HomeMy WebLinkAboutDemella- Building Permit App & checklist 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:AIUI'TlInum Without Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 8725 Tompson Point Rd Port St Lucie, FL
Property Tax ID#: 3327-704-0036-000-5 Lot No.35
Site Plan Name: TOMPSON POINT PUD AT PGA VILLAGE LOT 35 Block No.
Project Name: DeMella
DETAILED DESCRIPTION OF WORK:
Cut in a 18'q'x 12' picture frame into existing pool enclosure.
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: $ 8,700.00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Michael DeMella Name:Michael J Newman
Address:8725 Tompson Point Rd Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State: Address: 1682 SW Biltmore St
Zip Code: 34986 Fax: City: Port St Lucie State: FL
Phone No.954-214-2907 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ! Not Applicable MORTGAGE COMPANY: Not Applicable
Name:6o Kim&Associates Name:
Address:PO Box 1oo39 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.
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 9'Q the jobsite
before the first i pection. If you (nt d to obtain financing, consult with I er or an atto e before
commencin w or recordin yojdr Nbtice of Commencement.
q
Signature f Owner/Lesse,/Contra or as Agent for Owner Signature of C ntractor/Li nse H lder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sainttucie COUNTY OF Saint Lucie
The forg ng instrume t was acknowledged efore me The forg ing Instrument was acknyowle�dged before me
this�ay of tlbb 2r 2Q�� by this dray of �.i��(Q.�,21 h��2Q ( 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 -' OR Produced Identification
Type of Identification Type of Identificati ll
I Produced Produced
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(Signature Nota P ,(ie .kt4e afTla[fd_a 4_ (Signature of Notary Public- ,ate o Florida
e-. .dota`y F'lbll.c State of Florida ' Qt
`p���� q� oiary�t3RState of Florida
Commission N0. GG221 : 4u _ - rance(-SeaL�wma1 Commi$si n N0. GG221434 a � al
n fvA Commission GG 221434 t ' ran-- eWfi13f1
Y 4r_ fi•: �,* MY Commission GG?.21434
DER 40� Expires05/23/202?_
da«o� Lxpires 05/23/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE 1
COMPLETED {
Rev.8/2/17
BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L . • Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/CONIIVMRCIAL BUILDING PERNUT
Pro'ect Location: '1 Date: j
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures............................ Yes No NIA
Sub Agreements with Notarized Signatures (prior to issuance).......................... Yes No N/A V
Owner/Builder Affidavit(signed in office)......... ...... ...... ......, ....... Yes— _ /..... .. .... .... No N A
Filled Land Affidavit(prior to issuance)......... ..................Yes—No _N/A_v
Recorded Warrany Deed, if applicable.......,... .......:......... Y /
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
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 No N/A
Truss Plans reviewed and approved by Engineer/Architect............................ Yes No N/A vl"
Landscaping and Parking plan(under 6,000 sgft)......................................... Yes—No —N/A
Approved Site Plans............... .. .. .................................. Y /
Sealed Survey with Dimensions, Finished floor........................................... Yes—No —N/A
Elevations and Setbacks....................................................... .... Y es No N/A
Plot plan with Setbacks............................................................... Y /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 —N/A
Manual "3" or Manual "N" 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
Product Review Affidavit............................... .......... ...................... Yes No N/A
Other:
Health Department Permit Paperwork....................................................... Yes_ — /A�No N
CD for Fire Department if commercial or multi-family.................................... Yes No N/A__�/
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).................... Yes No N/A_j/
Burry Rate for Sign Cabinets.................................................................. Y _ / .__C_
Yes No N A
RV and Mobile Home Tie-Down Only (2 copies)
Permit Worksheet(Tie-Down Diagram)................................................... Y _ /Yes . No N A
Manufacture Set-Up and Installation Manual..................:............................ Yes No N/A ,V/
...
Manufacture Blocking Documents............... ..................... .................. Y _ /. es No N A!
Signed Penetrometer Test(1 copy)......................................................... Y / —
Yes No N A
Stair Details.... .................................................... Yes_ — /
.. ... ......... .. � No N A__�
Mobile Home Inspection Report for Relocation (used only)........................... Yes'No ^NIAJ
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 4........................................ Yes No /
CONIIVIENTS
Revised 7127/18