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HomeMy WebLinkAbout5408 BIRCH DR - PAPERWORK-� -0'7 tr..
:`::�:..:a.'•:.;..'v'�.:.n ny: t�"hr3n'[.<7<^••ii: n.. _J` 5.. ::Ex wW." "%ao.
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SECTION
..
I
:TOWNSHIP:.
..� ... ..
RANGE: ... , .4 O.E MAP NO.:
ZONING:
KS-4
LAND USE:
U
LOT CVVG %:
TAZ NO.:
FLOOD ZONE:
A H
FIRM MAP #:
2 8 I G
1 ST FLR ELV:
I
MAX HGT:
3�
CST TYPE:
OCCP TYPE:
MAX. OCCP:
# OF FLRS:
WATER:
V V lil I
SEWER:
&10�G
SPRINKLERS
STORMWATE
-
R
LOT OF REC (befr 1/90)
LOT OF REC (aftr 1190)
LOT SPLIT
.. LOT SPLIT
•
REO'D
APPRV'D
DECAL
LIBRARY
PARKS
PERMIT
NUMBER
IMPACT FEE
IMPACT FEE
F
I REPORT
PUBLIC BLDG -
..
HABITABALE
'RADQN FEE
CODE
2q
IMPACTFEE-
AREA
_
(RADON)i
`
ROAD
�'^�--
1�
-----
D
— ---
C IT
Y —N
TOTAL ROAD
--
M ACT ZONE
q•
"DUEMPACT FEE
IMPAGTFEE"
G.':.?;.s:.x.
.....:,- >.;:;o.
X, .:.'C:.o;'<'.::
qd ::'• .':
�.«...:.
3a%; `,a.'^r
,
SCHOOL
CREDIT
?i'^:'za
thE�r,,'•o,A'�
TOTAL.-
.-
IMPACTFEE
-
-'
ME
y y 4;3y�v 'h".:
131. ,`
SCHOOL
"s,..sx<>—
IMPACTFEE'
;,a,Dw:%e�'s°:fiko:<.'ic::':: <t
MISC FEES:
�:2:'rks2:h.;Ei:•..:`s Y
POLICE FEE
FIRE FEE '
r
TOTAL
.
POLICE/FIRE/
'
-._....
.MISC.FEES
-
ADDITIONAL
SPECIFY:
C. _,; c ; ,
TOTAL ALL
PERMITS
��,'
FEES .
REO•D.
i. ..............................
REVIEWS: ,-
;-3 ZONING
ZONING
PLANS
I
'VEGETATION
SEA
MANGROVE
."•�—.•�'
.REVIEWED BY
EXAMINING
TURTLE
DATE :...:
COMPLETE -
......
`�
to J
/dim
INITIALS
DATE FILED: J l q?V D no/,
PLAN REVIEW FEE: D RECEIPT NO.: PERMIT NUMBER . / `P (/
CONCURRENCY FEE: RECEIPT NO.:
C ERT.' CAP. NO.:
ALL IN
FO MAST BE COMPLETE{U FILLED IN TO BE ACCEPTED
,y Gym ST. LUCIE COUNTY PUBLIC WORKS
BUILDING $ ZONING:DEPARTMENT
-- - 2300VIRGINIAAVENUE
'20R10P FORT PIERCE, FL 34982-5652 '
772-462-1553
APPLICATION for BUILDING PERIMT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
SCANNED
,'
PROJECT INFORMATION By
1. LOCATION/SITE ADDRESS: 6gcisy��/lKch )V�_ I { St. Lucie County,
2 S/D NAME: n � j(% I✓ SITE PLAN NAME: -Lh I Ll I- Cam— .
PROPERTY TAXID#:'"_`YOZ'(O�-l�IFS�j^OHO :.J•• '
VP,✓��k�1es-
4. LEGAL DESCRIPTION (attach extra sheets it necessary): --rn6an`la
U ni -V 8-- 13 11c 5-7 - Ilk 5 ( NA w 34'/ l
5. PLAT. I'� 6 ' PAGE
BOOK NO.
73
7. BLOCK
NO.' 7
303- IlroS�
8'. LOT
NO.
PARCEL SIZ :ACRES/ FT. ©. Z3 LOT DIMENSIONS n I ZS
Ipp1$ 1 '
10. DESCRIPTION OF CONST
RUCTION PR
OJECT OR WORK ACTIVITY:
Gl unk slA►mminq pool.
11. SETBACKS (ACTUAL) FRONT: /
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
7
0
(( r
l0
RIGHT
SIDE
�j iJ I
2- G
LEFT
SIDE:
2
J
✓
✓
-tV
[ NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:�c'S I�
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
14. Sq. FtJCONSTRUCTION:— - 15. Sq. Ft. 1st Floor.
16. VALUE OF CONSTRUCTION: $-��a�"1 ; 9�
The Value of cdnsbuctlon is used to determine the amount of permit fees to be assessed. SL Lucie County reserves the right to question and/or modrTy 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.
fI
SLCCW4 o.:001-02
OWNER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
�1
-- --CERTif tCATiM----- ------ - -- - -- - --- - --
?11Qk2 ►L r,) (� �(� e ('( ma This application is hereby made to obtain a permit to do the work and installations. as indicated, and to obtain a certificate of
lGr 1 1 1� t r 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 1 understand that
separate permits may be regliired,for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES BOILERS, HEATERS-,
TANKSAND"AIR'CONDITIONERS; ETC:, not otherwise included with this building permit application: '
STATE:. .. ... .LP TANKS, ." . ... ... .. ..
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: —
PHONE (DAYTIME):
CONTRACTOR
ST. of FL REGJCERT #: L
BUSINESS NAME: _ 4
QUALIFIERS NAME _
ADDRESS• •
CITY: l
PHONE (DAYTIME): f l /
ARCHIT/ENGINEER:
ADDRESS:1_
CITY:
PHONE (DAYTIME): L
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDErt:
ADDRESS:
CITY:
STATE:
I•
,a00 ST. LUCIE COUNTY
•IWA
�� •"MrA
ZIP
STATE F I V I ]tL.X-U ZIP �.
FAX NO. 4(p / — )b
STATE: ZIP
STATE:: ZIP
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.
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.
�' O CONTRACTffi SIGNATURE CONTRACTOR SIGNATURE
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sl}-W c . %. COUNTY OF SAr LAALL.t_,
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.
The foregoing ifls�trument was acknowled eg d
��b��e''fror//e'me this ] 1_ day of (, 20�, by
��?"�'�
r�m+�•whvis peFseRal{Wca or who
has produced 9riv�lsCCll�entl�tigtion.
Signature of Notary
TCJCTf lCio_rn. Q,%c.........................................�
PATRICIA M. GIUNTA
Type or Print Name of Notary,,;w� Co.m,u D006015e03
Notary Public Tite ''� B00°a00vu(0°°H3i4P0t?
..........'.......Fb... Narn............i
�Dmmission Number
(seal)
The foregoing it sttrument was acknowledged
beforem his-1 day of COY , 20 n— • by
o Is Personallycnown o�Is per�sonal�lylcn�ow�n o�n�
or who has pFoduGed asR
Signature of Notary
�airlclu L-
Type of Print Name of Notary
Notary Public Title
,�-��C�............................................
M(� y PATRICIA M. GIUNTA"
�ommission Number e
Comm& D0050=3
`t F,¢inis W26—M-10
(seal) Dan ®mk.A WU (.00)432a251:
tl.i.i.um RoWs NOLM AM.. Ina
nuuuu.............m.nnu...8
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED.
IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNEEtBU1LDER, THE OWNER MUST PERSONALLY APPEAR
TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
e
nzN.-'n,F
/,voiz "/••P
MIN, SETBACK REQ.
�1
c
lll�
t�
FRONT 2if'tl
/
SIDES' %"72
CNR SIDES —0
'C \7
REAR
\'
ZNG, R54 TT77�� ��11 p
f�U
-O
41
TECH. 1.-•t'1-
1
tL-esow 7IRV;
1
n
N
r
Lot 5 , [?lock 57, in .the SUQC1.!/ll1G1An oLie
LVU M /dV&? £7A7£S UN17 8, os Rpc�
in A&i Book 10, Pace 73, o/ .the. /W. L
1?ecardrl o�e St. Lucie Ccunty, 7&z&a.
Slli 6101'S NOTES:
1. Lands Mcwx hew -on &eae not at✓ttact d
4/e 2ijcVA oe wry arrl/o/t eaeepwntA
lte a By this o#ice..
2. Lem de/cu'py-wn Lw wpp2ied P.y ceizni-
3. p o/ #wez unkna n.
4. Le6end o� amLv aBBawirciicv+h on Poch o�e
5. 7hi s eumrey eW/ not ORdmed ar, an AL7A
orri/o2 4 SP7 hurusey #�.it rrr4l not
meet the wrplinement o�e hrrme.
6. %cd Zcne #1
1
I
N
I
I
I
,Z
/ •5'>J.' Lunen f:(ArrJF_
32. o
ti
III V/� 9 p
,U
0
Exisr�•�, v /5.0
c3'c�`PriC I ,
SANK G•r
• I
�
�I
I
V
A!9 lAE
BOUND4Rq SdRV£y
CER71FIED 70.
FF/t/CE
fn'o. 5e '/ Ir
RaAgoA 7ede/ca2 Sauiny.a Bank
Supe,cio,c 7itee Se22)iceh, Inc.
Commonwea2ih'Land 7iiie Inhu/zance
Company
Ka.the,zine a. 1101eman
T-
TWs oerdAutioa is mule only to above named parties for purl" andler mortwe
of hcmW dellooeled property by above named purdwsa. No wponsibility or
tiabillty Is assumed by wneyor for use of survey for prey otlrr Papox including but
not limited in, use of survey for survey affidavit, resde of prvperty, of to any otbu
Verson not it" is eadflcatfao either directly or indirectly.
1 hereby certify, that the attat� slieizitw survey of the hereon described
property is true and corroct 6 ,the, bij�, of yty i nowlcdp and belief sti
survcyod under my di'rcdiyrr.."' l.toctheppo 4,1that this pro' mew the MCLau Ii Land Surveying, Inc.
minimum technical st/ttid6scls for land stirveyiiiS In the State of Florida 98 Maple Avenue
(chapter GIG1761 purwr�nr to rect(on 47x.o27, Ffodda atatulw to Pierce, FL 34982
the qualifications; notes! herood: (407) 465-0250
X�- I FAX: (407) 48"730
MICAAEL P. MCLAUGHLIN
PROFESSIONAL LAND SURVEYOR
FLORmA REGISTRATION NO.2960
DATE: 5 - 15 - 2OOD I SCALE: ) ZO ' DWN. BY: M, P M . 1,10a NO.: s2 OcP 2 000
'
LEGAL DESCRIPTION
LOT 5 BLOCK 57
INDIAN RIVER ESTATES UNIT 8
PLAT BOOK 10, PAGE 73
SAINT LUCIE COUNTY, FLORIDA
HOFFMAN RESIDENCE
5408 BIRCH DRIVE
FORT PIERCE, FLORIDA
LOT 24
BLOCK 57
LOT 4
BLOCK 57
1 i 91
SCALE I" = 30'
JOB NO. 4379-07
FIELD BK. NO.
FIELD WORK DATE 6-21-07
DATE B-1-07
SHEET I OF
= FD #5 Rebar NO CAP
Q = SET #5 Rebar 6 CAP
#LS4015
NOTE: POOL FINAL, SURVEY ONLY
George Aylor, Jr.
738 SW Colleen Ave.
Port St. Lucie, Florida 34983
772-335-4403
Office & Fax Number
.OT 26
ILOCK 57
LOT 6
BLOCK 57
CHECKED BY TS
DRAWN BY GA
REFERENCES
FLOOD ZONE "AH"
St Lucie County Tnspectionsl�'&..
2300 Virginia Avenue C�®�
Ft Pierce, JAL 34982
(772) 462-2172 St p4 13?007
4`Q erjc IV, -
CoV rks
CERTIFICATE OF TERMITE' TREATMENT
CONSMUCTION SOIL T111RTM1rNT
PERNUT # Q'L I,; OD JOB
R & F. Pest
PI?ST CONTROL
Inc
0
Port St Lucie, FL �4984 "uunr
PEST CONTROL LICENSE it Iwo
We, the undersigned, hereby certify that we have pretreated the above -described construction for
subterranean tore;cites in accordance with the standards of the National
Pest Control Association.
Square feet of area treated: Chemicals nsed:.
Percentage of solution: ° e% . Total gallons used: / U
Date of. treatment: 7/1a/o7 Time of Treatment; 3- s�
❑ rooting
❑ 1stTreatnent
❑ Re -treat
❑ Slab
❑ 1st Treatment
❑ Re -treat
❑ Driveway
❑ IstTrea[men t
Re -treat
l{d fools
" ❑ Ist Treatment
❑ Re -treat
❑ Other
❑ 1st Treatment
PBC104.2.6 Cartifrcate of Protective Treatment forpreventlon of leraltes.
A weather resislant jobsile posting boardshall be provided to receive
duplicate Ti'earment Certificates as each regntred protective treamiew Iscompleted, providing a copy for the person the permil Is issued to and
another copy for the building permit files. The Treatment Ceraf7cate shall
provide the product used, identhy'of the applicator, time and date of the
treatment, site location, area treated, chemicdl used, percent concentration
and dumber of gallons used, to esraGlish a verifiable record of protective
trcntnent.. If the soil chemical barrier method for termile prevention Is used,
final exterior treatment shall be completed prior to final building approval.
St Lucie County reilnires for the final inspection for CO, a Permanent
Sticker to be placed on We electrical panel box cover, listing all (lie
treatments and dates of applicn'tions.
❑ Re -treat
❑ Perimeter for Final Inspection
NOTE:
There mist be a completed form for each required treatment or re -treatment and this form must be on
the fob site to be picked rip by the irispector at time of each inspection or the schedriled hispection 011
.fail acid a re -inspection fee charged,
COASTAL TESTING LABORATORY, L.L.C.
PO BOX 2023
W
o
y�
PALM CITY, FLORIDA 34991-2023
>
3 U
772.220.6688
W
0
0
V
�
COMPAMON rtsr
W
�
a3
2Epog
ASTM cD 2922 -05
DATE Ju.Ly 05, 2007
JOB NUMBER 07-0706
iERMIrNUMBER : 0706-0067
CLIENT A Fr (i P&oLy
CONTRACTOR A & G ,poolk ON"
JOB LEGAL N/A
JOB ADMESS 5408 BircTvl)rWei
FortPfercei, FL
SOIL CLASSIFICATION 4r REMARKS A3 Rrvvbrown/ sandy soa
rfSrSAMPLE LOCATION : 10' IS LF Corner - Center of Pad. - 10' IS RF
Corner
Ili[ PLAC n9YDENSIjYMAXlMU n9y 12TN.CrrY Y COMPACTION
1) 101.0 102.8 98.2
2) 100.6 102.8 97.9
3) 101.6 102.8 98.9
REST ECT'FULLY.SUBMIM-D:
U CAD
ERNESrO VELASCO, p.E.
COASTAL TESTING LABORATORY, L.L.C.
PO BOX 2023
PALM CITY, FLORIDA 34991-2023
772.220.6688
MOISMIRE DENSITY RELATIONSHIP
ASTM cD 1557-02E1
��
CONTRACTOR
JOB NUMBER
PERMIT NUMBER
112
sa
Jtay 05, 2007
A Fr q Poo 4-
07-0706
0706-0067
U I 12 14
Moisture - potent bt 1)ry Wright
COASTAL TESTING LABORATORY
P0. Box 2023
Palm City FL 34991-2023
Q
a
W
A
XiF
U
—
e
V
a�
a'3
WEST PALM aEACH
9 L 3:34 -•. j. L
C)7 JUL -2100 PM
ST. LUCIE COUNTY BLDG. DEPT.
2300 VIRGINIA AVE.
FT. PIERCE, FL 34982
i
i
i
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
httpJ/stiucieco.gov/ce
BUILDING PERMIT
Page 1
Issued: 06/21/2007 Conf #: 623 Permit #: SLC- 0706-0067
Job Location: 5408 BIRCH DR City: FORT PIERCE
Permit Type: Pool/Spa
Job Description: INSTALLATION OF GUNITE SWIMMING POOL, SPA & DECK
PE# 0706-0069 .
Subdiv: Indian River Estates Unit 8
Lot: 5 Block: 57
Contractor ALLEN ARTHUR H
Parcel: 3402-609-0183-000/8
A & G CONCRETE POOLS INC (772) 878-7752
410 NW SAEGER AVE FT PIERCE, FL 34982
Property Owner KATHERINE J HOFFMAN
5408 BIRCH'DR FORT PIERCE, FL 34982-3824
Property Owner ROGER L HOFFMAN
5408 BIRCH DR FORT PIERCE, FL 34982-3824
Setbacks Left: 23.00
Number of Units: 1.00
Minimum Floor Elevation:
Job Value: $ 33,222.96
Right: 22.00 Front: Rear: 16.00 Zoning: RS-4
Floors: 1 Buildings: 1 Square Footage: 0.00
Flood Map: 281g Flood Zone: AH Elev: 17
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 entitles 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.
Christopher Lestrange ' r /' V /
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.
ST. LUCIE COU T''i'
BOARD OF COUNTY COW -_ I SIONERS
2300 VIRGINIA AVENUE, FT. PIERCE, FL 34982
oj uto- otloli
PERTMIT#
Residential Swimming Pools, Spa, and Hot Tub Safety Act
AFFIDAVIT OF REQUIREMENT COMPLIANCE.
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
51408 T i rch "DO \kC and hereby affirm that one of the following methods will be
(Please Print Sucet Addrm)
used to meet the requirements of Chapter 515, Florida Statutes. (please initial the method(s) used for your pool).
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of
Florida Statute 515.29;
The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91 (Standard
Performance Specifications for Safety Covers for Swimming Pools, Spas, and Hot Tubs);
All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that
has a minimum sound pressure rating of 85 decibels at 10 feet;
All doors providing direct access from the home to the pool will be equipped with self -closing, self -latching
devices with release mechanisms place no lower than 54" above the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool
is completed for contract purposes, will constitute a violation of Chapter 515, F.S., and will be consid-
ered as committing a misdemeanor of the second degree, punishable by fines up to S500.00 and/or up to
60 days in jail as established in chapter 775,F.S.
I understand that the St Lucie County Building Inspections Department assumes no liability for the
final inspection of one of the above protective devices, or the lack of maintenance, or the removal of such
after the swimming pool has been finalized.
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
Cemm DD0503303
EsWm 3Q6f2010
BMdad thr, (CGOM33i:
Y PUBLIC, STATE OF FL.
DATE - .. ATU�U DATE
-:
\ [ \ lr io 'M AAk_&!
NOTARY PUBLIC, STAT6F.QF:F1.!-t
AS TO CONTRACTOR
AS TO OWNER
PERSONALLY KNOWN t/
PERSONALLY
PRODUCED ID
PRODUCED ID
-- TYPE-AJ>6
—
TYPE
THIS FORM MUST BE SUBMITTED WITH ALL POOLISPAIHOT TUB PERMIT APPLICATIONS.
Co01m0 D00003303
Ellpim 3rMO10
Banded thm (000)432i1
}pl,{d date I III$101
JLtE C G St. Lucie County
Building & Zoning
+=gyp BUILDING PERMIT
�Fl SUB -CONTRACTOR SUMMARY
A & G CONCRETE POOLS
(Company/Individual Name)
project located at �C
will be using the following sub -contractors for the
i rcKD.r( vex
address or Property Tax ID Il)
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
E06 F,(kd-nL
6C�1�3
Plumbing
A & G CONCRETE POOLS
19104
CPC 057200
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT I C)l
NUMBER: W d/_,�t-I ISSUE DATE:
1
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F OR10P'.
BUILDING PEPIMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: f90
State of Florida Certification Number (If applicable):
01,z7VC_ � have agreed to be the
L� &i 77Z/Cpl, sub -contractor for A—+ 6)—(e)IJC_19,77, ► 1) LS
(Type of Trade) (Primary Contractor)
for the project located at
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
SIGN PRINT N�AM�Ey� DATE
Business Name: •�� • �� ��� f /U
Address: /- U C 1 /C ci
City/State/Zip: OA-- 257 , ZxO/f • EL 7DY57!/-2,, j
Phone: 7-7)� '7e-(00a7� email:
OFFICE USE ONLY:
PERMIT # �. ISSUE DATE
�� Ob- DDT 1
N
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F�ORIOP
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
19104
State of Florida Certification Number ([[applicable): CPC 057200
i
A & G CONCRETE POOLS have agreed to be the
(Company Name/Individual Name)
PLUMBING sub -contractor for A & G CONCRETE POOLS
(Type of Trade) ''rr/�(Primary
�nt
Contractor)
for the project located at sqop Ti rc ] �n vC..
(Project Street Address or Property Tax ID 9)
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_ 004700)
BUSINESS QUALIFIER (Name. of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REOUIRED
ARTHUR ALLEN
SIGNA PRINT NAME DATE
Business Name: A & G CONCRETE POOLS,
Address: 410 SAEGER AVENUE
City/State/Zip: FORT PIERCE, FL 34982
Phone: 878— 7752 email:
OFFICE USE ONLY:
CpG
`JL\E
M�
ST_ LUCIE COUNTY
BUILDING & ZONING
,C�pR
2300 VIRGINIA AVENUE
FORT PIERCE 112-5652
O
I55]
FILLED LANDS AFFIDAVIT -
I, the undersinnPri :2,m th, ,., . ,,c.�_ c_u_ .
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number—�1�(p- owner of the above described property, anI acknowledge that as
d 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 proyd.e for,_or_maintain-in-any form --adequate drainage off my property which will not adversely affect the immediate community.
1I n` L� 4�uFiFr�W►'� �W/� -:-0�
Property Owner Name Property Owner ignature
Date
STATE OF FLORIDA. COUNTY OF S:� .
ACKNOWLEDGED BEFORE ME THIS =];—�—DAY OF
20
BY 0-1,
U E OR WHO HAS PRODUCED
^
sye4s AS IDENTIFICATION.
�.lC�n
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE gpb5U5COMMISSION NUMBER ,,,,,,,,, (SEAL)
PATRICIA M.GIUNTA .........
oY
ii�. COmm7 DD0505505 b&gc
Y+ EIWIOa Y18r1O10
@a dds` Baaaa ON fc0aH�25r:
uuu
a......,,"" Fb00u Nquy Atsn.. Ine cY"uuu uu uu...nuud
EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE N 3052145 OR BOOK 2' ' PAGE 1463, Recorded 05/08/2007 at 0
FM
Permit No. 0I0"101ol
Stare Of Florida
NOTICE OF COMMENCEMENT
Tax ID N
County of
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 Comro se,on ot.
Fee Simple Title holder (if other than owner) NA
Address
contractor_p & G CONCRRTF. POOLS TNC. Phone N1772) 878-7752
Address 41n SAEGER AVE_ FT. PTERCE. FL 34982 FaxN(772) 467-1624
Surety NA Phone
Address Floc N
Amount of Bond S
Phone
Persons within the Stale of Florida designated by Owncrupon whom notices or other donmtcats may be served as provided by
Section 713.13 (1) (a)7., Florida Statutes:
Name IJ JA Pbe=
Address Fax#
In addition to himself, owner designates of� (Phone N
Fax N ) to receive a copy of tbn cools Notice as providetl in Section 713.13(I)(b),Florida Statutes.
Expiration date ofnobcc of commencement is one year from the daft ofrecordiag unless a different date is specified.
SPATE OF FLORIDA. COUNTY OF $}" "aye ,
Acknowledged before me this-l- day of J C^' � 206-% �by—F7i.ty i lap( �y,.,,
whohasproduced DRIVER LICENSE-fiasid'90cation. � � or
(A4A(i..........e...... ..(
IT3Ri i �tti `1 1 \ jl.C�
A'17JRF OFNOTARY
PAMQA Y. GhRrTA
E GGa0001N
a®'G r>oM
TYPE ORPRINTNAME OFNOTARY
(Ah
paaluo
a< �eiaau eN GaallatNall
.P..."°a'.""..a'Wr.:'..
NOTARYPUBLIC TPFLE
b01oH1� OMIv1ISSlON NUMBER
STATE OF FLORIDA
ST. LUCIE COUNTY ON
T€IS STOCER iFM TTI11JU+A r3��
T(i€! 9P8D CQti .ct:::i r r- s
!r �: r is 4i'( iy y )•
D�4e:
`�
Property Appraiser - St.Lucie C!-�^ty, FL
Page 1 of I
PROPERTY RECORD CARD
Katherine J Hoffman
Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address:
5408 BIRCH DR
ParcellD:
�UCIE g
3402-609-0183-000-8
Sec/Town/Range:
11:36S:40E
Account#:
37737 h '
Map ID:
34/11 N
Land Use:
SF Res _'
Zoning:
RS-4
City/Cnty:
ST. LUCIE COUNTY .. •
Ownership and Mailing
-
Legal Description
Owner:
Katherine J Hoffman Roger
L Hoffman
INDIAN RIVER ESTATES-UNIT-08- BLK 57 LOT 5 (MAP 34/11 N) (OR
Address:
5408 Birch Dr
1303-1165)
Fort Pierce FL
34982-3824
Sales Information
Assessment Final Total Land and Building
Date Price Code
Deed
Book/Page
2006 Val: 134800 Land Value: 58400 Acres: 0.23
5/262000
74000 00
WD
1303 / 1165
Assessed: 73172 Building Value: 76400
3/11/1993
71000 00
WD
0833 / 0249
Ag.Credit: 0 Finished Area: 1212 SgFt
2/1811993
6500 01
QC
0833/0248
Exempt: 25000
11/1/1985
6000 00
CV
0482 / 2651
Taxable: 48172
8/1/1978
0 01
CV
0293 / 1806
TotalTax: 968.62
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
SA -Asph Shingle
RoofStmct:
GA - Gable
ExtType:
HD+ - HD+
YearBlt:
1986
Frame:
-
Grade:
D+ -D+
EIYrBlt:
1986
PrimeWall:
WS-Wood/Sheath
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
-
Interior Features
Bed Rooms:
3
Electric:
MX-MAXIMUM
PnnlntWall:
DW-Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHf/FI:
STD
1/213ath:
0
HeatFuel:
ELEC- Electric
Prm.Flors:
CU- Carpet
%AIC:
100
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type
YIS City.
Units Qual. Cond.
YrBIL No. Land Use
Type
Measure Depth
3CHT - 3CHT
S 1
1 AV AV
1986 1 0100SF Res
215 -Front Ft
80 - 125
SDSF - SITE DEV S-F Y 1 1 AV AV 2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
W "10
oa
MIN. SETBACK REG.
FRONT
/
SIDES
CNRSIDES Z0"
REAR 15/ 1
ZNG.92A R•IN
http://www.pasle.org/prc.asp?prclid=340260901830008
TECH.
4/23/2007
5.� Building
Code Compliance Division Receipt
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
httpJ/stl ucleco.gov/ce
Date:
05 June 2007
Receipt M
0000054704
Job Address:
5408 BIRCH DR
ermit Number:
SLC- 0706-0067
Received By:
spe0sv
Amount:
$100.00
Paid With:
CK
.redit Card Number:
Check Number:
53585
Paid By:
A & G CONCRETE POOLS
Sign:
r
Building
Code Compliance Division
Receipt
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
httpJ/stiucleco.gov/ce
Date: 21 June 2007
Receipt #:
0000055190
Job Address: 5408 BIRCH DR
emit Number:
SLC- 0706-0067
Received By: speUsv
Amount
$405.00
Paid With: CK
.redit
Card Number:
Check Number:
53725
Paid By: A & G CONCRETE POOLS, INC
Sign:
ZONING TECH REVIEW CHECKLIST
RESIDENTIAL &/OR COMMERCIAL
DATE OJU nc, 11()-1 PERMIT # cq of -Vuo
TECH: l_-Cei1 I PAGE 1 OF 3
APPLICATION
OK
MISSING
NOTES
A. ADDRESS
✓
B. S/D - SITE PLAN NAMES
✓
C. - PROPERTY TAX ID
& LEGAL DESCRIPTION MATCH
D. LOT & BLOCK NOS.
E. PARCEL SIZE & LOT DIMS
F. DESCRIPTION OF ACTIVITY
G. TYPE OF CONSTRUCTION
H, ACTUALSETBACKS
I. - SED USE (L.D.C. CHAPTER 3)
PERMIT ED? CONDITIONAL?
✓
IS RIANCE REQUIRED? Y N
L/'
J. SQ. FT. OF CONSTRUCTION
K. VALUE OF CONSTRUCTION
L. OWNER INFO (MATCHES GEO)
M. CONTRACTORINFO
✓
N. PAGE 3 SIGNATURES & NOTARIES
O. OFFICE USE PAGE COMPLETED
ZONING
EASEMENTS
ilOYle
FCC CODE
✓
IMPACT FEES
REVIEW SIGNATURES
/
APPLICATION DOCUMENTS:
A. GEO
B. RECORDED WARRANTY DEED.
C. LAND CLEARING PERMIT # OR COPY OF
D. FILLED LANDS AFFI
APPROPRIATE SUB FORMS - ORIG SIG'S
F. SUB SUMMARY
G. MISC: ,.
OWNER BUILDER AF I'S
GROUND SIGN LANDSCAPE AFFI
GUEST HOUSE AFFI
UTILITY RECEIPTS
OTHER
4OTES:
DATE
TECH
DIMENSIONAL
CONFORMITY'
SURVEY:
;ITE PLAN
ZONING TECH REVIEW CHECKLIST
RESIDENTIAL WOR COMMERCIAL
PERMIT #
PAGE 2OF 3
O
MISSING
NOTES
ZONING
MIN LOT SIZE
MIN ROAD FRONTAGE
MIN LOT WIDTH
SETBACKS
BASE BUILDING LINE
MAX LOT COVERAGE
MAX HEIGHT
IF PROPERTY DOES NOT MEET ANY OF THE ABOVE CRITERIA, CHECK FOR NON-
CONFORMING LOT OF RECORD RESEARCH. IF PROPERTY DESCRIPTION DOES NOT
Re A7�W DonoFRTY APPRAlSFRS DESC OR MAP. LOOK FOR LEGAL LOT SPLIT
OK
MISSIN
NOTES
RAISED SEAL BY SURVEYOR
PROPERTY MATCHES ALL
DESCRIPTIONS
HEALTH DEPARTMENT STAMPS
A
EASEMENTS
ORIENTATION OF BLDG MATCHES
PLANS
✓
VERIFY FLOOD ZONE
BUILDING DIMENSIONS SHOWN
20
FFE SHOWN
COPIES OF APPROVED SITE PLAN
COPIES OF RESOLUTIONS
HAVE CONDITIONS BEEN MET?
.AND DEVELOPMENT CODE COMPLIANCE:
15cz(e)
CHAPTER 4 - OVERLAY ZONE
CHAPTER 6 - ENVIRONMENTAL
CHAPTER 7-
PARKING
LANDSCAPING
STORMWATER
SUPPLEMENTAL STANDARDS
CHAPTER 8 - ACCESSORY USES
& STRUCTURES
TOTES:
j
DATE
TECH:
ZONING TECH REVIEW CHECKLIST
RESIDENTIAL WOR COMMERCIAL
PERMIT #
LAND DEVELOPMENT CODE COMPLIANCE
(CONTINUED)
CHAPTER 9 - SIGNS
CHAPTER 10 - NONCONFORMITIES/
VARIANCES
Property Main
Parcel Size:
PAGE 3 OF 3
OK MISSING NOTES
N/A � Notes
—.. -.
Legal ✓
Prop. Owners Ph.# vv n It
Permit Pg. 1
Type & FCC Match
Units Floors Bldgs,
Bedrooms. Baths vy__.__.._......._ _ . _..
Valuation --
Improvement & Existing
Reviews
Traceable wl correct - -
types ✓ and forward to �
review step
Fees
Types & Amounts