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HomeMy WebLinkAboutSUBMITTED PAPERS4K OFFICE, USE, ONL_ Y- DATE FILED. g� "COI 13 PLAN REVIEW FEE: &3 , O O RECEIPT NO.: J 9 PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS D,IVI�SIO�N�y� 2300 Virginia Avenue — ��:� ' `' ` 1 .`'• SCANNED Ft. Pierce, FL 34982-5652 BY 772-462-1553 St. Luc►® County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: -4q ve 3fyer l 2. PROJECT NAME: P V rli S 0a-- k SITE PLAN NAME: 3. PROPERTY TAX ID #: �69 Z --S—O %— p Z 3 5-- da O 7 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 6uc�/-eX /,j C, CD.t-r4,e I 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. ---� 9. PARCEL SIZE (ACRES/SQ FT.): 0,y 5 LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: C»✓STi�� '`� 11. SETBACKS (ACTUAL) FRONT BACK: ----RTGHT SIDE: SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION -V4- RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1 st FLOOR 16. VALUE OF CONSTRUCTION: $ ;Z � DOO • O O The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNER INFORMATION 7 NAME: ✓/' a ADDRESS: g V / ;Pe!5Uo -1-- �'--' CITY: Sc� ,%r�JY� STATE: CST ZIP: 6(0 , f o PHONE (DAYTIME): (�) 20Y5-- - Z2 7 Z Email:Ik A, o yfr i 5 Qf 5-/ L 1"C- • C_,-2:2!jM IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER -- ADDRESS: CITY: STATE: 2IP: PHONE (DAYTIME): U CONTRACTOR INFORMATION ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: 26060 BUSINESS NAME: '-J* 8 &D, 5— 4 QUALIFIERS NAME: ADDRESS: 2(g y s �v •Zc7A CITY: STATE: 7r� ZIP: 3� PHONE (DAYTIME): f - q-- 0 3 ! t-- FAX NO. Email: J 13 8 a.4- T Lg*- ARCIRVENGINEER ADDRESS: CITY: STATE: ZIP: PHONE (DAYTMffi): (_) BONDING COMPANY: ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDER ADDRESS: CITY: STATE: 2 P: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. .- CERTIFICATION This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that al work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that s p t, may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOL separate permit AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building FURNACES, BOILERS, HEATERS, TANKS, g permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review. room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. y NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO1�Il�IENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON OTHE JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMA ENCENENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND ATTACHMENT; AS A CONUBJECT TO DITION OF ISSUANCE OST THAT TTHIS PERMIT, YOUPROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. �1 VA LUIVTRACTOR SIGNATURE STATE OF COUNTY OF Q The foregoing instrument was acknowledged before me this _� day of by Ovv%'s who is personally known ✓ or has produced as identification. Sign re f Notary Commi ion N4i0BIN__ L.�egK (Seal) NOTARY PUBLIC OF CONNECPCUr My Commission Expires May 31, 2015 STATE OF F] COUNTY OF The foregoing instrument was acknowledged before me this 17 rday of �? . by J who is personally known ✓ or has produced as identification. of Notary No. EE I I �506 NOTE: TWO 2 SIGNATURE w () TURES ARE itEQUIItED. EACH SIGNATURE MUST BE �° 0 THIS BUILDING PERMTI' AS AID OWNER/BUILDEMUST NOTARIZED. IF AP THIS APPLICATION IN TF&' OFF:ICELISTED ON THE FRONT OF TM$ ApPLI ONALLY APPE OWNER BUILDER AFFIDAVIT WILL BE.RE ICATION. p C QUIRED FOR ALL OWNER/BUILDER APPLICANTS. ��. For specific instructions see appropriate permit checklist. w 1 O � � Ln POFCE USE ®1�,Y a TOWNSHIP -� S RANGE ` MAP NO. d CA ZONING ` LAND USE R LOT CVG % TAZ NO. FLOOD ZONE. FIRM MAP # 1 ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FIRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 111990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE o� HABITABLE AREA RADON FEE PERMIT FEE LIBRARY BRACT FEE PUBLIC BLD IMPACT FEE CORRECTION PUBIC BID BRACT FEE GENERAL PARKS BRACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF ELECTRIC GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: / REVIEWS FRONT COUNTER. ZONING REVIEW SUPERVISOR REVIEW PLANS RFVI5W VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED l ad� 13 �� "� 0-11/ 1 - - ro uQ0 DATE COMPLETED / INITIALS D r(ODIFFFICE USE ONLYION TOWNSHIP RANGE Iy MAP NO. !� ZONING LAND USE p LOT CVG % TAZ NO. FLOOD ZONE. FIRM MAP # iST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 111990 LOT OF REC After 11199.0 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA RADON FEE PERMIT FEE LIBRARY WACT FEE PUBLIC BID WWACT FEE CORRECTION PUBIC BLD D&ACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIItE/EMS AVACT DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE FEE SPECIFY SUBS MECHANIC ROOF ELECTRIC GAS NON -CONFORMING LOT OF RECORD MISCELLANEOUS FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: REVIEWS FRONT COUNTER- ZONING REVIEW SUPERVISOR REVIEW PLANS P.EWW VEGETATION REVIEW SEA TURTLE RE W MANGROVE REVIEW DATE RECEIVED DATE COMPLETED qr INITIALS JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3867487 OR BOOK' 'D PAGE 2417, Recorded 08/20/2013 a' :29 AM Permit No. State of Florida County of St. Lude NOTICE OF COMMENCEMENT Tax Folio No. ! J Sn 2 - Sa/— d L 3S--d0G -7 The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. Legal Q12cription of Property: (and street a dress If available): General desalption of lmp►ovement: DOck 0 Boa 1-;4 Owner InforMaton or Lessee Irdormubn If the Lessee contracted for the Improvement: Name / O Address Interest In property: Name and address of fee simple titleholder (If different from Owner listed above): Contractor's Name: i!!-A_ goal L. t�f S.,Skws l Contractor Address: 214 j SG o M Qd. 3SfQr1Y:;1 Phone Number: r- 2 Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number. Lender Name: Phone Number: Lender's address: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section Zs, � ;4(1) (a)7., Florida Statutes: Name: Phone Number: Address: In addition to himself or herself, Owner designates of liences Notice as provided In Section 713.13(1) (b), Florida Statutes. Phone number of person or entity designated by owner to receive a copy of the Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to 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 OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATURES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SRE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under p Ity of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my wie a and bel(Rf. / (Slgnsture of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Olrector/Panner/Manager 1%fA%w6yz� (Signatory's Title/Office) Ilb,eforegoing Instrument was acknowledged before me this day of , 20_0 By + As �. for am of ersa , ' •,+ Typ"e_� f fr&hci (e.g. officer, trustee) Party on behalf of whom Instrument was executed ,. Personally known✓ or produced Identification ( at re of Notary Public �� +i ,Z, W (Print Type, or Stamp Commissioned Name of NotaryPub)Ic), Type of Identification produced ROMLCM NOTARY MC OF COIRE= Lb comirbn eou Lfy91,10Ifi STATE 0f FLOAI9A ST, LUCIE COUMTY TLIIC ICT() f rn Trry rn nT ru,n ,n 1,111 OF By: Date: t .4COR0�' CERTIFICATE OF LIABILITY INSURANCE �� DATE(MMIDD 12/31/201212 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Deakins -Carroll Insurance Agency PO Box 1597 Port Salerno FL 34992 CONTACT Bonita F-inch NAME: PHONENo. (772) 287-2030 A/C No: (772)288-2481 EMAIL ADDRESS: bonnief@deakinscarroll.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA.U.S. Fire Insurance Company INSURED D&M Enterprises of the Treasure Coast,LLC d/b/a J&B Boatlift Systems 2199 SE Cove Road Stuart FL 34997 INSURER B :General Ins. Co. of America INSURERC:Zurich American INSURERD: INSURER E : INSURERF: GUVI-NA1411-1i CFRTIFIRATF NI IMRFD•RT./RA/WC qnl R DC\/ICIr%Kl kit IRADCD• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL TYPE OF INSURANCE ADD S BR POLICY NUMBER POLICY MMID/YYYY POLICY MIDTR LIMITS A 'GENERAL-UABILLLY_-­' COM X MERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 8741000529 , -- /-2'/1 -2-013 _� 1/2`/2014--^'MED EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 50,000 EXP (Any one person) S 5,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO LOC PRODUCTS - COMP/OPAGG S 1,000,000 S B AUTOMOBILE LIABILITY ANY AUTO ALLOWNED AUTOS AUTOS HIRED AUTOS NSCHEDULED NON -OWNED AUTOS 4CC30564310 1/2/2013 1/2/2014 Ea aBINEDtSINGLE LIMIT S 500,000 X X BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S S UMBRELLA LIAB EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE S AGGREGATE S DED I I RETENTIONS S C `�JDWORKERS COMPENSATION AEMPLOY`LIABIL: ERSITY Y / N ANY-PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A INCLUDES USL&H ITIME EMPLOYERS LIAR. C9595807-029/'29/2012 -,-�—� a 9%29%2019% X WC STATU- OTH- ER E.L. EACH ACCIDENT S 000 000 1 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) NCrNi Iri%,m 1 C rIVLLJCr% 1_ANL rLLA I IUN (772)462-1148 St. Lucie County Certification & Licensin Attn: Monica Qualifier: Clifford Donnelly 2300 Virginia Avenue Room 210 Fort Pierce, FL 34982 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Deakins/BLF AL:UKL1 25 (2070/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25 (9ninn5) ni The Arr)Pn nomo and Inn^ arc rcnictornrl mnrlrc ^f jannpn a C-I .4COR0® CERTIFICATE OF LIABILITY INSURANCE `„� DATE(MMIDD 12/31/201212 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN, THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy; certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Deakins -Carroll Insurance Agency PO Box 1597 Port Salerno FL 34992 CONTACT Bonita Finch NAME: PHONE (772) 287-2030 AIC No: (772)288-2481 E-MAIL ADDRESS: bonnief@deakinscarroll.com INSURER(S) AFFORDING COVERAGE NAIC it INSURERA.U.S. Fire Insurance Company INSURED D&M Enterprises of the Treasure Coast,LLC d/b/a J&B Boatlift Systems 2199 SE Cove Road Stuart FL 34997 INSURER B :General Ins. Co. of America INSURERC:Zurich American INSURERD: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:BL/BA/WC 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A ��- r VEPIERAL- LIABILI X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 8741000529 �1%2/_ 0 r3`„sl/2:/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence)$ 50,000 MED EXP (Any one person) S 5,000 PERSONAL& ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG S 1 , 000 , 000 S B AUTOMOBILE X LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS E AUTOS 24CC30564310 1/2/2013 1/2/2014 COMBINED SINGLE LIMIT Ea accident $ 500 000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S X PROPERTY DAMAGE Per accident S S UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE S AGGREGATE S DIED I I RETENTIONS $ C WORKERS -COMPENSATION (AND,EMPL•OYERS"L` IAB ILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA INCLUDES USL&H MARITIME EMPLOYERS LIAB. C9595807-02 'g./9/'29�% X NCYTA MIOTH- EL. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION (772) 462-1148 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. St. Lucie County Contractors Certificatio 2300 Virginia Avenue AUTHORIZED REPRESENTATIVE Ft. Pierce, FL 34982 David Deakins/BLF ACORD 25 (2010/05) INS025 mmnns m ©1988-2010 ACORD CORPORATION. All rights reserved. Thu Arr1Rr) nmmu 2nrl Innn nru runictururi mnrirc of Arr)pn r- ice, :bun#yCertifcation-Nu►rlber: 26 6 Building &Code Regulation Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1673 Fax: (772) 462-1148 hftp://www.stlucieco.org/public—works/contract licen.htm http://airs.slcfl.vetrol.com/AIRSweb. pip Issued To. DONNELLEY, CLIFFORD D & M ENTERPRISES OF THE TREASURE COAST LLC 2199 SE COVE RD STUART, FL 34997 Class Code: Marine License Type: County Certificate This Competency Card, issued by the St. Lucie County Contractor Certification Division, authorizes work for the Class Code stated, for the unicorporated areas of St. Lucie County. It does not authorize work for the City of Ft. Pierce, St. Lucie Village or the City of Port St. Lucie. It is the Contractor's responsibility to maintain this card in a current status by providing a Certificate of Insurance, current address and telephone information, and renewing this card annually as required. Effective Date: 12/4/2009 Wallet Contractor ID Card Cut on outside of line, then fold in half. St. Lucie ,County 'C O"N T`RrXC-T O R IDjE-N;,T,TF-U C ..-ATI.Qv.W, CARD County Cett ficatiori'Number: 26066 Class Code: Maine.. This is totertifythat'DONNELLEY CLIFFORD DBA D & M ENTERPRISES OF THE7REASURECOAST LLC has been issued a County Certificate iti;St:'Lucie County, beginning on 12/04/2009 and ending on 09/30/2013 unless hceriseis re KEN.XAVOLD, CBO - BUILDING OFFICIAL -------------- - - -- -- Authorized Licensing Official tcpr;ati9n—Date:�9130L2013 KEN ARNOLD, CBO BUILDING OFFICIAL Automated Inspection Line: (772) 462 -1261 Inspection Line: (772) 462 - 2172 Contractor Licensing: (772) 462 -1673 Contractor Fax Line: (772) 462 -1148 - RECEIVE® SEP2 0 2013 PERMITTING St. Lucie County, FL PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SL Lucie County Contractor Certification Number: "7z -5-- vZk e( State of Florida Certification Number (HappGcable): n -- 1 2 U L Iws l Pc ��, j S ��-�� c TC,4 - have agreed to be the (Company Name/Individual Name) 7-6 -/.-[ .1111 1 sub -contractor for 7 - — t? j3a 4 4- L (Type of Trade) (Primary Contractor) for the project located at L% 1-5/� Al -_ Hi_1 A0 111 (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) ft BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ©RIGIFIAL SIGNA r URES ARE REQUIRED SIGH04ATLJRE PRINT NAME DAT Business Name: L , Address: 51 rft f\IW PINT City/State/Zip: FORT SAINT LUC:IE El_ 349FIR Phone: % U L� email: s e,- , I c /• �'c"�''t OFFICE USE ONLY: PERMIT # ISSUE DATE I -Sol o46t 9801 South Oom Beeeiu, FL "957 (772) 229-2.930 FAX (772) 229_0901 August 6, 2013 Mr. Nlorris 49 Nettles Blvd Jensen Beach, Rl 34957 RE: 49 Nettles Blvd Nettles Island Inc. has no objection to the dock plans as submitted, drawn by Jerner & Associates, Inc., dated 7/30/13. Respectfully, William Harkins Operations Manager Tom Bellavance Architectural Chairperson Cc: Joan. Thayer, LCAM, Bile V306-0400 jr FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST DISTRICT BRANCH OFFICE 337 N US HIGHWAY 1, SUITE 307 FORT PIERCE, FL 34950 772-467-5500 August 28, 2013 Philip Morris 944 Pequot Avenue Southport, CT 06890 Sent via e-mail: mmorris951@aol.com Re: File No.: 43-0320389-001 File Name: Morris, Philip Dear Mr. Morris: RICK SCOTT GOVERNOR HERSCHEL T. VINYARD JR. SECRETARY On August 2, 2013, we received your application for an exemption to perform the following activities: 1) construct a 220-sq.ft. dock, consisting of a 4-ft. by 15-ft. (60-sq.ft.) access walkway and a 10-ft. by 16-ft. (160-sq.ft.) terminal platform; 2) install a boatlift; and 3) install one mooring pile. The project is located in the Indian River Lagoon, within the Jensen Beach to Jupiter Inlet Aquatic Preserve, Outstanding Florida Waters, Class R Waters, adjacent to 49 Nettles Blvd., Jensen Beach (Section 2, Township 37 South, Range 41 East), in Martin County (27° 17' 9.50" North Latitude, 80' 13' 39.23" West Longitude). Your application has been reviewed to determine whether it qualifies for any of three kinds of authorization that may be necessary for works in wetlands or waters of the United States. The kinds of authorization are (1) regulatory authorization, (2) proprietary authorization (related to state-owned submerged lands), and (3) federal authorization (State Programmatic General Permit). The authority for review and the outcomes of the reviews are listed below. Please read each section carefully. Your projects may not have qualified for all three forms of authorization. If your projects did not qualify for one or more of the authorizations, refer to the specific section dealing with that authorization for advice on how to obtain it. 1. Regulatory Review. — 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 62-113, F.A.C. Based on the information you submitted, we have determined that your project is exempt from the need to obtain an Environmental Resource Permit under Rule 40E-4.051(3)(b), F.A.C. inviv dep..state. l.us �_. J File No.: 43-0320389-001 File Name: Morris, Philip Page 2 of 4 2. Proprietary Review. — GRANTED 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 sovereignty 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 occur on sovereignty submerged land and will require authorization from the Board of Trustees to use public property. As staff to the Board of Trustees, we have reviewed the proposed project and have determined that, as long as it is located within the described boundaries and are consistent with the attached general consent conditions, the project qualifies for a letter of consent to use sovereignty submerged lands. Therefore, pursuant to Chapter 253.77, Florida Statutes, you may consider this letter as authorization from the Board of Trustees to perform the project. 3. Federal Review (SPGP) — GRANTED Federal authorization for the proposed project is reviewed by DEP pursuant to an agreement between the Department and the U.S. Army Corps of Engineers (Corps). The agreement is outlined in a document titled Coordination Agreement Between the U.S. Army Corps of Engineers and the Florida Department of Environmental 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 (SPGP). As shown on the attached drawings, the proposed projects are consistent with the SPGP program. The attached Corps general conditions apply to your projects. No further permitting for these activities is required by the Corps. This exemption verification is based on the information you provided the Department and the statutes and rules in effect when the information was submitted. This verification will expire after one year, and will not be valid at any other time if site conditions materially change, the project design is modified, or the statutes or rules governing the exempt activity are amended. However, the activity may still be conducted without further notification to or verification from the Department after the one-year expiration of this verification, provided: 1) the project design does not change; 2) site conditions do not materially change; and 3) there are no changes to the statutes or rules governing the exempt activity. In the event you need to re -verify the exempt status for the activity after the one-year expiration of this verification, a new application and verification fee will be required. Any substantial modifications to the project design should be submitted to the Department for review, as changes may result in a permit being required. Conditions of compliance with the regulatory exemption are contained in Attachment A. This letter does not relieve you from the responsibility of obtaining other permits (federal, state, or local) that may be required for the projects. File No.: 43-0320389-001 File Name: Morris, Philip Page 3 of 4 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(3)(b), 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 120.569 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 Department and the statutes and rules in effect when the application was submitted and is effective only for the 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 Department's 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 are not authorized under the exemption established under Rule 40E-4.051(3)(b), 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 Department's 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 certified mail, a copy of this determination, including Attachment A. 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 File No.: 43-0320389-001 File Name: Morris, Philip Page 4 of 4 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 and Environmental Resources Program 337 N US Highway 1, Suite 337 Fort Pierce, Florida 34950 If you have any questions, please contact Mary Zavash at (772) 467-5566 or by email at Mary.Zavash@dep.state.fl.us. When referring to your project, please use the FDEP file name and number listed above. Sincerely, 8/28/13 Benny Luedike Date Environmental Manager Submerged Lands and Environmental Resources Program Enclosures Copies furnished to: USACOE- Palm Beach Gardens, FDEP-SP@usace.army.mil Bruce Jerner, Jerner & Associates, Inc., Jerner@bellsouth.net FILING AND ACKNOWLEDGMENT FILED, on this date, pursuant to 120.52(9), Florida Statutes, with the designated Department Clerk, receipt of which is hereby acknowledged. 8/28/13 Clerk Date 0 MORRI S 49 NETTLES BLVD JENSEN BEACH F- x 1 jenicr & Associates, Inc. Environmental Consulting ! 1 1 t I 2537SEAlfmsoAve. Po12St.Lude,PL34932 Pli.g72)283-2950 bmajenta ftmail.com Date: 7130113 Sheet 1 INDIAN RIVER LAGOON 1.4 MILES WIDE SECTION z C) C'q RESOURCE SURVEY PERFORMED BY BRUCE E41 JEPJVER ON JULY 30, 2013, NO RESOURCES 41 OBSERVED WITHIN 60'PADIUS OF PROJECT SITE w (3) ADDL, TIE OFF PILES 25' I A 41-5 ------------ 6.8' OrToll t4 okff 150 Psb �j 09 �l P POO Oil' -J. 21ALW ......... ry 34.6' SHORELINE NO ATTACHMENTS TO SEAWALL It! MORRIS 49 NETTLES BLVD jerna & Associates, Inc. Ell"')-omment(d Consulting I" = 10' Sheet 2 Date: 7130113 2537SE-AlfonsoAvr. PoaSt.ljici0T34952 JENSENBEACH 1-111.(772)283-2950 b)71CCjC.nicr@gmail.cotn Pier Section Thru Live Load 40 lbs. / Sq Ft Dead Load 5 lbs. / Sq Ft SGL Bolts, Nut, ashers 5/8" H.D. -- Galt'. Or S.S. (304) w Nut Fully Threaded VARIES 2' x 6" SYP, .40 ACQ 1 F Decking #1 Grade w %"plank spacing. Fasten w # 10 3" SS (304) `° Screws, 2 per Stringer 2" x 8" P.T. SYP, .40 ACQ treated stringers tc ------ be butt jointed, butt �.. joints to be staggered. 2"x8"P.T. SYP, .40- ACO treated DBL bents Pilings jetted to a minimum depth of 6' and as necessary to provide adequate bearing and stability F MORRIS 49 NETTLES BLVD JENSEN BEACH �VIRO Pier Plan View IX VARIES CS � _ ! _ _ i! *� I 1L yj ! i' O �a Stringers T _Min. 8° Dia. 2.5 O.C. Max CCA treated piles Center Stringer(s) toe Nailed w (2) #16 SS (304) Ring Shank Nails @ Each Bent, Outside Stringers Face Nailed w #16 SS (304) Ring Shank Nails (See Nail Pattern Below) 18° 18" 'i ,-..:.._r Dimensioned i Juncr & Associates, Inc. Sheet 3 i E►ivira►annual Cons►dtiitg Date; 7130113 2537SEA1onsoAvc. PwtSt.Ltci0L34952 111i.(772)283.2950 ��•��-emu-" <� b►ueejcn�e►t�n►tail.can o ENGINEERING SUBMITTALS AUGUST 05, 2013 WIND LOAD CERTIFICATION: CODE: FBC 2010/ASCE 7-10 WIND SPEED: 170 mph, 3 SEC. GUST EXPOSURE:"D" IMPORTANCE FACTOR: 1.0 INTERNAL PRESSURE COEFF.: 0.00 tip' '�.i• JOB: MORRIS DOCK/PLATFORM 49 NETTLES BLVD. JENSEN BEACH, FLORIDA ST. LUCIE CGUNTY BILLi DLNG DIVISION REVaI ,WED FOR COMPL E REVIEWE DATE PLANS P MUST BE PT OIti JOB PAUL WELCH IN�RNOIIISPEc IatWILIrBE1�'DE. Mechanical Electrical Civil Engineering 1984 S.W. Biltmore St. Suite #114 Port Saint Lucie, FL 34984 Phone E-Mail (772) 785-9888 pwelchinc@aol.com Paul Welch, P.E. Fla Reg No. 29945 rn�1J ,aR 61 ,�u � h� N'FVR � � fit ,+�t� 5 s " � m y •�i�ny " � � '}�N3i4�+ co rTj GN rri m �„ 00 r � t4 � _ �E Sv' j'S 9��'� � - y b *� �t � �`° �`*.�. ci , '��rr}��' ����''$� � � t4rx"•�'.� s i s } y T � I��� `� b F - .•.1�, Q � 1 "C4 '�Sx l 1�✓��4� �Ey t�t �4 G���, �0� A,� ;� t' '[� f � i,lsS t� T. � O O � '� { � . �. , ` � ra �j � ° fi✓' „r S�N R� �„ „i�a y xiN N � r W '' ` � S r �"' f1 Q � iTr1 (0 ma's~ b a. R rn � - a x y >• 's.�r�r d r - r. w � '>� >` t +x�&, ��,ed I •� � ' �' Gib � �� � � F � � � � �: P 1 G t.. r W - a c PAUL WELCH INC. MECH-ELECT-CIVIL ENG c � 1984 BILTMORE ST. #114 c„ m PORT ST. LUCIE, FL 34984 N PAUL WELCH, P.E. REG NO 29945 w C INDI N RIVER LAGOON �1 1.4 MILES WIDE SECTION THRU RESOURCE SURVEY PERFORMED BY BRUCE JERNER ON JULY 30, 2013. NO RESOURCES OBSERVED WITHIN 00' RADIUS OF PROJECT SIB (31 ADDL. TIE OFFFILES MLW MIN. ff DIA. BOAT LIFT PILES WITH 10'PENTRATION 1W INTO FIRM SOIL ! i : 3. SoV �S TO J ' � v ugh 0111 I !•+.L7 s. i-b "'4. Yi..R =. h ^1 .. x.. e.F . eS, .t"..r .C'a c'n f., f'4.f .. l•s' S a '4 0 5 . C � PAUL.IGLV11 INC.w.:w. mi• k-.r �.a'5y�_IVI'LYY .......,_.._ ..�.._.. . .�,. ro MECH-ELEMCNIL ENG + �v; 34.6 SHORELINE rlo ATTACIIfi9€NTS TO QVl 1984 BILTMORE ST. #114 PORT ST. LUCI FL 34984 NO PAUL WELCH, P.E. IU REG NM SEAWALL MORR1 S 49 NETTLES BLVD j�uT� �� ` � '— 1 Jerner &Associates, Inc. Environmental Consulting 2537SEAlfonso Ave. PortSt.Lude, FL34952 Sheet 2 Date: 7/30/13 JENSEN BEACH t —� ," . W: Ph(7ner@g 9 uc brejerner@gmail.c .com / A U G 0.5 2013 Pier Section Thru Live Load 40 lbs, / Sq Ft Dead Load 5 lbs. / Sq Ft SGL Bolts, Nut, _Washers 518" H. D. - Galv. Or S.S. (304) w Nut Fully Threaded 2" x 6"SYP, .40 A CQ Decking #1 Grade w !'plank spacing. Fasten w #10 3" SS (304) Screws, 2 per Stringer . 2" x 8" P. T. SYP, .40 ACQ treated stringers to be butt jointed, butt joints to be staggered. _ 2" x 8" P. T. SYP, .40 - ACQ treated DBL bents Min. 8" Dia. 2.5. CCA treated piles Pilings jetted to a minimum depth of 6' and as necessary to provide adequate bearing and stability PAUL WELCH INC. MECH-ELECT-CIY L ENG 1984 BtLTMORE ST. #11 U PORT ST. UIM FL 341B4 WFLCK P.E. FLA REG NO 2W" MORRI S 49 NETTLES BLVD JENSEN BEACH Pier Plan View VARIES ................ ._._...'_._._ ...... �) Stringers 24" 0. C. Max Center Stringers) toe Nailed w (2) #16 SS (304) Ring Shank Nails @ Each Bent, Outside Stringers Face Nailed w #16 SS (304) Ring Shank Nails (See Nail Pattem Below) 18" 18" Ll • . M,. • m Q � 7 l Dimensioned i t Jerner&Associates, Inc. -Sheet 3 Environmental Consulting Date: 7130113 I i ! 2537 SE Alfonso Ave. Port St Lucie, FL 34952 ---� +�-t}R -- Ph(772)283-2950 e.� r brwejerner@gmailcom AUG 0 5 , 2013 1 HURRICANE BOAT LIFTS CATEGORY-5 VERTICAL LIFTS ENGINEERING SPECIFICATIONS 4 5. fill c'a n STANDARD FJLF_.91,1W-D cket FLAT PLATE GEAR With 2-3/8' Bolts Co a ing he ❑PTION Bracket To The Assembly, 2-3/8'x3' Stainless Steel Lag Bolts Into The Side Of Piling rPOL NG SPACM PILE MOUNT DETAIL 1 2 3 4 . Lift CAPACITY A B RECOMMENDED PILING SIZES Piling I TO Be Sand ] Into T Recommend 4,500 LB 150' 132' 8' DIA 7,000 LB 150' 144' 8' DIA 10,000 LB 150' 150' 8' DIA 13,000 LB 150' 150' 8' DIA 16,0011 LB 150' 168' 10' DIA 20,000 LBI 168' 1 168' 10' DIA 24,0011 LBI 192' 192' 10' DIA 6 Piles lenetration 10' Into The ottom Or 5' qe Rock Strata A OUT -TO -OUT B CENTER -TO -CENTER ricane Marine Manufacturing and or B&B Engineers shall not held liable In the Installation and the attachment of which hurricane products are attached to. Independent Contractor Hurricane and or Home Owners are responsible for their own neering to attachment structures. A 7 R 9 1fl 11 Lift Top Be nm 2 Cradles per lift Bunk Board Cable Guide Drive Cable Drive Motor Min. Re o m- Cap. Channel I -Beam <PT) Size Post Hearings Shaft Winder Unit H.P. encde� Size Size Carpeted Height Size Din. g gty. Piling Size 2 En. 6 Hx 19. 4,500# 4H x 15 4 Wx.29 (4) (2 Eck.) 2Wx.23 150' Lg, x 132' 5/16'x20' SST. Aluminum Housing Gear Box 3/4 H.P. 120/20A 2 Ea. 5H x .15 6 Hx .19 7,00001 2.2256 W 4 Wx.34 1 Part ( 80,) (4 Ea.) or x.2 L x 144' 2'x8'xl44' CARPETED 6, 8• 2' Solid Zo W Flat Pit. Gear 240/IOA aar (Greater) 8' Did. 2 En. 6H x .17 8 Hx .23 I0,000M 2.5 W 5 Wx.35 w n x.29 x 150' a n Drive 150• L , (4) 5/16'x3O' 6061-T6 ALUM. w u W w 7H x .17 8 Hx 25 (2 Ea.) 13,000N 2.75 W 5 Wx.41 a o ¢ 1 H.P. x.29 x 150' SST. a m a s 120/20A 152'Ea. 2 Part Li U r rn c (n = 240/10A 7Hx.210 IOHx.25 3'x10'x144' t2 Ea.) 16,000# 3.5 W 6 Wx.41 Carpeted a y x300 150' L . x 168' ( 120') C3 1 HP. HD 120/20A 10' Did. 2 Ea, 8H x 25 I0Hx.25 3'x10'xl68' (4) <6 En) . 20,000k 3.75 W X. 6 Wx.41 x 168' Carpeted 5/16'x45' 1O' 2' Solid 240/10A 168' La. SST. 6061-T6 or j_ra, BH x 25 10Hx.29 3'x10•x192' 24,000# 3.75 W 6 Wx.50 ALUM, (Greater) x.41 x 192' Carpeted 192' L . 3 Part STRUCTURAL ENGINEERING REVIEW THE GRAVITY AND WIND LOADS FOR THIS CONSTRUCTION HAVE BEEN CALCULATED AND THE MAIN WIND FORCE RESISTING SYSTEM AND COMPONENTS AND CLADDING OF THIS BUILDING DESIGN DO COMPLY WITH THE FLORIDA BUILDING CODE 2010 HURRICANE BOAT LIFTS 3301 S,E, Slater Street B&B Engineers, Oscar M. Bermudez, PE, DATE, Stuart, Florida 34997 706 S. 7th STREET Reg. Florida No. 55141 f (�I13 (772)-781-2556 FT, PIERCE, FLORIDA 34950 / Fax (772)-781-4854