HomeMy WebLinkAboutSUBMITTED PAPERWORKPLEASE HAVE -THE' FOLLOWING-ACKNOWLEL%EMENTS NOTARIZED
I CERTIFY THAT: (PLEASE CHECK BOX A OR B) ;
A_ ( ) I AM THE RECORD OWNER OF THE ABOVE DESCRIBED PROPERTY.
I AM NOT THE RECORD OWNER OF THE ABOVE DESCRIBED PROPERTY
/ \ AND I HAVE AUTHORITY TO ACT AS AGENT -FOR THE RECORD OWNER.
I CERTIFY THAT ALL INFORMATION SUBMITTED WITH THIS APPLICATION IS TRUE AND
COMPLETE TO HE BEST OF MY KNOWLEDGE.
SIGNATUR�%`el-« DATE:
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared,
(PLEASE PRINT APPLICANTS NAME) who upon being duly sworn, deposes and
says that the information contained in the foregoing application is true
and correct.
Sworn to and subscribed before me this day'o£ , 19
Notary Public, State of Florida at Large
My commission expires
APPROVED (.)
CONDITIONS:
FOR OFFICE USE ONLY
DISAPPROVED ( )
ENVIRONMENTAL PLANNER: DATE:
SITE INSPECTION:
FINAL INSPECTION
DATE:
FEE:
r
0
ST. LUCIE COUNTY ti 11r1'*�
APPLICATION FOR VEGETATION REMOVAL VCW1.Vo.Q/
D�
PERMIT NO.: PR #:I
REF. NO: (Of a5 Only) (Office Use Only)
(Office Use Only)
St. LUCieCot➢*
INSTRUCTIONS:
Please provide the following information in the space provided. Please be
sure to Print or Type all required _hformation. For assistance in
completing this application, please contact the St. Lucie County Department
of-- Community Development - Planning Division, at (407)' 468-1576, during
regular office hours (8:00 AM - 5:00 PM),.Monday through Friday.
All applications for Vegetation RemovalzHermit--must be -submitted• --by 4r30
P.M. each business day in the Zoning Division, Room 201, St. Lucie County
Administration Building, 2300 Virginia' Avenue, Fort Pierce, FL 34982.
Please -use your permit reference number - (PR #) when making any inquiries or
picking up your permit. When your-permit'is ready for pick up, you will -'be
called. Please --leave a -phone number where. you can be -reached between 8a'00
5:00, Monday through Friday.
VEGETATION SURVEY REQUIREMENTS:
A. If single family or duplex development, survey may beinn the form of
i hand drawn sketches accompanied -by photographs. Three (3) copies of.. -all..
surveys and photographs are required. .
B. - If multifamily or non-residential, survey must be in the form of an
aerial for field survey, accompanied by photographs. .Three (3)-copies of
all surveys and photographs are required.
All surveys must show clearly the following information:
1. Location and extent of vegetation on site;
2. Common or scientific names of major groups of vegetation;
3. Vegetation designated for removal and/of grubbing (numbers or
percentages);
4. Vegetation to remain undisturbed;
5_ Existing and proposed structures;
® 6.. Driveway location
PLEASE NOTE: Site development plans must have survey prepared to the same
scale or in a manner which illustrates the relationships between areas of
vegetation and proposed site improvements.
PLEASE PRINT. DO NOT COMPLETE SHADED AREAS
PP7T INF
PROJECT ADDRESS: a.n
SITE PLAN/P
SUBDIVISION
mm Ca,
PROPERTY TAX ID $: �j Z` '- $O -7
PARCEL SIZE (ACRES SQ. FT.) '• �Y ��
LEGAL DESCRIPTION:�ye �Gi i1 / 1 (
Lo BIS11
OWNER NAME:
ADDRESS:
r
CITY:
ZIP:
No
CHECK APPROPRIATE BOX:
SINGLE-FAMILY/DUPLEX ( \9
.,.l-lULTi-FAMILY ( )
wzmom �
DATE:
.L JDGLC {� STATE: EL
PHONE s : ( ) ! / J— C /1C0 1 T ,
NON-RESIDENTIAL ( )
PUBLIC ( )
r-m .A .�3arr.z
RE Long16n)
e
.. .. PR.$:. �25.
PERMIT INFORMATION
OF VEGETATION REMOVAL ACTIVITY (LAND CLEARING AND/OR TREE
REMOVAL) : -I J�_`1 Yi (J -
NUMBER AND TYPES OF TREES TO BE REMOVED (AS APPLICABLE) LJ
f
r�PURPOSE FOR VEGETATION REMOVAL��
DATE WORK EXPECTED TO BEGIN:
DATE WORK EXPECTED TO BE COMPLETE
ID ۥ0000
APPLICANTS NAME:
ADDRESS:
CITY: 'p,<s L - STATE: l_ _
)
ZIP: c PHONE : ( -)-- _ ► 1 U_ -- - - ---
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Lh
Department. of Community Affairs SN: 5050
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OA-93 Residential C:omt-onent. Prescriptive Method A CENTRAL
PROJECT NAME: LOT 35 !BUILDER: M t_ :BUILDERS
AND ADDRI_:SQ I PERMITTING 1 CtL.IMATE
F-1 . PIERCE. f I... !OFFICE; ST. t.. UCIE_ I_I_I i �:�_NE: :F i _ i �_i i i 613
„ OWNFR: t<:LINGER !PERMIT NO. !JURISDICTION NO. E.�_�7.000
-04 Ch:
1. New _hnstruct.ion or addition
2. Single family detached or Multifamily attached
3„ If Multifamily -No. of unit.=.
4. If Multifamily, is this a worse: case (yes/no)
5. Conditioned floor area (sq.ft.)
r_,. Predominant eave overhang (ft. )
7. Porch overhang length (ft.)
8. Glass, area and type:
a. Clear Glass
b. Tint., film or solar screen
9. Floor- type and insulation:
a. Slab on grade: (R-value, perimeter-)
10.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-valwe)
a. Adjacent.: 3. Steel (Insulation R-value)
IkC:eil.ino type area and insulation.
A,. Under attic (Insulation R-value)
1:a.Air distribution systems
ar. Ducts (Insulation + Location)
13. Cool. ing system
14.Heating System:
15. Hot water system:
16.h}ot Water- Credits: (HR-Heat. Recovery,
I:HP-I?edicat.ed Heart. Pump)
1.lga
'r`:i.l.t.ralt:.:i.:,rr practicepracticeg 1„ 2 or `:
18r.F*AC: Credits (C:F-Ceiling Far-, CV -Cross vent.
HF'-Whole house fan. RB-Attic radiant-.
barrier. MZ-Multi-zone)
19pEPI (must. not. exceed IGO points)
a. Total As_Built points
7. Total Base points
e
---------------- ------ .--------- ---
Hereby ce=_'rtify that the plans and
specifications covered by t.hri<_:; calcu-
lation are in compliance with, +_tree
F13rida Enema •
PREPA.;Er; B'':--
DAYE: - --- 3O�,S---------------
I here-y certify that this building is
in<compli.ance with the Florida. Energy
Codle?.
1. New Construction ---
2. Sing le -Family ----
:3 , it ----_
4. ____
6. 2.00
7. 10.0u ----
Singl.e Pane Double Piano _._....
a.639. 8s.gft- 0, 00sgf`b --
,b. n.Osgft. 0.00s,gft.
9a. R= 0.00 , 230.00 ft.
1Ua--1 R= 5.40, 988.00=-.gft. ---
10a-3 R=11. 00, l74. 00 sgft_.__-...
lia.R=30.00 810.00sgft'___
12a. R= 6.00 , uncond
13. Type Central A/C -----
EL--R: 13.00 _
14. Type: Strip Heat. -_-_
COP: 1.00
15. Type: Electric ----
EF: 0.90
16.
17. --_--
is. CF -- _
190, 43476.85
19b. 43702.66
---------------------------------------
.. ...
F'��vi.e::n=r of the r�larrr. ,nne:J spe:i'Fi.e::af_ions
covered by this calculation indicates
compliance with the Florida Energy
Code. .Before ccnnstruct::ion is completed
tthis, building will be inspected for -
compliance in accordance with Section
553.908 F.S.
OWNER/AGENT:
DATE.
BUILDING OFFICIAL:
DATE: - --- --
Deparirner;i_: of Community Affairs SN; 505u
FLORIDA ENERGY EFFICIENCY COTE FOR BUILDING CONSTRUCTION
FORM 60OA-93 Residential Component Prescriptive Method A CENTRAL
PROJECT NAME; LOT 35 ; BUILDER; N L BUILDERS
ANI> ADDRESS. !PERMITTING :CLIMATE
FT. PIERCE, FL !OFFICE: ST. LUC:IE CO ; ZONE; 4 1 _ ; 51 _ ; 6 1 _ I
OWNER: KLINGER :PERMIT NO. :_TURISDICTION NO,661000
C K:
A. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily -No. of units
4: If Multifamily, is this a worst case (yes/no)
5, Conditioned floor area (sq. ft. )
b. Predominant eave overhang (ft.)
7. Porch overhang length-, (ft.)
8. Glass area and type:
a. Clear- Glass
b., Tint., film or solar sere«=_gin
9. Floor- type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation -
a. Exterior: 1. Concrete (Insulation R-value)
a. Adjacent: 3. Steel (Insulation R-value)
11.I eil.ing type area and insulation".
a. Under attic (Insulation R--value)
12.Air- distribution systems
a. I:ucts (Insulation ¢ Location)
1.:3.7ool ing-syst.ern
14. Heai i ng System;
15.Hot water" system:
1. New Construction
2. Single -Family ----
3. i ----
4. ____
5. 2810.006. ----
2.00
7. 10.00 ----
Single Pane Double Pane
s a. 1279.6s'gft. 0. 00s9ft ----
b. O.0sqft. 0.00sgft ----
9a.R= 0.00 , 230.00 ft __--
10a-1 R= 5.40, 928.00sgft.....
10a-3 R=11.00, 174.00sgft.__--
Ila.R=30.00 , 2810.00sqft____
12a. R= 6,00 , uncond __--
13. Type; Central A/C __---
EER; 13.01:1
14. fypeg Strip Head_ ----
COP: 1.00
15. Type; Electric ----
EI--; 0.90
16.Hot. Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat. Pump)
17.Infilt.ration practice; 1, 2 or 3 17. 2 ----
18VHVAC: Credits (C:F--C:eiling Far-, CV -Cross vent, 18. C:F
---- HF-Whole house fan, RB-Attic radiant.
barrier, MZ-Mult.itone)
19.EPI (must not exceed 1.00 points) 19. 99.30 _---
a. Total As-_Bui.lt. points 19a. 43476.85 -_--_-
b. Total Base points 19b. 43702.66 ----
-------------------------------------------------------------------------------
I Hereby certify that the plans and ; Review of the plans and specifications
specifications covered by this cal cu- 1 covered by this calculation indicates
lat.ion are in compliance with the 1 compliance with the Florida Energy
Florida L-r-ner•mw Code. I Code. Before construction is completed
b ; this building will be inspected for -
PREPARED BY: _ compliance accordance ~Sect.
-_ � c_rnplian in a�_� =rdan with ion
1 Y-L�'�-
I.A..�..Ep -SD �Q - -- - � _��� i. 90;-; F.S.
------------------
I hereby certify t.h,at. this building is ;
in compliance with, the Florida Energy I
Code. i
OWNER/AGENT; 1 BUILDING OFFICIAL;
DATE: 1 DATE:
*
****************************************************************************
�
|
SUMMER CALCULATIONS
*w*****************************************************************************
BASE
AS -BUILT
GLASS`~^-~-`~^`^^~~~^
|
ORIEN AREA x BSPM =
POINTS |
TYPE SC ORIEN
AREA
x SPM
x SOF
POINTS
�.~.~-~.----.^^^^~^~.-~^^--~--~^^..~~.--------------------------------_-----^~^-
N 132.40 82"2
10883"3 |
SGL CLR
N
40"0
51.0
"69
1407"6
|
SGL CLR
N
32.4
51"0
.89
1472"7
|
SGL CLR
N
36"0
51^0
^89
1636.3
|
SGL CLR
N
4"0
51,0
n8
158^9
|
SaL CLR
N
16.0
51^0
"86
704"2
|
SGL CLR
N
4.0
51"0
^78
158^9
E 85"00 82.2
6987"0 |
SGL CLR
E
9.0
109"2
.72
706^2
|
SGL CLR
E
72^0
109^2
^89
6975"2
|
SGL CLR
E
4"0
109"2
"68
298"6
S 170"40 82"2
14006"9 |
SGL CLR
S
20.0
100.2
"75
1509.1
|
SGL CLR
S
4.0
100"2
^55
220"8
|
SGL CLR
S
32"4
100"2
.82
2672"1
|
SGL CLR
S
36.0
100^2
.82
2969^0
|
|
SGL CLR
S
18"0
100"2
"70
1261^9
|
|
SGL CLR
S
33.0
100^2
.79
2619"6
|
SGL CLR
S
27"0
100"2
"82
2226"8
252"00 92^2
20714^4 1
SGL CLR
W
33.0
109.2
.89
3197"0
|
|
SGL CLR
W
210.0
109.2
"89
20344.4
---------'--~~--~~-~~-^^^----^-----------------------------------'---------~^--
|
SGL CLR
W
9"0
109^2
"72
706.2
"15 x COND. FLOOR / TOTAL
GLASS = ADJ. x GLASS
=
ADJ GLASS
|
GLASS
AREA
---.--`--~^---~-^------------------------------------------------------------~-
AREA
FACTOR POINTS
POINTS
|
POINTS
"15 2,810"00
639"80
.659 52,591,55
34,647,30
| 51,244"54
NON AiLASS ------------
|
�
--------.-~.~^^.---------'----------------`----.------..~-.-~~~~~~~~..^^-^-----
AREA x BSPM =
POINTS |
TYPE
R-VALUE
AREA
x SPM =
POINTS
WALL6----------------
|
Eft
988"0 1,0
988.0 |
Ext NormWtBlock
In
5.4
988"0
,96
948"5
A
I
j 174"0 "7
121"8 |
Adj Steel Stud
11,0
174.0
1"00
174"0
D0ORS-----'~---------
|
|
E t 20"0 4.8
96.0 |
Ext Wood
20"0
7"20
144"0
Adj 18.0 1^6
~
28^9 1
Adj Wood
19"0
2"40
43"2
CEILINGS --------~^~~^
|
|
UA 2810"0 "6
1686"0 |
Under Attic
30"0
2810"0
"60
1686"0
FLOORS ---------------
|
|
S
h 230"0 ~31"8
~7314^0 |
Slab -on -Grade
^O
230,0
~31"90
-7337^0
INFILTRATION ------- -�
�
|
|
|
. 2810~0 10"9
30629.0 1
Practice 42
2810"0
10.90
30629"0
TOTAL SUMMER POINTS
|
60,8S2"09
1
77,532.22
TOTAL x SYSTEM
CODLING (
TOTAL x CAP x
DUCT
x SYSTEM
x CREDIT
=
CODLING
SUM PTS MULT
POINTS |
COMPON RATIO
MULT
MULT
MULT
POINTS
--~------`-`--------------------------------~---~~'--^---^-~-^-~`--'-----------
Ao'RA?'R9 '17 97'37A'A7
1
77'Nq?'?7 1.VU
1'070
'?68
'RA8 12.549.74
WINTER CALCULATIONS
BASE
i
AS -BUILT
GLASS ----------------
ORIEN AREA x BWPM =
POINTS
1
TYPE SC ORIEN
AREA
x WPM x
WO F ='POINTS
---------------------------------------------------------------------------------
ON 132.40 -3.4
-450.2
i
SOL CLR
N
40.0
9.6
1.20
460.8
SOL CLR
N
32.4
9.6
1.06
331.0
1
SOL CLR
N
36.0
9.6
1.06
367.7
•
1
SOL CLR
N
4.0
9.6
1.14
43.6
1
SOL CLR
N
i6.0
9.6
1.08
166.4
:
SOL CLR
N
4.0
9.6
1.14
43.6
E 85.00 -3.4
-289.0
1
SOL CLR
E
9.0
-2.2
-.55
10.8
1
SOL CLR
E
72.0
-2.2
.39
-62.0
:
SOL CLR
E
4.0
-2.2
-.76
6.7
S -3.4
-579.4
1
66L CLR
S
20.0
-10.9
.81
-176.0
6170.40
1
SOL CLR
S
4.0
-10.9
.49
-21:4
:
SGL CLR
S
32.4
-10.9
.88
-310.0
1
SOL CLR
6
36.0
-10.9
.88
-344.4
•
:
SOL CLR
6
18.0
-10.9
.74
-144.9
1
SOL CLR
S
33.0
-10.9
.85
-305.7
:
SOL CLR
S
27.0
-10.9
.88
-258.3
252.00 -3.4
-856.8
:
SOL CLR
W
33.0
-2.2
.39
-28.4
1
SOL CLR
W
210.0
-2.2
.39
-181.0
1
SOL CLR
W
9.0
-2.2
-.55
10.8
-------------------------------------------------------------------------------
.15'x COND. FLOOR / TOTAL
GLASS
= ADJ. x GLASS
=
AD GLASS
1
GLASS
AREA
AREA
FACTOR POINTS
POINTS
i
POINTS
--------------------------------------------------------------------------------
.15 2,S10.00
63?.80
.659 -2,175.02
-1,433.10
1
-390.85
NON GLASS ------------
i
AREA x BWPM -
-------------------------------------------------------------------------------
POINTS
1
TYPE
R-VALUE
AREA x
WPM m
POINTS
WALLS ----------------
Ext 988.0 1.1
1086.8
1
Ext NormWtBlock
In
5.4
988.0
2.78
2746.6
k
Ad.0 174.0 1.8
313.2
1
Adj Steel Stud
11.0
174.0
2.60
452.4
DOIRS ----------------
Ex. 20.0 5.1
102.0
1
Ext. Wood
20.0
7.60
152.0
Adi 18.0 4.0
72.0
i
Adj Wood
18.0
5.90
106.2
CEILINGS-------------
I
UAI 2010.0 .6
1686.0
1
Under Attic
30.0
2810.0
.60
1686.0
KLUUNO ---------------
Sib 230.0 -1.9
-437.0
1
Slab -on -Grade
.0
230.0
2.50
575.0
INFILTRATION---------
1
2810.0 4.1
11521.0
1
Practice 12
2010.0
4.10
11521.0
TOTAL WINTER POINTS
12,910.90
1
16,S4S.39
TOTAL x SYSTEM = HEATING
1
TOTAL x CAP x
DUCT
x SYSTEM x CREDIT =
HEATING
WIN PTS MULT POINTS
--- ---------------------------------------------------------------------------
1
COMPON RATIO
MULT
MULT MULT
POINTS
r
191MA Qn I In IA
Ini QQ
1
14 QAQ 00 1 An
I non
I
Ann 4
Ann 10
Am" WD
WATER HEATING
BASE i AS -BUILT
QM OF x MILT = TOTAL 1 TANK VOLUME EF TANK MI LT x CREDIT = TOTAL
BEDRMS RATIO MULT
-------------------------------------------------------------------------------
2 3527.0 7,054.00 1 40 .90 1.000 3449.7 1.00 6,S99.03
SUMMARY
BASE AS -BUILT
COOLING HEATING HOT WATER TOTAL 1 COOLING HEATING HOT WATER TOTAL
POINTS + POINTS + POINTS = POINTS ; POINTS + POINTS + POINTS = POINT.
22526.7 14202.0 7054.0 43,702.66 18549.7 18027.8 6099.0 43,476.05
EPI 99.30 r.
9
ljor�detailed information
of the EPI rating number
or for any ITEM listed,
ask: your Builder for
DCA Form 60OA-93
or Ferro 60OB-9:3
ENERGY GUIDE.
EPI== 99.3
0 10 0 30 40 50 60 70 80 90 lini
®-----"--------------------------------------- -X
The maximum allowable EPI is 100. The lower- the EPI the more efficient. the home
® RES1.I'ENTIAL. ENERGY PERFORMANCE RATING SHEET
ITEM HONE VALUE Low Efficiency High Efficiency
SINGL CLR DBL TINT
WINIiOWS .....................Single Clear li;-------------------- I
:I NSI.-17._ A..I..I t_ N ..................
Cliling R-Value......... 30.0
Wall R-Value......... 6.2
Floor R-Value......... 0. ii
I
i
AIR CONDITIONER .............
SEER/LE:R.................. 13.7
HEATING SYSTEM ..............
Electric COP/HSPF........ 1.0
6'as AFI IE............ 0, 00
WATER HEATER ................
Electric EF.............. 0.90
Gas EF.............. 0.00
Solar- EF..............
OTHER FEATURES ..............
R-10 R-30
'--------------------
R- 0 R- 7
1------------------ ---
R-0 R-19
-- '
].0,u SEER 17.0
1 -------"--"---X--.-..-- ---- - 1
9.7 EEf- 16.0
2. 50 Ci IP 4. 19
--------------------
0.7_: AFUE 0.90
I--•-- ---- ------------ - 1
0.96
0.54 0.90
1---------------- _--- _ - - 1
0.40 0.80
'----------------------:
I certify that these energy saving feature- required for the Florida
Energy Code have been installed in this house.
Builder
Address:Signature: Date-.
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs FL-EPL CARD93
ENERGY GUIDE
F r' detailed information
f the EPI rating number
Kr- for any ITEM listed,
iskk your Builder for EFI= 99.3
D A Form 60OA-9:3
or Form r.i10B-.93
0 10 20 30 40 50 60 70 .80 90 100
1--------------------------•------•--•---- '
-he maximum allowable EFI is. 100. The lower the EPI the more efficient- the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM HOME VALUE Liar Efficiency High Efficiency
WINDOWS .....................Singl= Clear
INSULATION ..................
Ceiling R-Value......... 30.0
Wall R-Value......... 6.2
Floor- R-Value......... 0.0
AIR COND-1TIONER.............
SEER/EER.................. 1:3.7
HEATING SYSTEM ..............
Elrac ric COP/HSPF........
as AFI IE........... .
WATER HEATER ................
SINGL C:LR DBL TINT
R-•10 R-30
1-------------------- &
R-0 R-7
I------------------ „--- I
R--0 R-19
1--•------------------- 1
10.11 SEER 17.0
f---------- i'---------- 1
9.7 EER 16.0
2.50 COP 4.19
1.0 1<-------------------- 1
1i.78 AFUE 0.90
0.011 1 ----------------------- 1
Electric EF.............. 0.90
Gas EF.............. 0.011
0 Solar EF..............
mTHER FEATURES ..............
0.54 0.90
' ------..-..---------------- 1
0.40 0.80
i---------------------- i
I certify that these energysaving features required for the Florida
Energy Code have been installed in this house.
Builder
AdH es------------Signatur-et Dat=
a=
Florida Energy Code for Building Construction - 190.3
Florida Department. of Community Affairs FL-EPL C.ARD9:3
VEGETATION
ENVIRONMENTAL
PLANNING/SffE PLAN
CODE ENFORCEMENT
USA
TAZ,
WATER SUPPLIER
SEWER SUPPLIER
DER CERTIFICATION
FL DNR (CCCL)
FL DOT'
SLC STORMWATER PER
MANGROVE ALT
SEA TURTLE PROT
PR# 3/as e
FOR OFFICE USE ONLY
DATE RECEIVED
REQUIRED FEES
NOT REQUIRED
I
N
[l
�7N1
[j
[ l -
BP VALUE $ /5!�C'v i
Co
PLANS REVIEW FEE $ RADON FEE $ 3 . S'�-
C OF C FEE, $ RCPT # 3 JS p
ROAD IMPACT FEE $
ROAD IMPACT DISTRICT gCLn ROAD IMPACT ZONE
ROAD" IMPACT CREDIT YES [ 1 NO[ ]
ALTERNATE DEV FEE $ ALT. DEV. FEE.ZONE
SCHOOL IMPACT FEE $ _ _0_O SCHOOL IMPACT CREDff YES. [ ] NO [ ]
SCHOOL 80ARD APPROVEDViaEXEMPTION YES [ 7 NO [ ]
POLICE IMPACT. FEE $ ///, (} FIRE IMPACT FEE $S
SUB PERMITS
REQUIRED
GAR
[
_AIR CONDITIONING
[
ELECTRIC
PLUMBING
SCREEN ENCUFENCE
14 '
ROOF
DRIVEWAY
[
_ ZONING CHECKS
BBL LOT COVERAGE
NOT -REQUIRED
[]
EASEMENT
`/LOT SPLITS
NQ ST. LUCIE COUNTY REAL PROPERTY APPRAISAL & ASSESSMENT ( )'
'.EQUEST [ ] PARCEL ID [3321-803-0041-00019 ] 07/08/93 15:07
,GAL - LEGAL DESCRIPTION OWNER NAME:KLINGER, JOHN W
SECTION/TOWNSHIP/RANGE = 28/36S/39E
'.ESERVE PLANTATION -PHASE IIA- LOT 35 (MAP 33/28S) (OR 794-1977)
Fi
THIS INFORMATION IS BELIEVED CORRECT BUT IS SUBJECT TO CHANGE & NOT WARRANTED.
1101 NO FURTHER INFORMATION AVAILABLE
.-LI 2-NA 3-NA 4-NA 2:10 PAGE EMT ON KBD v2.10 NCR 301
I
G:) --<
r-) CPO
PLEASE PRINT. DO NOT COMPLETE SHADED AREAS. DATE: 1pZ36
USE BLACK OR BLUE INK ONLY.
�SPRPROJECT INFORMATION
CD
PROJECT ADDRESS:
SITE PLAN/PROJECT NAME:
SUBDIVISION I-�LOT. SSBLK-
MOO
PROPERTY TAX ID #: Z 3 1 ( -
PARCEL SIZE (ACRES CQ. FT.)
io.
LEGAL DESCRIPTION: � 5-110A
OWNER NAM
ADDRESS:
CITY: STATE: .-E L
ZIP: 3-1 PHONE #: (HC-,-)) 7 --z,
ow— am_
— 'worp x
-0
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:
ITC IT 3
fFRA
OEM
..........
}
:f-
STATE OF 'FLORIDA PERMIT fA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID
ONSITE SEWAGE '.DISPOSAL SYSTEM FEE PAID
CONSTRUCTION PERMIT RECEIPT #
Authority: Chapter 381, FS & Chapter 1OD-6, FAC
CONSTRUCTION PERMIT FOR:
[>4 New System [ ] Existing System- [ ] Holding Tank
-[ ] Repair [ ] Abandonment [. J Other(Specify)
APPLICANT: AGENT:
Q
PROPERTY STREET ADD; ",ASS:
LOT: � � BLOCK: SUBDIVISION:
[ ] Temporary/Experimental
PROPERTY ID #:. [SECTION/TOWNSHIP/RANGE/PARCEL NUMBER] I I
[OR _TAX ID NUMBER] �]
SYSTEM, MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD-6, FAC
REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM. THE DATE OF ISSUE. ALL OTHER PERMITS
EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT. GUARANTEE SATISFACTORY
PERFORMANCE FOR ANY SPECIFIC 'PERIOD OF TIME'. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A
BASIS FOR ISSUANCE OF THIS PERMIT, 'REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH
MODIFICATIONS MAY RESULT IN THIS PERMIT BEING .MADE NULL AND VOID.
SYSTEM DESIGN AND SPECIFICATIONS
T [ ] [GALLONS
/ GP SEPTIC TAN /AEROBIC UNIT
CAPACITY
Q-MULTI-CHAMBEREII JIN
,SERIES :A<
A [ -] [GALLONS
/ GPD.]
CAPACITY
MULTI-CHAMBERED/IN
SERIES:[ ]
N GALLONS
GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:. 1250 GALLONS]
K GALLONS
PER DOSE DOSING TANK CAPACITY
DOSE 'RATE [
] PER 24 HRS NO. OF
PUMPS: [ ]
D
R
A
I
N
F
I
E
L
D
940
T
H
E,
R
[70 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
[ ] SQUARE FEET .SYSTEM
TYPE SYSTEM: / �IZ� [ ] STANDARD [ ] FILLED
CONFIGURATION: [ ]'TRENCH BED
LOCATION OF BENCHMARK:.
ELEVATION OF PROPOSED SYSTEM SITE
BOTTOM OF DRAINFIELD TO BE [ 8
FILL REQUIRED: [ INCHES
n AA - i i- A I
SPECIFICATIONS BY:
APPROVED BY
i�J:YM>lRKY+J�1�]
0
EXCAVATION REQUIRED:
TITLE:
TITLE:
ZeS] INCHES
f
EXPIRATION
POINT
CPHU
HRS-H Form 4016,Mar 92 (Obso(etes,,previous, editions which may not be used)
(Stock Number: 5744-001-4016-0)
west 1^.KM
Page 1 of, 2
INSTRUCTIONS:
PERMIT NUMBER:
Permit tracking number assigned by CPHU.
APPLICATION FOR:
Check type of permit, if `Other' specify type in blank.
APPLICANT:
Property owners full name.
TELEPHONE:
Telephone number for applicant or agent.
AGENT:
Property owner's L--gally authorized representative.
MAILING ADDRESS:
P.O. box or street mailing address for applicant or agent.
LOT, BLOCK, SUBDIVISION or
PROPERTY IDN:
27 character id number for property. (CPHU may require property appraiser ID N or section/township/range/parcel number)
SYSTEM DESIGN AND
SPECIFICATIONS:
TANK:
Minimum specifications from Chapter IOD-6, FAC.
DRAINFIELD:
Minimum specifications from Chapter IOD-6, FAC.
OTHER:
Other specifications, such as operating permit requirements, low -volume Bush toilets, variance provisos.
SPECIFICATIONS BY:
Name of individual providing specifications. If designed by a registered engineer must be sealed.
APPROVED BY:
County Public Health Unit (CPHU) personnel reviewing and approving permit.
DATE ISSUED:
Dale permit is issued by CPHU.
EXPIRATION DATE:
One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date
issued.
0
Q
i