The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 PERMIT APPLICATION FOR: DOCK & TIER WALL PROPOSED IMPROVEMENT LOCATION: Address: 140 DOMINION CT, FT PIERCE, FL 34949 Property Tax ID #: 1414-701-0122-010-0 Lot No. L Site Plan Name: Block No. 13 Project Name: DETAILED DESCRIPTION OF WORK: REPLACE DOCK (NO NEW PILING) / INSTALL TIER WALL IN FRONT OF EXISTING WALL 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: $ 13,300.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameTORREY NOYES Name:JOY S YANCY Address:140 DOMINION CT Company:SUMMERLIN'S MARINE CONSTRUCTION City: FT PIERCE State: _ Address:200 NACO RD, #C Zip Code: 34949 Fax: City: FT PIERCE State: FL Phone No.561-379-6963 Zip Code: 34946 Fax: 772-464-7470 E-Mail:TNOYES@BELLSOUTH.NET Phone No 772-464-6090 Fill in fee simple Title Holder on next page ( if different E-MailSUMMERLINSMARINECONSTRUCTION@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: BENCHMARK ENGINEERING Name: Address:806 DELAWARE AVE Address: City: FT. PIERCE State: FL City: State: Zip: 34950 Phone `T-72,.2j_j>`1 • IZE?q Zip: Phone: 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 lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Sign u e of Contractor/License Ha der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF - COUNTY OF St. LU Gi -Q. Sworn 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 L-p day of Fau G 2020 by this day of 2020 by ( U [� C {� L 1 � o V� J JOY S YANCY Nameme o�making st tement. Name of person making statement. Personally Known - OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced L Type of Identification Produced .ram (Signature o otary BI f1IteGWddcPiA%Jer y Pu i opKja ester " (Signatur f No�GG My Ca fission GG 330259 Commission No.G ea � 3 MY ommission GG 330269 33025!X;'!"sCommission No.%* e� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. BOARD OF - PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COUNTY COMMISSIONERS F L . R I D A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT ect Location: 1 Li1 Permit Number: Required Documents: i o r\ Date: Technician: Application completely filled out with Notarized Signatures ............................ Yes^ No N/A Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/AX Owner / Builder Affidavit (signed in office) ................................................. Yes No N/AX Filled Land Affidavit (prior to issuance) ................................................... Yes^ No N/A Recorded Warranty Deed, if applicable ......................................................Yes 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/AX Vegetation Removal Application with copy of survey.....................................Yes No 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/AX 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 ...................................... ...................... Y / 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/AX Product Review Affidavit.................................................................... Yes No MAX Excavatina 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 N/AX 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.......................................................................... Yes No N/AX Ground Sign Landscape Affidavit (signs) ................................................... Yes No N/AX Burn Rate for Sign Cabinets.................................................................. Yes No N/A RV and Mobile Home Tie -Down On1Y(2 copies) Permit Worksheet (Tie -Down Diagram) ................................................... Yes No N/A^ Manufacture Set -Up and Installation Manual.............................................. Yes No N/AX 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/AX COMMENTS Revised 10/5/18