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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 �S. +�"{yN i•li �l C•l• 5 %>^�_ fz. + yy` �. ) {h 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