HomeMy WebLinkAboutBUILDING PERMIT•ARD OF
COUNTY
A 1 •.
• •a^ '•� •
Project Location: 10701 S OCEAN DR LOT 638 - ROSS Date:
Permit Number: Technician:
Application completely filled out with Notarized Signatures ...........................0 Yes l�No N/A
Sub Agreements with Notarized Signatures (prior to issuance),,,,,,... at 80684440 *1 of 0 a a Yes No N/A
Filled Land Affidavit (prior to issuance),,..,,,,,. Yes No N/A
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 stuvey.....................................Yes No N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A V
Approved Site Plans...........................................................................YesNo N/A
Sealed Survey with Dimensions, Finished floor. . a 0 a 6 4 4 0 8 a 0 W 0 8 6 a a 4 0 64 1 6 6 6 a a Shaba as to Yes No N/A
Elevations and Setbacks.............................................................. Yes No NIA
Not
plan with Setbacks... a& Yes No N/A
Health Department approval stamped on survey and floor plan, . 4 4 0 # a 6 0 A a a & 6 * 8 0 . 0 a 6 a 0 . Yes No N/A
Health Department Food Establishment Permit stamped on floor plan ................ Yes No N/A
Manual "J" or Manual "N" Calculations, . 0 $4 06 0 0 640#6 1 29008 60 &&to boot 0 0 4 a 6 a d I a 0 0 0 4 & a a I I s . 0 $ Yes No N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots)............YesNo N/A
Sealed Wind Load Compliance Certification" ...I #1 6 @a 6490 too too @*@to bad 004 0 woo to to to too@* Yes No N/A
bboy
Product Review Affidavit.....................................................................Yes No N/Abbbb�
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......... YesNo N/A
y
®that:
Health Department Permit Paperwork, Yes No N/A
CD for Fire Department if commercial or multi -family ................................... Yes No N/A
Pool Barrier Affidavit., .. a all to 4 &1 @*a am 0 0 no an owo. 1 #4 $0 0901408 no 6 1 a tag go so 0 * 0 6 a q 6 0 6 6 1 1 0 0 t 0 V 1 0 . 0 IYes No N/A V
Ground Sign Landscape Affidavit (signs) ................................................... Yes No N/A
Burn Rate for Sign Cabinets.... 6A too 60 0 st t000 Yes No N/A
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................... . ..................... . ...... Yes No N/A
Manufacture Set -Up and Installation Manual ....................... ..:......... 1 4 1 0 .... Yes No N/A
Manufacture Blocking Documents .................... . ......................... . . Yes No N/A
Signed Penetrometer Test (1 copy) ...... . ............... . ....... . ............ . .. . ..... . .... Yes No N/A
StairDetails........................................................................... . ........ Yes®No N/A
Mobile Home Inspection Report for Relocation (used only) . ............ . ............. Yes No N/A
Copy of Title for Relocation (used only) ............................................... . ... Yes No N/Av
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................ Yes.No.N/AAL
Revised 10/15/18
ALL APPLICABLE INFO MUST BE COMPLETED FOR AWLICA T ION TO BE ACCEPTED
Date: Permit Number:
, OclH611 ; "e)U icifiirD Occ]h"o0R
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 4624578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
I'It()POSED IMPROVEMMT LOCATION:
Address: 10701 S OCEAN DR LOT 638
Legal Description: VENTURE OUT - SECTION C - LOT 39 (Off 307_5-756)
Property Tax ID #: 4511-805-0039-000-4 Lot No.�_
Site Plan Name: ROSS= SEAWALL block No.
Project Name: ROSS - SEAWALL
Setbacks Front Back: Right Side: Left Side: _m
191.[AILED DESCRIPTION OF WORK:
INSTALL UP TO 35 L FT. OF SEAWALL WITHIN 18" WATERWARD OF EXISTING USING
BATTER / KING PILES
[COLN S I RUC I ION I1\I 10RMATION:
Additional work to rorme un er t is permit — c ec a app y:
11HVAC Gas Tank Gas Piping _ Shutters Windows/Doors
n
0
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq* ft. of First Floor.
Cast of Construction: $ 18,375,00 Utilities: E] Sewer El Septic Building Height:
CONTRACTOR.
t. I\NN 1 1 c/LESSEE:
Name JOYCE ROSS
Name: ROBERT WILLIAMS
Address: 8989 E ESCALANTE RD UNIT 122A
Company: WILCO CONSTRUCTION INC
City: TUSCON Stater
Address: 10751 ORANGE AVE
Zip Code: 85730 Fax: NIA
City: FORT PIERCE State: FL
Phone No. 570-3374098
Zip Code: 34945 Fax: 772460-6929
-Mail: NIA
Phone No: 772460-6928
Lill in fee simple Title Holder on next page (if different
E-Mail: WILCOINC@BELLSOUTH.NET
from the Owner listed above)
State or County License: SCC131151026 29115
If value of construction is $2500 or rrrorp, a WORDED Nonce of Commencemen5: is roylir•ed.
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:
Zip: Phone:
State:
City: FORT PIERCE State: FL
Zip; 34947 Phone: 772-224-9826
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 work or recordinp, vour Notice of Commencement. r ft
r
Signature of Owner
s
ctor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fo oing instru en w s acknowledge before me
this � day of � 20 y
(Name of person acknowledging
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Signature of Contractor/License Ho
STATE OF FLORIDC�0
COUNTY OF �-M.
The foing instrument �was �acknowledged before me
this day ofL 20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
I"i7Grl:�) I
DAVVNFI7ZGFRALD(Seal) Commission No.DAWNF
MY COMFfl1SSI0N # GG 1623A6 EXPIRES: Uea;;rrbei 'I I; 2021
F" IRLS: December 17, 2021
Jundedifhni P!otary Pubiir, Underw6tars y " on N --i—'—
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS