HomeMy WebLinkAboutSHARPTON PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
g-T0 1LUQ0V.J ..
Building Permit Application
Planning Development Services
and
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: BOAT LIFT
PROPOSED IMPROVEMENT LOCATION:122 QUEEN BESS
Address: 122 QUEEN BESS, FT PIERCE FL 34949
Property Tax ID #: 1414-701-0149-000-2 Lot No.0
Site Plan Name: _ Block No. 16
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL BOAT LIFT
New Electrical Meter. Second Electrical Meter
CONSTRUCTION INFORMATION: --^ —
Additional work to be performed under this permit— check all that apply:
_Mechanical + Gas Tank — Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing —. Sprinklers —Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 12,558.00 Utilities: —Sewer —Septic Building Height:
OWN E RAESS E E: RONALD SHARPTON & JANE BOWDEN CONTRACTOR-SUMMERuws MARtNE cONSTRucTm
Name RONALD SHARPTON & JANE BOWDEN Name:JOY S YANCY
Address:122 QUEEN BESS Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC
City: FT. PIERCE State: Address:200 NACO RD #C
Zip Code: 34949 Fax: City: FT PIERCE State: FL
_ _ .i
Phone No. 772-370-7540 Zip Code: 34946 Fax: 772-464-7470
E-Mail: RONNIESHARPTON@GMAIL.COM Phone N0772-464-6090
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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
GNER/ENGINEER: Not Applicable
Name: HIJIDE BOAT LIFTS
Address:4050 SELVITZ RD
City: FTPIERCE State: FL
Zip: 34981 Phone772-461-4660....
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:, Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:_
City:
Zip: Phone:
_Not Applicable
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 commend work or recorclihS your Notice of Commencement.
as Agent for Owner
STATE OF FLORIDg !
COUNTY OF 5+- LU GI—�
SwoI to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of A U Ct Q , 2020 by
Name of person making statement.
Personally Known _III,�_ OR Produced Identification
Type of Identification
Produced
(Signature of f6tary - t er
Isasgio/�n GG 330259
Commission No. Gs fTSeaff 3
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
COMPLETED
tore a Co tractor`/Li ense
STAI FLORIDA
17-011-1N OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this may ofQ LA !��i by
JOY S YANCY
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
Public State of Florida
(SignaturAf Notary Publ - es er
fission GG 330259
Expires0812512023
Commission No. GG330259
SUPERVISOR ! PLANS VEGETATION I SEATURTLE I MANGROVE
REVIEW I REVIEW REVIEW ! REVIEW ` REVIEW
QUEENS COVE PROPERTY OWNERS ASSN., INC.
APPLICATION FOR PERMIT TO CONSTRLrCT : . STD- / I P e P-) 7 d a r / 1
} i' Permittedfftyp
Owner's Name �lR �-� SI B +' il� t 4 I �f�'� � Sate
Address T,.j iz� S�
City f�// 'i r 050A) , 7 State Zip Phone 2- 270
Property Location: Lot Block Unit
Architect H l -
Contractor
Phone -7 l__q6 t- C166
Phone �72 - 41& 7 - &��o
(This is : Re red Item) -*
Address Go , -r P C 340
Permits: Fee
Home Construction
(includes pool fences, landscaping, etc.)
Bulkheads. Docks. Hoists, & Pilings
Post -Construction Additions /Imnrovements
(Includes, fences, driveways, pools, roofs, etc.
New or repair)
Queens Cove Documents
License # L q z 17
$1300.00*
NIC
N/C
$15.00
DOCUMENT LIST
Documents Required
# 1,2,3, & 5
#3,4,&6
# I & 2 (pool only)
1r Plot plan showing location, size, setbacks, & elevation. (For roof repair, specifications only).
2. Complete set of plans and specifications, including pool and enclosure, fencing, landscaping and drainage for surface seater,
swales, etc.
3. Survey. -
l. Dock or bulkhead drawings.
S. An "as built", survey or final plot plan, AFTER construction.
6. All required governmental permits (County, DEP, & Army Corps of Engineers - if required)
NOTES
a. * $100.00 is refunded upon submission of document # 5.
b. A $ 74L 00 credit is due far new water bookup from St Lucie County Utilities.
C. Property owners will be held responsible for any damage to the common properties of Queens Cove as a result of
the above construction (whether caused by the owner, contractor or sub -contractor).
tl. 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 simultaneously -constructed bulkheading.
CONTRACTORS ARE PERMITTED ON THE PREMISES MONDAY SATURDAY BETWEEN THE HOURS Of ;:30 AN1
:00 PM ONLY,, CALL: GATE COMMITTFF� 0R C9N TRAC7VR ACCESS C£)D�' DO NOT GIVE OUT YOUR ONN
Effective 711/08
(Obsolete Previous Editions)
BOARD OF PLANNING &DEVELOPMENT
COUNTY � UNTY SERVICES DEPARTMENT
COMMISSIONERS F L . R I . A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Proiect Location: i P, 9, Qu-P -e-z b-e-s S Date: 8 'ci 9 Ab
Permit Number:
Required Documents:
Technician:
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 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 X
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
Approved Site Plans........................................................................... Yes No N/AX
Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/AX
Elevations and Setbacks.............................................................. Y / es_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/AX
Product Review Affidavit..................................................................... Yes No N/AX
Excavatinpa 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
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
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 On1V (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
Stair Details....................................................................................
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