The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ® ?' ov a Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 j PERMIT APPLICATION FOR: BOAT LIFT PROPOSED IMPROVEMENT LOCATION: ' - Address: 123 QUEEN GUINEVERE CT, HUTCHINSON ISLAND, FL 34949 Property Tax ID #: 1414-701-0017-000-8 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK INSTALL BOAT LIFT New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. F Block No. 2 Additional work to be performed under this permit —check all that apply: —Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond V Electric — Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ _ 13 i t 1.0 00 Utilities: —Sewer _Septic OWNERAESSEE: NameTRAVIS THAMES Address:123 QUEEN GUINEVERE CT City: FT PIERCE State: _ Zip Code: 34949 Fax: Phone No.772-882-5014 E-Mai I: TRAVIS.THAMES@GMAIL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Building Height: Name:JOY S YANCY Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC Address:200 NACO RD #C City: FT PIERCE State: FL Zip Code: 34946 Fax: 772464-7470 Phone No772-464-6090 E-Mai I SUMMERLINSMARINECONSTRUCTION@GMAIL.COM State or County License24217 If value of construction is 2SOD 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: _ Not Ap Name: HI -TIDE BOAT LIFTS Address:4050SELVI ZRD City: FT PIERCE State: FL Zip: 34981 Phone772-461-4580 FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: Address: City: Zip: Phone; MORTGAGE COMPANY: _ Not Applicable Name: Address: City: _State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: 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 1 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 WARMING 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 lend�:..,or an a_ttorn encin�, work or recordine vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Sigo,at re o Coutr ct r/License Hdder STATE OF FLORIDA _ STATE OF FLO COUNTY OF �`.�`_ : COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Pre nce or Online Notarization t is � day of _ , 2020 by I `i"�(- -\L S 2W Name of person making statein t. Personally Known )— OR Pr eAi1catt� ueue Type of Identification NbTAR��'t98tle— Produced STATE OF FLORIDA Comrrg! GG125215 Expires 7/17/2021 ._0 Commission No. (Seal) REVIEWS FRONT ZONING COUNTER I REVIEW RECEIVED DATE i I.COMPLETED ev. -- Sworn to (or affirmed) and subscribed before me of x Ph sical Presence or Online Notarization this day of 3., .2020 by LL F6� JOY S YANCY Name of person making statement. lA N Personally Known x OR Produced Identification Type of Identification Produced _ o (Signature otNotary Public- State of Florida ) 4 q Commission No. GG 330259 (Seal) SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW RE' I REVIEW I REVIEW BOARD OF WS07MT175PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COUNTY COMMISSIONERS F L . R I D A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Project Location: f ,3 Q { j -e-e n C3 U i n {z. V ey Date: ®a a Permit Number: Reauired Documents: Technician: Application completely filled out with Notarized Signatures ............................ Yes^ No N/A Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yesx No N/A Owner / Builder Affidavit (signed in office) ................................................. 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/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 ........................... Yes^ No 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/AX ApprovedSite Plans........................................................................... Yes No N/A^ Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/AX Elevations and Setbacks.............................................................. Yes No N/A^ Plot plan with Setbacks............................................................... Yes No N/AX 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/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 ............................................... Yes No N/AX Product Review Affidavit..................................................................... Yes No N/AX Excavatiniz 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/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....................................................... Y / es No N A 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.......................................................................... Y / es No N A Ground Sign Landscape Affidavit (signs) ................................................... Yes —No/ N A Burn Rate for Sign Cabinets.................................................................. Y / es_No N A RV and Mobile Home Tie -Down Onlv_(2 copies) Permit Worksheet (Tie -Down Diagram) ................................................... Yes No N/AX Manufacture Set -Up and Installation Manual .............................................. Yes No N/A^ Manufacture Blocking Documents.......................................................... Yes No N/A^ Signed Penetrometer Test (1 copy)......................................................... Yes No N/AX Stair Details.................................................................................... Yes No N/An 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 X COMMENTS Revised 10/5/18