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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