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HomeMy WebLinkAboutONEAL SLC PERMIT APPLICATION & CHECKLISTN All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION! TO BE ACCEPTED Date: Permit Number: giro [Luafg < CC i(4 ,rnr- '' I Building Permit Application Planning and Development Services I Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FORDOCK & LIFT PROPOSED IMPROVE ENT LOCATit]N: 38 SC►1/ 1 i.1 JAY Address: 38 SOVEREIGN WAY, FT PIERCE, FL 34949 Property Tax ID #: 1414-701-0055-000-6 Lot No. B Site Plan Name: Block No. 7 Project Name: DETAILED DESCRIPTION OF WORK: REPLACE DOCK AND INSTALL BOAT LIFT New Electrical Meter Second Electrical Meter-- - STRUCTION MF TAT E 3 Additional work to be performed under this permit– check all that apply: —Mechanical Gas Tank —Gas Piping Shutters _ Windows/Doors Pond _ Electric _ Plumbing Sprinklers —Generator _ Roof Pitch Total Sq. Ft of Construction: _ Sq. Ft. of First Floor: Cost of Construction: $ .. @ t, 00 Utilities: —Sewer _Septic Building Height: _ ....._..... Name ROBERT & BETTINA O NEAL � ` Name:JOY S YANCY Address:3790 WILD ORCHID LN Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC City; FT. PIERCE State: Address:200 NACO RD, #C i Zip Code: 34981 Fax: City:, FT. PIERCE State: FL Phone No. 772-971-4805 Zip Code. 34946 Fax: 772-464-7470 E-MaikROSONE:AL@KW.COM-464-6090 Phone No 772 Fill in fee simple Title Holder on next page { if different E -Mail: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM from the Owner listed above) State or County License24217 If value of construction is 2500 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. SUPPLEMEMAL C0lSISTRL=*N UEN LAW INFORMATM: Name : BENCHMARK ENGINEERING Address:"§ -LAWARE City: FT PIERCE State: FL Zip: 34950 Phone772.267-1399 46RTGAGE COMPANY: ­ — Not Applicable Name: HI -TIDE BOAT LIFTS Address: 4060SELVITZ RD City: F . T I.. P I IE . R . C . E State: FL Zip: 34981 Phone: 772461-4660 FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone:. 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 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 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 Iend_9s06r qPt-d_Jtori pJ-bef9,re commencing work or recording. -Your Notice of Commencement. Signal'ure df awrRer/ Lessee/Contractor as Agent for Owner Signa t6 of ntrixto Lic nseHolder\-) STATE OF FLOT STATE OF FLORID COUNTY OF, C-tt COUNTY OF � C I el Sin to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization x Physical Presence or Online Notarization this _C day of to (,+0 5,0-r- .2020 by this-& day of 0i ' D , 2020 by R:aLaf L Oyiesl JOY S YANCY Name of person making statement. j Name of person making statement. Personally Known I/ OR Produced Identification Personally Known x Type of Identification Type of Identification Produced Produced (Sig re of (Sign'of "'Lary JOYALIPPARD — OR Produced Identification Commission 4 *r # GG 23CU61) I Commission No..GG 330259 Expi-es August 4, 2022 i 71 REVIEWS E FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW _DATE RECEIVED DATE J6YKOPPAIZD C0q,Sg1y 4 GG 21111 Expies August 4, 2022 67;Ildo'� -thm Troy Fair IMU73Pce VEGETATION -SEATURTLE MANGROVE REVIEW REVIEW REVIEW 911 BOARD OF PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS . • Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Pro'ect Location: 3 S 6 � lAJ OL,% Date: J Permit Number: Technician: Reauired Documents: Application completely filled out with Notarized Signatures........................... Yesx 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 No N/AX 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. . ................................... YesNo _ N/A_ Plans. Calculations & Attachments ( 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 Approved Site Plans ................................................... ..... , .............. Yes No N/Ax Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/AX Elevations and Setbacks.............................................................. Yes No N/AX Plot plan with Setbacks............................................................... Yes No N/A^ Health Department approval stamped on survey and floor plan ........................ Yes No N/AX 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/A Product Review Affidavit..................................................................... Yes No �/ N/AX 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 MAX 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 ................................................. ..... Yes 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 .................................... .... .. Yes No N/AX Ground Sign Landscape Affidavit (signs) ................................................... Yes No _ N/AX Burn Rate for Sign Cabinets.................................................................. Yes—No N/AX RV and Mobile Home Tie -Down OnIX (2 copies) Permit Worksheet (Tie -Down Diagram).............................. ..................... Yes No N/An Manufacture Set -Up and Installation Manual .............................................. Yes—No N/A^ Manufacture Blocking Documents.......................................................... Yes No N/AX Signed Penetrometer Test (1 copy)........... ,............................................. Yes No N/AX Stair Details ............................. . . . . . . . . . .................. ........ Yes No N/AX 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