Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutWINDMILL VILLAGE PERMIT APP,CHECK LIST, NOCOAR ST L�1CIEDEVELOPMENT
COUNTYSERVICES DEPARTMENT
COUNTY
COMMISSIONERSF L O R I D ABuilding & Code Regulation
CHECKLIST FORRESIDENTIAL/COMMERCIALBUILDING
Project Location: WINDMILL VILLAGE BY SEA CONDO #1 Date:
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................
Yes V 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 V
Filled Land Affidavit (prior to issuance) ...................................................
Yes
No
N/A V
Recorded Warranty Deed, if applicable ......................................................Yes
No
N/A
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes
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 V
Plans. Calculations A Attachments ( 3 copics commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes VNo N/A
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No NIAV
ApprovedSite Plans........................................................................... Yes No N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/A
Elevations and Setbacks.............................................................. Yes No N/A
Plot plan with Setbacks............................................................... Yes No ® N/A
Health Department approval stamped on survey and floor plan ........................ YesNo N/A
Health Department Food Establishment Permit stamped on floor plan ................ Yes—No—N/A V
Manual "J" or Manual "N" Calculations.................................................... Yes No N/A V
Signed Energy Calculations (1 set original signatures & signed in 2 spots)... ........ .Yes No N/A
Sealed Wind Load Compliance Certification ............................................... Yes—No—N/A
ProductReview Affidavit..................................................................... Yes—No—N/A
Excavating a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes® No— N/AV
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 V
Depth of excavation does not exceed 12 feet in depth .................................... Yes No N/A V
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes® No N/A V
Other:
Health Department Permit Paperwork....................................................... Yes No N/A V
CD for Fire Department if commercial or multi -family ....................... . ........... Yes—No—N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)., .......... Yes VNo N/A
Pool Barrier Affidavit.......................................................................... Yes—No—N/A V
Ground Sign Landscape Affidavit (signs) ................................................... Yes No N/A V
Burn Rate for Sign Cabinets.................................................................. Yes—No—N/A
RY and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) .......................................... . ........ Yes—No—NIA V
Manufacture Set -Up and Installation Manual .............................................. Yes—No—N/A V
Manufacture Blocking Documents.......................................................... Yes No N/A V
Signed Penetrometer Test (1 copy)......................................................... Yes—No—N/A V
Stair Details.................................................................................... Y /
es No N A_V,
Mobile Home Inspection Report for Relocation (used only) ........................... Yes—No—N/A V
Copy of Title for Relocation (used only) ................... ........................ I ........ Yes No N/AV
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................ Yes No N/A
Revised 10/15/18
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
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 X Residential
PERMIT APPLICATION FOR: Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: T.B.D.
Legal Description: WINDMILL VILLAGE BY THE SEA REPLAT THAT PORTION DESIG AS WATERWAY (OR1017-2131)
Property Tax ID #: 4511-809-0005-000-9
Site Plan Name: WINDMILL VILLAGE SEAWALL
Project Name: WINDMILL VILLAGE SEAWALL
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
1. REPAIR / REPLACE UP TO 300 L. FT. OF SEAWALL WITHIN 18" OF THE EXISTING WETFACE
INSTALL CAP AND BATTER PILE FOR SEAWALL STABILIZATION.
tLocabori of VuonL ,. WjSfft Col%tr of W. Ba+h ft�re jo lo- t a hioded �G +'
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name ASSN INC WINDMILL VLG BY SEA CONDIO #1
Address: 10851 S. OCEAN DR. LOT 169
Name: ROBERT WILLIAMS
Additionaf work to b rtormed under
t ispermit —check
all
that appy:
E -Mail: NIA
HVAC Gas Tank
0Gas Piping
State or County License: SCC131151026 29115
Shutters
❑ Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction: $ 150,000.00
UtilitiesliSewer
0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ASSN INC WINDMILL VLG BY SEA CONDIO #1
Address: 10851 S. OCEAN DR. LOT 169
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: NIA
Phone No. ROBERT FOSS 772-229-7769
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E -Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: WILCOINC@BELLSOUTH.NET
State or County License: SCC131151026 29115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-9826
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
1
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF sSd Rutz
The f r Ding instru nt was acknowledge fore me
this day of20 y
PX-Aq- UlUl ll l fff
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
DAWN FITZGERALD
EXPIRES: December 17, 2021
Revised 07/ 15/20 (4' . Bonded Thru Motary Public Undermitxs
Signature of Contractor/License H
STATE OF FLORIDA
COUNTY OF
The forgoing instru ent was acknowledged before me
this Lk day of 20 _Xby
Rio Pte- ah,
LIIaogr
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally KnOWR V""""OR Produced Identification
Type of Identification Produced
Commission No. IV r D
. v DAWN FIl
MY COMMISSION # GG 162348
oZ�piREsDecember 17,2021
Bonded Thm Plotary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Assn Inc Windmill Vlg By Sea Condo #1
10851 S Ocean DR Lot 169
Jensen Beach, FL 34957
Legal Description
WINDMILL VILLAGE BY -THE -SEA REPLAT THAT PORTION DESIG AS
WATERWAY (OR 1017-2131)
Current Values
Just/Market Value:
$0
Assessed Value:
$0
Exemptions:
$0
Taxable Value:
s0
Property taxes are subject to change upon
change of ownership.
Past taxes are not a reliable projection of future taxes.
The sale of a property will prompt the removal of all
exemptions, assessment caps, and special classifications.
Taxes for this parcel: SLC Tax Collector's Office ❑
Download TRIM for this parcel: Download PDF ❑
TBD
4511-809-0005-000-9
124574
45/11H
9500
Hutch Isla
Saint Lucie County
Total Areas
Finished/UnderAir (SF): 0
Gross Sketched Area (SF): 0
Land Size (acres): 3
Land Size (SF): 130,680
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
© Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4688282 OR BOOK 4396 PAGE 2317, Recorded 03/16/2020 03:56:46 PM
NOTICE OF COMMENCE ME, NT
Permit No. Property Tax ID No. 4511-609.0002-000-8
State of Florida, County of St. Lucie
The Undersigned hereby gives notice flint improvement will be made to certain real property, and In accordance with
Chapter 713, Floridn Statutes, the following information is provided in this Notice of Commencoment.
Legal Description of property and address if available 10650 S OCEAN DR. (PROJECT)
WINDMILL VILLAGE BY-THE-SEA-REPLAT PERCEL NO 1 (2.46AC) (OR 3351-1195)
General description of improvements SEAWALL
Ownel./lessee WINDMILL VILLAGE BY THE SEA CONDO #1 ASSOC
Address 10051 S OCEAN DR LOT 169, JENSEN BEACH, FL 34957
Interest in property: OWNER
Fee Simple Title holder (if other flint, owner)
Address
Contractor WILCO CONSTRUCTION INC Plione H 772-460.6928
Address 10751 ORANGE AVE, FORT PIERCE, FL 34945 Fax 11 772-460-6929
Surety Phone N
Address Fax V
Amount of Bond
Lender Phone #
Address Fax tJ
Persons within the State of Florida designated by Owner upon whom notices or other doctimenls may besenved as provided
by Section 713.1:3 (n) I., Floridn Statues:
None Phone 9
Address Fax it.
III addition to himself, owner designates of
Phone It Fnx It
to receive it copy of (Inc L(onor's No (ice as provided in Section 713.13 (1) (b), Florida SMt1ltes, Expiration date 0l'notiec oi'
eonunencemeut is one year from file ditto of recording unless n different date is speeitied, WARNING TO 0WlklER:
ANY PAYMEMI;S MADE BY T14E OWNER AFTER THE EXPIRATION OF THE NOTICE Of COMivaINCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER C11.713.13, F.S., AND CAN RESULT' IN YOUR 'IN TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF -
COi9MCiVCC'iviEN'rA9U5'rnGRRCORDED OSTEDO IEJ SITE BEFOltlTHIiFIR' TINSPECT[ON, IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOU • DER OR AN RN ' BBFORF COMMENCING WORK OR RECORDING YOUR NO'I'ICF OF
COMMENCMENT. _n —
• ur 01 icI— 'I ,•• sCe':� rlullryrrizrd Of6ccr/Director/P:,rinrr/R[nnngc�•!.`,Ignnlw•c
Sienmov,sTllle/Ofm (g"!V�'rV�``//)
Slate of Ploridn, County of Sr.(.UC I le
Acltuowledged before me this Yoth day of—M.AM%( 2090 , by `/ Q,� aT Vk7Dc)VAAJQ
tvljo in personalty known to me or Who Inas produced as identification.
8igunture of Iofm Type or Print Name of Notary (Seal)
Title; Noiary Public Commission Number shy 3� i
Pnb,Vc", d
tS�tyta F ?Jaja'
a
�dior1'a!'zo� 24 .