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Home My WebLink AboutBECK PERMIT APPLICATION & CHECKLISTAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Coit IN F 1. O I Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: BOAT LIFT PROPOSED IMPROVEMENT LOCATION: Address: 1271 NETTLES BLVD Property Tax ID #: 4502-501-1458-000-3 Site Plan Name: Project Name: Permit Number: Building Permit Application Commercia Residential X Lot No._ Block No. I DETAILED DESCRIPTION OF WORK: I INSTALL BOAT LIFT CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction. $ 7,799.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name SCOTT & GEORGETTE BECK Name:JOY S YANCY Address: 167 SW GLENWOOD DR Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC City: PORT ST LUCIE State: _ Zip Code: 34984 Fax: Phone No. 772-209-0458 Address:200 NACO ED, #C City: FT. PIERCE State: FL Zip Code: 34946 Fax: 772-464-7470 Phone No772-464-6090 E-Mail:BECK3172@BELLSOUTH.NET Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail SUMMERLINSMARINECONSTRUCTION@GMAIL.COM State or County License24217 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: HI -TIDE BOAT LIFTS MORTGAGE COMPANY: _ Not Applicable Name: Address: 4050 SELVITZ RD Address: City: FT PIERCE State: FL Zip: 34981 Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR,AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Rev. 211119 4�u/k Signu e of Co ract r icense Holder Sign atu e o w Lessee/Contractor as Agent for Owner STATE OF FLO�DA STA OF FLORIDA COUNTY OF L U C ,t-�- COUNTY OF _7� . `--U C ; -- The for oing instr ment was acknowledg�etbefore me The for oing instrument w s acknowledged before me � this day of — f' 2_ by this �� day of ff-\PC 1 20210' by -)CD-� ),:, n 1 e c!"- JOY S YANCY Name of person making statement. Name of person making statement. X., Personally Known OR Produced Identification tf Personally Known x OR Produced Identification M Type of Identificatio L- Type of Identification 3 Produced I� AJ—' Produced N 8 (Signature of otary u tftMBPMQ§tate of Florida (Signature o otary Public- State of Florida ) Ginger P Hester /� omm ion GG 330259 Commission No.� xaires oOknbk3 Commission No. GG 330259 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 211119 BOARD OF _ PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS . t'� ; Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Project Location: 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^ Recorded Warranty Deed, if applicable ......................................................Yes No N/Ax Recorded Notice of Commencement (prior to issuance or inspection) ................. Ye s x 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 X No—N/A— Truss oN/A_Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No N/A^ Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/Ax Approved Site Plans........................................................................... Yes No N/Ax Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/A^ Elevations and Setbacks.............................................................. Yes No N/AX Plot plan with Setbacks............................................................... Yes No N/Ax Health Department approval stamped on survey and floor plan ........................ Yes No N/AX Health Department Food Establishment Permit stamped on floor plan ................ Yes No N/AX Manual "J" or Manual "N" Calculations.................................................... Yes No N/A^ Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes_No N/AX Sealed Wind Load Compliance Certification ............................................... Yes No N/AX Product Review Affidavit..................................................................... Yes No N/Ax Excavating a pond for fill: Site plan showing 25-foot(minimum) setback from all property boundaries, size, Yes_ No N /A X shape, location and quantities of proposed excavation and fill areas Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes_ No N/A X Depth of excavation does not exceed 12 feet in depth .................................... 1'es No N/AX If Hauling fill off site (excess of 100 cubic yards) you must have a mining pen -nit Yes_ No_ N/Ax Other: v Health Department Permit Paperwork....................................................... Yes—N v N/A X CD for Fire Department if commercial or multi -family ................................... Yes No N/A x DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No N/A_ Pool Barrier Affidavit.......................................................................... Yes No N/AX Ground Sign Landscape Affidavit (signs) ................................................... Yes No N/AX Burn Rate for Sign Cabinets.................................................................. Yes—No N/AX RV and Mobile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram) ................................................... Yes No N/A^ Manufacture Set -Up and Installation Manual .............................................. Yes—No N/AX Manufacture Blocking Documents.......................................................... Yes No N/Ax Signed Penetrometer Test (1 copy)......................................................... Yes No N/Ax StairDetails.................................................................................... Yes No N/A x Mobile Home Inspection Report for Relocation (used only) ........................... Yes—No N/A^ Copy of Title for Relocation (used only) ................................................... Yes—No—N/A X Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes No N/A X COMMENTS Re% tscd 1015 18