HomeMy WebLinkAboutBuilding Permit app & checklistAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: -iuiuu i ranqunity Base Ln Port St Lucie, FL 34987
Property Tax ID #: 3215-801-0057-000-2
Site Plan Name: AERO ACRES BLK 3 LOT 4
Project Name: Montona
DETAILED DESCRIPTION OF WORK:
Install a 45' x 32' 8" aluminum/screen pool enclosure on slab by pool company.
New Electrical Meter Second Electrical Meter
Lot No. 4
Block No. 3
CONSTRUCTION INFORMATION: —I
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: $ 12,800.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Thomas and Elizabeth Montona
Name: Michael J Newman
Address: 557 SW New Castle Cv
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State:
Zip Code: 34986 Fax:
Phone No. 561-719-7574
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)
�4 . 1, .r
E-Mail pioneerscreen@msn.com
State or County License RX11066919
,,,,, ,W. ,,,W, V, Q _%jnuru ,wine vT lAmmencemeni IS required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name: oo Kim & Associates
Name:
Address: Po Box 10039
Address:
City: Tampa State: FL
Zip: 33679
p Phone 813-857-9955
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: — 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 the Florida Building
plans, 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
of Commencement must be recorded and posted on the jobsite
to your pr=-t
'
before the first spectioobtain financing, consult h tender or an torney before
o 4Tfe'ri`cin ork or recce of Commencement.Signat
a of Owner/ ssee/for Owner
Si natur o Contracto icen a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucie
COUNTY OF Saint Lucie
The forg ing instrU=nt was acknowledged before me
this bay of 20,� by
The for Ding instryient was acknowledged before me
this�Iday
1/
of 20 Eby
Michael J Newman
Michael J Newman
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification ..
Type of Identification
P duced
Produced
-f'
(Signature f Notary Pu
Public State of Florida
(Signature o Notary Ou`
Notary
GG2214 Frant��kea�e'vman
My Co Fran"
Commission No. }�n�_�' S ion GG 221434
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Commission No. Gc221a34� Mrarcen
Expires 05/23/2022
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
D
0 /) /1 7
PLANNING & DEVELOPMENT
BOARD OF
COUNTY SERVICES DEPARTMENT
COMMISSIONERSF L . R I • Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
I i t ZZ
Proiect Location: ��� 1 V'141? Date:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures.. . ............ Yes /No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A +/
Owner / Builder Affidavit (signed in office) .............. . .. . ....... . .. . ................... Yes No N/A
Filled Land Affidavit (prior to issuance)......................................................Yes No N/A V
Recorded Warrany heed, if applicable....................................................... Yes No N/A i/
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 V
Plans, Calculations & Attachments ( 3 copies commercial, Z copies residential).
Complete set of plans with Engineer f 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
Na
NIA
Approved Site Plans ..................................... . .. ...................................
Yes
No —
N/A
Sealed Survey with Dimensions, Finished floor. . . - . ........................ ....... ..... Yes_ No N/A_
Elevations and Setbacks.. . ...... ............................... Yes— No NIA
Plot plan with Setbacks_ ..................................... . ..... . ........... Yes V No N/A
p —
Health Department approval stamped on survey and floor plan.. . . . .. . . . ....... , .:
Yes
No
N/A
Health Department Food Establishment Permit stamped on floor plan...®... ......
Yes
No
NIA
Manual " 3" or Manual "V' Calculations .... : ............ . ...... .... Yes
No
INA
Signed Energy Calculations (1 original signature).... .........
Yes
No
N/A
d/
Sealed Wind Load Compliance Certification_ ........ . ................... . .... . . ... . ... . ..
Yes
No
N/A
Product Review Affidavit...:. , , . ...... . ... . .............. . ........... . .. . ........... . .......
Yes
No
NIA
V
Other:
Health Department Permit Paperwork ................ . . . .......................... . ......... Yes No N/A
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 NIA V'
Pool Barrier Affidavit... . ... ....... Yes No N/A
Ground Sign Landscape Affidavit (signs) ................................................... Yes No N/A
Barn Rate for Sign Cabinets.. .... _ . s ..... ................................... . ................ Ye / /
s No NIA I
RV and Mobile Dome Tie -Down C?nlV (2 copies)
Permit Worksheet (Tie -Down Diagram) ......... ,.. ............................... . .......
Yes
No
N/A
Manufacture Set -Up and Installation Manual ..................................... ..........
Yes
No
N/A
f
Manufacture Blocking Documents.. ........ . ...... . ........................................Yes
No
N/A
Signed Penetrometer Test (1 copy) .. . .............. ................................... . ....
Yes
No
N/A
J
Stair Details ......... ........... ........ ............. ................ ................. .....:....
Yes
No
N/A
V
Mobile Home Inspection Report for Relocation used only).
.. Yes
No
NIA
Copy of Title for Relocation (used only). ......... ...... ..........................
Yes_
No
^ N/A
Private Property not in a mobile home park
"A"
Class Approval from Planning or file 4................. .........................
Yes_
No
N/A
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COMMENTS
Revised 7/27/18