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HomeMy WebLinkAboutRevisionOFFICE USE ONLY:
DATE FILED: 14 ,3
REVISION FEE:
I
2.
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4.
8
PERMITNUMBER: (�
RECEIPT -NO.:
ST. LUCIE COUNTY
DEPARTMENT OF COMiMUNITY DEVE ti
BUILDING & ZONNG
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
.462-155.3SION
.
.APPLICATION FOR BUILDING PERMIT REVISIONS
LOCATIO\;SITE
ADDRESS:
PROJECT INFOR-NIATION
DET'►ILED DESCRIPTION'S OF PROJECT
REN,1SIONS: % vk oc✓l lk/ledi�, 40 .0 ��•�j�� Gl L1•G"�-G
CONTRACTOR INFOP-NIaTIO\:
. U . ✓ - -- - r
ST. OF FL REGJCERT# _3
ST. Li:CIE COUNTY CERT.»
BUSINESS,N.V%IE:
Qualifiers Name:
ADDRESS:
CITY:
STATE:. ZIP:
PHONE (DAYTI`IE): S 7 7 / a'! v
_
— FAX #
.ARC.HIT/EtiGIYEER:
NAME:
ADDRESS:
CITY:
STATE: ZIP:'
PHONE (DAYTItiIE):
FAX#
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a 20.42'
± 2.3
CObERED
PORCH 75-
24.75' a+
---------------- 12-1_53------
ONeto
3/511 t
RECEIVED
APR 0 3 2007
Public Works
5t. Lucie County, FL
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CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of the Florida Building Code certifying that at the
time of issuance this structure was in compliance with the various ordinances of St. Lucie County
regulating building construction or use. For the following:
Building Permit No. - 0610-0264
Parcel/Folio Nbr: 1326-800-0002-000/4
Lot # 1
Subdivision:
Block:
Occupancy: Residential - 1 & 2 family dwellings
Building Address: 3130 SEMINOLE RD
Legal Description: PAPAYA GROVES LOT 1
Permit Job CONSTRUCTION OF A NEW SINGLE FAMILY RESIDENCE 5/4
Description
Permit Finaled: 03/19/2008
Owner Builder JOHN AND KIM DICKENS
5800 EAGLE DRIVE FORT PIERCE, FL 34951
Christopher Lestrange
Building Official
(772)577-1010
Wednesday, March 19, 2008
Date Printed
NOTE:
This Certificate of Occupancy is issued to the above named, for building at the above named location only upon the express provision that
the applicant will abide by and comply with all the conditions of the Zoning Ordinances and all Ordinances or Building Codes of Saint
Lucie County pertaining to the erection, construction or remodeling of buildings or structures.
This also certifies that the electrical wiring and/or equipment, and the plumbing work have been inspected and approved. The issuance of
this Certificate grants permission to occupy and use the property described herein only for the use indicated. Any change in use will
require a new Certificate of Occupancy.
POST IN A CONSPICUOUS PLACE
SCJ.iI(AG (.K1f �/-
Code Compliance Division
Ft. Pierce, Virginia Avenue
349 2 INSPECTION CARD
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
hftp://stiucleco.gov/ce
Permit #: SLC- 0610-0264 Conf #: 722 Type: Building Residential (SFR)
Issued 03/08/2007 Status: FIN Double Fee: No
Job Location 3130 SEMINOLE RD City: FORT PIERCE
Jurisdiction: St. Lucie County Lot: 1 Block:
Parcel: 1326-800-0002-000/4 Subdiv:
Flood: X Elev: Flood Map: 175F
Job Description: CONSTRUCTION OF A NEW SINGLE FAMILY RESIDENCE 5/4
Setbacks Left: 116.59 Right 71.13 Front 286.30 Rear: 538.02
Inspection Notes: partial final pending driveway culvert, termite final cert, and solid waste fee. (vw)
LM w/ sandra R/B - need to hear from barbara miller R/B to determine culvert approval or not.
3/17/08 bacounsellor
Owner Builder JOHN AND KIM DICKENS (772) 577-1010
5800 EAGLE DRIVE FORT PIERCE, FL 34951
Property Owner JOHN DICKENS (772) 577-1010
5800 EAGLE DRIVE FORT PIERCE, FL 34951
Property Owner KIM DICKENS (772) 577-1010
5800 EAGLE DRIVE FORT PIERCE, FL 34951
SUB -PERMITS
Permit #
Status
PT
Cert #
DBA Owner / Builder
Job Description
0610-0264-01
FIN
EP
21197
M PAGE C C INC
0610-0264-02
FIN
PP
20966
TOM TRYON PLUMBING INC
0610-0264-03
FIN
ME
21170
BALSAM'S AIR CONDITIONIN
316/08 CHANGE MECHANICAL
SUB FROM GRIMES HEATING
AND A/C TO BALSAM A/C.
DPELTON
0610-0264-04
FIN
RP
20108
J A TAYLOR ROOFING INC
0610-0264-05
FIN
GP
19669
FERRELLGAS
INSPECTIONS - For Requests, Call: (772) 462-1261
Permit # Code Description Priori Date Sched. Res
Description
Inspector Date Inso.
0610-0264 104 Compaction Test 1 04/03/2007 81
Disapproved
Shannon Boone 04/03/2007
0610-0264 104 Compaction Test 1 04/06/2007 90
Approved
Beatriz Goycochea 04/06/2007
Re -inspection 1
0610-0264 105 Form Board Survey 1 04/03/2007 81
Disapproved
Lydia Galbraith 04/03/2007
4/3 SETBACKS HAS CHANGED WITH THE FORM BOARD, OK WITH JODY POLISKY FROM HD, NO RESTAMP NECESSARY. FORM
BOARD NOT MATCHING WITH FOUNDATION PLAN, NEED TO BRING IN REVISION TO PLANS, AFTER REVISION IS APPROVED
WE CAN APPROVE THE FORM BOARD L.GALBRAITH
0610-0264 105 Form Board Survey 1 04/24/2007 90
Approved
Diane Flanigen 04/24/2007
Re -inspection 1
0610-0264 420 Plumbing Rough 1 03/27/2007 90
Approved
Van Whitaker 03/27/2007
null
Resulted: Tue Mar 27 14:13:16 EDT 2007
0610-0264 427 Temp.Toilet/Temp Culvert 1 03/27/2007 90
Approved
Van Whitaker 03/27/2007
null
Resulted: Tue Mar 27 14:13:38 EDT 2007
0610-0264 900 Plan Revision 1 04/24/2007 90
Approved
Debbie Isenhour 04/24/2007
Permit Nun 0610-0264
r
NUMEROUS REVISIONS SEE HIGHLIL zL0 AREAS ON, PLAN REVISIONS.
0610-0264 103 Eufer Ground 2 04/26/2007 90 Approved Steve Brasda 04/26/2007
Resulted: Thu Apr 26 14:15:00 EDT 2007
0610-0264 103 Eufer Ground
2
04/25/2007
81
Disapproved
Jim Beams
04/25/2007
null
Resulted: Wed Apr 25 14:51:20 EDT 2007
0610-0264 115 Slab
2
04/25/2007
81
Disapproved
Jim Beams
04/25/2007
clean out footers, move euffer ground to full piece of rebar, tape or
seal all
copper tubing, count your dowels , some missing
and some in
wrong place
0610-0264 115 Slab
2
04/26/2007
90
Approved
Steve Brasda
04/26/2007
Re -inspection 1
Resulted: Thu Apr 26 14:15:20 EDT 2007
0610-0264 121 Termite Spray
2
04/26/2007
90
Approved
Steve Brasda
04/26/2007
Re -inspection 1
Resulted: Thu Apr 26 14:16:01 EDT 2007
0610-0264 121 Termite Spray
2
04/25/2007
81
Disapproved
Jim Beams
04/25/2007
scheduled with John
Resulted: Wed Apr 25 14:52:50 EDT 2007
0610-0264 118 Column
3
05/16/2007
90
Approved
Steve Brasda
05/16/2007
1ST FLOOR
0610-0264 125 Tie Beam
3
05/16/2007
90
Approved
Steve Brasda
05/16/2007
5115/07 incall schedule john/ contr. bac
0610-0264 118 Column
4
05/30/2007
81
Disapproved
Steve Brasda
05/30/2007
SEVERAL DOWELS NEED TO BE DRILLED
AND
EPDXIED // CHECK ALL WINDOWS AT SOUTHERN, WESTERN, AND
NORTH ERN.EXPOSURES.
0610-0264 118 Column
4
06/05/2007
90
Approved
Steve Brasda
06/05/2007
Re -inspection 2
0610-0264 126 2nd Floor Tie Beam
4
06/01/2007
75
Cancelled by Custome
Barbara Counsello
06/01/2007
inspector, please give a partial on garage sheathing
if ok.
0610-0264 126 2nd Floor Tie Beam
4
06/05/2007
90
Approved
Steve Brasda
06/05/2007
6/4107 incall schedule with john dickens. bac
Re -inspection 3
0610-0264 126 2nd Floor Tie Beam
4
05/31/2007
81
Disapproved
Jim Beams
05/31/2007
steel in 2nd. row of beam block is not tied. I checked all down steel
it is ok. per J.B.
0610-0264 126 2nd Floor Tie Beam
4
05/30/2007
81
Disapproved
Steve Brasda
05/30/2007
5129/07 incall schedule with john dickenson/ ob/
.
asking forjim to do inspection. bac
0610-0264 132 Floor Strapping/Joists
4
05/30/2007
90
Approved
Steve Brasda
05/30/2007
0610-0264 133 Window/Door Bucks 5 06/20/2007 75 Cancelled by Custome Barbara Counsello 06/20/2007
6/19/07 incall schdule with john/ contr. bac
0610-0264 133 Window/Door Bucks
5
06/22/2007
90
Approved
Jim Beams
06/22/2007
6/21/07 incall schedule with john/ contr. bac
Re -inspection 1
0610-0264 134 Roof Sheathing
5
06/19/2007
90
Approved
Jim Beams
06/19/2007
Re -inspection 1
Resulted: Tue Jun 19 15:24:15 EDT 2007
0610-0264 134 Roof Sheathing
5
06/05/2007
91
Partial Approval
Steve Brasda
06/05/2007
SHEATHING OVER GARAGE AREA WAS INSPECTED ON 6/5/07 // SJB
0610-0264 137 Strapping
5
06/19/2007
81
Disapproved
Jim Beams
06/19/2007
6/18/07 INCALL SCHEDULE WITH JOHN/ CONTR. BAC
Resulted: Tue Jun 19 15:23:34 EDT 2007
0610-0264 137 Strapping
5
06/22/2007
75
Cancelled by Custome
Jim Beams
06/22/2007
Re -inspection 1
0610-0264 137 Strapping
5
07/03/2007
90
Approved
Jim Beams
07/03/2007
Re -inspection 2
0610-0264 140 Construction Rough Frami
5
09/17/2007
82
Disapproved-Reinspec
Van Whitaker
09/17/2007
0610-0264 140 Construction Rough Frami 5 11/06/2007 90 Approved Van Whitaker 11/06/2007
Re -inspection 1 140--- draftstop top plates--draftstop thru block wall--draftstop plbg chase in mast bath--draftstop thru fllors
Resulted: Tue Nov 6 09:58:00 EST 2007
0610-0264 145 Truss Drwg 5 07/03/2007 90 Approved Jim Beams 07/03/2007
Re -inspection 2
0610-0264 145 Truss Drwg 5 06/22/2007 75 Cancelled by Custome Jim Beams 06/22/2007
Re -inspection 1
Permit Nun 0610-0264
0610-0264 145 Truss Drwg
5 06/19/2007
81
Disapproved
Jim Beams
06/19/2007
` Truss drawings do not match trusses, contractor to bring out correct sbt for
inspection of strapping and truss drawings.
0610-0264 167 Roof Final
5 09/19/2007
90
Approved
Jim Beams
09/19/2007
9/18/07 incall schedule with owner/john. bac
Re -inspection 1
0610-0264 238 Electric Rough
5 09/17/2007
81
Disapproved
Van Whitaker
09/17/2007
0610-0264 238 Electric Rough
5 11/06/2007
90
Approved
Van Whitaker
11/06/2007
Re -inspection 1 238 --- avoidundleing over pnl
--- add nail plates as required
--wiring not complete --
Resulted: Tue Nov 6 09:58:40 EST 2007
0610-0264 351 Mechanical Rough-In(duct
5 09/17/2007
81
Disapproved
Van Whitaker
09/17/2007
Re -inspection 1
0610-0264 351 Mechanical Rough-In(duci
5 11/06/2007
90
Approved
Van Whitaker
11/06/2007
Re -inspection 1 351---must support ac duct in attic w/strap—must
seal all
joints at boxes --- 2nd flr—ductwork
not complete
11/5/07 schedule for john/ contr. bac
Resulted: Tue Nov 6 09:59:07 EST 2007
0610-0264 423 Plumbing Top Out
5 09/17/2007
81
Disapproved
Van Whitaker
09/17/2007
0610-0264 423 Plumbing Top Out
5 11/06/2007
90
Approved
Van Whitaker
11/06/2007
Re -inspection 1 423--no press test on copper
--no a/c duct against copper pipe --explain venting and capped vent in kit area
bathroom --must install all toilet flanges ------ 2nd flr--no drain tests
Resulted: Tue Nov 6 09:59:31 EST 2007
0610,-0264 127 Mullion
6 09/17/2007
90
Approved
Van Whitaker
09/17/2007
null
Resulted: Mon Sep 17 09:29:39 EDT 2007
0610-0264 136 Roof Dry-in/Tin Tab
6 07/06/2007
90
Approved
Jim Beams
07/06/2007
null
Resulted: Fri Jul 6 14:58:26 EDT 2007
0610-0264 141 Insulation
6 11/09/2007
90
Approved
Van Whitaker
11/09/2007
1118/07 incall schedule wtih john/ contr. bac
Re -inspection 1
Resulted: Fri Nov 9 13:17:26 EST 2007
0610-0264 148 Window/Door Attachment
6 09/17/2007
90
Approved
Van Whitaker
09/17/2007
null
Resulted: Mon Sep 17 09:30:00 EDT 2007
0610-0264 464 Gas Piping
6 11/06/2007
90
Approved
Van Whitaker
11/06/2007
Re -inspection 1
0610-0264 490 Rough Gas
6 11/06/2007
90
Approved
Van Whitaker
11/06/2007
Re -inspection 1 464--need gas pipe bond --strap gas pipe as required --no
pressure test on gas pipe
0610-0264 490 Rough Gas
6 09/17/2007
81
Disapproved
Van Whitaker
09/17/2007
null
Resulted: Mon Sep 17 09:32:03 EDT 2007
0610-0264 650 Frame -all
6
09/17/2007
0610-0264 141 Insulation
7
09/17/2007
null
Resulted: Mon Sep 17 09:31:14 EDT 2607
0610-0264 167 Roof Final
7 .
09/17/2007
null
Resulted: Mon Sep 17 09:31:40 EDT 2007
0610-0264 259 Power Release Form
7
0610-0264 260 30 Day for Testing
8
03/10/2008
no call to fpl- power existing per inspector. 3/10/08
bac
null
Resulted: Mon Mar 10 09:51:42 EDT 2008
0610-0264 464 Gas Piping
8
null
Resulted: Mon Sep 17 09:32:49 EDT 2007
0610-0264 493 Final Gas
8
03/11/2008
0610-0264 493 Final Gas
8
03/17/2008
Re -inspection 1
0610-0264 800 Address Final
8
03/10/2008
null
Resulted: Mon Mar 10 09:52:03 EDT 2008
0610-0264 808 Landscaping/Trees
8
03/17/200B
0610-0264 810 Health Dept - Septic
8
03/13/2008
74 Cancelled by Building I Barbara Counsello 09/17/2007
81 Disapproved Van Whitaker 09/17/2007
81
92
90
81
Disapproved Van Whitaker 09/17/2007
Accepted As Noted Barbara Counsello 03/06/2008
Approved Van Whitaker 03/10/2008
Disapproved Van Whitaker 09/17/2007
74 Cancelled by Building I Shaun Milligan 03/10/2008
90 Approved Van Whitaker 03/17/2008
90 Approved Van Whitaker 03/10/2008
90 Approved Van Whitaker 03/17/2008
90 Approved Shaun Milligan 03/13/2008
Permit Nun 0610-0264
I duncan 3 13 08 permit #08778
0610-0264 999 Final Inspection
8 03/17/2008
91
Partial Approval
Van Whitaker
03/17/2008
0610-0264 261 30 Day Expired
9 05/09/2008
92
Accepted As Noted
Barbara Counsello
03/19/2008
0610-0264 804 Driveway Bldg
9 03/17/2008
90
Approved
Van Whitaker
03/17/2008
0610-0264 820 Driveway/Culvert
9 03/19/2008
90
Approved
Barbara Miller
03/19/2008
3/19/08 incall spoke to barbara miller road n
bridge dept- signing off approval for inspection . bacounsellor
no approval until license agreement on concrete head wall in right way is approved by management - as per barbara miller road n bridge
dept. 3/19/08 bac
0610-0264 ' 821 Solid Waste
9
92
Accepted As Noted
Barbara Counsello
03/19/2008
0610-0264 996 Final Termite Treatment
9 03/17/2008
92
Accepted As Noted
Van Whitaker
03/19/2008
0610-0264 999 Final Inspection
9
99
Final Approval
Van Whitaker
.03/17/2008
Re -inspection 1
r
Permit Nun 0610-0264
(772) 462-2172
INAR 19 2008
at, �biic ty
CERTIFECALTE OF TER, MET T ' E����c
CGNSTRUC' ION Sr`DTiL TREATMENT
PERMIT # 661© b z(o -1 JOB ADDRESS 3 1 3 O
PEST CONTROL
G eA —� 6�1'j\)
PEST CO ROL•LICENSE #. � 14
•ems -S�y J yes
�ffe, the undersigned, hereby certify that we have pretreated eated the above4escri4ed construction for
subterranean ted'td Kes And accordance Mth the stmad ands of the National Pest Control Association.
Square feet of ad°ea treated: '3G
Percentage of solution:
Date of treatment: 1119 - D R
1 st Treatment
Re -treat
Q Slab
Ist Treatment
Re -treat
El D i-%reway
1st Treatment
Re -treat
Q Foo1s
Ll 1st Treatment
® Re -treat
Q Other
Q I st Treatment
Chemicals used: A, /,- 4,-( /--e
Total gallons used.: C�
Time of Treatment: — —
U004.2.6 Ce,iE; ficate of protective Treatment for preven on of termites.
A weather resistant jobsite posting board shall be provided to receive
duplicate Treatment Certificates as each required protective treatment is
completed, providing a copy for the person the permir is issiced to and
another copy for the building permit files. 77:e Treatment Certificate shall
provide the product used, identity of the applicator, time and date of the
treatment, site location, area treated; chemical used, percent concentration
and number of gallons used, to establish a vert fiablc record of protective
treatment. if the soil chemical barrier method for termite prevention is used,
final exterior treatment shall be completed prior to final building approval.
St 1Ltceie County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electrical p2mal box cover, listing all the
treatments and dates of applications.
❑
Aperime-ter for Final Inspection
Signature of exterminator
NOTE:
Thor., must be a complered florin for each required treatment or re4reatment and this faun, must be on
�Jte jab site to be picked up by the itmpector at time of each btspectio r or the scheduled inspection will
fail and tt re -inspection fee charged
Rerucd 6113102 dmg
11/27/2007 17:32 777462..' SLC INSMCTIONS PAGE 82/02
St. Luck County
Hulidlvg & Zoning DePartuexat
2300 VirgWo Avenue
Part Pkree, FL 34982
772-4624165
Fa,z 77Z 462-6"3
Request for 30-Day Temporary Power Release
Dolt•: — D Permit Nmnber: C
r
PropertyAddrm;. l 3 O S AA (14di-e _fz ;-er� rt" 5-0
THE (MERSIGNED XXRnY REQt=T RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR
T" PURPOSE OF TESTING SYSTXMS AND ROYYMN ENT IN PREPARATION FOR 1"NAL
INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACI NOWLEDGE AND AGREE AS FOLLOWS: EiI VE®
I. This kntporary powaxeicaft b requested W dw above Stated purpose only, and !bets will be no oiod. ccupancy of any type, other than that permitted by construction MAR 0 6 Lg008
during this time per
Z. As whaw by our signsfa , wC bereby ag a to abide by ail terms and conditions Public Works
3. Aft Goofthis d rdo and lrMekidips equkf ate meted In be et ch d do meat entitled bErefn br ritarenceSt. Lucie County, FL
"Requiremon for 30 Day Pover for Tesdef' have been tM0v4 and the pranise is ready for compliance luvection.
4. All requests for an extension b*Md 30 days tdnet be made on wtlfini: to the Building Ojr"6al stating the reason
for the N40a$4 0ewer may be removed from the site Rnd/er a Stop Work Order Issued if the final Inspectian
.has oat been apprhved within +30 days. A, fee of sife.04 wilt be regvkvad to M the Stop Work ordar.
WE HEREBY RELEASE AND AGREE TO HOLD HARMI►15S, ST. LUCIE COUNTY, AND
THEIR EMPLOYEES MOM ALL LL42MITIES AND CLAIMS OF ANY TYPE OV MATURE
WHICH 1KAY ARISE NOW OR IN THE FUTUM OUT OF T11I5 TRANSACTION, INCLUDING
ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF
ELECTIUCAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
Z0/Z0 39dd SOlfldlO3-13S ZZ9699VZLL 9b:SZ 800Z/90/£0
NL � C4®Nj�^uc�O�'`
q
` G ST. LUCIE COUNTY PUBLIC WORKS
ti BUILDING & ZONING DEPARTMENT
F�ORI�� •'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 2. (/ - 7 U
State of Florida Certification Number (If applicable): � 00
/ r
�' lsG 141 I have agreed to be the
(Company Name/Individual Name)
sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at 3/3 C) S�0.47 i1? ak /Z"-/-
(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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
SIGNXitME PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
772 _ e-IG yam, y email:
OFFICE USE ONLY:
.,P
St Lucie, County Inspeed
2300 VirginAz Avenue
""'buc Works a�
Ft Fierce, FL 34982 Ste Lucie C "�• ,�
(772).462-217 � 400?
`Uc1e C oP -s
CERTIFICA E Off' TERMITE TREATMENT �
CONSTRUCTION SOIL TREATMENT
PERMIT JOB
'EST CONTROL. CONTRACTOR
PEST CONTROL LICESE # '\' � � y L' `S
040
5��1 ces
We, the undersigned, hereby certify that we have pretreated the above4escribed construction for
snnbterrA near termites in accordance with thae,stmnndards of the National Pest C trol Ass ciatiout.
Square meet of Greta treated: 1" Chennicals used:
.
P'ea�centage of solutioan: _ �----Total used:
- --.--. 1�
Date of treatment: � 7�� � Time of Treatment:
❑ Footing
❑ Ist Treatment"
❑��Ite ti`eat
SIa
lst Treatment
Re -treat
El Driveway
�❑ 1st Treatment
❑ Re -treat
U Pools ,
LJ Ist Treatment
k'13004.2.6 Certzfeare of Protective T'reatmeat forprevention of termites.
A weather resistant jobsite posting board shall be provided to receive
duplicate Treatment Certtj4'cates as each required protective treatment is
completed, providing a copy for the person the permit is issued to and
another copy for the building permit files. 77te Treatment Certificate shall
provide the product used, identity of the applicator, time and dare of the
treatment, site location, area treated, chemical used, percent concentration
and number of gallons used, tot establish a verifiable record q f protective
treatment. If the soil chemical barrier method for termite prevention is used,
final exterior treatment, shall be completed prior to final building approval.
St lLude County requires for the final inspection for Co, a Permanent
Sticker to be placed on the electrical panel box, cover, listing all the
treatments and dates of applications.
❑ Re -treat
Q Other
❑ Y st Treatment
❑ Re -treat
❑ Perimeter for ]Final Inspection
ua�ew�ua 4 va
NOTE:
There attest be a completed form for each retluired treatment or re -treatment and this form mast be an
floe job site to lie,picked up by the inspector at three of each inspection or the. scheduled inspection will
fail and are-ilnspeetion fee charged'
,Revised 6113102 dmt;
A. M. ENGINEERING AND TESTING, INC.
? 4
590 N.W. MERCANTILE PLACE S`r A4
PORT ST. LUCIE, FLORIDA 34986
LOCAL OFFICE: (772) 924-3575 FAX: (772) 924-3580 00 sirs
lt' Al<
REPORT OF FOUNDATION PAD COMPACTION
Client: John Dickens
5800 Eagle Drive
Fort Pierce, Florida 34951
Site: 3130 Seminole Road
Fort Pierce, St. Lucie County, Florida
Foundation Pad
Report Date:
Project No:
Lab No:
Permit No:
REVISED: **
March 19, 2007
07-1151
06100264
April 3, 2007
Density tests and Hand Cone Penetrometer (HCP) readings were made at a minimum of three locations in
the building pad. Density tests were performed in the upper one foot of fill. HCP readings were taken in
hand auger boreholes at one foot intervals from slab grade through the depth of fill. The density tests were
performed in general compliance with ASTM D 2922. The HCP test, in conjunction with information about
the soil type, is empirically correlated to the relative density of subsurface soils.
Density
Test No.
Date
Tested
Location
Elevation
(feet)
Dry Densi s
Percent
Compaction
In Place
Proctor
1
3/9/07
NW Corner
4-5
108.3
111.5
97.1
2
Center
4-5
108.8
111.5
97.6
3
1 3/15/07
1 SE Corner
4-5
109.3
111.5
98.0
* All elevations are above natural ground.
**This report contains a corrected address
The depth of the fill was approximately five feet. The fill should extend at least five feet beyond the building
perimeter. At the time of our testing no information was available regarding the foundation pad setbacks.
In the locations and depths that were tested, the fill has been compacted to a minimum of 95 percent of the
modified Proctor maximum dry density (ASTM D 1557). No soil borings were performed below the
recently placed fill.
Distribution:
Client - 3
SLC Bldg. Dept. - I
PCM/js
Submitted by:
A. M. NGINEERING AND TESTING, INC.
Paul C. Martin, P.E.
Florida Registration No. 65051
IISERVER-Art'IEICompanylC.O.D. Jobs0ickens. John107-1151 - 3130 Seminole Rd., Ft. Pierce, SLC- Pad w. Fill.doc
A. A ENGINEERING AND TEWIN d'EIVED
590 N.W. MERCANTILE PLACE
PORT ST. LUCIE, FLORIDA 34986 P ARM
n 6
LOCAL OFFICE: (772) 924-3575 FAx: (772) 9 8 2007
Public Works
St. Lucie County, FL
REPORT OF FOUNDATION PAD COMPACTION
Client: John Dickens
Report Date:
March 19, 2007
5800 Eagle Drive
Project No:
07-1151
Fort Pierce, Florida 34951
Lab No:
-----
Site: 3130 Seminole Road
Permit No:
06100264
Fort Pierce, St. Lucie County, Florida
REVISED:**
April 3, 2007
Foundation Pad
Density tests and Hand Cone Penetrometer (HCP) readings were made at a minimum of three locations in
the building pad. Density tests were performed in the upper one foot of fill. HCP readings were taken in
hand auger boreholes at one foot intervals from slab grade through the depth of fill. The density tests were
performed in general compliance with ASTM D 2922. The HCP test, in conjunction with information about
the soil type, is empirically correlated to the relative density of subsurface soils.
Density
Test No.
Date
Tested
Location
Elevation
(feet)
Dry Densi s
Percent
Compaction
In Place
Proctor
1
3/9/07
NW Corner
4-5
108.3
111.5
97.1
2
Center
4-5
108.8
111.5
97.6
3
1 3/15/07
ISE Corner
1 4-5
109.3
111.5
1 98.0
* All elevations are above natural ground.
**This report contains a corrected address
The depth of the fill was approximately five feet. The fill should extend at least five feet beyond the building
perimeter. At the time of our testing no information was available regarding the foundation pad setbacks.
In the locations and depths that were tested, the fill has been compacted to a minimum of 95 percent of the
modified Proctor maximum dry density (ASTM D 1557). No soil borings were performed below the
recently placed fill.
Distribution:
Client - 3
SLC Bldg. Dept. - 1
PCM/js
Submitted by:
A. M. NGINEERING AND TESTING, INC.
�g-, " "
Paul C. Martin, P.E. L
Florida Registration,No. 65051 ,
IISERVER-AMDCompanylC.O.D. Jobs0ickens, John107-1151 - 3130 Seminole Rd., Ft. Pierce. SLC- Pad w. Fill.doc
Jai r �zr(itri l/fa"a`
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
hftp://stlucleco.gov/ce
BUILDING PERMIT
Issued: 03/08/2007 Conf A 722 Permit #: SLC- 0610-0264
Job Location: 3130 SEMINOLE RD City: FORT PIERCE
Permit Type: Building Residential (SFR)
Job Description: CONSTRUCTION OF A NEW SINGLE FAMILY RESIDENCE 5/4
Subdiv:
Lot: 1 Block: Parcel: 1326-800-0002-000/4
Page 1
Owner Builder JOHN AND KIM DICKENS (772) 577-1010
5800 EAGLE DRIVE FORT PIERCE, FL 34951
Property Owner JOHN DICKENS (772) 577-1010
5800 EAGLE DRIVE FORT PIERCE, FL 34951
Property Owner KIM DICKENS (772) 577-1010
5800 EAGLE DRIVE FORT PIERCE, FL 34951
Setbacks Left: 105.00 Right: 80.00 Front: 345.00 Rear: 555.00 Zoning: AG-1
Number of Units: 1.00 Floors: 2 Buildings: 1 Square Footage: 3,671.00
Minimum Floor Elevation: Flood Map: 175F Flood Zone: X Elev: _
Job Value: $ 613,895.70
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required'by the Florida Building Code
including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to comply with all
requirements of the 2004 Florida Building Code.
NOTICE: In addition to the requirements in this permit, there may be additional restrictions applicable to this property that may be found in the
records of this County, and there may be additional permits required from other governmental entities such as water management districts, state
agencies, or federal agencies. s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S.
Raymond Wazny
Building Official
Date
For Automated Inspections, Call (772) 462-1261
For Questions, Call (772) 462-2172
St. Lucie County Land Development Code Section 11.05.01 (A) (2) states; Building Permits shall expire and
become null and void if work authorized by such Building Permit is not commenced, having called for and
received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work
is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of
issuance of the Building Permit.
Building -
Code Compliance Division Receipt
2300 Virginia Avenue
Ft. Pierce, Fl- 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
http://stiucleco.gov/ce
Date: 08 March 2007
Job Address: 3130 SEMINOLE RD
Received By: dpelton
Paid With: ck
Paid By: SELECT AUTO
Sign:
Receipt#:
0000051894
'ermit Number:
SLC- 0610-0264
Amount:
$13,199.72
�redit Card Number:
Check Number:
30416
EDWIN M. FRY, Jr., CT>RK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3021646 OR ': 2774 PAGE 1485, Recorded 03/07/20 't 12:41 PM
NOTICE OF COMMENCEMENT
Permit No.��'
Property Tax Ili No.�_�2—t:/�j�
State of Florida
County of .2b_ & tt
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 Description of property and address if available 31
30 Sa 1 mo I RJ
�
�
�a Puy/a "yt' f(:Pi3 0 ^ 33)
,(e f' / ice& ` 1c, .4c) C 0 -22 1 -;Lqq
General description of improvements /�(t w lio,.n
--ter—
L -
Owner J di
a n/ /GFf EN S
Address- .3 1 3 0 .va I E
7-Z-7' to e,C o { ,
Owner's interest in site of improvement
Fee Simple Title holder (if other than owner) /Vaal/ t
Address
Contractor L ✓" 1
Phone #
Address
Fax #
Surety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone#
Address
Fax #
Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name
Phone
Address
Fax #
In addition to himself, owner designates
of
Phone #
FOR #
to receive a copy of the Lienor's Notice as provided In Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date Is specified.
w Signature
State of Florida, County of Pik Lc c i
Acknowledged before we this ri , day of OrC-%'� 20 t:, by �� E1 Y 1 C`\e
who lerso 1 known to me o has produced O-0 L E iu as identification.
2�erv�
Signs of u f T
r Type or Print N e of Notary (Seal)
Title: Notarylic Commission Number
CF1E comml► DONT3206
Expo 7H?/Z010
pafdaryptMyAsi..lne
STATE OF FLORIOA I
ST LUCIE COUNTY CDl�fp
THIST.OCERTIFY THAT THIS ISA LE �co
TR;U�E{{gypp}ND CORRECT COPY Of THE
Ofl�l,fYO
E TV f M. Fri r, =L1 er f
�v OG,w, ti �tr�Q
By eputy 10j14�
Date.. ./_..,_..._..
DATE FILED: t C75 1 L 1 11L_C
PLAN REVIEW FEE: Q ' RECEIPT NO.: ItW PERMIT NUMBER: O(__.p l O 4-
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACC + DYED
St.. Lucie County Building and Zoning ReQu,
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652"
772-462-1553'
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION p� G
2 .
1. LOCATION/SITE ADDRESS:
2. S/D NAME: 7 G i L o fi SITE PLAN NAME:
3. PROPERTY TAX ID #: 317 (a - -0 0z - OD
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
5. , PLAT 6. PAGE , 7. BLOCK 8. LOT
BOOK oi NO. D tf _ NO. N NO. f
9.
10.
11.
12.
13.
PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS v2l 7 7- X a 5 7.2� 1,Y
DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
SETBACKS (ACTUAL) FRONT: 3 �6 BACK: + RIGHT: 1
5-55 SIDE 90
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[4]-'RESIDENTIAL (] COMMERCIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE: ; 'Si /7TiGL 5/ q,
7if'4161—/ O
SIDE �� J
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
14. Sq. Ft./CONSTRUCTION: �°Z�. 15. Sq. Ft. 1st,Floor:
16. VALUE OF CONSTRUCTION: $ 300f
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 consWction,activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
�CODE COMPLIAI ' %,E DIVISION
RESIDENTIAL ZONING REVIEW FORM
Job Address 31 30 5. ¢ rn in Permit # Q (Q [ d - Ua (O-r
Flood Zone Information
EF Alt Development Fees
Height Requirements
Historical Properties
0 Nonconforming Use or Lot
0' Nonconforming Structures
ays Setbacks
LJ' Survey requirements
0" Site Plan Resolutions
DFlood Certifications
E?'-'Lot Splits
El"Flood Way - COBRA
Wetland Identification
Shoreline Protection
0 Temporary Uses
Health Department
HIRD Issues
© tility Hook Up
pact Fees
Easements
Lot coverage and square footage
Lot and Block
9 Owner Information
Contractor Information
�General Contractor License
EO /Sub Contractors License
R Signatures
EY Section, Township and Range
Map Number
[� oning and Land Use
L Lot Coverage
Ltd FCC Code
V
egal Description
lan review for Bed and Bath
NOC
❑Location - Mainland 12 etc
ED-- Electric Hook ups (Guest House)
❑ Road Frontage (County or Private)
Lot & House Dimensions_
l Job Description
D'Jurisdiction
(Warranty Deeds
Zoning & Land Use
Eg"Plat Books
I st Review Date 10 / I S'/� 2nd Review Date jo / %oq/0 (OFinal Reviewly iV /0
Zoning Examiner Name SDDCE UORIeF Signature
REVISED 6121/06 BY DMG
St. Lucie County
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even
though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You
may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of
under $25,000.00. The building or residence must be for your own occupancy. It may not be built or substantially
improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building; it is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all applicabl aws,
ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on ho to eet
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be Cridled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are requir to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable Pke
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction Troject-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related al
cost, which could include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and sign the LVding
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
Zoning Department to the Florida State Department of Professional Regulation. S' ned and acknowledged on this
day of OCrT of 20d1 .o
a
wnerBuilder Signature
STATE OF FLORID
COUNTY OF Q Q= P
The foregoing instrument was acknowledged
�_T©h r1 Ip ; r 1/__cns who
p COCWentification.
�L QLn C t
Type or Print Name of Notary yy8H
Commission Number ° i MY COMMON 0 bD 632697
EXPIRES, November 21, 2009
B®11� Thru NoHry PuBlk Ua�anvrRsro
Signature of Notary
Title: Notary Public
before me this LL_Q day of (DC-1— 200� by
is personally known to me or who has produced
St. Lucie County Building & Zoning
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
John Dickens will be using the following sub -contractors for the
(Company/Individual Name)
project located at
Seminole Rd. /113267800 .Q002-000 4
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
q
Plumbing
�`y O`1 P` �'L c m 17 n
Oq 191_p .
10c9`v�I1�:3 .
HVAC/
., r n- - t=� cct- i cn pa-Rc,
44-a c
Mechanical
0-3
�� .
A Cam► `T
Roofing
- P-- 1--c-,_ I -VOA:
c36°i .
`i
CGC l
Gas
UFFIC� USE.; ONLY
PERMIT ISSUE 'DATE:
NUMBER: ®o�
G ST. LUCIE COUNTY PUBLIC WORKS
+�. BUILDING & ZONING DEPARTMENT
.FP.
�ORlO .
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: Obo3
State of Florida Certification Number (If applicable):
fT1 Pqq, Cc .roc.
Name/Individual Name)
Qi Iq—I
have agreed'to be the
eToX 1 C_ sub -contractor for-,6&lvl �i moils .
(Type of Trade) (Primary Contractor)
for the project located at
(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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNA IRES ARE REQUIRED
742 %one A��
GNATURE PRINT NAME
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
w-6-on&
DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
OR1�
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: a Z) 16
State of Florida Certification Number (If applicable): Pf 1 % 0 k 7 l & 3
C
Name/Individual N
have agreed to be the
�Gu/�77,3• •cry' sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at `�),2/�J�%JD�e- wed
(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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE 12EQUIRED
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
ST. LUCIE COUNTY PUBLIC WORKS
N.
y BUILDING & ZONING DEPARTMENT
�OR1D
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1t 4 al
State of Florida Certification Number (If applicable): - ©V t C1y I J
V- i have agreed to be the
(Company Name/Indiv dual Name
sub -contractor for J 0 X/V
(Type of Trade) (Primary Contractor)
for the project located at 31 �f ,�
(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)
BUSIN
O GI: 'AL S
M550�„!
Business Name:
Address:
City/State/Zip:
Phone:
QUALIFIER (Name of the Individual shown on the Contractor's License)
OFFICE USE ONLY:
U IRED
aam?15 E &nM'LQ15
D(o
PRINT NAME DATt
1�-
i
G ST. LUCIE COUNTY PUBLIC WORKS
� ••r rid
BUILDING & ZONING DEPARTMENT
OR10
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: � O 1 OR)
State of Florida Certification Number (If applicable): CC — 0,134S W 0
have agreed to be the
(Company Name/Individual Name)
�%NC' sub -contractor for
(Typ of Trade) (Primary Contractor)
for the project located atl/?,a
(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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE 11EQUTRED CC- G
C KO,C) /o- Uct - oG
SIGNATURE PRINT NAME DATE
Business Name: A . Mttj for- R
Address: 3o "t,
City/State/Zip: - 'F/ r p
Phone: 77 [ C6_ 1iOc�Q email: T_ dl�l`IL oL' ��t Sdcti'�� • Jl�'�
OFFICE USE ONLY:
PERMIT # ISSUE DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
• F�ORI�P .
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
(Company
Name)
have agreed to be the
sub -contractor for J01-/4f E 0,'
(Type of Trade) (Primary Contractor)
for the project located at S;� I& Aw.e%
(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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
SIGNA PRINT NAME DATE
Business Name:
Address: "7
City/State/Zip:.Phone: ' 7� -� y� ����� email:
CE USE ONLY:
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
- 772-462-1553
FILLED LANDS AFFIDAVIT;
I, the undersigned, am the owner of the following described property:
E-0 0 - ©00 17- - 800 -14
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number QtQ I b- 66149,-I acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property, St. Lucie County is neither obliged
nor liable to provide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
% /o';')
'cy
Property Owner Name 4Propertyer Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS —01--Vt-�7d 'DAY OF , 20-%,6
BY rk��W12 C WHO IS PERSON LY OWN TO OR WHO HAS PRODUCED
AS IDENTIFICATION.
GNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE BER
FRANCES M-
Notary Public, State of Florida
01
Nly Comm. expiresNF hDD5'09097
Bonded lhru Ashton Agency, Inc. (800►451.4854
EDWIN M. FRY, Jr.,.CLEi -F THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 2607434 OR�BOO 21 PAGE 249, Recorded 04/21/2005 a-,' :43 PM
Doc Tax: $1295.00
Rec. Fee S 10.00
Doc. Stps. $1,295.00
Prepared by and Return to:
COMMERCIAL TITLE SERVICES, INC, I
1146 21st Street, Suite 2 I
Vero Beach, Florida 32960 I
incident to the issuance of title insurance I,
Tax ID # 1326-800-0002-000/4 CT-8843
THIS WARRANTY DEED made the / /"^* day of April, 2005 by
Charles H. Schreck, Jr. and Amy J. Schreck, husband and wife
hereinafter called the grantor, to
John E. Dickens and Kim B. Dickens, husband and wife
whose address is: 5800 Eagle Drive, Fort Pierce, FL 34951
hereinafter called the grantee:
WITNESSETH: That the grantor, for and in consideration of the sum of $10.00 and
other valuable considerations, receipt whereof is hereby acknowledged, hereby
grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the
z grantee all that certain land situate in St. Lucie County, State of Florida, viz:
w Lot 1, PAPAYA GROVE, according to the -plat thereof as recorded in Plat Book 40,
Pages 33 and 33A, Public Records of St. Lucie County, Florida.
TOGETHER, with all the tenements, hereditaments and appurtenances thereto
belonging or in anywise appertaining.
F' TO HAVE AND TO HOLD, the same in fee simple forever.
AND the grantor hereby covenants with said grantee that the grantor is lawfully
Z 5 seized of said land in fee simple; that the grant has good right and lawful
Q a authority to sell and convey said land, and hereby a rants the title to said land
H3 and will defend the same against the lawful claims all persons whomsoever; and
W that said land is free of all encumbrances, except es accruing subsequent to
re December 31, 2004.
IN WITNESS WHEREOF, the said grantor has si aled hese presents the
day and year first above written.
Signed, Baled and del'vered in the presence
1' w tness
LINDA S. OWEN
Printed Signature,` Witness
2n1 Witness
Printed Signature of 2n1 Witness
a. AX
Charl H. Schreck, Jr.
or's Address:
19t' Street
Beach, FL 32962
State of Florida nty of Indian River
The foregoing instrume as acknowledged before me on this date, by Charles H.
Schreck, Jr. and Amy J. reck, who i are personally known to me or who has/have
produced: as i entification.
WITNESS my hand and o cial seal i the State and County last aforesaid this
// � day of Apri 005.
LINDA S. OWI:�I
Notary's Printed Name Notary ublic
My commission Expires:
(Notary Seal)
Runa. s 0*=
ANcortx,uwon D0202003
a.) e�YM AYy 14. 4007
J
Property Appraiser - St.Lucie,C(��y, FL
Page 1 of 1
John E Dickens Record: 1 of 1
Property Identification
PROPERTY RECORD CARD
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V%WE CO
Site Address:
TBD
ParcellD:
1326-800-0002-000-4
Sec/Town/Range:
26 :34S :39E
Account*
148326
ti �
Map ID:
13/26S
Land Use:
UNCLSFD ACRG%
Zoning:
WI - PSL
City/Cnty:
ST. LUCIE COUNTY
Ownership and Mailing
Legal Description
Owner:
John E Dickens Kim Dickens
PAPAYA GROVE (PB 40-33) LOT 1 (6.101 AC) (OR 2221-249)
Address:
5800 Eagle Dr
Fort Pierce FL
34951-2322
Sales Information
Assessment TRIM Total Land and Building
Date
Price Code
Deed
Book/Page
2006 Val:
259300 Land Value: 259300 Acres: 6.1
4/11/2005
185000 01
WD
2221 10249
Assessed:
259300 Building Value: 0
9/17/2002
60000 00
WD
1592 / 0109
Ag.Credit:
0 Finished Area: 0 SgFt
12/29/2000
160000 02
WD
1353 / 1310
Exempt:
0
12/30/1991
120000 01
WD
0770 / 0602
Taxable:
259300
4/1/1982
135000 00
CV
0374 / 0255
TotalTax:
5191.24
BUILDING INFORMATION
Na Sketch No Image
Available
Available
Exterior Features
View:
RoofCover:
RoofStruct:
ExtType: -
YearBlt:
Frame:
Grade:
EffYrBlt:
PrimeWall: -
StoryHght:
No.Units:
SecWall: -
Interior Features
BedRooms:
Electric:
PrmintWall: -
FullBath:
HeatType:
AvgHt/FI:
1/213ath:
HeatFuel:
Prm.Flors: -
%A/C:
%Heated:
%Sprinkled:
Special Features and Yard Items
Land Information
Type Y/S Qty. Units Qual.
Cond. YrBlt.
No. Land Use Type Measure Depth
1 9900-UNCLSFD ACRG N -Acres 6.101
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
175
http://www.paslc.org/prc.asp?prclid=132680000020004 10/16/2006
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
hftp://stfucieco.gov/ce
Date: 16 October 2006
Job Address: 3130 SEMINOLE RD
Received By: bushs
Paid With: CK
Paid By: JOHN DICKENS
Building
Receipt
Receipt#: 0000046329
'ermit Number: SLC- 0610-0264
Amount: $375.00
�redit Card Number:
Check Number: 128
Sign:
r
DATE FILED: (�tp I O(__D
PLAN REVIEW FEE: RECEIPT NO.: G PERMIT NUMBER: OL-p
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
_ St.. Lucie County Building and Zoning I),- Q, Pap- yw, *
2300 Virginia Avenue
��OR10Q • Ft. Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION G
i2 _
1. LOCATION/SITE ADDRESS: 3 ( � �M%NQL� �D�cG/ Ft e�� fc-•-e- 3Lf "I'�
2. S/D NAME: /� qa CL C Qp 115 SITE PLAN NAME: _1D, dAF4C
3. PROPERTY TAX ID #: l 3od & - 0 0z - 00 -
4. LEGAL DESCRIPTION (attach extra sheets if necessary): CGS Q
5. PLAT ' 6. PAGE 7. BLOCK S. LOT
BOOK, �aa NO. , Oo1 G q 1 _ NO. /V NO.
9. PARCEL SIZE: ACRES/SQ FT. �c 5 �'J LOT DIMENSIONS W/ 7 6�X• 7, z' s1 X a 5 '1• 7G
/00Fr• 77'
10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY:
11. SETBACKS (ACTUAL) FRONT: $ACK: RIGHT: / LEFT: /
3 5j 5c SIDE 90 SIDE �� S
12. 'TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. Sq. Ft./CONSTRUCTION: o C 15. Sq. Ft. 1 st Floor:
,- I6.. VALUE OF CONSTRUCTION.: $
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
d
OWNER INFORMATION
NAME: vs
ADDRESS: .SF1C�4 � -'a
CITY:
O,eT �i E/2L'� STATE: ZIP.
PHONE (DAYTIME): (7`Z- 577-1 01 0 email:
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: ZIP
PHONE (DAYTIME): (_)
CONTRACTOR INFORMATION
ST. of FL REG./CERT #: ST. LUCIE COUNTY CERT #:
BUSINESS NAME: OCOAVC,e / An/ '
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: ZIP
PHONE (DAYTIME): FAX NO. email:
ARCHIT/ENGINEER:
ADDRESS: /g�� �ztJ 3/GTN
CITY: Poe LUG>
PHONE (DAYTIME): 7( 7?4 79 - 900k�—
BONDING COMPANY:
ADDRESS: .
CITY:
STATE: rC
STATE:
ZIP 3 Z/qF!: �/
ZIP
MORTGAGE LENDER:
ADDRESS: • `4
CITY: STATE: ZIP
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 d'ays 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 all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application.
The "following building permit applications are exempt from undergoing a full concbrrency review: room additions, accessory
structures (all -types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING. PERMIT, IF IT IS NOT YOUR RIGHT, TITLE,
AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS
PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and zoning.
zx'�, .� .
AEFIXONTCTOR SIGNATURE i 0t3 CTOR SfONIATURE
STATE OF FLORIDA c STATE OF FLORID
COUNTY OF COUNTY OF
The foregoing ins en*sac owled ed The foregoing inst u;�m�ent wa ac owle ged
beff- me this ay o201by bet reme this�fc)"ay o 2� by
ersonally ��`t��t/,�s o is personally_
known or who has produced known to me or who has produced
as identification. / as identification.
of Notary
or Print Name of Notary Tvpe or Print Name
FRANCES M. WHITAKER
Commission No. ( j)Public, State of Florida
My comm. expires Feb. 09, 2010
No.DD509097
Bonded thru Ashton Agency, Inc, (800)451.4854
FRANCES ,M. WHITAKER
Mo.-alminrhm th.09 2010
Bon lod.th u Ashton
NOTE: TWO (2 I RCS _ff0VM_TD_. EACH SIGNATURE MUST' BE-NDT=ZM7`] + YING FOR
THIS BUILING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN_
THIS APPLICATION IN -THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
For specific instructions see appropriate permit checklist.
.
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ADMINST '
LIBRARY / f
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PARKS
=
PERMIT
VARIANCE
IMPACT FEE
193 . -
IMPACT FEE
a
FEE '
a l • �3
REPORT
PUBLIC BLDe
HABITABLE
RADON FEE
CODE
I
IMPACT FEE
a a �j7
AREA
(RADON)
SCHOOL
In o- in
GROSS ROAD
CREDIT
Y N
WOTAL ROAD
IMPACT FEE
IMPACT FEE
e� D D
IMPACT FEE
DUE
S� `
SCHOOL
CREDIT
Y
N
TOTAL
MISC FEE
IMPACT FEE
&
SCHOOL
IMPACT FEE
POLICE FEE
FIRE FEE
TOTAL
Lf} `
®D
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s
bD
POLICE/FIRE
IIV
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MISC FEES
ADDITIONAL
Y
N
SPECIFY
TOTAL
PERMITS
of ALL
REQUIRED
J.
�� Il��u�o�,.l �a.�nn►-�- � rjQ C6
FEES
.
REVIEWS
ZONING
ZONING
PLANS
MISC.
VEGETATION
SEA TURTLE
MANGROVE
REVIEW-E�Dy BY
, ' •EXAMING
,
DATE
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COMPLETE
INITIALSC��
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LEGAL DESCRIPTION:
All of LOT 1, PAPAYA GR( as recorded in Plat Book 40. at Page; of the public records of St.
Lucie County, Florida.
LOT AREA: 255,658 Sq. Ft.; . 5.87 Acres± STREET ADDRESS: 3130 Seminole Road, Fort Pierce, FL.
CERTIFIED TO: JOHN DICKENS
BENCHMARK
CENTER OF HEADWALL
(ASSUMED) ELEV.w50.00
0 FIR
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CERTIFICATION
I hereby certify that the survey reps
my supervision and further that the
encroachments unless shown or not
MARCH 24, 2007
Date of Signature
77
F
051
(BEARING BASIS)
N89045'00"W 1007.289
EDGE OF WATER
S89052'36"E
{�s"�e�formed und'er___.
o[id���ertf��i 3 er
9 No; 7235 ,,�,:',' -- -
SURVEYORS' NOTES:
1. Bearings shown hereon are based on the North line of Lot'__ platted and bears N89'45'00"W.
2. Written dimensions -take precedence over scaled dimensions and distances are not to be scaled for constru tion and/or design purposes.
3. All distances and bearings are as field measured and are coincident with "PLAT" and description data unless otherwise noted.
4. This drawing is not valid without the signature and original raised seal of a Florida licensed Surveyor & Mapper.
5. This survey is� based upon a description furnished by the client, there has been no search of the public records done by this office.
6. Property lies in Flood Zone "X" as scaled from the National Flood Insurance Program Rate Map, Community Panel Number 12111CO175F,
with an effective date of August 19. 1991.
7. City water & sewer are not available in this area.
8. Elevations shown' hereon are based upon an assumed datum.
9. This plan information to` be verified by contractor prior to construction.
_r 0 FIR
I
0
1008.77' LEGEND
DUE = DRAINAGE & UTILITY EASEMENT
FND = FOUND n
OHE = OVERHEAD UTILITY LINES
IR = IRON ROD
FIRC = FOUND IRON ROD & CAP
SIRC = SET IRON ROD & CAP ;
R/W = RIGHT—OF—WAY
P = PLAT DIMENSION
M� = MEASURED DIMENSION
P /D = PK NAIL & DISK
N TT = NAIL & TIN TAB
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COVERED o W p n
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5. 34.17' IA
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•(?- =
FIRE HYDRANT
0 =
WOOD POWER=P_OLE
fZ( =
TELEPHONE RISER _
=
WATER METER
=
CABLE TELEVISION RISER
pQ =
WATER VALVE
E--=
POLE ANCHOR
WPP =
WOOD POWER POLE
WM =
WATER METER
CL =
CENTERLINE
EP =
EDGE OF PAVEMENT
1
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FIR
,:
Date of Last field work:03/22/2007
! Boundary Survey & Site Plan
An n n Prepared on the order of:
.�� e t t
Bennett Surveying + Mapping
439 S.E. Port St. Lucie Boulevard Unit 107 Field:
Port St. Lucie, Florida 34984
tel: 772.336.4933 fax: 772.336.8689 Draw^'
email: wbennettdd®cs.com Soale:
JOHN DICKENS
LM WB Job No.: 07-0307
WBB Date:03/24/2007
1 "=40' Sheet: 1 of 1