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HomeMy WebLinkAboutSUBMITTED PAPERWORKs I PLEASE PRINT. DO NOT COMPLETE SHADED AREAS PROJECT INFORMATION PROJECT ADDRESS: SITE PLAN/PROJECT NAME: SUBDIVISION_:—___j_p�(YQ_J/ n(nM ON IM DATE: X - A/// - LOT: �Iff o BLK: ?R PROPERTY TAX ID #: 9Lj tZS - $ O / - 00 3 6 - O©ol :2. PARCEL SIZE (ACRES OR SQ. FT.) KJG12ES LEGAL DESCRIPTION: Ac- SOO& A7np rt" cq5 Ag EM-I' dy7 ] %i • pT fatly fN V (nAyv E (/,4,4J Tf�ssL L OWNER NAME:. %&r zto CISC.Cogl, :;K ADDRESS: c7lapb? De14w42G fagVL CITY:h t fiagae STATE: - ZIP: -f -/ 9 $, PHONE #: (hy 7, ) A(6Z -- 0.3,3 / 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: �"(iNS�iR-TA'PE� STATE: ZIP: £MAC( C7CCt%i+TC u�:R131�7If3(rD�tS Y�21TI:��X&ys Ot3lii Q amm 3 2 My ILA;I�iT,D'�iSE,nc# �_ y`�„PxFtK2N DRIVEWAY REQUIRED MTi Yes --- N0 Date ►� In(t. �r i PERMIT INFORMATION LOCATION., __H r1 c'r (ems)5 lA\ u, /LOT SIZE DIMENSIONS: 2 9-5-- '7 BUILDING SETBACKS (ACTUAL): FRONT 173r .3 REAR LQ 7, 0 SQUARE FOOTAGE OF CONSTRUCTION: _ DESCRIPTION OF WORK: Si.r PROPOSED USE: C , TYPE OF CONSTRUCTION: (CHECK ALL AP RESIDENTIAL:: COMMERCIAL, NEW CONSTRUCTION: N INTERIOR REMOOD,ELING: TH EST. COST: �j CPO Me- 3 I STATE OF FL REG./CERT #: { CONTRACTOR NAME: ADDRESS: CITY: ZIP: P / PHONE # ARCHIT/ENGINEER: ADDRESS: CITY: ZIP: BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDE : ADDRE S: R.SIDE, AREAS) ram: SCANNED - By EL St. Lucie County L. SIDE INDUSTRIAL: OTHER: OF EXISTING BLDG: (SPECIFY): )L3> COUNTY CERT #: STATE: e?r r STATE:�nN.o�i9 PHONE #: STATE: CITY: i[�Eeltw- - STATE: ZIP: ZIP: 3 s-) E SH%'-OEp AREAS- v, Ft1t� 00 NOT GOMPLET P CT 1NFORIAN"ON PROJE ADDRESS' a =0-1 w* , _ « -- I 610 Qgp PE ZE (ACRES OR SQ. P� pESGRIPT�oN: oZ KECEtvEu + �T -LUCIE COU" T Y sae. n9 2 DEC 31 A l 10: 2S COOKflIN AT OR STATE: � ApoREss � 1- #= FROM THE OWNER Gt[Y• LI% PHONE ZIP ��HOI�ER (PROPE RN OWNER) IS DIFFERENT E FEE SIMPLE E AND ADDRESS BELOW- lF �� D pgOVE, PLEASE FILL INNAM J j -nTLEH01�ER: FEE SIMPLE DRESS: - GIN. - - ZIP: STATE --- zQNIG?'�' €nu �x '� s .'' c.. _ ' �' _ AID PR #: pL�� knit. C pERMIT INFORMATION LOCATION: r `'`e SLOT SIZE DIMENSIONS: BUILDING SETBACKS (ACTUAL): /FRONT !% REAR. /,02 RSIDE G % LSIDE G� SQUARE FOOTAGE �F C;WN;a�ICTION= _ � � DESCRIPTION_ OF WORK: _----�--T PROPOSED USE: e e�s c `oPlca .✓ �" TYPE_ OF CONSTRUCTION/DEVELOPMENT ORDER: (CHECK ALL APPROPRIATE AREAS) RESIDENTIAL ! COMMERCIAL INDUSTRIAL- OTHER: CONSTRUCTION: / EXPANSION OF EXISTING BLDG: NEW INTERIOR REMODELING OTHER (SPECIFY): EST. COST: 7%© EST. COMPLETION DATE: '�- Qtair STfcTE�rTRLv ""`RT #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: ZIP: � PHONE #: ARCHITIENGINEER: ®� ADDRESS: CITY: ZIP: PHONE #: ( STATE: STATE: SCANNED BY l � - Lucie County BONDING COMPANY: SADDRESS: WIS`tsi� y CITY: STATE: ZIP: 8, sh,;Rl S. � d ppr��< ��� �", ORTGAGE LENDER: / �_ Mun ADDRESS: (� S ~;T Sid CITY: STATE: F//:9- ZIP: .PLEASE HAVE THE FOLLOWING 'ACKNOWLEDGEMENTS 'NOTARIZED - I CERTIFY THAT:: (.PLEASE CHECK BOX A OR B) ' A. ( ) I AM THE RECORD OWNER OF THE ABOVE DESCRIBED PROPERTY_ .B. ( ) 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 VRE BEST .OF. -MY KNOWLEDGE. SIGNATURE - - a , �{'' �sy DATE: STATE OF FLORIDA; COUNTY OF ST. LUCIE Before me, the. undersigned -authority, personally appeared, who upon being duly sworn, deposes and (PLEASE PRINT APPLICANTS NAME) says. that the information contai-ned,in the foregoing application is true and' correct. Sworn to and subscribed before me this day of 19 Notary Public, State of Florida at Large nTHERESA ROWEN My commission expires Notary Public, State of Florida M i�8i ti t�)Bt4f95 `°•�° CC133025/BONDED FOR OFFICE USE ONLY - DATE RECEIVED: APPROVED ( ) DISAPPROVED ( ) CONDITIONS: L ENVIRONMENTAL PLANNER: SITE INSPECTION: FINAL INSPECTION: DATE: DATE: DATE: PERMIT NO.: PR #- z / O R (O eff Only _ (Office Use Only) EF- No: `G ° SCAN (Office Use Onl "-- - - - BY. INSTRUCTIONS: .. St. Lucie County Please provide the followin g.information in the space provided. Please be sure to Print or Type all required information.. For assistance. in o cmpleting this application,°please contact the St,_ Lucie.County Departineht ' b�f 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 Removal Permit must be submitted by 4:30 P.M. each business day in the Zoning Division, Room 201, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. i 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 8:00 a - 5:00, Monday through Friday. VEGETATION SURVEY REQUIREMENTS: A. I_f sing3e-fainiTx or duplex development, survey -ma - ip the_ -or - — hand raven s etches accomPanae3?by pli graph . Thre'e (37 copies. o€=a-17D B. If multifamily or non-residential, survey must be in the form aerial for field survey, accompanied by photographs. Three (3) co all surveys and photographs are required. (` All surveys must show clearly the following information: i 1. Location and extent of vegetation on site; 2. Common or scientific names of major groups of vegetation; 3. Vegetation designated for removal and/or grubbing _ _ percentages); 4. Vegetation to remain undisturbed; 5• Existing and proposed structures; 6. Driveway location of an PLEASE NOTE: Site development plans must have survev prepared to the same scale or in a manner which illustrates the relationships between areas of vegetation and proposed site improvements. 1 � - _PLEASE PRINT. DO NOT COMPLETE SHADED AREAS. DATE- PROJECT INFORMATION PROJECT ADDRESS: SITE PLAN/PROJECT NAME: SUBDIVISION: LOT:�d� BLK . PROPERTY TAX ID #: 623c2Z- 5D PARCEL SIZE (ACRES OR SQ. FT.)c2 Acr o e;- LEGAL DESCRIPTION: S, 4?/7 oo F7, 'OE rKA- 6�7&S7-- RC17.7 FT dF r-ul- .nJ ->i..L-rucie Rives v✓�bv�7 iEJ/ST :Cr,Kr r� y �3-�s�i OWNER NAME: ��F (� 0.J\G�7�ZCC�7 9� (",ker, ADDRESS: y CITY:... ,PL��('( P STATE: FI. ZIP: 3�Ct L% PHONE #: (�{C�%) LAOI^o ? �; l CHECK APPROPRIATE BOX: SINGLE-FAMILY/DUPLEX NON-RESIDENTIAL ( ) MULTI -FAMILY ( ) PUBLIC < ) F1t7713 _ o PERMIT INFORMATION DESCRIPTION OF VEGETATION REMOVAL ACTIVITY (LAND CLEARING AND/OR TREE REMOVAL): r7DO NUMBER AND TYPES OF TREES TO BE REMOVED (AS APPLICABLE) p�yo PURPOSE FOR VEGETATION DATE WORK EXPECTED TO BEGIN: DATE WORK EXPECTED TO BE COMPLETED: � ID #:0000 '/ J APPLICANTS NAME: Ouot-I-e ADDRESS: 3/09 CITY:, �p��y� STATE: ZIP: 3c/qq7 PHONE I 1 yr' _ 1 N PRZ FOR OFFICE USE ONLY SPECIAL APPROVALS REQUIRED DATE RECEIVED VEGETATION ENVIRONMENTAL RLA N N I NG/-S-I-T- E—P LAN — CODE ENFORCEMENT USA TAZ WATER SUPPLIER �— SEWER SUPPLIER DER CERTI-EICATION FL DNR (CCCL) �— FL DOT �— SLC STORMIAATER PER —� MANGROVE ALT SEA TURTLE PROT —� REQUIRED F BP VALUE $ /36 e- 09 PLANS REVIEW FEE $ S� C OF C FEE' $ ROAD IMPACT FEE $ 50 ROAD IMPACT DISTRICT_ ROAD IMPACT CREDIT: YES: _ SCHOOL IMPACT FEE SCHOOL IMPACT CREDIT: YES: SCHOOL BOARD APPROVED EXEMPT_/I ALTERNATE DEV. FEE $ / ALT. DEV_ FEE ZONE: ��"-- GAS AIR CONDITIONING ELECTRIC PLUMBING_: ' . SCREEN EA'CL-/FENCE . ROOF .... DRIVEWAY . ?/.9? 2(o3("o SCANNED By St. Lucie County NOT REQUIRED .0 RADON FF�: G 0 RCPT - / v JS f ) ROAD IMPACT ZONE: Z NO: DATE PAID:CHKt NO: __ YES: NO: DATE PAID: CHK= /SUB PERMITS EQUIRED i 'NOT REQUIRED COVERAGE ;N'1'/ LOT SPLITS STATE OF r" i Permit Number 2- DEPARTMENT OF NM ECik C, AT ONS�AND CONSTRUCTION APPROVAL------- ONSiTE Grease interceptor gallons gallons Dosing tank gallons gallons gallons Minimum Draintrench OR Minimum Absorption Size —Bed Size Square Feet C 0 0 )Square Feet Square Feet `� 7/Square Feet Square Feet Square Feet Square Feet Square Feet cents: SCANNED must be in accord with requirements of chapter 10D-e, FAC. BY :onstruction permit is valid for a period of one calendar year from date of issue. St. Lucie COur lation inspection and approval is required before the system is covered. ub-out for �� i - !r �� lAtrauf fnr 6 to be -- —��G- 17V OF benchmark ub-out for to be 7�aD�J4 t U L V,4)F ` benchmark to be benchmark ub-out for / to bed " benchmark and quantity: __ A 6iC /ci Sc 4, EXCAVATION MUST BE CHECKED CKED RV THIS DEPARTMENT PRIOR TO DRAINFI LD INSTALLATION. u 1,L ,a(-- 4r1� Adis n_ 0U PV 6 Sys i�E�Z • c n. l _ (.-.-r . /J FTELD TC CrrRTRrT Tn CATURATTnN z, F tOOF MUST BE GUTTERED PRIOR TO FINAL APPROVAL. r 2d specifications by: �` k 'q-- " u� Title ��y CW%( ih l9ls horn ` by: ' Date County Public Health Unit copies; of this form win be provided to the applicant, installer and the building dapattment )1_ NtJ 2 3 1 SQUARE MILE I S; caw n.rwu. «exam eNcA �,,,� a � o-m •' Pane 1 of 2 VEGETATION ENVIRONMENTAL PLANNING/SITE PLAN CODE ENFORCEMENT USA TAZ WATER SUPPLIER SEWER SUPPLIER DER CERTIFICATION FL DNR (CCCL) FL DOT SLC STORMWATER PER MANGROVE ALT SEA TURTLE PROT BP VALUE PLANS REVIEW FEE C OF C FEE N /A PR# FOR OFFICE USE ONLY REQUIRED 41 I] I] DATE RECEIVED REQUIRED FEES NOT REQUIRED SCANNED By St. Lucie County I] 0 $ RADON FEE $ 3 Z. G o $ RCPT # JS ROAD IMPACT FEE $ G Y) ROAD IMPACT DISTRICT /Y1 Aim/q ` ACT ZONE o? ROAD IMPACT CREDfT YES NO 7 �� 68 O ALTERNATE DEV FEE $ i T. DEV_ F ZONE • • SCHOOL IMPACT FEE ,6PO� SCHOOL BOARD APPROVED N A SCHOOL IMPACT CREDIT S fV0 [ ] Z POLICE IMPACT FEE $ PTIOI YES[ 7 NO [ ] Ana. D U FIRE IMPACT FEE $: SUB PERMITS REQUIRED NOT REQUIRED GAS [ t AIR CONDITIONING ELECTRIC [ I l PLUMBING SCREEN ENCL/FENCE [ 7 [ ROOF [ DRIVEWAY I [ [7 1 ZONING CHECKS �BBL ✓ LOT COVERAGE _EASEMENT _LOT SPLITS oq OWNER/BUILDER AFFIDAVIT SCANNED BY DISCLOSURE STATEMENT St. Lucie County 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 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 $25,000.00. The building must be for your own occupancy. It may not be built or improved for sale or lease. If you sell or lease more than�one building you have built or improved yourself within one year after' construction is complete, the law will presume that you built or improved 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 and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Community Development Director to the Florida State Department of Professional Regulation Signed and acknowledged on the day of 19 OWNER/BUILDER SIGNATURE STATE OF FLORIDA, COUNTY OF ST. LUCIE Sworn and subscribed before me this 19 Notary Public, State of Florida at Large My commission expires: day of .�' -Pirfc'uant to Resolution No. 92-262 of Board of County Commissioners of St. Lucie County, Florida: This document has been prepared by and is to be returned to; ROBRRr A. BURSON, P.A. By! Robert A. Burson, Require Florida Bari 217638 Nailing Addreest Poet Office Box 1620 Stuart, Florida 34995-1620 Street Address: 67 South Federal Highway Stuart, Florida 34994 (407) 286-1616 File Number: 92-333 STATE OF FLORIDA COUNTY OF ST. LUCIE t IV1•�.�q�-Es�-2a 1 'I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL A. Burson, P.A. SCANNER BY St. Lucie County BEFORE ME, the undersigned authority duly authorized to administer oaths and take acknowledgements, did personally appear this day, Jack Krieger as Vice -Chairman of the Board of County Commissioners of St. Lucie County, Florida who, after being duly sworn and deposed does state as follows: 1. That by various Right -Of -Way Deeds recorded in the public records of St. Lucie County, Florida, the Board of County Commissioners of St. Lucie County, Florida have accepted a certain 60 foot wide parcel of land for public road right-of-way purposes, which right-of-way is commonly known as Andrews Avenue. 2. That the Right -Of -Way Deeds were recorded in Official Record Book 657, Page 2601, Official Record Book 657, Page 2603, Official Record Book 657, Page 2605, Official Record Book 657, Page 2607, Official Record Book 657, Page 2609, and Official Record Book 809, Page 1027, all of the public records of St. Lucie County, Florida 3. That said Andrews Avenue is located across portions of Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company Subdivision as recorded in Plat Book 2, Page 10 (also known as Page 10 D) of the Public Records of St. Lucie County, Florida 4. Andrews Avenue lies immediately North of and contiguous to the right-of-way of the North St. Lucie River Management District Canal Number 49, which canal is 101 feet in width. 5. That portion of the above described canal which lies within Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision is described as follows: The South 101 feet of Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision as recorded in Plat Book 2, Page 10 (also known as Page 10 D) of the Public Records of St. Lucie County, Florida All lying in Section 23, Township 35 S, Range 39 E, St. Lucie County, Florida 6. That portion of Andrews Avenue which lies within Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision is described as follows: The North 60 feet of the South 161 feet of Lots 13 (less the Westerly 775 feet of Lot 13), 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision as recorded in Plat Book 2, Page 10 (also known as Page 10 D) of the Public Records of St. Lucie County, Florida. All lying in Section 23, Township 35 S, Range 39 E, St. Lucie County, Florida 7. The right of way of Andrews Avenue is a public road but is privately maintained. 8. The facts as set forth above are true to the best of af%ant's knowledge, information, and belief. Further aff-amt sayeth naught. The foregoing affidavit is duly executed on behalf of the Board of County Commissioners of St. Lucie County, Florida on this 2 9 thday of October . 1992. BOARD OF COUNTY COMMISB ST. LUCIE COUNTY, FLORIDA By: � c (7 / �- / i ;lc f , CHAIRMAN �� s Sworn to, acknowledged and subscribed before me this =4)��'li/I day of 1992 by ,'l as of the Board of County Commissioners fo St. Lucie County, Florida ...... . _ . ....,.. (Signature of Notary Public - State of (Print, type, or stamp commissioned name of Notary Public) Personally known ;: or produced identification Type of identification produced /_'/,t;- Nulary F Iri , S'oi_ of Florida Aty Coinoissirn F.;:p.':cs Scpl. 24, 1993 6.neod Ti.,. Loy rain- Immenm Inc. Er\REAL—SST\VASTASS\AFD.OI$ OWNER/BUILDER AFFIDAVIT ' DISCLOSURE STATEMENT SCANNED F.S. 489.103 (7), EXEMPTIONS BY St, Lucie Coun State law requires construction to be done by license 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 $25,000.00. The building must be for your own occupancy. It may not be built or improved for sale or lease. If you sell or lease more than one building you have built or improved yourself within one year after construction is complete, the law will presume that you built or improved 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 and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Community Development Director to the Florida State Department of Professional Regulation. Signed and acknowledged on this _ day of . of OWNER/BUILDER SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before-me•this' day. of 19 b y. who is persona'11y. known to, me or who has.,produced L ,.,. ., .. . as"'id'ent'i£iCation,•. .. • - :,,., .. ` Signature Of Notary Type or Print Name of Notary ,r STATE OF FLORIDA t` DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT c Authority: Chapter 381, FS Chapter 10D-6, FAC _ I y/ T Applicant iLE F C (4&)Z /' r 5�� Permit Number - PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL ------------- -Septic tank orr/�� ��^7. aerobic unit AMDgallons Septic tank or aerobic unit gallons Graywater tank gallons Laundry waste tank gallons Treatment Tank Mlnimum.Draintrench—OR- - Minimum Absorption Size Bed Size Grease interceptor gallons Square Feet C 0 0 Square Feet Dosing tank_ gallons Square Feet `� K )) uare Feet Square Feet Square Feet Square Feet Square Feet Other Requirements: SCANNED BY (a) Installation must be in accord with requirements of chapter 10D-6, FAC. St. Lucie County (b) A system construction permit is valid for a period of one calendar year from date of issue. (c) Final installation inspection and approval is required before the system is covered. Ar �UPyi (d) Invert of stub -out for-1_1;Nt, j6' to be �f f JL- ? benchmark InvEcLof.stubzout.for to be Jlraa n W4Lt Ct L UE)e7 benchmark Invert of stub -out for to be benchmark Invert of stub -out for to be benchmark A X %�/ (a) Fill quality and quantity: (' EXCAVATION MUST BE�CHECKED AV THTR DEPARTMENT PRIOR TO DRAINFI LD INSTALLATION. S�/ l�E%Z Gfi79-/9- fa al i%1 OLt 6U f) (fEJYi • .-/)-I—K T �0 6i;g.0 (f) Other: rm AggA np pRA jN jrT,D 12 4T1ATFf m TO RATTTRATTOAT FROM ROOF DRATNA('F ROOF MUST BE GUTTERED PRIOR TO FINAL APPROVAL. System design and specifications by: K?n1'` (_- L '" c"-" J, Title (I L f Construction authorized by: 1 / r� �'" c 1� Date c Lucie County Public Health Unit Note: Completed copies of this form will be provided to the applicant, installer and the building department. AUDIT CONTROL NO. 139365 SQUARE MILE Z 3 I HRS+ Fmm <01& Feb 85 (0bao1ebe3previous w11V0ns wblch may not be used (sloekNuMbe,siea-0 14010-0) Page 1 of 2 / " SCANNED BY St. Lucie CnUDb/ SN: 9999 VAN TASSEL RESIDENCE FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program - Residential Point System Method Version 1"0 January, 1992 Department Of Community Affairs ---__-------_-----_---_-_- ------- - Printout - - - te1 b -E|��92 dsubmitted i li f F 9{>0 A 91 genera eo y � an n lieu o Form ~ ~ THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1, 1992 ----------------^---------------------.----------------.----------.-----------. PROJECT NAME: VAN TASSEL | PERMITTING OFFICE: ------------------------------ | AND ADDRESS: | --------^-~~---'--^~-~-~---------^ FORT PIERCE, FL --------------- BUILDER: OWNER: COMPONENT: DIMENSION: STRUCTURE TYPE: Single -Family PREDOMINANT EVE OVERHANG Length: PORCH OVERHANG Length: WINDOWS Double Tint Total Area All Vertical Glass Total Area All Skylight Glass Total Area WALLS Ext Wood Frame Area: Adj Wood Frame Area: DOORS Ext Wood Area: Adj Wood Area: CEILINGS PITCHED Under Attic Area: FLOORS Slab -on -Grade Perimeter: DUCTS Unconditioned Space Length ALL COOLING Central A/C Ceiling Fan: Credit HEATIN^ Strip Heat HOT WATER Natural Gas Heat Recovery with A/C CLIMATE ZONE: 7 8 9 PERMIT NO.. - JURISDICTION NO.: VALUE: RATING: VALUE: OFFICIAL CHECKLIST 355"00 355.00 "00 1850"00 R^^Val: 19"00 390"00 R-Val: 19"00 56.00 21"00 2585"00 R-Val: 30.0() 275"00 R-Val: "00 R-Val: 6"00 SEER: 10"00 STRIP: 1"00 EF: ^66 � Bedrooms: 4"00 INFILTRATION Conditioned Floor Area: 2460,00 Pract: 2 AS BUILT POINTS / BASE POINTS * 100 EPi 26,330"48 43,199"87 60"95 / f . GLASS TO FLOOR AREA RATIO = "1443 ` ' - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - -`^- - -~- - - - - - - - - - - - - - --- - - - - - - - - - - - I Hereby certify that the plans and | Review of the plans and specifications specifications covered by this calcu- | covered by this calculation indicates lation are in compliance with the | compliance with the Florida Energy Florida E ore construction is completed 1 this ding will be inspected for FMEFHMED BYA 1 compliance in accordance with Section DATE: �S" _-__------- ----'--- - -�� / I hereby certify that this building is | in compliance with the Florida Energy | Code" | | OWNER/AGENT: | BUILDING OFFICIAL: DATE: | DATE: ** PRESCRIPTIVE MEASURES (Must be met or exeeded by all residences) ** ------------------------------------------------------------------------------- COMPONENTS SECTION REQUIREMENTS WINDOWS 904.1 Maximum of 0.34 CFN per linear foot of operable sash ------------------------------------------------------------------------------- crack. EXTERIOR &< 904.1 Maximum_of Q.5_CF-M-per-sq, fi;--of-door area. Includes -ADJACENT DOORS sliding glass doors, solid core, wood panel, insulated, or glass doors only. EXTERIOR JOINTS ---------- 904.1 ------------------------------•---•-------------- -- To be caulked, gasketed, weather stripped or other- &< CRACKS -------------------------------------•------------------------------------------ wise sealed. WATER HEATERS 904.2 Must bear label indicating compliance w/ASHRAE stand- ard 90 or comply with efficiency and standby loss re- quirements. Switch or clearly marked circuit breaker (electric), or cut-off (gas) must be provided. An -----------------------------------------_-------------------------------------- external or built in heat trap must be provided. SWIMMING POOLS" 904.3 Spas and heated pools must have covers (except solar &< SPAS heated). Non-commercial pools must have a pump timer. Gas spa &< pool heaters must have minimum thermal --------------------------------------------------------------------------------- efficiency of 78 HOT WATER 904.4 Insulation is required only for recirculating systems PIPES In such cases, piping heat loss shall be limited to 17.5 BTU/H/Linear Ft. of pipe. SHOWER HEADS 904.5 -- - - Water flow must be restricted to no morethan3gal- ------------------------------------------------------------------------------- lons per minute at 80 PSIG. HVAC DUCT 903.2 Constructed in accordance with industry standards &< CONSTRUCTION 904.6 local mechanical codes. Ducts in unconditioned space must be insulated to minimum R-4.2 &, joints must be sealed. HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. _---------------•---------------------------------------- INSULATION 904.9 Ceilings minimum R-19. Common Walls - Frame R-11 or CBS R-3. Frame Common Ceilings &< Floors R-11. 0 ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** COMPONENTS REQUIREMENTS PRACTICE_#k^ _---- Comply with ----------------------------------------- - -th Practice 11 and the following. ----------•--------------------------------------------------------------------- Exterior- Walls & Floors Top plate penetrations sealed. Infiltration barrier installed. Sole_pl.ateJ_f_l-oor--joint caul-ked-or-seaYed.--- Exterior Walls & Penetrations, joints and cracks on interior surface Ceilings caulked, sealed, and gask:eted. Ductwork Ductwork in unconditioned space must be sealed. Fireplaces Equipped with outside combustion air, doors, and flue dampers. Exhaust Fans Equipped with dampers. Combustion devices see 903.2 Combustion Appliances Provided with outside combustion air. S 1 k<kik«k<kck<k<4,�k<kckckck<X�k�k<kik�k<k<k�k<Mk<kt%��kN�Ythtimk<%�k<%kk�N��kMk<k�kc�k<%�k<�dk<k�%kX�k<�k<�N��X��Fk+k<%��kkt�#���k�kk�X�k�B<k<�kk<k<�k WINTER CALCULATIONS BASE ___ 1 __= AS -BUILT GLASS ---------------- ORIEN AREA x BWPM = POINTS 1 TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 173.O0 2.2 380.6 1 DBL TINT -N- - 473aO--- 2 4----1v09--- 454, - - -- -E --- -20.00--- -=3. 1 -22.0 1 DBL TINT- E 20.0 -.6 .40 -4.8 S 146.O0 -3.1 -452.6 1 DBL TINT S 146.0 -2.4 .81 -282.7 W 16.O0 -1.1 --------------------------------------------------------------------------------- -17.6 1 DBL TINT W 16.0 -.6 .40 -3.9 .15 x COND. FLOOR 1 TOTAL GLASS = ADJ. x GLASS = ADJ GLASS 1 GLASS AREA ------------------------------------------------------------------------------- AREA FACTOR POINTS POINTS 1 POINTS .15 2,460.00 355.00 1.039 -111.60-116.00 1 162.92 ----------------------------------------------------------------------------- NON GLASS------------ 1 AREA x BWPM = POINTS 1 TYPE R-VALUE AREA „ WPM = POINTS --------------------- WALLS ---------------- Ext 1850.0 .- 555.0 1 Ext Wood Frame 19.0 1850.0 .30 555.0 Ad i 390.0 .5 195.0 1 Ad-i Wood Frame. 19.0 .390.0 .30 117.0 DOORS---------------- 1 Ext 56.0 1.8 100.8 1 Ext Wood 56.0 2.80 156.8 Adi 21.0 1.3 27.3 1 Adj Wood 21.0 1.90 39.9 CEILINGS'------------- 1 UA 2460.0 .1 246.0 1 Under Attic 0.0 2555.0 .10 258.5 FLOORS --------------- 1 Slb 275.0 -2.1 -577.5 1 Slab -on -Grade .0 275.0 -2.10 -577.5 INFILTRATION--------- 1 2460.0 1.2 2952.0 1 Practice 02 2460.0 1.20 2952.0 TOTAL WINTER POINTS 1 3,302.60 1 3,664.62 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 3,382.60 1.10 39720.S6 1 3,664.62 1.00 1.100 1.000 .980 :=,950.46 kt�t�kNt#c�tktXt�t�kXt%tXt�t��FPF�t�CktXcXt�CBt��tXt�k�t�t�K�F�k�F�t#�F�XXt�tr'FN��F�k�tM�tNtNtNt#tkt�X��X*�F��k�t�%tNtNtStW�tXtmltXt**�Xt�kM�tM WATER HEATING �Xt�F�k�k>«�t�t�t��k�t�t�kM:k��tX<%t�t�t�k�t�k�NtXt�t�k�%�t�t���t%k�F�kNtM�t�t*Y�%t�k�Fkt*sk�CN�%tNt�#�F�tXt�t�FXtXt�F%kM�t�k�kXt�k�F�Xt%��t��F BASE AS —BUILT NUM OF ,t MULT =-- —TOTAL 1 TANK VOLUME EF TANK x MULT x CREDIT = TOTAL BEDRMS 1 RATIO MULT 4 3319. 0 13,_ 226.90 1 — —5S1— — 66 -- --I—. 000r 1-629—.O_ — . 6i? 4 , C) 92 — — #Xt%kY,<Y,:�k%t7kktM$t8t8t>k1kSt�CXtXtX<>k�k$t�t�tXtkt�Knt7k�%t�kR<*7k7k$t%kXt�kStM�K�'t�>kd't%k�kM>k%$gt�it9F�kyF>X�,#>XM�Xi1k�k>X>k":ti>a�XMM��h�Nt$< SUMMARY 1KM1k#�>ItaYM�t�t�%kt>it#�K��k�k��k��F�tXt%k�kM�MNt��t>k�m�K�>ItXt�kXt�k$<kt%kktY,tm3k�k�#�t�t�k�Xt�Bt�FiF��kt�t�FNt�X�k��#�kMkt%t7;t�k#X«t --= BASE __— 1 =—= AS —BUILT COOLING HEATING HOT WATER TOTAL 1 COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS 1 POINTS + POINTS + POINTS = POINTS 26203.0 3720.9 13276.0 43,199.87 1 18340.1 3950.5 4039.9 26,._.30.48 EPI = 60.95 F °F�F%k�t9Fkt$<�k�t�F�tXtNt7K�8<%F SUMMER CALCULATIONS BASE __- 1 -_= AS -BUILT GLASS---------------- 1 ORIEN AREA x BSPM = POINTS 1 TYPE SC ORIEN AREA x SPM x SOF = POINTS N 17.3.00 60.2 1_0414.6_1 11BL 11U --N--17_e0---- 549-.85 8062.5 - -E- -20-. CQ - 1270 0 2540.0 1 DBL TINT E 20.0 109.5 .93 1812.8 S 146.00 124.2 1@13.3.2 1 DBL TINT S 146.0 107.7 .77 12165.9 W 16.00 127.0 2032.0 1 DBL TINT W 16.0 109.5 .B3 1450.3 ------------------------------------•------------------------------------------- .15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS 1 GLASS AREA AREA FACTOR POINTS POINTS 1 POINTS ------------------------------------------------------------------------------- .15 2,460.00 355.00 1.039 33,119.80 34,425.93 1 2.3,491.46 NON GLASS------------ 1 AREA x BSPM = POINTS 1 TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS--------------•-- 1 Ext IB50.0 1.6 2960.0 1 Ext Wood Frame 19.0 1850.0 1.60 2960.0 Adi 390.0 1.0 390.0 1 Adj Wood Frame 19.0 390.0 .60 234.0 DOORS---------------- 1 Ext 56.0 6.4 35B.4 1 Ext Wood 56.0 9.40 526.4 Adi 21.0 2.6 54.6 1 Adi Wood 21.0 3.00 79.8 CEILINGS------------- 1 UA 2460.0 .8 1968.0 1 Under Attic 30.0 2585.0 .80 2068.0 FLOORS--------------- 1 SIb 275.0 -20.0 -5500.0 1 Slab -on -Grade .0 275.0 -20.00--5500.0 INFILTRATION--------- 1 2460.0 14.7 36162.0 1 Practice 02 2460.0 14.70 36162.0 TOTAL SUMMER POINTS 1 70,818.94 1 60,021.66 TOTAL x SYSTEM = COOLING 1 TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINTS 1 COMPON RATIO MULT MULT MULT POINTS -------------------------------------------------------------------------------- 70,818.94 .3+7 26,203.01 1 60,021.66 1.00 1.100 .340 .817 i8,340.10 i ST, LUCIE COUNTY BUILDING PERMIT WARNING TO OWNER: YOUR 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. 1 ST. LUCIE COUNTY COMMUNITY D% ELOPMENT DEPAR ENT ZONING DIV SIGN PHONE: 4 8-1553 PERMIT #: 92-02701 TAX ID #: 232350100360007 PERMIT F R CONSTRUCTION THIS IS TO CERTIFY THAT: "'� COUNTY CERT. #: STATE CERT/REG: OWNERS NAME: VAN TASSEL HAS PERMISSION TO: CONSTRUCT SINGLE FAMILY LOCATION: 8430 PROVIDING THE PERSON ACC TO THE TERMS OF TH APPL AND TO THE PROVIS ONS 0 CONSTRUCTION OF BUI DING_ _ ____ THE TERMS ABOVE STA ED IMM DIATEL OCCUPANCY UNTIL CER IFICATE F OC BEEN ISSUED. THIS PERMIT MUST BE DI PLAYED ON IS COMPLETED. CONSTRUC ON UNDER TH DAYS OF THIS DATE. Y REVOKES THIS PERMIT CU ANCY AND/OR ZONING SITE AND NOT MIT MUST BE C E: 05/13/92 SPECT CONFORM NING DIVISION GULATING THE VIOLATIONS OF ABSOLUTELY NO MPLIANCE HAS D UNTIL WORK D WITHIN 180 TERRY VIRTA ---------COMMUNITYDEVELOPMENTADMINISTRATOR ------------------------- ---------------- CO RUCTION N.O.C. FOUNDATION FLOOR COLUMN STRUCTURAL INSULATION FINAL GAS PIPING APPLIANCE FINAL SEPTIC TANK BEAM ELECTRICAL TEMPORARY ROUGH IN ROUGH IN ROUGH IN FINAL PLUMBING ROUGH IN TOP OUT FINAL DRIVEWAY TERMITE HEAT/COOLING DUCT/PIPE FLUE REFRIG FURNACE FINAL ROBERT A. BURSON, PA ROBERT A. BURSON, Esquire Post Office Box 1620 Stuart, Florida 34995-1620 Attorney # 21763B (407) 286-1616 RAB File Number: Permit No. r Douglas Dixon, Clerk of the Circuit Court - St. Lucie Cou File Number: 1 2 1 2 9 62 OR BOOK 0 E3 1 4 PAGE Recorded: 11-03-92 01:13 P.M. 033� Tax Folio No. 2323 501 o036 000/7 STATE OF FLORIDA NOTICE OF COMMENCEMENT SCANNED COUNTY OF MARTIN BY St. Lucie County 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. 1. Description [[ pro erty (Legal descriptiggud, if availabiJe the t eet adtres The Southl�78/ tpeet of the East 33�y// Y/ feet o 'Lot �b in e orthwest 1/4 of MODEL LAND COMPANY SUBDIVSION as recorded in Plat Book 2, Page 10, of the Public Records of St. Lucie County, Florida, LESS: a. The West 172 feet, and b. The South 101 feet for the right-of-w for North St. Lucie River Water Management District Canal No. 49, and c. the North 60 feet o the South,161 feet thereof for the right of way of Andrews Avenue 2. General description of improvement: single family residence with improvements 3. Owner info rrmation: e. Name and address: DUANE E. VAN TASSEL AND CHERYL T. VAN TASSEL, his wife 3108 Delaware Ave., Ft. Pierce, FL 34937 b, lnterestlin property: Fee simple c. Name and address of fee simple titleholder, if other than Owner: STATE OF FLORIDA 4. Contractor name and address: ST. LUCmE COU"TY OWNER BUILDER "S' '��'n, THIS IS TO CE?TI FY THAT THISJS A •; ". '.' r TRUE AND CORRECT COPY OF THE 5. Surety (Note: Attach copy of bond if applicable): '" - "F,. '' •.' - oRiGINAL. a. Name and address: CLERK b. Amount of bond $ NONE r :?� BY 6. Lender name and address: r wo r.qz Deputy Clerk CX'EUNITY SAVINGS, FACCu!.iY.E Post Office Box 10673 ��'"�"''� 3 s_ Riviera Beach, Florida 33419 DATE _ 7. Name and addresses of persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(n)7., Florida Statutes: . 8. In addition to himself, Owner designates the Lender set forth in paragraph 6 above and of to each receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. The expiration date of this notice of commencement is 1 year from the date of recording unless a different date is hereinafter specified: lgg STATE OF FLORIDA COUNTY OF j MMARTIN The foregoing instrument was acknowledged Affix Notary Seal Below, OWNERS �ANE E./AN TASS CHERY/L T. VAN TASSEL his 2 November 199 by personally V me or who has produced as identificatiho did not take an oath. prgr ul(ex Cly BE coa®lsslone d) J SEPHINE B RSON B./SFS(GAL NOTARY SEAL ro i JOSEP)fiNC L BURSON ?�� • ;^�' (- #.COMMSSION NUMBER Print or typed name of Notary (erectly oe®le nod �im AA'662712 !?V. o ation date of Notary's commission: -/�/ 91 ► MY COMMISSION EXP. `^ OF fl. MAY' 9 1993 Notary's Commission Number (serial number): %t-7rli ln?7/.�� Title or Rank, if any: 088r8UC.LNB`NOTI CON�rBDIVID.028 ,