HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-13-2017
SCANNED
BY
St. Lucie Count,
Permit Number: �0 •�o� OoC
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PEAR 1 q 211117
St. Lucie county, FL
Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
I PROPOSED IMPROVEMENT LOCATION: III
Address: Pepper Park - 3375 N SR A1A Fort Pierce, FL 34949
Leeal Descriotion: 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 #4
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
The reconstruction of Dock #4. The construction will consist of removal and installation of timber piles,
timber substructure framing, and decking.
CONSTRUCTION INFORMATION:
Undr wum io ue enorrnea
HVAC
Gas Tank
unUeF uus Pennu— u1eLK du
❑Gas Piping
dppry:
Shutters
❑ Windows/Doors
_
Electric 0
Plumbing
❑Sprinklers
1:1Generator
0 Roof = Roof pitch
Total Sq. Ft of Construction: 786 SF
Cost of Construction: $ 39,500.00 . Il,o
S Ft. of First Floor: _
Utilities:Cn Sewer D 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. 772-462-2551
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.
ux
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
DESIGNER/ENGINEER:
Name: Culpepper& Terpening, Inc.
Address: 2980 S. 25th Street
City: Fort Pierce State: FL
Zip: 34981 Phone: 772-464-3537
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv 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 Agent for Owner
STATE OF FLORIA/1 P��
COUNTY OF�
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The fo oing insKyment was acknowledged before me The forgoing instrument was acknowledged before me
this 1J day of Y Y1C�►�1 201Zby this _day of 20 by
(Name of person acknowledging) (Name of person acknowledging
(Signature of Notary Public- State of Florida )
Personally Knowny OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
TINA M. PE
Revised 07/15/2014 Notary Public - State of Florida
,� :o •' My Comm. Expires Nov 2,2018
REVIEWS
FRONT
COUNTER
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
Z
REVIEW
REVIEW
REV W
DATE
COMPLETE
3
.30 /
INITIALS
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Culpepper a Terpenine. Inc.
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: 2980 S. 251h Stmer
Address:
City: FonReM State: FL
Zip: 34981 Phone: 772464-3537
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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
commencing work or recording vour Notice of Commencement.
QaJQ1_(_:41_p
Siglrard o wner/Lessee/Contractor as Agent for Owner
STATE OF FL IDq
COUNTY OF�-, LJ,LC L e.-
The forgging instrum nt was cknowledged before me
this &�day of I - 20 (Tby
�(an
(Name of person acknowledging)
ig)ature of Nbtary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. 1 (p (Seal)
Revised 07/15/2014
s
Sign t e of Contractor/License Holder
STATE OF FLO�q
COUNTY OF [_.
The forgging instrunAeentt vvasracknowledged before me
this day of 20 Ll by
4-)hn 7 C Ia viva 0 ,C_
(Name of person acknowledging )
h
( ignat re of Notary Public- tate of Florida )
P ally Known OR Produced Identification
Type of Identification Produced
Notary Public - State of Florida
My Comm. Expires Nov 2. 2018
rnmmission NFFF 139360
TINA M.
My Comm. Expires Nov 2
Commission # FF 139
REVIEWS
FRONT
I G
UPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS