HomeMy WebLinkAboutSUBMITTED PAPERSDATE FILED:
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: �
CONCURRENCY FEE: RECEIPT NO.:' CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS, DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553 SC,gA/A,
�41Cte Co
APPLICATION for BUILDING PERMIT Unty
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: --I"mF6yA�C + o 1% Lr e s
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #:
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
L..or 19 , PIS r(,LaIV-es MmMA
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
_-�-
11. SETBACKS (ACTUAL) FRONT: BACK: . RIGHT SIDE: . LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
OTHER (SPECIFY) ®i(i (\e� LZ 1 �ous-j
13. DESCRIPTION OF PROPOSED USE: KPH f W�A
14. SQ. FT OF CONSTRUCTION:
15. SF. FT 1 st FLOOR:
16. VALUE OF CONSTRUCTION: $ % , 1
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The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent'with similar types of construction activities. If the valueis $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02 '
S
UPDATED 6/25/09
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OWNER INFORMATIO
NAME: Ko
ADDRESS: 2 : _
CITY: �F STAT / ZIP:
PHONE (DAYTIME): s c 46 9 Email: (-A ` Oy a of. Can
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:
G-
ST. LUCIE COUNTY CERT #:
BUSINESS NAME:
I_ g m A+t
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QUALIFIERS NAME:
N) Ai v'
1Z-1
ADDRESS: p
off
box �Z..�ci
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CITY ' r(L �T ,lip
STATE: t--
ZIP:
PHONE (DAYTIME): 7( JX FAX NO. Email:
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ARCHIVENGINE`jER:
ADDRESS: �r�
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L"�'Y� ��6 �, 1
(
CITY: ��('L'! �.�
+
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STATE: '�L
ZIP: SaV9
PHONE (DAYTIME): (11�1
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY-
STATE:
STATE:
ZIP:
ZIP:
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
4 1 I
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CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE 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 ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT:
W1D"Mu
IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
STATE OF FLORID STATE OF FLORID
COUNTY OF _ COUNTY OF
The foregoing instrumen4ws acknowledged before
me this day of 20�
by
The foregoing instrument w s acknowledged before
me this _f �_7day of 2
by
who is personally known or has produced who is personally known or has produced
as identification. as identification.
Signature of Notary Signature of Not
,�.� .tee__._ �,,•R H DAWN MILONE
•""" DAWN MILONE �e'•.
o`;�aY,.�•. ;=�°� .`c; Notary � )State of Florida
Commission No. �lotary Public - Stab of Florida ommission No. _'�
• „ •g y Comm. Expires Mar 22, 2017
• ' r_ My Comm. Expires Mar 22, 2017 =;�X Commission #.EE 877571
Commission # EE 877571 %.°; ; ���`� Bonded Through National Notary Assn.
OF F°P•�
''�����" Bonded Through National Notary Assn.
NOTE: TWO (2) SIGNATU TURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR,TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE' FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific inl$tructions see appropriate permit checklist.
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OFFICE USE ONLY w, Brit:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
(RADON)
RADON
FEE
PERMIT
FEE
LIBRARY
.IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
'SCHOOL
-IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
•/
DATE
COMPLETED
/0 * 0 -3
INITIALS
s
f ! ! 1 ! I
OFFICE USE ONLY:
DATE FILED: I o QA 1 3
REVISION FEE: -SO O c
1.
2.
LOCATION/SITE
ADDRESS:
PERMIT # 3 Cid
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING &CODE REGULA - O
2300 VIRGINIA AVE
r`il L
FORT PIERCE, FL 349
(772) 462-1553 E COPY
APPLICATION FOR BUMI)ING PERMIT REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 21
BUSINESS NAME: _
QUALIFIERS NAME:
ADDRESS:56
CITY:
PHONE (DAYT ): -TIL-20
4. OWNERMUELDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
REQUIRED
n BY
FIELD
er,env.Ei►,'..wR,i4n eg
MAY BE NECESSARY IN ORDER TO
COMPLY WITH ALL APPLICABLE CODES.
LUCIE
STATE: ' t
FAX:
STATE:
FAX:
CERT. #: 2-6
ZIP:
--)0a
5. ARCHITECT/ENGINEER INFORMATIOjN:
`f NAME: u L- We' T>&
ADDRESS: j91A4 9w wO
CITY; 0YLT STATE: Ift, .
PHONE (DAYTIME): - FAX: Zr.L-
SLCCC: 9/23109
Revised 04/26/2010
i.3 0
T. LUCIE COUNT'(
BUILDING DIVI ON
REVIEWN.
F I E
R ED BY
•Z
PLANS AN6 PERMIT
MUST BE KEPT ON JOB OR
NO INSPECTION WILL BE MADE
EEO
ZIP:
SCANNED
BY
Sfi. Lucie Co r ` J
r
FILE COPY
PAUL WELCH INC.
Mechanical * Electrical * Civil Engineering
1984 S.W. Biltmore St. Suite# 114
Port Saint Lucie, FL 34984
Phone (772) 785 - 9888
Fax (772) 785-9933
October 24, 2013
Re: Ulto Residence Alteration
7992 Plantation Lakes Dr.
Port St. Lucie, FL
Permit # 1309-0052
To Whom It May Concern:
Please be advised of the revisions to the above referenced project as follows:
1) Revise area above new window to allow for existing hollow CMU cell to
be filled with (1)- # 5 bar continuous pumped full of (3000 PSI) concrete
in lieu of framing as shown on plan. Also drill out and epoxy #5 bar to
filled cell each side with 4" embedment.
Thank you for your attention to this matter.
Submitted by:
PAUL WELCH INC.
Paul 'Welch., P.E.
Reg. No 29945
PW:pj
FILE U
M®��E MIAMI-DADE COUNTY, FLORIDA
PRODUCT CONTROL SECTION
DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY 11805 SW 26 Street, Room 208
AFFAIRS (PERA) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786) 315 2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.minmidade.sov/sera/
PGT Industries
1070 Technology Drive
Nokomis,_Fl 34275
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction
materials. The documentation submitted has been reviewed and accepted by Miami —Dade County PERA—
Product Control Section to be used in Miami —Dade County and other areas where allowed by the Authority
Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami —Dade County Product Control
Section (In Miami —Dade County) and/or the AHJ (in areas other than Miami —Dade County) reserve the right
to have this product or material tested for quality assurance purposes. If this product or material fails to
perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA
reserves the right to revoke this acceptance, if it is determined by Miami —Dade :County Product Control
Section that this product or material fails to meet the requirements of the applicable building code:.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTION: Series "PW 701" Aluminum Fixed Window — L.M.I.
APPROVAL DOCUMENT: Drawing No. 4259-4 titled "Aluminum Picture Window, Impact", sheets ]
through 8 of 8, prepared by manufacturer, dated 07/14/03 with revision "D" dated 10/18/11, signed and
sealed by Anthony Lynn Miller, P. E., bearing the -Miami —Dade County Product Control Revision stamp with
the Notice of Acceptance number and Expiration date by the Miami —Dade County Product Control Section.
MISSILE IMPACT RATING: Large and Small Missile Impact Resistant.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state,
model/ series and following statement: "Miami --Dade County Product Control Approved" unless otherwise
noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been Bled and there has been
no change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change
in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of
any product, for sales, advertising or any other purposes shall automatically terminate 'this NOA. Failure to
comply with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The 'NOA number preceded by the words Miami —Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is
displayed, then it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA No. 10--0504.05 and consists of this page 1, evidence pages E-1 and E 2, as well as
approval document mentioned above.
The submitted documentation was reviewed by Jaime D. Gascon, P. E.
NOA No.11-1110.15
Expiration Date: February 19, 2014
Approval Date: February 02, 2012
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