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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