Loading...
HomeMy WebLinkAboutGRAVEL PERMIT APPLICATIONf All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1T s 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 PERMITTYPE:LIFT & DOCK PROPOSED IMPROVEMENT LOCATION: Address: 442 S NARANJA AVE, PORT ST LUCIE, FL 34983 Property Tax ID #: 3419-530-0011-000-3 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: INSTALL BOAT LIFT AND DOCK CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Lot No. Block No. Mechanical , ,_, Gas Tank —Gas Piping — Shutters Windows/Doors -,_ Electric — _ Plumbing — Sprinklers _,_, Generator ,_ _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 15769.00 Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR - Name PAUL GRAVEL Name: JOY S YANCY Address:8045 MEADOWLARK LN Company:SUMMERLIN'S MARINE CONSTRUCTION City: PORT ST LUCIE State: - Address:200 NACO RD #C Zip Code: 34952 Fax: City: FT PIERCE State: FL Phone No. Zip Code: 34946 Fax: 772-464-7470 Phone No 772-464-6090 E-Mail: WOODBENDERZ@COMCAST.NET Fill in fee simple Title Holder on next page ( if different E-Mail SUMMERLINSMARINECONSTRUCTiON@GMAIL.COM from the Owner listed above) 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 IN ORMATIOW Name: HI TIDE BOAT LIFTS (LIFT) Address: 4oso sELVITZ RD City: FT PIERCE I, State: FL Zip: 34981 Phone772.464.466Q FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: BENCHMARK ENGINEERING (DUCK) Address: W60ELAWAREAVE City: FT PIERCE State: FL Zip: MW Phone:772-267.1399 BONDING COMPANY: _ _ Not Applicable Address: City:____ 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 FWANCING, CONSULT "UH YOUR LENDER OR AN ATTORNEY BEFORX RECORDING YOUR NOTICE OF COMMENCEMENT." Owner STATE OF FLORIDA COUNTYOFThe forgoing instrument was acknowledged before me this 9 day of z 207,6 by Name of person making statement. 1 W✓ v tur of C tr ctor/L#cen older S E OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before this Iq day of rR.04 20cj0 by JOY S YANCY Name of person making statement. Personally Known . i OR Produced Identification Personally Known x OR Produced Identifi Type of Identification Type of Identification Produced Produced (Signature of Notary Public- Stat of Florida) (Signature Commission No. 609 I. DUPLESSIS _ r 1� -� 4�u- Public- State of Florida j No GG330269 (Seal) =n. Er' zdoi; 9 c0'a Z 6 :VU, V co mission 4 GG i REVIEWS FRONT ZONING #S�7f� m E>�Is iV ETATION SEA TURTLE MANGROVE COUNTER REVIEW uihEi>INfr �, ViEW REVIEIIV REVIEW DATE e � � BOARD OF PLANNING & DEVELOPMENT COUNTY A I SERVICES DEPARTMENT COMMISSIONERSUNTY . R I . A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Proiect Location: Date: Permit Number: Technician: Application completely filled out with Notarized Signatures ............................ YesX No N/A Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes' No N/A X Owner / Builder Affidavit (signed in office)................ ................................. Yes No_ N/AX Filled Land Affidavit (prior to issuance) ................................................... Yes No N/AX Recorded Warranty Deed, if applicable ......................................................Yes No — N/Ax Recorded Notice of Commencement (prior to issuance or inspection)................. Yes^ No N/A Utility Agreement or Payment Receipt (prior to issuance).................................Yes No N/AX 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 ........................... YesX No N/A Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No N/AX 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/AX 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/AX Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes_No N/AX Sealed Wind Load Compliance Certification ............................................... Yes —No —N/A Product Review Affidavit..................................................................... Yes No N/AX Excavating a pond for fill: Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ N/AX 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 MAX Depth of excavation does not exceed 12 feet in depth .................................... Yes No N/AX If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/AX Health Department Permit Paperwork....................................................... Yes No N/AX CD for Fire Department if commercial or multi -family ................................... Yes No N/AX DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ YesX No NIA Pool Barrier Affidavit.......................................................................... Yes No N/AX Ground Sign Landscape Affidavit (signs) ................................................... Yes No _ N/AX Burn Rate for Sign Cabinets.................................................................. Ye _ / s No N A RV and Mobile Home Tie -Down Only(2 copies) Permit Worksheet (Tie -Down Diagram) ................................................... Yes No N/AX 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/A^ StairDetails.................................................................................... Y es No N A / Mobile Home Inspection Report for Relocation (used only) ........................... Yes —No N/AX Copy of Title for Relocation (used only) ................................................... Yes No N/Ax Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes No N/A X COMMENTS Revised 10/5/18