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Home My WebLink AboutCHIBAS PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 9 I10 .O 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 PERMITAPPLICATION FOR:DOCK & LIFT PROPOSED IMPROVEMENT LOCATION: Address: 902 JACKSON WAY, FT PIERCE, FL 34949 Property Tax ID #. 1423-802-0017-000-6 Lot No.15 Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: REPLACE DOCK & INSTALL BOAT LIFT New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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: $ 23,658.00 Utilities: —Sewer —Septic Building Height: OWNERAESSEE , — CONTRACTOR: NameGU1& PATRICIA CHIBAS Name:JOY S YANCY Address:902 JACKSON WAY Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC City: FT PIERCE State: EL Address:200 NACO RD #C Zip Code: 34949 Fax: City: FT PIERCE State: FL Phone No. 72&- L7,9 Zip Code: 34946 Fax: 772-464-7470 E-Mail. PHI IPECHIBAS@YAHOO.COM Phone No772-464-6090 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: HI -TIDE BOAT LIFTS Name: Address:4050 SELVITz RD Address: City: FTPIERCE State: FL City: State: Zip: 34981 Phone V1-79-- Lk I - 4u an Zip: Phone: FEE-SfIVH=;LE-TIT1E-HGL-DEft _ Not Applicable BONDING COMPANY: _Not Applicable � Name:�ltnaik F-nGcp¢'L,_renName: Address: eh r\v L Address: City: r-� - Pi e-fC-Q i FL City: Zip:J4Q50 Phone: -11,2 - aL,�-J - 13 q4 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 lender or an attorney before commencing work or recordinR your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signatu e f Con `actor/,Lic nse Holder STATE OF FLORIRA COUNTY OF +- LUG ( STATE F FLORIDA COUNTY OFF lA_L C -Q_ Sworwto (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization the (� day of u('Q y ,�2020by x Physical Presence or Online Notarization this � day of N O V _ 2020 by � ^ ?K i \ i 1 i b" JOY SYANCY Name of person making statement. Name of person making statement. Personally Known V/1' OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced to of Florida (Signature coYota 649IG 330259 aw Expires o 023 Commission NO. (Signature o otary P bl' e 'ringer i State of Florida tnger ester ommis ionG3 330259 Commission No. GG33 `' .y �Commission REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED L _ lev.5/6/20 BOARD OF - PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS F L . R I D A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT ect Location: q0 E 1 Date: i 9 1 II...Q_ (a(,) Permit Number: Technician: Required Documents: 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/A^ 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/AX Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/Ay ApprovedSite Plans........................................................................... Yes No N/Ay Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/AX Elevations and Setbacks.............................................................. Yes No N/AX Plot plan with Setbacks............................................................... Yes No N/Ax 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 X Manual "J" or Manual "N" Calculations.................................................... Yes No N/A_ 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 Excavating a pond for fill: Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ N/AX 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/AX 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 PoolBarrier Affidavit.......................................................................... Y / es No N A Ground Sign Landscape Affidavit (signs) .................................................. Yes —No/ N A Burn Rate for Sign Cabinets................................................................... Yes No N/AX RV and Mobile Home Tie -Down On1% (2 copies) Permit Worksheet (Tie -Down Diagram)......,_____ Yes No N/A^ 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/A^ 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 v COMMENTS Revised 10/5/18