HomeMy WebLinkAbout5112 MYRTLE DR SINGLE HOMEPERMIT INFORMATION DRIVEWAY PERMIT
` REQUIRED
LOCATION: ICJ
r
/LOT SIZE DIMENSIONS:
B.I7IL ,IPG SETBACKS ( ACTUAL) : / ®ate wit.-
FRONT/� REAR" R.SIDE L.SIDEr
SQUARE FOOTAGE OF CONSTR.,..Uf�PT _ _r1N- _((Z ��`''
/IDESCRIPTION OF WORK:—J//jcr E Cam 1�-kslw
/PROPOSED USE.
TYPE OF CONSTRUCTION: (CHECK ALL APPROPRIATE AREAS)
"RESIDENTIA6: X COMMERCIAL: INDUSTRIAL:
NEW CONSTRUCTIONS X EXPANSION OF EXISTING BLDG:
INTERIOR REMODELING: OTHER (SPECIFY):
f
ST . COSTS aS; - `
STATE OF FL REG./CERT #: COUNTY CERT`:
CONTRACTOR NAME: i'E7t� ear s �Cetr 't,
/ ADDRESS:
CITY:
ZIP:
PHONE #: ( )
STATE:
OTHER:
ARCHIT/ENGINEER: /
ADDRESS,::
CITY: STATE:
ZIP: PHONE
BONDING COMPANY :,-,,/ F�►
ADDRESS:
CITY: STATE: ZIP:
MORTGAGE LENDERJ.--0
ADDRESS:
CITY:. STATE: ZIP:
PLEASE PRINT_ DO NOT COMPLETE SHADED AREAS.
PROJECT INFORMATION
1 /! a;
PROJECT ADDRESS:
SITE PLAN/PROJECT NAME:
DATE:
R'E E
C r:
L Y
r -'�� ••if�t� I �� 't ' F
/BDIVISIO jn��..�r �S-�� U// L6T: 7 BLK:
PARCEL
DIMENSIONS:
PROPERTY TAX ID
*2-
9 cci���
EL
SIZE (ACRES OR
SQ. FT.) J to,
7t}Q ram}--L .
�=L
DESCRIPTION:— ',t'U
C4,_
I
FEE SIMPLE TITLEHOLDER:
'ADDRESS:
CITY:
STATE:
ZIP:
kr� -
I
i;
BOAR® OF COUNTY
COMMISSIONERS
OWNER/BUILDER AFFIDAVIT
DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
DEVELOPMENT
DIRECTOR
TERRY L. VIRTA. AICP
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 supervise the construction yourself.
You may build or improve farm buildings, a one -family or two-
family residence, or a commercial building at a cost of under
$25,000, on such property for the occupancy or use of such owners
and not offered for sale or lease. If you sell or lease more
than one building you have built yourself within one year after
construction is complete, the law will presume that you built it
for sale or lease, which is a violation of this exemption. You
may not hire an unlicensed person as your contractor. Your
construction must be done according to building codes and zoning
regulations. 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.
To qualify for this exemption under this subsection, an owner
must personally appear and sign the building permit application.
I hereby acknowledge that I have read and understand the above
disclosure statement on the %9 �H day of lJatd ,
19q�'(d .
�S2
L OW/BUILDER SIGNATUR
STATE OF FLORIDA, COUNT OF ST. LUCIE
Sworn to and subscribed before me this day of
19
Notary Public, State of Florida at Large
My Commission expires:
HAVERT L FENN. District No. 1 • JUDY CULPEPPER. District No. 2 • JACK KRIEGER. District No. 3 • R. DALE TREFELNER. District No. 4 ® JIM MINIX, Disrria No. 5
County Adminisrroror — JAMES V- CHI5HOLM
2300 Virginio Avenue o Fort Pierce, FL 34982-5652
Director: (407) 468-1590 ® Building: (407) 468-1553 • Planning: (407) 468-1576
Zoning: (407) 468-1553 • Code Enforcement: (407) 468-1571
PORT 5T. LUCIE TELEPHONE NO. (407) 878-4898
BOARD OF COUNTY
COMMISSIONERS
9 I
M•-_ ��`j'E VE LO PM E N T
DIRECTOR
TERRY L. MRTA
I M P O R T A N T
ST. LUCIE COUNTY FLOOD HAZARD NOTICE.
BUILDING PERMIT # 54085
CONTRACTOR Owner/Builder
OWNER Fred & Ada Fairchild
N 0 T I C E
THIS NOTICE IS TO INFORM YOU THAT YOUR PROPERTY IS IN A FLOOD
HAZARD ZONE.
THIS MEANS THAT THE ELEVATION OF THE FIRST FLOOR MUST BE SET AT
17
FEET, NGVD (MEAN SEA LEVEL), OR 18" ABOVE THE CROWN
OF THE ROAD, WHICHEVER IS GREATER..
NO CONSTRDCTION IS TO PROCEED BEYOND THE INSPECTION, 1ST FLOOR/SLAB
OR JUST PRIOR TO THE SECOND FLOOR POUR OF A MULTI-
STORY STRUCTURE, -UNTIL THE REQUIRED ELEVATION CERTIFICATION HAS
BEEN COMPLETED BY A REGISTERED SURVEYOR, AND RECEIVED AND
APPROVED BY THE BUILDING DIVISION OF THE ST. LUCIE COUNTY
COMMUNITY DEVELOPMENT DEPARTMENT.
VIOLATION OF THE REQUIREMENT WILL RESULT IN THE SCHEDULING OF A
PUBLIC HEARING BEFORE THE ST. LUCIE
BOARD. COUNTY CODE ENFORCEMENT
THE BOARD IS EMPOWERED TO LEVY A FINE NOT TO EXCEED
$250.00 PER DAY FOR EACH DAY THE VIOLATION CONTINUES. A FINE OF
NOT TO EXCEED $500.00 PER DAY MAY' BE LEVIED FOR A REPEAT
VIOLATION. THE FINE MAY BECOME A LIEN UPON THE REAL OR PERSONAL
,PROPERTY OF THE VIOLATOR.
:THE ELEVATION CERTIFICATION MAY BE SUBMITTED ANY TIME WITHIN 21
CALENDAR DAYS FROM THE'ABOVE; HOWEVER, NO FURTHER CONSTRUCTION
SHOULD TAKE PLACE,.NOR WILL ANY INSPECTIONS BE MADE UNTIL` THE
REQUIRED'CERTIFICATION HAS BEEN RECEIVED AND APPROVED.
SI URE
(3O
I
DATE
HAVERT L. FENN. District No. 1 • JUDY
CULPEPPER. District No. 2 JACK KRIEGER, District No. 3 • R. DALE TREFELNER. District No. 4 • JIM MINIX Disrri
County Administrator _ WELDON DE LEWIS ct No. 5
2300 Virginio Avenue • Fort Pierce, FL 34982-5652
Director: (407) 468-1590 • Building: (407) 468-1553 • Planning: (407) 468-1576
Zoning: (407) 468-1553 0 Code Enforcement: (407) 468-1571
i
VEGETATION
ENVIRONMENTAL
CANNING/SITE PLAN
CODE ENFORCEMENT
USA
TAZ
WATER SUPPLIER
SEWER SUPPLIER
iDER CERTIFICATION
FL DNR (CCCL)
FL DOT
SLC DRIVEWAY PER
SLC STORMWATER PER
MANGROVE ALT'
SEA TURTLE PROT
FOR OFFICE USE ONLY
SPECIAL APPROVALS
REQUIRED DATE RECEIVED
REQUIRED. FEES
PRn
NOT REQUIRED
BP VALUE $
PLANS EXAMINING FEE $�,yl RADON FEE:
ROAD IMPACT FEE $ S
ROAD IMPACT DISTRICT ,:YJ-/-fkf(,Af,7-.� ROAD IMPACT ZONE
ROAD IMPACT CREDIT: .YES:. NO:
wdA
SCHOOL IMPACT FEE $ 29`—
DATE PAID:
Y
SCHOOL IMPACT CREDIT: ES• NO:
•
SCHOOL BOARD APPROVED EXEMPTION: YES:
NO:
ALTERNATIVE DEV. FEE $ DATE PAID:
ALT. DEV. FEE ZONE:
SUB PERMITS
GAS
AIR CONDITIONING
ELECTRIC
PLUMBING
SI PREEN ENCL/FENCE
BBL
REQUIRED
NOT REQUIRED
ZONING CHECKSvl�
LOT COVERAGE EASEMENT
CHK74r
CHK#
SPLITS
,
�
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 Compliance Program - Residential Point System Method
Version 3.0 September, 1989
Department Of Community Affairs
Printout generated by EPI89C and submitted in lieu of Form 900-A-89
THIS COMPLIANCE FORM IS VALID IF SUBMITTED BEFORE JANUARY 1, 1990
PROJECT NAME:
| PERMITTING OFFICE:
-R��..... ... . ____
`
| �,
��
l
AND ADDRESS: _~�
--
| --�--- -----����'------
| CLIMATE ZONE:
---
4 5
BUILDER:
������ �� �___
1 PERMIT
NO.:
__- ___�_________________
OWNER: ( y-�|
�� /r� F-� \ F^
��_°^-�����'/-��___^_�-��~-��'_
|
| JURISDICTION
|
NO
______________
^ :
______________
_______________________________________________________________________________
COMPONENT: DIMENSION: VALUE:
RATING:
VALUE:
OFFICIAL CHECKLIST
STRUCTURE TYPE:
Single -Family
PREDOMINANT EVE OVE.RHANG Length: 2.00
PORCH OVERHAND Length: .00
WINDOWS
Single Clear Total Area 150.60
--- _---- ______
All Vertical Glass Total Area 150.60
All Skylight Glass Total Area .00
___
WALLS
Ext NormWtBlock Int Area: 1141.60
R-Val:
3.50
Adj Wood Frame Area: 294.00
R-Val:
11.00
DOORS
Ext Insulated Area: 36.00
Adj Wood Area: 18.0O
___..... _________
CEILINGS
FLAT Under Attic Area: 1626.00
R-Val:
19.00
FLQORS
Slab -on -Grade Perimeter: 205.00
R-Val:
.00
DUC0S
Unconditioned Space Length ALL
R-Val:
4.20
COOLING
Central A/C
SEER:
11.45
...... ...... _..... ....... ....
Ceiling Fan: Credit
__________ .............. __....... ....
HEATING
Strip Heat
STRIP:
1.00
_________
HOT WATER
Electric
EF:
.88
________ ........ ................. ___
| Bedrooms: 2.00
_________
INFILTRATION
Conditioned Floor Area: 1626.00
Pract:
2.00
AS BUILT POINTS / BASE POINTS
*
100 =
EPI
30,603.30 31,833.71
96.13
GLASS TO FLOOR AREA RATIO = .0926
_____-____________________________________________________________________
In Accordance with Sec. 553.907 F.S., \ Review of the plans and specifications
I Hereby certify that the plans and | covered by this calculation indicates
specifications covered by this cplcu- | compliance with the Florida Energy
lation are in compliance with the | Code. Before construction is completed
Florida Energy Code. | this building will be inspected for
� =,_ .
�AQ�u��� 1 compliance in accordance with Section
/
^ ^` F908 | S | 553
i
OWNEJE | BUILDING OFFICIAL:
DATE� | DATE:
^,
�
/
.
~|
�
T
!
SUMMER CALCULATIONS
| === BASE ===
!
{ ===
AS -BUILT
===
==== = ========================================================================
�=
GLASS----------------
|
ORIEN AREA x BSPM =
POINTS
| TYPE SC ORIEN
AREA
x SPM
x SOF
= POINTS
____-__________________________________________________________________________
N ! 32.60 47.8
1558.3
| SGL CLR N
13.0
51.0
.80
529.9
|
/
1 SGL CLR N
19.6
51.0
.75
752.8
E 66.00 102.0
6732.0
1 SGL CLR E
40.0
109.2
.84
3659.4
(
| SGL CLR E
26.0
109.2
.72
2040.2
|
S 13.00 90 9
| . .
1181 7
.
\ SGL CLR S
.
13 0
100 2
.
. 59
772 7
.
W 1.39.00 102.0
L
3978.0
1 SGL CLR W
39.0
109.2
.64
2745.5
____ __________________________________________________________________________
15 / -COND. FLOOR /
TOTAL GLASS
= ADJ. x GLASS
=
ADJ GLASS
|
GLASS
.
| AREA
AREA
FACTOR POINTS
POINTS
|
POINTS
__________________________________________________________________________
1,626.00
150.60
1.620 13,449.98
21,782.54
1
10,500.66
.15
/
NON PLASS------------
|
| AREA x BSPM
= POINTS
| TYPE R-VALUE
AREA
x SPM
= POINTS
...... ... ... ... ... ____________________________________________________________________
WALUS----------------
|
Ext! 1141.6 1.0
1141.6
1 Ext NormWtBlock In
3.5
1141.6
1.30
1484.1
Adj| 294.0 .7
205.8
| Adj Wood Frame
|
11.0
294.0
.70
205.8
/
DOORS----------------
|
Ext� 36.0 4.8
172.8
| Ext Insulated
36.0
4.80
172.8
Adj 18.0 1.6
28.8
1 Adj Wood
18.0
2.40
43.2
|
/
|
|
CEILINGS-------------
{
UA | 1626.0 .6
975.6
1 Under Attic
�
19.0
1626.0
1,10
1788.6
)
FLO0RS---------------
�
Slb| 205.0 -31.8
|
-6519.0
1 Slab -on -Grade
.0
205.0
-31.90
-6539.5
INFILTRATION---------
|
|
| 1626.0 10.9
17723.4
1 Practice 02
1626.0
10.90
17723.4
==========================================================================
TOTOL SUMMER POINTS
|
35,511.54
|
25,379.04
== ==========================================================================
x SYSTEM =
TOT^L '
�
COOLING
| TOTAL x CAP x DUCT
x SYSTEM
x CREDIT
= COOLING
SUM| PTS MULT
POINTS
| COMPON RATIO MULT
MULT
MULT
POINTS
-----------------------------------------------------
356511.54 .43 15,269.96
1 25,379.04 1.00 1.140
______________________
.301
.860
7,489.36
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/
WATER HEATING
**** *************************************************************************
=== BASE ===
|
===
AS -BUILT ===
NUM OFx
MULT =
TOTAL |
TANK VOLUME EF
TANK x MULT x CREDIT = TOTAL
SEDRAS
RATIO MULT '
2i
==== ==========================================================================
________________________________________________________________________
3527.0
7,054.00 1
50 .88
1.000 3527.0 1.00 7,054.00
****
**************************************************************************
SUMMARY
|
=== BASE ===
|
=== AS -BUILT ===
COOLJNG
HEATING
HOT WATER
TOTAL | COOLING
HEATING HOT WATER TOTAL
POIN
+ POINTS +
POINTS =
POINTS | POINTS
+ POINTS + POINTS = POINTS
__________________________________________________________________________
152J0.0
9509.8
7054.0 31,833.71
1 7489.4
16059.9 7054.0 30,603.30
|
*****************
* EPI = 96.13 *
*****************
• STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
1
Authority: Chapter 381, FS
Chapter 1 OD-6, FAC
Applicant Permit Number
----------- PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL -------------
Septic tank or
aerobic unit _11'
gallons
Septic tank or
aerobic unit
gallons
Graywater
tank
gallons
Laundry
waste tank
gallons
Other Requirements:
Treatment Tank
Grease
interceptor - gallons
Dosing tank- gallons
Minimum Draintrench
Size
Square Feet
Square Feet
Square Feet
Square Feet
(a) Installation must be in accord with requirements of chapter 1OD-6, FAC.
(b) A system construction permit is valid for a period of one calendar, year from date of issue.
(c) Final installation inspection a6d approval is required before the system is covered.
OR Minimum Absorption
Bed Size,
Square Feet
-j"
Square Feet
- Square Feet,
Square Feet
(d) Invert of stub -out for
to be
benchmark.
Invert of stub -out for
to be
benchmark.
Invert of stub -out for
to be
benchmark.
Invert of stub -out for
to be
benchmark.
(e) Fill quality and quantity:
2
(f) Other. I, "'J.
:7 -4.-7 7
, , " _ . — T 77 A 1.
System design and specifications
Construction authorized by:
J�f
fit
County Public Health Unit
Title,
Date,
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
ti
AUDIT CONTROL NO.
HRS-H Form 4016, Feb 85 (Obsoletes previous editions which mayy.notbe used)
(Stock Number-5744-001-4016-0) Page 1 of 2
---- ----- ._... ---- — — OIAB 02E*R-000
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
POST CONSTRUCTION ELEVATION CERTIFICATE/FLOODPROOFING CERTIFICATE
COM UNITY NUMBER
St. Lucie Co., F1. (UNINCORPORATED'AREAS) 120285
j INSTRUCTIONS
The registered professional engineer, architect, surveyor or community permit official. cor pletes Section I below.
Section E may be completed by any of the professionals listed at the beginning of Section H, or by a similarly qualified
local permit official. Print or type the information oti this form. This form is to be used for new (POST -FIRM) construction
and for substantial improvements to existing structures in Zones Al-A30, AH and V1-V30 and existing (PRE -FIRM)
buildings to be rated under, POST -FIRM rules and rates.
SECTION I
i (TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL)
PROPERTY ADDRESS (or lot and block numbers ff address is unavailable)
5112 Myrtle Drive i (NAME: Fred & Ada Fairchild (B'P#'
54085
FIA MAP PANEL ON WHICH PROPERTY IS LOCATED FIA MAP ZONE IN WHICH PROPERTY IS LOCATED
AH
FIA MAP EFFECTIVE DATE BASE FLOOD ELEVATION AT THE PROPOS
January 5, 1984 i 17'
r
START OF CONSTRUCTION DATE Name and Title E��ilh�rea de)
11/28/90 Ter_r L: Virta—Qommunitv Develo men Director ADDRESS
_23.00 Virginia Ave. Ft. Pierce, F1. 33450
Nov. 28, 1990
(Date)
SECTION H
f
INSTRUCTIONS
Complete only the Elevation Certification unless the building has been floodproof �d at least to the base flood
elevation. If floodproofing is used, complete only the Floodproofing Certification. Th� Elevation"Certification may be
completed by a registered professional engineer, architect, or surveyor. The Floodprooffrig Certification may only be
completed by a registered professional engineer or architect.
' t
i ELEVATION CERTIFICATION
I j '
I 1�1, that the buildin I at the property location described above has the lowest floor at an elevation of
feet, NGVD (mean sea level).
FLOODPROOFING CERTIFICATION
I certify to the best of my knowledge, information, and belief; that the structure is designed so that the structure is
watertight to an elevation;` of feet NGVD ,
impermeable to the g (mean sea level) with walls substantially
P passage of water and structural components having the capability of resisting hydrostatic and
hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, pressures, velocities, impact
and uplift forces associated!iwith the base flood. i
In the event of flooding, will,!this degree of floodproofing be achieved with human intervention?*
Will the structure be occupied Is a residence? YES �
I '
If the answer to both questions is Yes, the floodproofing,cannot be credited for rating purposes and the elevation
certification must be completed instead.
i
*Ftoodproofed with human intervention means that water will enter the structure when floods up to the base flood
level occur, unless measures are taken prior to the flood to prevent entry of water (e.g. bolting metal shields over
doors and windows). i
j
.611 1,.,Ln17 -Mc.
James A. Kirby III
ii
Registered Land Surveyor
AFFIX SEAL OR WRITE PROFESSIONAL
LICENSE NO. BELOW:
9u�„tom �
2860 South Kings Hwy. Ft.Pierce, FZorida
Dec. 19,1990
( Date)
The insurance agent attache's the second copy'of the compleled form to the flood insurance policy application
for new (POST -FIRM) construction or substantial improvements. Be sure. that the second copy Is certified.
SURVEYORS NOTES,-
r'.,.-,�,!',R'ep'roclu6t'jon's. of this sket'ch, are not valid unless
Y.
embossed'with, the surveyors seal.
'
6u
2 Lands SA-ji hereon 'were Yiot abstracted, by this,,office.
I ` Rig);ts.-Of --ways, * — -Ea:sb_m�ehts, of Record, . Ownership''
,
�estrict ions-,' Zoning or Zoning
Deed,R adjoining t zidj.9
Set_b,-6ks', Land Use Plan ;Dp!�igna ion, g deeds
-R� 54, %or MurphyA6t Deeds
Leoll, description.' shown, hereon',was provided by the
"-)t �dn,.and/or his agent
THERE', MAY:
NOTICE? : BE ADDITIONAL RESTRICTIONS THAT ARE NOT
R ER
DtD'ON'-HIS,PLAT THAT, MAY,: BE. FOUND; .IN THE PUBLIC
'r7J
/CORDS, OF THIS COUNTY.
LEGEND
Iron,rod (found)
IXon pipe (. f ound)'
0 = Iron rod w/cap (set),
= Iron rod w/c.ap , (found)
= Concrete monument (;ouh`d)
= Concrete monument (set):-_
P.K. nail w/disk (found)
z WI
51
S.
_41
V.7 L.S. VMV1.
SURVEYORS CERTIFICATE
It HEREBY CERTIFY-that.,th e attached. Maplof Survey of the
r 6,�tg,,, hereon (described: Idesc ibed: property' ropert y, is. True, and Correct to.,the, best
of my". knowledge and belief.,as, surveyed in the field under
m , y •direction, !on v)-M-10 0''. I, further Certify' that
this survey meets the minimum.Technical, §tandards..set, forth
Florida Board of Land
2 1HH-.6 adopted -by the
n Rul,
surveyors., pursuant to Florida. Statute 472.027. There are
no ab)1ve* ground encroachments'other than those shown
c
he-reon) subject to, the qualifications noted hereon.'
Dated this- t day-f 4�ijaj7-MM Be�r 199,01
V
afiR'jainesMb Kirby, III
ssdbnal.'fand Surveyor.
--
FloridaReg.i6tration No. 2391
-C7-7, VIC.-. 22
JAMES A. KIRBY,III
Registered Land Surveyor
280 South Kings Highway_
Fort Pierce, Florida 34945
Telephone (407) 464-9621
Fax (407) 46679326
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ST-AMOF FLORIDA
DEPARTMENT OF HEALTH -AND REHABILITATIVE SERVICES
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PE
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JAMES A. KIRBY, Ill
REGISTERED LAND SURVEYOR
2860 SOUTH KINGS HIGHWAY
L-0 V FORT PIERCE, FLORIDA 34946
PHONE (407) 464-9621,'-..
�fz 1761.a7e_-� Zo:>415117AI KAAPE-r C--) �'FAX (407)466-9326