HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-13-2017
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Permit Number:'
SCANNLL, ��
BY REC
St Lucie Conntl t011
Building Permit Application MAR 1
Planning and Development Services -
Building and Cade Regulation Division £ �u6,,, „aunty, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Pepper Park - 3375 N SR A1A Fort Pierce, FL 34949
Legal Description: 25/26 34 40 GOVT LOT 1 IN SEC 25 AND GOVT LOT 1 IN SEC 26 LYG W OF A1A-LESS TO
TIIF-(OR 449-1126)
Property Tax ID #: 1425-220-0003-000-5 Lot No.
Site Plan Name: Pepper Park Boardwalk Renovation Block No.
Project Name: Pepper Park Dock #7
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: II
The reconstruction of Dock #7. The construction will consist of removal and installation of timber piles,
timber substructure framing, and decking.
CONSTRUCTION INFORMATION: III
IUIIOIWVIp LVUC
HVAC
Electric
CIIUIIIICU
Gas Tank
Plumbing
UIIUCI LIIIi PCIIIIIL—UICL.R Oil
Gas Piping
[]Sprinklers
apply-
_Shutters
1:1 Generator
Q
E]
Windows/Doors
Roof = Roof pitch
_
0
Total Sq. Ft of Construction: 1,440 SF
Cost of Construction: $ 72,000.00
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height: NA
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County - Matt Baum
Name: John T. Glanville, VP of Operations
Address:2300 Virginia Avenue
Company: underwater Engineering Services, Inc.
City: Fort Pierce State: FL
Zip Code: 34982 Fax:772-462-6443
Phone No. 772A62-2551
Address: 3306 Enterprise Road
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-337-0294
Phone No. 772-337-3116
E-Mail: baumm@stlucieco.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: tpeterson@uesi.com
State or County License: CGC1507554
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Culpepper& Terpenins. Inc.
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 2ee0 S. zsm S"01
Address:
City: Fort Pierce State: FL
Zip: aaaa, Phone: 772464-3s37
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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
as
STATE OF FLO DA,p
COUNTY OF (c �J 1 lF p O
The forgoing mstryqjent was acknowledged before me
this — I
day of Y . 20 LZby
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of
cJohir,L) l GianyL- b
(Name of person acknowledging) (Name of person acknowledging )
Z
Vignure of Notary Public -State of Floridally Known �// OR Produced Identification
Type of Identification Produced
Commission No.9" r(3�� 26 (Seal)
Revised 07/15/2014
20 _by
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Notary Public - State. of Florida
My Comm. Expires Noy 2, 2016
6;,;•••
REVIEWS
FRONT
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
R VIEW
RE IEW
REVIEW
REVIEW
REVIEW
DATE
z
COMPLETE
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T4-- 1-1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Culpepper R Terperin9, Inc.
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: 2980 S. 25in Sheet
Address:
City: FortPierce State: FL
Zip: 34991 Phone: 772-464-3537
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
commer int=- work or recordine vour Notice of Commencement.
g - v��� \ s
Sign tur o Owner/Lessee/Contractor as Agent for Owner Signa ur o Contractor/License Holder
STATE OF FLCIttI,DPf STATE OF FLORgp
COUNTY OF �{ , w COUNTY OF I Lt
The for ing instru ent wag cknowledi before me The forgg ng instrument was acknowledged before me
thisdayof 20by this5!�dayofL20,1�7by
)
(Name of person acknowledging ) (Name of person acknowledging )
(S n ture of Notary P/yblic-State of Florida ) (S' nat re of Notary Pu
blic- State of Florida )
P ally Known V OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced/_ Type of identification Produced
Commission No. I. (fL(Seal) Commission No. 4;t (3CJ5 0O (Seal)
TINA M. PETERSON",1111I
Revised 07/IS/2014' ° Notary Public
• State of Florida
• - Notary Public -State of Florida
My Comm. Expires Nov 2, 2018 My Comm. Expires Nov 2, 2018
REVIEWS I CO NITE REVIEW REVIEW REVI W VREVEW REVIEW REVIEW
COMPLETE
INITIALS