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Home My WebLink AboutBuilding Permit Application i PLANNING & DEVELOPMENT BOARD OF COUNTY SERVICES DEPARTMENT COMMISSIONERS F L • R I . A Building & Code Regulation CHE CKLIST FOR RESIDENTLkL/COMME RCIAL BUILDING PERMIT Project Location : 10701 S OCEAN DR LOT 847- BOISCLAIR Date : Men Permit Number: Technician : Required Documentsa 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 N/A GEVREM Recorded Warranty Deed , if applicable . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/A geg Recorded Notice of Commencement (prior to issuance or inspection) , . . . . . . . . . . . . . . . . Yes No N/A eebe Utility Agreement or Payment Receipt (prior to issuance) , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/AAL Vegetation Removal Application with copy of survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/A Plans . C-a L s- & 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/A Approved Site Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e , . . . . . . . . . . . , . . . . . . . YesVNo N/A Sealed Survey with Dimensions , Finished floor , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Yes No N/A Elevations and Setbacks . , . totestoge 9 boost be lo . . . . . . . . . . . . . . . . . . . . . . . toot , . . . . . . . . . . , . Yes No N/A Plot plan with Setbacks . . . . . . 509669 to 01446 * 6 of so at st of 0 0060 $ * 0 go a * * * * * get * & Yes No N/A i i i r Health Department approval stamped on survey and floor plan . . Yes No N/A Wood Health Department Food Establishment Permit stamped on floor plan . . . . . , . , tied Yes No N/A Manual "J " or Manual "N" Calculations . . . . . . . . . be 9 " 66 # 86 * 046 & sea 909404TO 0 deadest of of do Yes No N/A Signed Energy Calculations ( 1 set original signatures & signed in 2 spots) . . . . . . . . . . . #Yes No N/A Sealed Wind Load Compliance Certification . . Yes No /A Product Review Affidavit . . . . . . . . . I of defoo so 9df0 & d * a * 4o 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 Ito a minimum of 3 feet below water level . . . . . . . . . Yes No N/A Depth of excavation does not exceed 12 feet in depth . . . . . . . WWI 00 Yes No N/A If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes No. N/A her ° Health Department Permit Paperwork . a 4 0 0 4 t 9 0 9 .too stood steel 000000 to 49 to . Yes No NIA CD for Fire Department if commercial or multi®family . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Yes No N/A DEP , SFWMD or Army Corp of Engineers (dock, seawall, SF on beach) . . . . . . . . . . . . Yes V No N/A Pool Barrier Affidavit . . . . . . . . . . 1 4 # 00000 * 0 1 61 * 06640 Wood I * ootbto to food 04404 food * 9 to Yes No N/A Ground Sign Landscape Affidavit (signs) . . . . . . Yes No N/A Burn Rate for Sign Cabinets . . . . . . . . . . . . 40089060010 sees got 60off000f estsooto 6 0004906 of to food Yes No N/A i j 12V and Mobile Home Tie-Down Only (2 copies) Permit Worksheet (Tie-Down Diagram) . . 0 6 a 1 9 a 0 0 a 4 6 0 0 0 4 a 0 0 0 4 a 9 a 0 It 4 6 1 a 0 6 4 0 0 4 a a 0 a Yes No N/A ✓ Manufacture Set-Up and Installation Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/A ✓ Manufacture Blocking Documents . . . . . . . . . . . . . . . . . . . . . 0 6 0 0 0 0 6 a 0 0 1 0 a 0 4 1 6 a 1 6 4 0 0 0 0 1 Yes 1 IMF No N/A ✓ Signed Penetrometer Test ( 1 copy) . . . . 0 Yes No N/A ✓ StairDetails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/AggNL Mobile Home Inspection Report for Relocation used only) . . . . . . . . . . . . me 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 Plaruung or file # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/A Revised 10/15/18 ALL APPLICABLE INFO MUST BE COMVL [ T FD FOR APPLICATION TO BE ACCEPTED Date : Permit Number : C 'i > U� Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone : ( 772 ) 4624553 Fax : (772) 462- 1578 Commercial Residential X I' { RMI T APPLICATION FOR : Dock/Seawall I , I %, 0POSED IMPROVEMENT LOCATION : Address : 10701 S OCEAN DR LOT 847 , JENSEN BEACH , FL 34957 Legal Description : VENTURE OUT AT INDIAN RIVER INC LOT 847 ( OR 3753-764) Property Tax ID # : 4511 -510-0048-000-5 Lot No . Site Plan Name : BOISCLAIR _ Blod( No . Project Name : BOISCLAIR - DOCK & BIL Setbacks Front Back . Right Side : Left Side : DETAILED DESCRIPTION OF WORK : FURNISH AND INSTALL A 100 SO FT DOCK AND BOAT LIFT CONSTRUCTION INFORMATION : Additional wor c to rtormed under t rs permit — c ec c an apply : 0HVAC Gas Tank Gas Piping Shutters a Windows/Doors Electric Plumbing OSprinklers El Generator Roof Roof pitch Total Sq . Ft of Construction : S Ft , of First Floor : Cost of Construction : $ 15 ,477 . 00 Utilities : Sewer O Septic Building Height : r i \ AINER/ LESSEE : CONTRACTOR . Name BOISCLAIR , DIANA & RICHARD Name : ROBERT WILLIAMS Address - 10701 S OCEAN DR LOT 847 Company : WILCO CONSTRUCTION INC City : JENSEN BEACH State : FIL Address : 10751 ORANGE AVE Zip Code : 34957 Fax : NIA City : FORT PIERCE State : FL Phone No . 860-917-7804 Zip Code : 34945 Fax : 772460-6929 l - IVlail : N /A Phone No . 772-460-6928 Fill hi ee 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 more, a RECORDED Notice of Commencement is required . SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION : DESIGNER/ ENGINEER : Not Applicable MORTGAGE COMPANY ; X Not Applicable Name : DANIEL PAUL RETHERFORD Name : Address : 1402 HARTMAN RD Address : City : FORT PIERCE State : FL City : State . Zip : 34947 Phone : 772-224-9826 Zip : Phone . FEE SIMPLE TITLE HOLDER : x Not Applicable BONDING COMPANY ; Not Applicable Name . 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 commenjc rk or recording our Notice of Commencement . Signature o essee/Contractor as Agent for Owner Signatur of C or/License Holder STATE OF FLORIDA , 1 I �+ � STATE OF FLORIDA Uri COUNTY OF ` l.C�lr COUNTY OF The forgoing instrum n a acknowledge before me The forg �nng instr ''ll nent was acknowledgedJefore me this ay of 20 by this day of U it 20 0 by am S K0. bJk+ U�.tl I Il am ( Name of person acknowledging ) / ( Name of person ,acknowledging ) ( gnature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known vloeOR Produced Identification Type of Identification Produced f Identification Produced % JOHN CFIARLES HU I ��'•"'� •; ON Commission No . vaRycobAMIS310N / GG 1�Ir Ission No . ?f MISSION9C,G921 EXPIRE8; 0cb *V9, •, + ° �REyB,;.�D�,�, 0. 2023 'Z • �a,p wiw / 0� 80f1d8d >'iYll Revised 07/ 15 / 2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS PERMIT i? _ ISSUE DATE PLANNING Ri.. D ,II 0i"I�11TN ii SEIR ` ItC ES IIC • tBW Dlr1C PERPA T SUB- CONTfRACTOn AGREEMENT LAtom. S E ' rt= a el c� 4t wt / ialL THL have agreed to be (Company Name/Individual Name) • the FI Fi : TRICAL Sub-contractor for WILCO CONSTRUCTION INC . (Type of Trade) ( Primary Contractor) For the project located at 10701 S OCEAN DR LOT 847 - BOISCLAI R ( Project Street Address or Property Tax ID #) i It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised Pursuant to the filing of a Change of Sub-contractor notice. r CONTRACTOR SIGNATt tE (Qm ' " SUR• NTl1ACTOR SIGNATURE (Qonlitier) ROBERT WILLIAMS mJ o1. „ IIRINTNAME PRINT NAME 29115 02 9 y 02 COUN'ry CERTIFICATION NUMBER COUNTY CER'rIFICA'rION NUMBER Q Slate or Florida, County of ST LUCIE �y-� State of Florida, County ory � e The foregoing Instr oneol was signed before me Iliku day' of 'I'lie rmrgning Instrument was signed Wore ramie Ihhik; L �� ray or WWImlw, 211miy �' 200hy ��11 000000 who is personally Imnwn m lilts produced n who is personally Info 11� has produced it nx Identiricntlu �,!s` � ;7 � ns idenllRcnlin 511AM P srrA M I' onhn•e orNnlnry Public si a lure orNolarp Public m itSm ''(ohh 0 of I ' riul i\ unc of i ; n nr} IhiDllr I 'llul Nome of ahoy Public 013mMThmitiftylkilkUndawkm JOHN CHARLES HUDSON JOHN CHARLES HUDSON �. �,1YCOl41MISSION # Op921591 IIYCOIRES9SION �ftw go 023 � EXPIRES: October9 2023Revised 11 / IGROIG EXPIRES: 23 B&dodTlru PubkUndta��rlbn ltrwl'Nora � i I