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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: C0UNTY 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 PERMIT TYPE: DUCK .PROPOSED IMPROVEMENT LOCATION: , Address: 500 SE PRIMA VISTA, PORT ST LUCIE FL Property Tax ID#: 3422-331-0000-000-2 Lot No. Site Plan Name: RIVER PARK Block No. Project Name: RIVER PARK MARINA DOCK REPLACEMENT PROJECT FETAILED DESCRIPTION OF WORK: REPLACE EXISTING DOCK 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: Sq. Ft,of First Floor: Cost of Construction:$ 168,080.00 Utilities: —Sewer _Septic Building Height: OWNER LESSEE: CONTRACTOR: NameST. LUCIE COUNTY Name:JOY S YANCY Address:2300 VIRGINIA AVE Company:SUMMERLIN'S MARINE CONSTRUCTION City: FT. PIERCE State: F L Address:200 NACO RD,#C Zip Code: 34982 Fax: City: FT. PIERCE State:FL Phone No.772-462-1100 Zip Code: 34946 Fax: 772-464-7470 E-Mail:TIPTONH@STLUCIECO.ORG Phone No772-464-6090 Fill in fee simple Title Holder on next page(if different E-MailSUMMERLINSMARINECONSTRUCTION@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,S00 or more,a RECORDED Notice of Commencement is required. SUPPLEIVIEMTAL CONSTRUCTIC?NLIEN LAW INFQR�MAfiION DESIGNER/ENGINEER: _ Not Applicable Designer/Engineer: Not Applicable Name: Benchmark Engineering Name: Ravens Marine Address: 806 Delaware Ave Address: 3295 Orange Ave City: Ft. Pierce State: FL City: Kissimmee State: FL Zip: 34950 Phone: 772-267-1399 Zip: 34744 Phone:407-935-9799 FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Bond Exchange Address: Address: PO BOX 471023 City: City: Charlotte, NC Zip: Phone: Zip: 28247 Phone: 800-438-1162 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 improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County 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 our otice of Commencement. Yature&Own /Le/see/Contractor as Agent for Owner Sign t re of font(!� r/Licens Holder STATE OF FLORIDA STA OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE The foregoing�instrument was acknowledged before me by The foregoiinnpAstrument was acknowledged before me by means of M Physical Presence or ❑ Online Notarization mean of 19Physical Presence or [--]Online Notarizat' this day of MOLY 20A0 by this day of 01 20A0 by Howard N.Tipton 3 R - LL Name of person making statement. Name of person making statement. c9 (90 (A fN pN Personally Known OR Produced Identification ❑ Personally Known OR Produced Identification "=Vn Type of Identification Produced Type of Identification Produced a'° E (Signature of tary Public-State of Florida) ALICE M.SENNOTT `" ,• *: MY COMMISSION#GG 221018 EXPIRES:tday24,202 Commission No. 3 30 �J9 (Seal) a' F4oP r Bonded TI1fUf1012fyPUI)IICUnCe�wrk�s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE - — — RECEIVED DATE -- — COMPLETED ev. b - - - COUNTY PLANNING&DEVELOPMENT SERVICES DEPARTMENT BUILDING&CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, 3422-331-0000-000-2 (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit,BP Number ,I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Howard N. Tipton Property Owner Name ease P ' t) ?�opertyQkn'67- '196attrrer Date STATE OF FLORIDA,COUNTY OF ST.LUCIE THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME BY MEANS OF WPHYSICAL PRESENCE OR ❑ONLINE NOTORIZATION THIS 7 fi DAY OF 2020 BY Howard N. Tipton,WHO IS M PERSONALLY KNOWN OR ❑ PRODUCED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED a.ojl�t fal t f a A)ic- A Sennot� G ATURE C Y PUBLIC NOTARY PRINTED NAME��!;o ALICE M.SENNOTT MY COMMISSION#GG 221818 EXPIRES:May 24,2022 "•'• c.rti,• 9"4W Thru Notsy Pubk n SLCPDSD Revised 4/24/2020 BOARD OF PLANNING & DEVELOPMENT COUNTY COUNTY SERVICES DEPARTMENT COMMISSIONERS j F L . R I • A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Proiect Location: 500 S E f I�.(Y1 ( y i s+o�- Date: Permit Number: Technician: Reguired Documents: Application completely filled out with Notarized Signatures............................ Yesx 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/A^ 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 & 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/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/A x 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............................................... YesX 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 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/A DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ YesX No N/A Pool Barrier Affidavit.......................................................................... Yes No N/AX Ground Sign Landscape Affidavit(signs)............................... ................... Yes No N/AX Burn Rate for Sign Cabinets.................................................................. Y / es No N A RV and Mobile Home Tie-Down Onlx(2 copies) Permit Worksheet(Tie-Down Diagram)................................................... Yes No N/An 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 vv Class "A"Approval from Planning or file#................................................ Yes No N/A^ COMMENTS Revised 10/5/18