HomeMy WebLinkAboutONEAL SLC PERMIT APPLICATION & CHECKLISTN All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION! TO BE ACCEPTED
Date: Permit Number:
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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