HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-13-2017
SCANNED Permit Number: .3.0000
BY
F{EC�?V
St. Lucie County
Building Permit Application MAR Olt 2017
Planning and Development Services ,vG
Building and Code Regulation Division St. Lucie County, 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
Leeal 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 #1
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: III
The reconstruction of Dock #1. 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:
Mona wor to e errormed under tispermit—check all apply:
In
OHVAC Gas Tank Gas Piping _Shutters ❑ Windows/Doors
11 Electric OPlumbing Sprinklers Generator 1:1Roof Roof pitch
Total Sq. Ft of Construction: 1,164 SF S . Ft. of First Floor:
Cost of Construction: $ 92,000 Utilities., 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 35g-OG 56
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:
Name: Culpepper& Terpening, Inc.
Add reSS: 2980 S. 25th Street
City: FortPierm State; FL
Zip: 34981 Phone: 772464-3537
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 Agent for Owner
STATE OF FLORADA
COUNTY OF7/_i},_ ULLf
The forgoing instr&qnent was acknowledged before me
this IY4 day of L& . 20 (-I_by
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of
�Mhvy 11. Gn nyfll:e.
(Name of person acknowledging) I (Name of person acknowledging )
(Si ture o Notary 7
c- State of Florida )
P so ally Known OR Produced Identification
Type of Identification Produced
Commission No.
20 _by
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
u' E Notary Public - State of Florida
Revised 07/15/2014 �,' :o My Comm. Expires Nov 2, 2018
0Ct rnmmieeinn A FF 1709Pn
(Seal)
REVIEWS
FRONT
COUNTER
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REV W
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
Z NI 01
REVIEW
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REVIEW
DATE(
COMPLETE
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INITIALS
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Culpeper&Terpening,Inc.
MORTGAGE COMPANY:
Name:
_ Not Applicable
Ad d ress: 298e S. 25th sheet
Address:
City: FartPiem State: FL
Zip: 34881 Phone: 7na64-3537
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
commencing work or recording vour Notice of Commencement.
Signat V
f wner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA -
COUNTY OF�_ I cA r11
s
Sign V
re df Contractor/License Holder
STATE OF FLO IDA
COUNTY OF I
The fo,rgg�ing instru ent was cknowledged before me The for�Q{ng instruent was acknowledged before me
this�r�tday of 20 11by thisAlay of 20 11 by
4n l� l� -(. Q� o't v�U-c , ,T k o 71�71
(Name of person acknowledging) ame of person acknowledging )
Vure of Notary Pu lic-State of Floridaally Known OR Produced Identification
Type of Identification Produced
ign Lure of Notary Publlii5- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. �?J�Q V (Seal) Commission No. FFI 3�3 U (Seal)
Revised 07/15/2014 , ' " Notary Public - State of Florida " TINA M. PETERSON
N : 'o My Comm. Ezpires Nov 2, 2018 = �� �',` a Notary Public -State of Florida
REVIEWS
FRONT
COUNTER
S
REVIEW
VEGETA
REVIE
IOIJ%Lt ATLFIi'PC s10
UVE
REVIEW
REVIEW
DATE
COMPLETE
INITIALS