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HomeMy WebLinkAboutISLAND DUNES SLC PERMIT APPLICATIONFrom: To:2292087 07/23/2020 09:57 #024 P.0021003 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: '� Ir L5L�1�iJ� O �R Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: BOARDWALK Address: 8735 S OCEAN DR, JENSEN BEACH, FL 34957 Property Tax ID #: 3534-111-0005-000-5 Site Plan Name- Project Name: REPLACE BRIDGE ON GOLF CORSE New Electrical Meter Second Electrical Meter Additional work to be performed under this permit– check all that apply: ,Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers ` Generator Lot No. Block No. _ Windows/Doors _ Pond Total Sq. Ft of Construction: Sq. Ft. of First Floor. Cost of Construction: $ 26,500.00 Utilities: Sewer Name ISLAND DUNES COUNTRY CLUB INC Address: 8735 S OCEAN DR City: JENSEN. BEACH State: Fr L Zip Code: 34957 Fax: Phone No. 772-229-0803 E-Mail:CCKANDI@BELLSOUTH.NET Fill in fee simple Title Holder on next page (if different from the Owner listed above) _ Roof Pitch Septic Building Height: Name:JOY S YANCY Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC Address: 200 NACO RD, #C City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-464-7470 Phone No 772-44-6090 E -Ma i I SUMMERLINSMARINECONSTRUCTION@GMAIL.COM State or County License agL4 Q -I -1 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. From: To:2292087 07/23/2020 09:58 11024 P-003/003 DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x_ Not Applicable Name: BENCHMARK ENGINEERING Name: Add ress: eos DELAWARE AVE Address: City: FT PIERCE State: FL City: State: Zip: Phone772-267-13" Zip. Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: x 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 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 paying twice for improv ents to your property. A Notice of Commencement must be recorded in the public records of St. Luci my andposted on the jobsite before the first inspection. If you intend to obtain financing, consult wi le er or iWattorney before commencing work or recording our Notice of Commencement. a,�A C f Si gnatu relof Owner/ Lessee/Contractor as Agent for Owner ;Sigri*u a of Cont ctor/Licens Holder . . STATE OF FLORIDA STki OF FLORIDA COUNTY OF _i a COUNTY OFST LUCIE Sw to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of .r Physical Presence or Online Notarization x Physical Presence or Online Notarization this Q '4 day of � -% N 2020 by this �_ day of �L 4 2020 by [ �s r1 �- -.2 L) 40 _ 1—Li 3'.` Name of person making statement. Name of erson making stateme t. Personally Known �� OR Produced Identification CCIZ Personally Known x OR Produced Identificatio fli� Type of Identification Type of Identification Produced- Produced (Signature of Notary Puhl State of Florida) (Signature of Wtary Public- State of Florida ) o �+ Commission N KAND►CE D. MO Commission No. cG33o2s9 (Seal) Notary Public - State of Florida Commission q GG 350810 y .,_ REVIEWS ' d thro notary ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. -- "- PLANNING & DEVELOPMENT BOARD OF COUNTY SERVICES DEPARTMENT COMMISSIONERS I F L : R I . A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Project Location: FrIS J S 0 [,Oa- r\ 'Or. 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/AX 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) ................. YesX 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 ApprovedSite 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/A^ Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes No N/AX Ground Sign Landscape Affidavit (signs) ................................................... Sealed Wind Load Compliance Certification............ ............ . ...................... Yes No N/A Product Review Affidavit..................................................................... Yes No N/AX Excavatin=„u a pond for fill: Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ N/A^ 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_ N/AX 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)............ Yes No N/AX 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 QAIyJ2 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.................................................................................... Yes No N/AX Mobile Home Inspection Report for Relocation (used only)........................... Yes—No N/A^ Copy of Title for Relocation (used only) ................................................... Yes No N/AX Private Property not in a mobile home park v Class "A" Approval from Planning or file #..... ........................................... Yes No N/A^ COMMENTS Revised 10/5/18