HomeMy WebLinkAboutARMEL 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: BOAT LIFT
Address: 5167 N HIGHWAY A1A, HUTCHINSON ISLAND, FL 34949
Property Tax ID #: 1410-501-0016-010-8
Site Plan Name:
Project Name:
INSTALL BOAT LIFT TO SLIP
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Lot N0.2 & 6
Block No.
Windows/Doors _ Pond
Roof Pitch
Cost of Construction: $ 9,379.00 Utilities: _ Sewer _ Septic Building Height:
NameOICEAN HARBOUR MARINA ASSN INC Name: JOY S YANCY
Address:835 20TH PL company:SUMMERLIN'S MARINE CONSTRUCTION, LLC
City: VERO BEACH State: - I Address:200 NACO RD, C
Zip Code: 32960 Fax: City: FT PIERCE State: FL
Phone No. _ _ Zip Code: 34946 Fax: 772-464-7470
E-Mail: Phone N0772-464-6090
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 Z500 or more, a RECORDED Notes of Commencement is required.
If value of HAVC Is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN.IAW INPORMATION;
Not Applicable
Name: HI•TIOE BOAT UFT &ALES
Address:405D SELYrrZ
City: Fr PIERCE State: FL
Zip:3+981 Phonenzoli6ao
MORTGAGE COMPANY: Not Applicable
_ Name:
Address:
City: State:
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.
1 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 yournotice of Commencement.
ONE
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF
COUNTY OFP DA., STATE OF FL
Q1Aulan 12i"rvf� I COUNTY OFO D a Lu Gi
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this -,I day of ..&W6 &W-1 , 2020 by
rb --e- /
Name of person making statement.
Personally Known OR Produced Identification V
Type of Identification ,
SSggnature ot,'Notary a AltJJ?P"- State of Florida
Commission # HH 026125
Commission No. " "�`'' My eomggaarps Oct 20, 2024
>T//b2-4P/Z �" .-Ma•qW0W
REVIEWS FRONT I ZONING
COUNTER I REVIEW
DATE
COMPLETED
ev,3T672U_
Sworn to (or affirmed) and subscribed before me of
x Ph sical Pres nce or Online Notarization
this day of . 12020 by
JOY S YANCY
Name of person making statement.
+Personally Known x OR Produced Identification
Type of identification
Produced
la' Pjj blic State of Florida
(Signature of- otary PublicLto 44r es er
�p� dmmission GG 330259
�p� Expires 08/25I2023
Commission No. (3G31258
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW a REVIEW REVIEW I REVIEW REVIEW
BOARD OF PLANNING & DEVELOPMENT
COUNTY COUNTY
SERVICES DEPARTMENT
COMMISSIONERS F L . - I D A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Pro s ect Location: 5 Lo 9 ICI N
Date: 5 5
Permit Number: Technician:
Required 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/AX
Filled Land Affidavit (prior to issuance) ...................................................
Yes
No
_ N/AX
Recorded Warranty Deed, if applicable ......................................................Yes
No
_ N/AX
Recorded Notice of Commencement (prior to issuance or inspection) .................
YesX
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...............................................................
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
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
Excavatine a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ MAX
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_ MAX
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
Pool Barrier Affidavit...................................................................... ... Yes No N/AX
Ground Sign Landscape Affidavit (signs) ................................................... Yes No _ MAX
Burn Rate for Sign Cabinets................................................................... Yes No N/AX
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
No
N/AX
Manufacture Set -Up and Installation Manual....... .......................................
Yes
No
N/AX
Manufacture Blocking Documents..........................................................
Yes
No
N/Ay
Signed Penetrometer Test (1 copy).........................................................
Yes
No
N/Ay
Stair Details....................................................................................
Yes
No
N/AX
Mobile Home Inspection Report for Relocation (used only).. ......................
Yes —No
N/Ay
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