HomeMy WebLinkAboutWALKER SLC PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 Number:
Building Permit Application
PERMIT TYPE: DOCK
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 138 PARLIAMENT CT, FT PIERCE, FL 34949
Property Tax ID #: 1414-701-0167-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING DOCK
.CONSTRUCTION INFORMATION:
Lot No. L
Block No. 17
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: $ 9,750.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
'OWNER/LESSEE:
CONTRACTOR:
NameGERALD & DIANA WALKER
Name: JOY S YANCY
:SUMMERLINS MARINE CONSTRUCTION
Company.
Address: 138 PARLIAMENT
City: FT PIERCE State: _
Zip Code: 34949 Fax:
Phone No.
E -Mail: KENWALKER19@GMAIL.COM
Address: 200 NACO RD #C
City: FT PIERCE State: FL
Zip Code: 34946 _ Fax: 772-464-7470
Phone No 772-464-6090
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailSUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License24217
It 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
MORTGAGE COMPANY: _ Not Applicable
Name: BENCHMARK ENGINEERING
Name:
Address: 806 DELAWARE AVE
Address:
City: State:
City: FT PIERCE State: FL
Zip: 34950 Phone772-267-1399
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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 thepermit 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 NOTI E OF COMMENCEMENT."
Qa I,�
`
Signature of Owner/ Lessee/Contractor as Agent for Owner Sipiat re Cont for//Licens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF S+ [_L4
The forgoing instrument was acknowledged before me The for$oing instrum nt was acknowledged before me
this; day C 1 CL,-, �
of 20 by thisa-t day of 20 y
W C --I V "�,s� . • JOY 5 YANCY
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identificat' rim. G)G)z Personally Known x OR Produced Identificatin3g,
Type of Identification —g Type of IdentificationProduced—-�
i ; QProduced CDQ
a:
(Signature of Notary Public- State of Florida) s (Signature of . otary Public- State of Florida) ) o
t0 T
Commission No. (Seal) 000111 GG 330259
Commission No. (Seal)L
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE — —
RECEIVED
DATE
COMPLETED
eev. TJi/f
BOARD OF :7-- PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L . R I . A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERNUT
Pro•ect Location: S `.3 I I I Q MV) Date:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................
Yesx
No
N/A
Sub Agreements with Notarized Signatures (prior to issuance).. ........................
Yesx
No
N/A
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
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 & Attachment ( 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/A^
Landscaping and Parking plan (under 6,000 sgft).........................................
Yes
No
N/Ax
Approved Site Plans...........................................................................
Yes
No
N/A^
Sealed Survey with Dimensions, Finished floor ...........................................
Yes
No
N/AX
Elevations and Setbacks.... - . .......... .............................................
Yes
No
N/A^
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
MAX
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
Excavatin-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 N/AX
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 MAX
Other:
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 N/A
PoolBarrier 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/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/Ax
StairDetails....................................................................................
Yes
No
N/AX
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
COMMENTS
Revised 10/5/18
Date :�/i-/ �'-2 e
Address -I've AYA41.,f A4e'+';r C7—
Citv "X-Ooe ?� 000/" e 'x- State 'e!�4
zip phone
Property Location. Lot Block -- f 7 unit I
Architect Phone
Contractor -4$�'O"4r$e A //Vj , Al*eiw4r License N This 1s .�Required lie -u-11 Phone 771 31a
Addrus � eel IJ
FCC
11suns &
(includes pool fences, landscaping, etc.)
BljjhhCAd4' I&CU, I1oU&4-rjfij1gs— NtC # 3, "t, A 6
I & 2 (pool only
(Includes, fences, driveways, pools, roots, etc,
New or repair)
05 CQV9 S15.00
no AINM�S
L Plot plan showing location, size, setbacks. & elevation. (For roof repair, specifications only).
Z Complete set of plans and specification:-, including pool and enclosure, fencing, landscaping and drainage, (or surface tvUtc r.
swalts, etc.
3. Survcy.
4. Dock or bulkhead drawings.
5. An -as buill", survey or final plot plan, ALM construction.
b. All required governmental permits (County, DEP. & Army Carps of Fnginters — if required)
NOTES
3. - 5100,00 is refunded upon submission of document # S.
b. A $ 741.00 credit Is ifne-for nen, trateir IWAilpfront Stt, 141cie C01 -Ir U1111des.
C. Prnperty ouners will be held responsible for any datuagv to the common protierties of Queens Cove us u result of
the above construction (whether caused by the owner, contractor or sub -contractor).
d. Owners and contractors will also be responsible for ensuring all suppliers and workers comply with our speed
limit (25 mph) and refrain from littering. Disregard of these requirements could result in the contractor or
person(s) being barred from Queens Cove.
e. All new construction shall conform to the required quality of workmanship and materials and be in harmony with
the external design of existing structures.
f. New construction will not be permitted without existing or Nimultauvousl"unstsuctcd bulkheading.
co.*mAcToRs Am PERmnTED ON THE PREMISES MONDAY - SATURDAY, UUMEENTUE HOURS Of 1.30,10t AND
I 'OUTYOUR OWN.
i,00 PM ONU� CALL CATE COMMITTEE FOR CO�frRACTOR ACCESS CODES. DO NOT GtVL
e�11la-14C.— DAIT
Effective 7/1/08
(Obsolete Previous Editions)