HomeMy WebLinkAboutBUILDING PERMIT APPLICATION201 70221 Oce
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �t ^
Date: {%• �7 SCANNED Permit Number. �l/i� O G*
BY RECEIVED
St. Lucie Countv
• Building Permit Application FB /7 Yon
Planning and Development Services
Building and Cade Regulation Division
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 III
Address: Pepper Park - 3375 N SR A1A Fort Pierce, FL 34949
Legal Description: 25126 34 40 GOVT LOT 1 IN SEC 25 AND GOUT LOT 1 IN SEC 26 LYG W OF A1A-LESS TO
TIIF-(OR 449-1126)
RL
Property Tax ID #: 1425-220-0003-000-5 Lot No.
Site Plan Name: Pepper Park Boardwalk Renovation FER 0 g $e)7 Block No.
Project Name, Pepper Park Dock #2 ONVIROPdhlEf
Setbacks Front Back: Right Side: Left SM994N naa
The reconstruction of Dock #2. The construction will consist of removal and installation of timber piles,
timber substructure framing, and decking. The dock will include an aluminum floating dock and
aluminum gangway.
LJJ Gas Tank UGas Piping
0 Plumbing []Sprinklers
Shutters ❑ Windows/Doors
Generator Roof Roof pitch
Total Sq. Ft of Construction: 2,040 SF S Ft. of First Floor:
Cost of Construction:$ 96,000 Utilities:Sewer 1iSeptic Building Height: NA
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Name St. Lucle County- Matt Baum
Name: John T. Glanville, VP of Operaflons
Address:2300 Virginia Avenue
Company: Underwater Engineering Services, Inc.
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-462-6443
Phone No. 772-082-2551
Address: 3306 Enterprise Road
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-337-0294
Phone No. 772-337-3116
E-Mail: tpeterson@uesi.com
State or County License: CGC1607554
E-Mail: baumm@stiucleco.org
Fill In fee simple Title Holder an next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is requlred.
`
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY. Not Applicable
Name: cuipeppug Taming, Inm
Name:
City: Fcd!Rl� State: FL
City; State:
Zip- 34DBI Phone: m464-363,
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: —NotApplicable
BONDING COMPANY: —Not Applicable
Name:
Name:
Address:
Address:
City:
Cityr:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucleCoun makes no representation that Is granting a ermit will authorize the ermit hold%to build the subject structure
Is In Home Owners Association bylaws or an9covenants at may restrict or such
which conWict with any applicable rules, prohibit
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 fbIlowling building permit applications are exempt from undergoing a full concurrencir review room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resIdentlal use
WARNING TO OW NER: Your failure to Record a Notice crf Commencement may result In your paying twice for
Im rovernent, to your property. A Notice of Commencement must be recorded and posted an the jobsite
before the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
commencinit work or recording your Notice of Commencement.
SIgnahurb Of Owner/Lesseetcontractor as Agent for Owner
gi�gnatureof Contractor/Ucense Holder
STATE OF FLORIDA
STATE OF FLORIDA
The fo Instrument was acknowledged before me
The forgoing instrument was acknowledged before me
(kafhoof person acknoVging)
(Name a person acknow e Bing
ature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida
CSig
Irally
Known V/ OR Produced Identification
Personally Known _CIR Produced Identification
Type of Identification Produced
Type of identification Produced
Commission No.
Commission NO. (SeaQ
Revised 07/1 Commission #
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW R IEW REVIEW
DATE
COMPLETE
INITIALS
c �e
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date • ca• 17 ^t %• 1el SGAIMLL Permit Number:
r- - �. -a StLuCe Crnlnt, RECEIVr
Building Permit Application FEB /7 2017
Planning and Development Services
Building and Code Regulation Division
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: I III
Address: Pepper Park - 3375 N SR A1A Fort Pierce, FL 34949
Legal Descrintinn: 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
Site Plan Name: Pepper Park Boardwalk Renovation
Lot No.
Block No.
Project Name: Pepper Park Dock #2
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: III
The reconstruction of Dock #2. The construction will consist of removal and installation of timber piles,
timber substructure framing, and decking. The dock will include an aluminum floating dock and
aluminum gangway.
CONSTRUCTION INFORMATION: III
HVAC L_I Gas Tank UGas Piping LJ Shutters
Electric 0 Plumbing []Sprinklers 1-1 Generator
Total Sq. Ft of Construction: 2,040 SF
Cost of Construction: $ 96,000
S Ft. of First Floor: _
Utilities:n Sewer E Septic
Windows/Doors
Roof = Roof pitch
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: For 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 tomstruction is.$2500 or more, alRECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER- _ Not Applicable
Name: Culpepper& Terpenin9. inc.
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: 2980 S. 2eU Street
Address:
City: FortPierce State: FL
Zip: 34981 Phone: 772464-3537
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 _by
1
(Name of person acknowledging )
(Signature of Notary Public -State of Florida )
Personally Known
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
(Seal)
STATE OF FLOIRJDA COUNTY OF `AA(-I—U
The for ping instrument was acknowledged before me
this ay of /A�/{� T 20 by
v U
Vnaiure of NotaryPubl/ic- State of Floridaally Known V OR Produced Identification
Type of Identification Produced
Commission No.
TINA
My Comm. Expires Nov 2,
Commission N FF 139:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
I
INITIALS
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Culpepper& Temening, Inc.
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: 2e&0 s. 2ste street
Address:
City: FortPien;o State: FL
Zip: 34981 Phone: n24ss-3537
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
commencine work or recordine vour Notice of Commencement.
Sign& ur f Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA �p _
COUNTY OF A i—, .aLLir r2�
/'
The forgoing instrument was acknowledged before me
thischNay of 20 )7by
(ftalof person ackno a Bing )
r` .
4Sig ature of Notary
P sc nally Known _
Type of Identificatior
Commission No.
Revised 07/1 5
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 _ by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
✓ OR Produced Identification Personally Known OR Produced Identification
Produced I Type of Identification Produced
TINA M.
My Comm. Expires Noy 2. 2u
Commission a FF 139360
Commission No.
(Sea()
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS