HomeMy WebLinkAboutMerritt Permit App & checklistAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR:Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 2205 River Hammock Ln Fort Pierce, FL
Property Tax ID #: 3404-313-0011-180-5
Site Plan Name: 04 36 40 (lot 10 river hammock addn unrec) e 128 12ft of w 1281.20 ft of parcel c river hammock as in pl bk 23-2
Project Name: Merritt
DETAILED DESCRIPTION OF WORK
Install a 45' x 24' aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 10
Block No. 23-2
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: $ 14,795.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
Name Kathleen Merritt
Address: 2205 River Hammock Ln
City: Fort Pierce State:
Zip Code: 34981 Fax:
Phone No. 703-554-7562
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
f valua of rnnc+rnr+;-n ;o 7rnn
CONTRACTOR:
Name: Michael J Newman
Company: Pioneer Screen Co. Inc. II
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 pioneerscreen@msn.com
State or County License RX11066919
-
----- -- ---- -- ......-, - •••.wuw vi a.UnunenLemeni IS requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Do Kim MORTGAGE COMPANY: Not Applicable
Address: Po Box 10039 Name:
City: Tampa Address:
State: FL Clt
Zip: 33679 Phone 813-857-9955 y State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name:
Address: Name:
City: Address:
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 �#rRecord a Notice of Commencement may result in your paying twice for
improvements toy&_-, property. A" O ice of Commencement must be recorded and posted ;the jobsite
before the first irfsp -ion. If y J,ntend to obtain financing, cpmult with I�ri or an att n before
com ncin for or%cordi --your Notice of Commencemeht. / i
Signature ofawner/
STATE OF FLORIDA
COUNTY OF Salnt Lr,cie
as Agent for Owner
The forgoing instrument was acknowledged before me
this,�'-dayof ,- 20, by
Michael J Newman
Name of person making statement
Personally Known v" OR Produced Identification
Type of Identification
Produced /17 /9
Signature of
STATE OF FLORIDA
COUNTY OF Saint Lucie
/Licens Holder
The forgoing instrument was acknowledged,before me
this,' ' dayof
20 by
Michael J Newman
Name of person n
Personally Known ✓"
Type of Identification'
ng statement
Produced Identification
. r•.,,•••. yr-r rvr,r 7 — _ -,r »v w-va"wtT
kJlgnatUfqcO'f Notary P fi ,St�te,Of FloidaNtPublic Stateca Florida 7 s
GG221434 �scc pe Newmall ,o
Commission o. A F OmmIS5lfln NO. GG221434r G n _otan, p
M mom , :ion GG 221434 ancen n
1-r l tr of Florida ExP11s 05 i312022 € - ,� . �� Ni Fwma
«� crop 1 f,Ccmrn1ssion nrr — .
�oiz312022
'V4
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
i
tev. 8/2/17
BOARD OF W I PLANNING & DEVELOPMENT
L I (Te I E rmv�'
COUNTY SERVICES DEPARTMENT
COUNTY.
COMMISSIONERS F 1 0 R I D A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUIELDLNG PERMIT
Pro i.ect Location: 71-05 2V-tv- 4aVVWQL� LVN Date:, QAIl
Permit Number: Technician:
Reg ired Documents:
Application completely filled out with Notarized Signatures ..... ...... Yes /No NIA
Sub Agreements with Notarized Signatures (prior to issuance).. .......... ............. Yes No NIA
Owner / Builder Affidavit (signed in office) ........ Yes No NIA
Filled Land Affidavit (prior to issuance) .... ...... ........ ...... .....Yes No NIA
Recorded Warrany Deed, if applicable .............. ........ ............... ... ...... Yes No NA'
Recorded Notice of Commencemement (prior to issuance or inspection)... . ........... Yes No "/A
Utility Agreement or Payment Receipt (prior to issuance). . ....... ........... Yes No NIA V
Vegetation Removal Application with copy of survey.. .................... ......... .... Yes No NIA V1
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 V/
Landscaping and Parking plan (under 6,000 sqft) ................ .................... -..
Yes—
No —
NIA
Approved Site Plans ..... ............................ ......... ........ — .......
Yes
No
NIA
Scaled Survey with Dimensions, Finished floor.. . ........................ --- ..........
Yes—
No V/
N/A
Elevations and Setbacks.. . ... ......... .......... ......
Yes—
No v/
NIA
Plot plan with Setbacks.. . ....... --- .....................
Yes
V No
N/A
Health Department approval stamped on survey and floor plan..... Yes e
No
N/A
Health Department Food Establishment Permit stamped- on floor plan.... .........
Yes
No
NIA v/
Manual "J" or Manual - WT' Calculations.,,., ........
Yes--
No
N/A V/
Signed Energy Calculations (I original signabure) ................ ......... ..........
yes
No
N/A
Sealed Wind Load Compliance Certification.. ........ .............
Yes
No
N/A vl
Product Review Affidavit ......... ...... ............ ....... �
Yes
No
NIA t/'
Other:
Health Department permit Paperwork............. ................ ...... ..... yes No N/A v1
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..,. ......... ... Yes No NIA—Z
Ground Sip Landscape Affidavit (signs). . ........................ _... Yes No N/A /
Bum Rate for Sign Cabinets .. yes No N/A
RV and Mobile Home Tie -Down Only (2 copies)
Pen -nit Worksheet (Tie -Down Diagram) .... ........................ 1 ....... Yes No N/A
Manufacture Set -Up and Installation Manual... . ...... ........ .......... .... . Yes No N/A �%
Manufacture Blocking Documents ............. ........................I ............ Yes No N/A—v"
Signed Penetrometer Test (1 copy). . ..... ............................................ .... Yes No N/A
Stair Details ............. .................... ....... .... Yes No NIA --I/—
Mobile Home Inspection Report for Relocation used only) ............... ........... Yes No N1A_/
Copy of Title for Relocation (used only), ................ .................... - ...... Yes No Nf-k__,L
Private Property not in a mobile home park
Class "A" Approval from Planning or file 9 ...... .................................. Yes No N/A_
COMMENTS .
Revised 7/271 i 8