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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