HomeMy WebLinkAboutTummino - Permit App, Checklist, Electrical Sub0MAM.&I INT
COUNTY
• 11 •
A �.
Building & Code Regulation
Proiect Location:117 QUEEN CATHERINA CT. - TUMMINO Date:
Permit Number: Technician:
VON
Application
Sub Agreements with Notarized Signatures (prior to issuance), . ..... . ..... . . at* 64 to . . . Yes VNo N/A
Recorded Warranty Deed, if applicable, . . .. . . . . . . ...... . ... . . . . . ............................Yes No _ N/A
Utility Agreement or Payment Receipt (prior to issuance) .... . ..... . .... . .. . . . . ...........Yes No N/A
�Iegetation Removal Application with copy of survey .... . .. . . ....... . ....... . . . .. . ....... Yes No N/A V
Plans. Calculations �i Attachments (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal, . . ............... . . . ...... Yes VNo.NIA.
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.
Approved Site Plans........................................................................... Ye
s. No N/ A
Sealed Survey with Dimensions, Finished floor...... . ................. Yes No N/A
Elevations and Setbacks ............................................ . .... . ....... . .... Y / es No N A
Plot plan with Setbacks.......................................................... . .... Ye
s 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
Manual "J" or Manual "N" Calculations . . ............................... . ............. Mass. 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.. .... so* *If oft too o. . . got . . . . .. . . „, of , .. , ... ,. Yes No N/A V
ProductReviewAffidavit..................................................................... Yes No N/A
Excavating a pond for fill:
Site plan showing 25�foot(minimum) set back from all property boundaries, size, YesNo 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, .. , . , ... YesNo N/A
Health Department Permit Paperwork....................................................... Yes No N/A
CD for Fire Department if commercial or multi4amily... . ............ . ...... . . . .... . .... 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............ . .1169100161 .. .. 11 to oil Yes No N/A
RV and Mobile Home Tie -Down Only(2 copies)
Permit Worksheet (Tie -Down Diagram) ........................... . ......... . .. . . . ... . .... Yes No N/A V
Manufacture Set -Up and Installation Manual .. . .........................: too . too .... . ..... Yes No N/A
Manufacture Blocking Documents ....................................... . . ..... . .. o at s . , . , . Yes No N/A
V NONE
Signed Penetrometer Test (1 copy) ............................................ . ......... . . . Yes No N/A
V.
Stair Details .................. Y /
Mobile Home Inspection Report for Relocation (used only) . . .............. . ..... t 0 t 0 4Yes No N/A
Copy of Title for Relocation (used only) .......................... . ........................ Yes No
Private Property not in a mobile home park
Class "A" Approval from Planning or file #.... ................................. . told , ... .. Yes No
Revised 10/15/1�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 4624578 Commercial Residential c?�
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 117 QUEEN CAT'HERINA CT. FORT PIERCE, FL 34949
Legal Description: QUEENS COVE -UNIT 2 - BLK 22 LOT B (OR 390£3-2.375)
Property Tax ID #: 1414-702-0012-000-6
Site Plan Name: TUMMINO
Project Name: TUMMINO -SEAWALL / DOCK I BOAT LIFT
Setbacks Front Back. Right Side:
DETAILED DESCRIPTION OF WORK:
Left Sid@:
Lot No.
f3locic IVo.
1. INSTALL UP TO 157 L. FT. OF NEW SEAWALL AN®CREATE A 400 +/- SQ FT. BOAT BASIN
2. REPLACE THE EXISTING MARGINAL DOCK
3. RELOCATE EXISTING BOAT LIFT INTO THE NEW BOAT BASIN
� :UNSTRUCTIr�hl IIVFURIVIATIUN:
itiona wor c to a er orme un er t is permit — c ec < a app y:
�HVAC Gas Tank Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 01 Generator g Roof Roof` bitch
Total Sq. Ft of Construction:
Cost of Construction: $ 97,000.00
S Ftof First Floor:
. _
Utilities:� Sewer. . Septic
Building Height:
(M/IVEf/I I:'I';,i I :
CONTRACTOR:
Name ANGELO TUMMINO
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address: 10751 ORANGE AVE
Address@ 117 QUEEN CATHERINA CT
city; FORT PIERCE State: FL
Zip Code. 34949 Fax: N/A
Phone No. 781-588-5858
1. Mail: ANGELOSAUTO@AOL.COM
Dill in fee simple Title Holder on next page ( if dif`iierent
kdom the Owner listed above)
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772460-6929
Phone No. 772460-6928
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
Name: DANIEL PAUL RETHERFORD
Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address; 1402 HARTMAN RD
Address:
City: FORTPIERCE
Zip: 34947 Phone: 772-224-9826
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not
Name:
Applicable
BONDING COMPANY:
Name:
Not Applicable
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 wor or recording our Notice of Commencement.
Signat�ife of Owner
as Agent for Owner � Signature
STATE OF FLORIDA COUNTY OFORIDA COUNTY OF l�l�.
The f oing instru ent was ac <nowledge before me
this � day of 20 y
(Name of person
GT�I
(Signature of Notary Public- State of Florida )
Personally Known 1/ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/ 1
GER
DAWN 1=fiZAI-u
k_ MY COMMISSION;EGG162348
1=TYrttCJ, VGliGlllva.t I ��—•
Bonded Thni Notary Public Undervniters
The f oing Instrument as a nowledged before me
this day of �20�by
IN►11 IdM
(Name of person acknowledging)
ure of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission
.. :i _ ��. .-.'..l It ...�r....... .. .�. ..
?uu Notary Public UndervLTilar,
s
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
09/11/2020 1:16 PM FAX 7722042180
SL
I� 0001/0001
►J
PLANNYNG & DEVELOPMENT SERVICES
Building & Code Compliance Division
BU1T.DINC PERHiIT
SUB -CONTRACTOR AGREICMENT
!(Company %iame/In ividaal Name) �� have agretrd to be
the Ff FUTRlral Sub -contractor for WILCO CONSTRUCTION INC.
(Type of Trade)
(Primary Contractor)
For the pl•oject located at 117
SEEN CATNERlNA CT.
ect Street Address or Property Tax ID #)
1
1
It is understood that, if there is any change ofstatus regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St, Lucie County will be advised pursuant to the
filing of a Change of Subcontractor notice.
aalrlVA'rUR1; (Qunlifier)
ROBERT WILI..,IAM
�9115
COUNTY CCRT 1111CA rtUN NW VWER
State
afFloridn,C0u11tyof3T_ LUCIE
Tbc ford Itig instrument was aigacd before me ttals�day 0[
204Vey
who is personally knoiyaa zor Ihls produced a
as idcnrilication.
3'fAiVIP
Prlut Nomc of Notary Ptahlic
DAWN FITZGERALD
"`�.1jFµ'•r JOG' I
.: MY COMMISSION # GG 16^34R
' EXPIRES: December 17, 2021
y ,e. Bonded Thru Notary Public Undervrit
Revised 11/11l2trt�"' ' iK
ItTI[ ICATION NumoF,R
51n1c ofPlorfalta, County o[
Tllc farc9eing iuOffLsttru/ment Was signed before me this S J tfay of
//`, 20AQby
W ]a is personally knoWu or has produced a
as Ideutification.
Signs re u[Notssy Public STAMP
DAWN FITZGERALD
MY COMMISSION # GG 162348
EXPIRES: December 17, 2021
Donded Thru Notary Public Underwriters