HomeMy WebLinkAboutApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED
Date: Permit Number:
ca) 41
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: Seawall Cap
PROPOSED IMPROVEMENT LOCATION:
nrirlrecc 15 CASTLE CT. FORT PIERCE, FL 34949
Legal Description: QUEENS COVE - UNIT 1 - BLK 18 LOT P
Property Tax ID #: 1414-701-0180-000-1
Site Plan Name: PATTERSON
Prniert Name: PATTERSON - SEAWALL CAP, DOCK & BOAT LIFT
Setbacks Front Back: Right Side: Left Side:
Lot No. P
Block No. 18
DETAILED DESCRIPTION OF WORK: I
1. INSTALL A NEW 170 +/- L. FT. SEAWALL CAP
CONSTRUCTION INFORMATION:
Additional wor < to be nertormed under this permit –check a
HVAC Gas Tank ❑Gas Piping
11 Electric ® Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 20.000.00
Shutters I. Windows/Doors
Generator `_ JI Roof Roof pitch
S. of First Floor:
Utilities:'nSewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PATTERSON, DOUGLAS & TERESA
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address: 523 CHARLES HILL RD
City: SANTA CRUZ State:CAAddress:
10751 ORANGE AVE
Zip Code: 95065 Fax: N/A
City: FORT PIERCE State: FL
Phone No. 831-345-9886
Zip Code: 34945 Fax: 772-460-6929
L Mail: DTPATTERSON@COMCAST.NET
Phone No. 772-460-6928
E -Mail: WILCOINC@BELLSOUTH.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: SCC131151026 29115
if v.ilun or roustrnction is $2500 or more, a RECORDED Notice of Commencemem: is regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-9826
City: State:
Zip: Phone:
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
commencing work or recording vour Notice of Commencement. =
.Z
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contra Icense Holder
STATE OF FLORIDA STATE OF FLORIDA, J .
COUNTY OF COUNTY OF ��iJ
ILA-
The f oing instru was acknowledg d before me The forgoing instru ent was acknowledged before me
Qd
this ay of t 20Oby this 4(klay of l 20 by
�' ✓�' VU 11 l airm4jff+-
(Name of person acknowledging) (Name of person acknowledging)
1/lx_J4 &_
(Signature of Notary, Public- State of Florida )
Personally Known k/blOR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISS!ON # GG 162348
EA : uccem er
Revised 07/15/2014 _` ''' Bonded'fhru Notary Public Undervidters
I AA't�&
(Signature of Notary Pub Ic- State of Florida )
Personally Known I -,,/ OR Produced Identification
Type of Identification Produced
th{�x Fin �VM)7il:RALD —_
Commission No. ;>>• ��; DJ
I; hiY COMMISSION 8 GG 962348
EXPIRES: fleaernbcr 17.2021
�tsor ded'fhru Notary Public UnderNriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
DEVELOPMENJ
BOARD OF
COUNTY
COUNTY DEPARTMENTSERVICES CHECKLIST FOR RESIDENTLAL/COMMERCIAL BUILDING PERUJT
Project Location: 15 CROWN CT. - PATTERSON Date:
Permit Number: Technician:
R 0 0 1 ,0r 1
Application completely filled out with Notarized Signatures ............................ Yes V No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A
Owner / Builder Affidavit (signed in office) .................................................. Yes No N/A
Filled Land Affidavit (prior to issuance) ................................................... Yes No—NIAV
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
Plans® Calculatioe�s Attach ent ( 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/A
Approved Site 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
V
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_V No
N/A
Product Review Affidavit .....................................................................
Yes
_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 I 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
Health Department Permit Paperwork ....................................................... Yes No N/A V
CD for Fire Department if commercial or multi -family ................................... Yes No N/A
DEP, SF or Army Corp of Engineers (dock, seawall, SF on beach) ............ Yes No N/A
Pool Barrier Affidavit, . t - , , ................................................................... Yes—NO—N/A V
Ground Sign Landscape Affidavit (signs) ................................................... YesNo— N/A V
BumRate for Sign Cabinets .................................................................. Yes —No N/A V
V and IVlo(2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
No
N/A
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes—No—N/A
Manufacture Set -Up and Installation Manual ..................... I ......:. I ... I ..... I .....
Yes
No
N/A
Manufacture Blocking Documents.......................................................... Yes No N/A V
Signed Penetrometer Test (1 copy)......................................................... Yes o N/A V
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/A
Private Property not in a mobile home park
Class "A" Approval from Planning or file#..............................................I. Yes No N/A
Revised 10/15/18