL 34984
Property Tax ID #: 4422-502-0021-000-2
Site Plan Name: BAY ST LUCIE LOT 18
Project Name: Briesch
DETAILED DESCRIPTION OF WORK:
Install a 57 ' x 32 ' aluminum/screen pool enclosure on existing pool deck.
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
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 36,645
Generator
Sq. Ft. of First Floor:
Residential X
Lot No.18
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael Briesch
Name: Michael J Newman
Address:12164 Riverland Lane
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State: _
Zip Code: 34981 Fax:
Phone No.407-492-9032
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
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.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
BONDING COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Applicable
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. Notice of Commencement must be recorded and posted on the jobsite
before the first �jf)spection. If yoV iotend to obtain financing, consult ender or anttorney before
commencin2.MEirk or recordin2lv6ur Notice of Commencement..
Signature of Owner,
STATE OF FLORIDA
COUNTY OF saint Lucie
ctor as Agent for Owner
The forgoing instrument was acknowledged before me
this day of , 20_ by
Michael J Newman
Name of person making statement
Personally Known v/1 OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. GG221434 (Seal)
Signatur� of Contractgf/Licer(se Holder
i
STATE OF FLORIDA
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this day of , 20_ by
Michael J Newman
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. GG221434 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED I
II
I
Rev. 8/2/17
BOARD OF - _ - PLANNING & DEVELOPMENT
COUNTY � SERVICES DEPARTMENT
COMMISSIONERS . • Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/CONMMRCIAL BUILDING PERMIT
ect Location: a�
Date:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes J No _ N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes_ No N/A V
Owner / Builder Affidavit (signed in office)....... ........ .................................. Y / Yes— No N A
Filled Land Affidavit (prior to issuance)... ........... ....................................... Y— / —
es No N A
Recorded Warrany Deed, if applicable ........................... . .................:.........
Yes No
— N/A
V
Recorded Notice of Commencemement (prior to issuance or inspection) ...............
YesV No
N/A
Utility Agreement or Payment Receipt (prior to issuance) ............ . ....................
Yes No
N/A
V
Vegetation Removal Application with co of survey .....................
Yes_ No
— NIA -
Plans,
Complete set of plans with Engineer / Architect Raised Seal ...........................
Yes
Ao
— N/A —
Truss Plans reviewed and approved by Engineer / Architect ............................
Yes
No
— N/A V
Landscaping and Parking plan (under 6,000 sgft).........................................
Yes_
No
N/AV
Approved Site Plans.........................................................................
Yes—
Y
— No
N A
— /
Sealed Survey with Dimensions, Finished floor ...........................................
Yes
No
J N/A
Elevations and Setbacks..............................................................
Plot plan with Setbacks...... , , , ... s ................ ..................................
Yes
Yes
No
/No
✓ NIA
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 "J" or Manual ".V' Calculations...................................................
Yes—
No
N/A V
Signed Energy Calculations (i original signature) ......................................
Yes—
No —
N/A V
Sealed Wind Load Compliance Certification .......... ............ .......... ................
Yes
No
N/A V
Product Review Affidavit ............... . ... . . .......................... . .....................
Yes
No
N/Al
Other:
Health Department Permit Paperwork....................................................... Yes Na N/Aj
CD for Fire Department if commercial or multi -family ................................... Yes No N/A v/
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/Aj
Pool Barrier Affidavit .................. ... Yes No — NIA /
Ground Sign Landscape Affidavit (signs) ................. . . . . .............................. Yes No N/A/
Bum Rate for Sign Cabinets ............ . . . . .............. .................................... Yes No N/A
RV and Mobile Home Tie -Down OnIY (2 copies)
Permit Worksheet (Tie -Down Diagram) .... .....................................
es
_ . _ ...... Yes -No
—NIA—
Manufacture Set -Up and Installation Manual ...............................................
Yes
No
— N/A—
Manufacture Blocking Documents.. ........... .............................................
Yes
Y
— No
N A
/
..... .......................... s es
Signed Penetrometer Test (1 copy) ... . ............ ............ .... Ye
Stair Details ........_ ........_. ......... .............................................. � ........ Yes
Mobile Home Inspection Report for Relocation (used only) ........................... Yes_
No —
No
No
N/A
N
I
N A
NIA
Copy of Title for Relocation (used only) ....... . ......... . ........
. ............ . . . . . ....... Yes_
No
— NIA V
Private Property not in a mobile home park
Class "A" Approval from Planning or file9 ................................................ Yes— No N/A
CON ENlENTS
Revised 7/27/19