HomeMy WebLinkAboutGulino Permit App & SubBOARD OF ST.I.C.IC1EPLANNING & DEVELOPMENT
• DEPARTMENT
COUNTY
COMMISSIONERS F L O R I D ABuilding & Code Regulatio
O. BUILDINGPERMIT
Project Location: 413 NETTLES BLVD - GULINO Date:
Permit Number: Technician:
IBeauired Documents:
Application completely filled out with Notarized Signatures ............................
Yes V No
N/A
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes V 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 Attachments (3 copies 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 N/A V
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 ........................ Yes—No—N/A
Health Department Food Establishment Permit stamped on floor plan ................ Yes—No—N/A V
Manual "J" or Manual "N" Calculations.................................................... Yes No NIA 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
Product Review Affidavit..................................................................... Y / y
es No N A
Excavating 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/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
1Z .
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
NIAV
Burn Rate for Sign Cabinets..................................................................
Yes—No—N/A
RY and Mobile Home Tie -Down OnIY„(2 copies)
Permit Worksheet (Tie -Down Diagram) .................................................. Yes—No—N/A 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
StairDetails.................................................................................... YesNo N/A
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 "A99 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:
- J -J i_
•
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 X
PERMIT APPLICATION FOR: Dock
PROPOSED IMPROVEMENT LOCATION:
Address: 413 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO - SECTION II PARCEL 413 AND PRORATA SHARE IN COMMON
ELEMENTS (OR 3773-1350; 1353 )
Property Tax ID #: 4502-501-0599-000-6
Site Plan Name: GULINO
Project Name: GULINO - DOCK
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
1. REPLACE EXISTING DOCK UP TO 432 +/- SQ FT IN SAME LOCATION / CONFIGURATION.
2. EXISTING BOAT LIFT TO REMAIN
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit —check a apply:
HVAC 11 Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers E]Generator E]Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 16,000.00 Utilities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GULINO, EMANUALE & KATHLEEN
Name: ROBERT WILLIAMS
Address: 193 VINEYARD MEADOWS FARM RD.
Company: WILCO CONSTRUCTION INC
City: VINEYARD HAVEN State: MA
Zip Code: 02568 Fax: NIA
Phone No. 978-500-4421
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E -Mail: MANNGU@AOL.COM
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
Address: 1402 HARTMAN RD
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: FORTPIERCE State: FL
Zip: 34947 Phone: 772-224-9826
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
commencine work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF aci_" COUNTY OF I
The f r g instr m nt ias ack owledge b fore me
this day of 20 y
P034+ VA I oms
(Name of person acknowledging)
IDT R 2L,
(Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
CommissionDAWN I'I1ZGg9kiali))
P `•' U 1, MY COMMISSION A GG 162348
;.• Bonded Thn, Notary Public Undewit,
Revised 0
The for oing inst2&W200—by
led d efore me
this day of
Aj� Wit (Sacm
(Name of person acknowledging)
�41�
(Signature of Notary Public- State of Florida )
Personally Known `��OR Produced Identification
Type of Identification Produced
Commission ,vo '
Ri a
,''� r�j� '•. -. MY COMMISSION # GG 162348
Bonded Thai Notary Public Underuril8rs
s
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