HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I SCANNED Permit Number: BY C S' 0067
- St. Lucie County
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 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click here.
PROPOS.ED,INPROVEMENT LOCATION:
Address: W5 GAIZW-�-'
Legal Description: U,.Li2Dyup &A'LC CLIti.xl - ( ejIV, Lctvf�
L
Property Tax ID #: qj— -7DQ _ g' I Lot No. d'
Site Plan Name: Block No. C
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
OL'b DAL\ ( olam ILI k4- 6e V\ Ltrl Yh " ► Of(.) kiln i 4 /I 0 h 0 i/--
LRE.e
CONSTRUCTION INFORfAATIONJ
Additional work to e e orme un er t is permit — c ec a apply:
�IHVAC
Li Gas Tank
[]Gas Piping
11 _ Shutters
Electric
0
Plumbing
Sprinklers
O
Generator
Total Sq. Ft of Construction:
/
Cost of Construction: $ L6
S of First Floor:
11Ft
_
Utilities: Sewer Septic
QWindows/Doors
11 Roof
Building Height:
OWNER/ ESSEE: ,...
CONTRA OR:. '
Name
Name: Un
Addres .
Company: i�
City: T yveLQ State: _
Addre�
Zip Code: Fax:
Phone No.
City: ' stir Sate:
Zip Code: `1 `t Fax: IO q
E-Mail: (� Ali '' I
Phone N Q
Fill in fee imple Title Holder on next page (if different
ff'.
E-Mail: li IA 66 60)
from the Owner listed above)
State or County License:
vauo uwunaaruvwon is ?cauu or more, a KrwKutu Notice oT commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE / NG E R:
-1 tip
Name.
Addr �.
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable I MORTGAGE COMPANY: — Not Applicable
P'b , Name:
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip:
Phone:
Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 your Notice of Commencemera-.,
of Owner/ Agent/ Lessee
Ho
STATE OF FLORID i ALINTYCIF
ATE OF FLORID
COUNTYOF l,�' l[� _ fD
The fA oing instru ent was acknowled ed efore me
this "✓�ay of 20L9by
(Signature of Notary Public- State
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (����� (Seal)
The fo going instrufne t was acknowledged efore me
this ay of �N ,20_0by
(Nayne of person ack wled ' g )
(Signature of Notary Public- State of Florida )
Personally Known ` OR Produced Identification
Type of Identification Produced
Commission No. 61;, Z02P— (Seal)
Revised 07/15/2014 MY cQMbu�sloN a #201372 IYLISSA C BLANDFORD
EXPIRE$f �uglief Iq,'i016 MY co EE201372
�,.,
REVIEWS
FRONT:;
:ZONING
SUPERVISOR
PLANS
VEGETATION .
SEA'TURTLE
ANGROVE
COUNTER
REVIEW.
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
THESE PLANS AND ALL PROPOSED WORK
ARE SU&jF(.T TO ANY COA*'CTIONS
REOUREP 0YAE10 INSPECTOR$ THAT
MAY BE NEGEiOARY IN 0130FR TO
COMPLY WITH AU 02PWCAB4 CODES,
CONCE4LED FASTENERS OR ATTACHMENTS
ARE THE REspoNSISILffy OF THE
Commcm OF RECORD
A4 I zin
U Li 1w oo?l
ST LUCIE COUNTY
BUILDING DIVISION
REVIEWED
FOR COM12 E
REVIEWED Y
DATE
PLANS AND PERMIT
MUST BE KEPT ON JOB OR
NO INSPECTION WILL BE MADE
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IL" COPY
ENGINEERING REVIEtiV
BOAT LIFT TOP. CARRIER BEAMS AND
M6UNTIN,G BRACKETS CO,1dPLY. 'MTH THE
ASCE/SEI 7=10, MfNIMUM DESIGN
LOADS INCLUDING WIND LOADS
E O 'R B ,U 1 4 0 I ,N G$ A. N D
OTHER STRUCTURES THE 2010 FLORIDA
BU/LDI'NG CODE AND
THE 2,010• At.UMINOM ASSOCIATION'S DESIGN.
MANUAL.— SPECIFICATIONS. AS REQUIRED
RY. THE FLORIDA BUILDING CODE.
MOUNTED AS PER H1.-TIDE INSTRUCTIONS
MOUNTING .BRACKET$ :WILL EXCEED
ULTIMATE DESIGN .WIND SPEED OF. I$0 MPH
(EXPOSURE •CATEGORY C :OR D)',
BOATS ARE TO. BE REMOVED FROM. BOAT
LIFTS PRIOR TO' A MAJOR WIND EVENT.
P1L1N65.' .
PILING PENETRATION TO BE 10'
INTO THE SAND BOTTOM' OR. 5' .� o
INTO R'QCK,.SFRATA;
SUB -SURFACE CONDITIONS CAN
VAR j • GREA TC Y . THE .CONTRACTOR. .
SHALL VERIFY ALL PILE
CAPACITIES TO COMPLY WITH
NOTE TO EXAMINE>!R
THIS CER77FIED ENGINEERED .
DRAWING HAS BEEN' PREPARED
SPECIFICALLY FOR USE ONLY BY,
FBC 2010: ALL PILINGS . TO BE R.(:l;GiBk BASER
87, M/N%MUM DIAMETER. PE- NO; 43866 •
66CR PROFESSION AL ENCiINEERINCi
2.5 C.C. A' PRESSURE'. TREATED CA, NO.26W
WOOD; • PRE —STRESSED • CONCRETE 8628 SW KANASA AVE: STUART, FL 34fl97' .
:. OR COMPARABLE EQUIVALENT:..
Q PILING MOUNTING TABS .
MINIMUM. (2), 3/8" QIA.. SS LAG
BOLTS FOR WOOD PLLING, OR
SS, CONCRETE. ANCHORS. FOR,
JOSEPH E. SMITH. CLERK OF THE CIRCUIT COURT --
SAINT LUCIE COUNTY �1
`ICE 4 398378 08i1 �1 9 ANI
Type: NC
OR BOCK366, .cG e6 CE OF_COMMENCEMENT"
RECORDING. $10 G
- _ - -- -- - . --county-ot Sr Lucie: . _ .. . - - -
The undersigned hereby gives notice that_improvement Will be made -to certain realmproperty,-and in -accordance with Chapter 713, Florida Statutes, -
'the following information is provided in this Notice of Commencement..
Leg D�scr'" tion: of Proper (andatree ddress if evailaile)i
:_
j�!Ii gt�
"General description of improvement:�'J11
Owner infor ation or.Less .information if�the-Lessee contracted. for the.improvement:.
Name.... .. .. .... --- - - --
Address
Interest in property: I top
Naime'and address of fee simple titlehaIder.(if different from Owner Iisted above): .
11,5
.
Contractor's Naine: .. .: y
--Contractor Address: Lib 1 PhoneNumber:1600--
- .. Sure �Surety (if applicable, -a c p of payment bond is. attached): Amount.of bon .
Name -and address: �— - Phone number:
Lender Name- - :Phone Number:
Lender's address:... =
Persons within the State of Florida designated by 0wner.upon whom notices -or other documents may be served -as provided by Section
713.13(1) (a)7.,,Florida Statutes:
Name:.-: " Phone Number:
Address "
.In addition to himself or. herself,. Owner designates -.of :. to receive: a copy of the
Lienor's-Notice as.provided-in Section.713:13(1) (b), Florida Statutes.
... ...
Phone number of person or entity designated by owner: .
Expiration date of notice of commencement:" (the expiration date may nat. be -before the completion.of construction and final paymentto the.
contractor, -but -will be 1.year from the date of recording unless -a different date is specified)-
- WARNING TO OWNER -ANY PAYMENTS MADE BY THE -OWNER AFTER THE EXPIRATION_ OFTHE:NOTICE OF: COMMENCEMENT ARE CONSIDERED:
IMPROPER PAYMENTS UNDER CHAPTER 713, PART -I, -SECTION 713.13, FLORIDA STATUTES, -AND CAN RESULT -IN YOUR PAYING TWICE FOR
.IMPROVEMENTS TOY ' OURPROPERTY, A NOTICE:OF COMMENCEMENT MUST -BE: RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU ITEND TO OBTAIN FINANCING, CONSULT WITH.YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINGWO_ RK OR .
RECORDING YOUR NOTICE OF COMMENCEMENT.'- :.
_ Under Penalty. of perjury, I declare that Thave read the foregoing notice of commencement and that the -facts stated therein are true to the best of..
my.knowledgeand belief:
w�g1?at�re of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
&�1AW_14
(Signatory s Title/Offrce):
-The foregoing instrument:was acknowledged before methis. ay of 20
_ asl�i'LQ i% for
e of rson Typebf authorit' a ,officer, trustee Part on behalf of whom instrument was executed .
%. Y( g ) Y
Personally -known. . -or produced_ Identification
-(Signature pf Notary Public State of Florida). " ' ` - - - - -
(Print, Type, or Stamp Commissioned Name o Notary Public). Type of Identification produced"
M_ ELISSA G-BLANDFORD .r�
My cOMMISION it EE201342 q. t
° V 'EXPIRES/A.P914.2016 :�''.
ENGINEERING REV/E43!
BOAT• LIFT TOP. • CARRIER .BEAMS AND NO PE• TO EXAMtdYER:
MOUNTING BRACKETS. COMPLY. WITH . THE THIS CER77FIED .ENGINEERED'. .
OR
ASCE SE1. 7-10; MINIMUM DESIGN A'WING HAS�BEE'N:PREPARE0.
LOADS; INCLUDING WIND. LOADS
SPECIFICALLY FOR. USE ONLY BY
F O R 6.U'1 L D 1•N G S. A.N.D
OTHER STRUCTURE$ ,THE .2010 FLORIDA
B. U. 1 L. D '1 N, G C 0 D 'E :. A N..O
— ..---------. ----
THE 2010 ALUMINUM ASSOCIATION'S'DESIGN.
MANUAL_.SPECIFICATIONS• AS REQUIRED'
'BY 'THE 'F'LORIDA BUILDING 'CODE.
0000
MOUNTED .AS .PER HI -TIDE INSTRUCT%ONS,
bop
MOUNTI:NG'.BRACKETS•:WILL EXCEED' .:.
eo 1;, .. �.:. od•
ULTIMATE,RESIGN WIND SPEED OF 180 MPH.
At, No. 438SS
(EXPOSURE' CATEGORY C OR D)'
,
ARE TO. REMOVED FROM BOAT
o 0
BOATS. ,BE .
o •k'o
LIFTS PRIOR TO'A MAJOR WIND EVENT.
QVED JAN'21 ZO
o...
t '0 OF.
•
w.
k< 0PON R
PILING. PENETRATION . TO BE
'
TO THE
I N.C �,A O.
°oaaaOtll J9Iq oop°0p0°o°o
KBQS TOR
RSQ ,
SUB' SURFACE CONDITIONS CAN ..
VARY GREA•TLY., THE, CONTRACTOR .
,SH'A'L•L' VE'RIFY'ALL PILE
CAPACITIES TO,.COMPL.Y WITH,
.
FBC 2010. ALL PILINGS TO BE
98OEROASER'
8" MINIMUM DIAMETERKkCR
• PE KO: �3866 ;
PROFESSItSMAL ENGINEERING
2:5' 'C.C.A .PRESSURE 'TREATED
CA NO.28M
N1666;' PRE —STRESSED CONCRETE'
e$m &'W KANA3AAVE. b;f A . FL34e47, .
OR COMPARABLE' EQUIVALENT.
PILING MOUNT-ING'' TABS
. •
MINIM UMF(2�'. 8." D%, SS LAG
BOLTS O. WOOD LING OR..SS 6!OM�RETE. ANCHOR15. FOR.
''.
G
REO•UIRED.MINIMUMP(2)P318" .
jab Bush
Governor
APR Q 4 2i1(i6
�tof
peparfte
•
Envlro
nmental Protection
Port St 1x6e, Branch Of f= Colleen M. Casdlle
1801 SE jrab ar Drive secrowy
Suite C 204
Port St Lucie, FI, 34952
(772)398-2806 Fax (772)398-2815
Lawrence smith
115 Queen Ann Court
-Fort pierce, FL 34949
Re: File No.: 56-0185740-002
File Nam: Smith, Lawrence
Dear Mr. Smith;
for an exemption to Perform the following activities: (1) a
we received your application b 6'6' wide dock addition, (3) relocabc an` extsutg
On March 8, 200b, ,
11'8" long by 34' wide dock addition. (2) cow a 11 8" long y drawings in a canal: Class
single pole boatlift, and (4) install a new 12'6" by 12'6" boatlift, as shown .on the attache34 d South, age )�
lI Rulers of the State, located adjacent to 115 Queen Ann Court, (Section 14, Township
40 East
Fort Pierce, St Lucie County (Latitude 270 30' 48.42" N, Longitude W 18' 52.58" R).
Your application has been reviewed to dete<mine whether it q�� for any of three kinds of authorization that
or waters of the United States. The kinds of.authorization are (i)�'
may be t=ssary work in wetlands
(related m smote -owned trials), and:(3):f�edl a°D-
�
authorization, (2) p�y won
•
The authority for review and the outcomes of the reviews are listed below. Pleese turd each qualify
for one or more of
carefully- Your
project may not have qualified for all three forms of authorization. If your project
. f
the autborizations, refer to the specific section dealing with that authorization' for advice .on how 10 obtain it
1. Regulatory Review. — MM%WflON VERIFIED
The Department has the authority to review your project under Part IV of Chapter 373, Florida Statutes (F.S.). Title
62, Florida Administrative Code (F.A.C.), and in accordance with operating agreements executed between the
Department and the water management districts, as referenced in Chapter 62-1137 F.A.C.
Based on the information you submitted, we have determined that y, project is exempt from the need to obtain a
DEP Environmental Resource Permit under Rule 40E-4.051(3)(c), F.A.C.
2. Proprietary Review (related to state-owned lands). — NOT REQUIRED
The Department acts as staff to the Board of Trustees of the Internal Improvement Trust Fund (Board of Trustees)
and issues certain authorizations for the use of sovereign submerged lands. The Department has the authority to
review your project under Chapters 253 and 258, F.S., Chapters 18-20 and 18-21, F.A.C., and Section 62-343.075,
F.A.C.
Your project will not occur on sovereign submerged land. Therefore, pursuant to Chapter 253.77, F.S.,
authorization from the Board of Trustees is not required.
3. Federal Review (State Programmatic General Permit). — GRANTED
Federal authorization for the proposed project is reviewed by DEP pursuant to an agreement between the
Departmma and the U.S. Army Corps of Engineers (Corps). The agreement is oudined in a document tided
Coorrlfnation Agreanew Bttweea the U.S. Army Corps of Engineers and the Florida Depardnmt o, f _FAvironnwinul
"44ore Protection, Less Process"
File Name: Smith, Lawrence
FDEP File No.: 56-0185740-002
Page 2
Protection State Programmatic General Permit, Section 10 of the Rivers and Harbor Act of 1899 and Section 404 of
the Clean Water Act
Your project has been reviewed for compliance with a State Programmatic General Permit (SPOP). As shown on
the attached drawings, the proposed project is consistent with the SPOP program. The attached Corps general
conditions apply to your project No further permitting for this activity is required by the.Corps.
The determinations in this letter are based solely on the information provided to the Department and on the statutes
and rules in effect when the application was submitted. The determinations are effective only for the specific
activity proposed. These determinations shall automatically expire if site conditions materially change orif the
governing statutes or rules are amended. In addition, any substantial modifications in your plans should be
submitted to the Department for review, as changes may result in a permit being required. In any event, this
determination shall expire after one year.
This letter does not relieve you from the responsibility of obtaining other permits (federal, state, or local) that may
be required for the project
NOTICE OF RIGHTS OF SUBSTANTIALLY AFFECTED PERSONS
This letter acknowledges that the proposed activity is exempt from ERP permitting requirements under Rule 40E-
4.051(3xc), F.A.C. This determination is final and effective on the date filed with the Clerk of the Department
unless a sufficient petition for an administrative hearing is timely filed under sections 120569 and 120.57 of the
Florida Statutes as provided below. If a sufficient petition for an administrative hearing is timely filed, this
determination automatically becomes only proposed agency action subject to the result of the administrative review
Process. Therefore, on the filing of a timely and sufficient petition, this action will not be final and effective until
further order of the Department The procedures for petitioning for a hearing are set forth in the attached notice.
This determination is based on the information you provided the De
when the application was submitted and is effective oil for the Department and the statutes and roles in effect
Y specific activity proposed. This determination shall
automatically expire if site conditions materially change or the governing statutes or rules are amended. In addition,
any substantial modifications in your plans should be submitted to the Department for review, as changes may result
in a permit being required. In any event, this determination shall expire after one year.
Be advised that your neighbors and other parties who may be substantially affected by the proposed activity allowed
under this determination of exemption have a right to request an administrative hearing on the Departments
decision that the proposed activity qualifies for this exemption. Because the administrative hearing process is
designed to redetermine final agency action on the application, the filing of a petition for an administrative hearing
may result in a final determination that the proposed activity is not authorized under the exemption
Rule 40established under
E-4.051(3)(c), F.A.C.
The Department will not publish notice of this determination. Publication of this notice by you is optional and is not
required for you to proceed. However, in the event that an administrative hearing is held and the Departments
determination is reversed, proceeding with the proposed activity before the time period for requesting an
administrative hearing has expired would mean that the activity was conducted without the required Permit.
If you wish to limit the time within which all substantially affected persons may request an administrative hearing,
You may elect to publish, at your own expense, the enclosed notice (Attachment A) in the legal advertisement
section of a newspaper of general circulation in the county where the activity is to take place. A single publication
will suffice.
If you wish to limit the time within which any specific person(s) may request an administrative hearing, you may
Provide such person(s), by c m0ed mail, a copy of this determination, including Attachment A.
File Name: Smith, Lawrence
• FDEP File No.: 56-0185740-002
Page 3
For the purposes of publication, a newspaper of general circulation means a newspaper meeting the requirements of
sections 50.011 and 50.031 of the Florida Statutes. In the event you do publish this notice, within seven days of
publication, you must provide to the following address proof of publication issued by the newspaper as provided in
section 50.051 of the Florida Statutes. If you provide direct written notice to any person as noted above, you must
provide to the following address a copy of the direct written notice.
Florida Department of Environmental Protection
Southeast District Branch Office
Submerged Lands & Environmental Resources Program
1801 SE I-MImoor Dr., Suite C-204
Port St. Lucie, Fl 34952
If you have any questions, please contact Jason Storrs at (772)398-2806 or at Jason.Stors@dep.state.fl.us. When
refening to your project, please use the FDEP filename and number listed above.
Sincerely,
James hE Sellers /]date
Environmental Supervisor
Florida Department of Environmental Protection
Southeast District Branch Office
JMSrjss
Enclosures: Federal Manatee Conditions, Federal General Conditions for SPGP III-R1 and Transfer Request
Attachment A Notice of Determination of Qualification for Exemption
cc: 17SACOE — Palm Beach Gardens Branden.Roward@saiO2.us=.army.mil [without enclosures]
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