HomeMy WebLinkAboutR2C1-Solar Permit App,All APPLICABL INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: '6 c7 Permit Number:
l' J '+
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTVPE: Fire Sprinkler
PROPOSED IMPROVEMENT LOCATION:
Address: aoou .vita Hoaa rot Pierce FL 34945
Property Tax lD#: 1_3 ks' - tom -- ('1p3 �� 000 Lot No.
Site Plan Name: Block No.
Project Name: FPL Interstate Solar Operations Center
DETAILED DESCRIPTION OF WORK:
13D fire sprinkler system and Dry Hydrant
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 41283 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FPL
Name: Richard Bloom
Address: 3650 Alm Road
Company: Gay Fire Protection INC.
City: Fort Pierce, FL State: _
Zip Code: 34945 Fax:
Phone No.
Address:2500 NE 18th Terrace
City. Gainesville, State: FL
Zip Code: 32609 Fax: 352-378-1454
Phone No352-380-0317
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail rbloom@sciensbuildingsolutions.com
State or County License 42178800012001
-------- • ••••••_ mmencemem rs requnea.
H value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION LIEN LAW INFORMATION:
/ENGINEER: _Not Applicable
MORTGAGE COMPANY:
Not Applicable
h Giro
Name:RIA
OSUPPLEMENTALENTAL
5po NE 18mTece
Address:
ville State: FL
PhorE352-380931]Zip:
City:State:
Phone:LE
TITLE HOLDER: _ Not Applicable
Name: wA
BONDING COMPANY:
_Not Applicable
Name: RIA
Address:
Address:
City:
City:
ZIP Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFID
VIT. 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 conxict with any applicable Home Owners Association rules, bylaws or antl 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.
Inconsideration 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
"YARNING 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YDDR Nnrrrc nv
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _day of ZG_ by
Name of person making statement.
Personally Known. OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -State of Florida )
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
STATE OF FLORID
COUNTY OF -9 Lac 6 c'
The forgoing instrument was acknowledged before me
thiiss�day of ///"a* 20A0 by
T�\C I^Ar�1 N�OOty�
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Commission
S REVIEW RREVIEW VRE EW ON I SREVEWLE M EVIEWVE
BOARD OF PLANNING & DEVELOPMENT
COUNTYSERVICES DEPARTMENT
COMMISSIONERS . R I . A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL. BUILDING PERMIT
Proiect Location•
(Jl(�
WUC1 �-
I �12 rccL Date•
>� I�j-��
YeaX
No_N/A_
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
`
Permit Number:
_ N/AX
Owner / Builder Affidavit (signed in office) .................................................
Technician:
No
N/AX
Reouired Documents:
Application completely filled out with Notarized Signatures ............................
YeaX
No_N/A_
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes_No
_ N/AX
Owner / Builder Affidavit (signed in office) .................................................
Yes
No
N/AX
Filled land Affidavit (prior to issuance) ...................................................
Yes_No
N/AX
Recorded Warranty Deed, if applicable......................................................Yes_No
_ N/AX
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes_No
_ N/AX
Utility Agreement or Payment Receipt (prior to issuance) .................................
Yea_NO
_ N/AX
Vegetation Removal Application with copy of survey.....................................Yes_Na
N/A
Plaua Calculations & AM h t (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ...........................
Yesx
No
N/A
Truss Plans reviewed and approved by Engineer / Architect ............................
Yea
No_N/AX
Landscaping and Puking plan (under 6,000 sgft).........................................
Yes_No
_
N/AX
ApprovedSite Plans...........................................................................
Yes_No_N/AX
Sealed Survey with Dimensions, Finished floor ...........................................
Yes_No_N/AX
Elevations and Setbacks..............................................................
Yes_No_N/AX
Plot plan with Setbacks...............................................................
Yea—No
_
NIA
Health Department approval stamped on survey and floor plan ........................
Yes_No_N/AX
Health Department Food Establishment Permit stamped on floor plan ................
Yes
_No_N/AX
Manual "J" or Manual "N" Calculations .................
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ...........
.Yes_No_N/AX
Sealed Wind Load Compliance Certification ...............................................
Yes_No_N/AX
Product Review Affidavit.....................................................................
Yes_No_N/AX
Excavating a Pond for fill•
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes No N/AX
shape, location and quantities of proposed excavation and fill areas
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No MAX
Depth of excavation does not exceed 12 feet in depth .................................... Yes No MAX
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No N/AXX
Health Department Permit Paperwork............
Yes--No.--N/AX
CD for Fire Department if commercial or multi -family ................................... YesX No_N/AX
DEP, SFWMD or Amty Corp of Engineers (dock, seawall, SF on beach).
Pool Barrier Affidavit ................
Ground Sign Landscape Affidavit (signs) ...................
Bum Rate for Sign Cabinets ..................................
... Yes—No.--N/AX
.... Yes_No_N/AX
.... Yes—NO _ N/AX
... Yes_No_N/AX
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
No
N/AX
Manufacture Set -Up and Installation Manual ..............................................
Yes
No
N/AX
Manufacture Blocking Documents ...............................
Signed Penetrometer Test (I copy) ..............................
StairDetails.........................................................
Mobile Home Inspection Report for Relocation (used only).
Copy of Title for Relocation (used only) ........................
Private Property not in a mobile home park
Class "A" Approval from Planning or file #.....................
COMMENTS
Revised 10/5/18
.......... Yes
No
N/AX
......... Yes
No_N/AX
......... Yes
No
N/AX
......... Yes
No
N/AX
.......... Yes
No
N/AX
Yes No N/AX
OR BOOK 3905 PAGE 2777
EXHIBIT A
Legal Description
PARCEL 1:
for et Part of the Northeast 1/4 Of
ntersta a 95,, AND the South the Northwest of n 28, Township 34 Section 8, TownshRange 39 p3ty4nSouth. Ran of 3399 E fight st ri Way
ng
Westerly of the Right of Way for Interstate 95, St. Lucie County, Florida, LESS AND EXCEPTIINNG THEREFROM the
North 200 fee(of that part thereof sbuste and being within the Scutlaast % of the Northwest''/. of said Section 26
lying Westerly of the Right of Way for Interstate 95.
TOGETHER WITH AND SUBJECT TO those certain easements contained In Ina following:
(a) That certain Warranty Dead given by St. Lucie Groves Investments, Ltd. to Edgar A. Brown, as Trustee, dated
January 18, 1993 and recorded in Official Records Book 824, Page 2323, of the Public Records of SL Lucie County,
Florida.
(b) That certain Declaration of Easements and Covenants made by Edgar A. Brown, individually and as Trustee, as
Declarant, dated March 26, 1993 and recorded in Official Records Book 834, Page 2381 of the Pudic Records of
St. Lucie County, Florida.
PARCEL 2:
The West h of the Southwest %of Section 28, Townshlp 34 South, Range 39 East, St Lucie County, Florida.
PARCEL 3:
The West % of the Northeast'/, of the Soutnwast i of Section 28, Township 34 South, Range 39 East, St. Lucie
County, Florida.
PARCEL 4:
The Fest %of the Northeast % of the Southwest %of Section 28. Township 34 South. Range 39 East. St. Lucie
County, Florida.
PARCELS:
The Southeast % of the Southwest % of Section 28, Township 34 South, Range 39 East AND that part of the
$du01e861 V, of Section 28, Township 34 South, Range 39 East lying Westerly of the right-of-way for Interstate 95,
St, Lucie County, Florida.
TOGETHER WITH AND SUBJECT TO Vase certain easements contained In the following.
(a) That certain Warranty Deed given by St. Lucie Groves Investments, Ltd, to Edgar A. Brown. as Trustee, dated
January 18, 1993 and recorded In Official Records Book 824, Page 2323, of the Pudic Records of St. Lucie County,
Florida.
(b) That certain Dedaration of Easements and Covenants made by Edgar A. Brown, individually and as Trustee, as
Declarant, dated March 26, 1093 and recorded In Oficial Records Book 834, Page 2383, of the Public Records of
St. Lucie County, Florida.
PARCELS:
The North % of Section 33, Township 34 Sant, Range 39 East, lying West of 1-95, excepting therefrom, however,
the South 75 feet thereof. also Less and Except proposed SL Lucie Blvd- as described in Oficial Rewrds Book
710, Page 2734, of the Public Records of SL Lucie County, Florida.
OR BOOK 3905 PAGE 2776
IN WITNESS WHEREOF, Grantor has hereunto set his hand and seal as of the day and
year first above written.
Signed, sealed and delivered
in the presence of,
Sign.
Print
PIP
-..��_
�� +TJlsy�- ,
Grantor.
GRAY SKY INVESTMENTS, LLC,
a Delaware limited liability company
By
Nome: Barbara Moms
Title: President
STATE OF DELAWARE
SS:
COUNTY of 61EW C 5TC F ) ,,t,
The foregoing instrument was acknowledged before me this L&AY of August, 2016, by
Barbara Monis, as President of Grey Sky Investments, LLC, a Delaware limited liability company,
on behalf of the company.
[NOTARIAL SEAL) Notary:
Print Name:
Notary Public, State of
My commission expires: µ
IDI L. WTCHELL
Hpyrypw*. Sfala ptppnm0 Personally Known OR Il"roduced Id tifrcatiotl
Mari - Evnis Marl,lana Type of Identification Produced be `wCJ*%y<,
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4224153 OR BOOK 3905 PAGE 2775, Recorded 08/26/2016 10:37:27 AM Dol
Tax: $0.70
This inmmmmt prepped by or under de wpervisioa of
(end aacr recording should M mumed lo):
Seth S. Sheimlmm4 Es,
Florida Power Light Company (LAW)JB)
700 Universe Bouleard
Ju Bach. Honda 33408
Parcel l.D. Na.' 132; 1331-0001-000.7;
1328-311-0001-000-2;1328-321-0001-000.3;
1333-112-0010-000-3; 1328-132-008-000.7 (Spas RaevW for Clerk afCoun)
1328 -312 -WI -000-5; mid 1328-341-00n-000-5
NOTE TO CLERK: THIS IS A CONVEYANCE OF UNENCUMBERED REAL PROPERTY FROM THE
GRANTOR TO AN ENTITY THAT WHOLLY OWNS GRANTOR. ACCORDINGLY, PURSUANT TO
THE FLORIDA SUPREME COURT'S RULING IN CRESCENT MIAMI CENTER, LLC V. FLORIDA
DEPARTMENT OF REVENUE, AS CONFIRMED BY SECTION 201.0201, FLORIDA STATUTES,
MINIMUM DOCUMENTARY STAMP TAXES ARE BEING PAID IN CONNECTION HEREWITH.
SPECIAL WARRANTY DEED
THIS SPECIAL WARRANTY DEED is made and entered into as of the 18i4 day of August,
2016 by Gray Sky Investments, LLC, a Delaware limited liability company ("Gnntor"), whose mailing
address is c/o Chicago Title Insurance Agency, Inc., 3067 East Commercial Boulevard, Fort Lauderdale,
Florida 33308, to Florida Power & Light Company, a Florida corporation ("Grantee"), whose mailing
address is 700 Universe Boulevard, Juno Beach, Florida 33408. Wherever used herein, the tiling
"Grantor" and "Grantee" shall include all of the parties to this instrument and their heirs, personal
representatives, and assigns.
WITNESSETH:
GRANTOR, for and in consideration of Ten and No/]00 Dollars ($10.00) and other good and
valuable consideration, the receipt and sufficiency of which is hereby acknowledged, has granted,
bargained and sold, and by these presents does hereby grant, bargain and sell to Grantee and Grantee's
successors and/or assigns forever, the following described land situate and being in St. Lucie County,
Florida ("Property"), to wit:
SEE ATTACHED EXHIBIT "A".
TOGETHER WITH all the tenements, hereditaments and appurtenances thereunto belonging or
in anywise appertaining.
THIS CONVEYANCE is subject to: (a) taxes and assessments for the year of closing and
subsequent years which are not yet due and payable; (b) zoning, restrictions, prohibitions and other
requirements imposed by govemmental authority, (c) restrictions and matters appearing on the plat or
otherwise common to the subdivision, and (d) all covenants, conditions, restrictions, rights of way,
limitations, easements and similar matters of record, if any, but this reference shall not operate to
reimpose same.
TO HAVE and to hold the same in fee simple forever.
GRANTOR hereby covenants with Grantee that it is lawfully seized of the Property in fee
simple, that it has good right and lawful authority to sell and convey the Property, that it hereby fully
warrants the title to the Property and will defend the same against the lawful claims of all persons
claiming by, through or under Grantor, but no others.