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HomeMy WebLinkAboutSUBMITTED PAPPERWORKDATE FILED: �t PLANREVIEWFEE: CEIPTN0.409bl PERMITNUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED . St. Lucie County Building and Zoning SCANNED 2300 Virginia Avenue Ft. Tierce, FL 34982-5652 BY -- 561462-1553 St. Lucie County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE 1. LOCATIONISITE ADDRESS: .........I......................... _ _._ 3. PROPERTY TAX ID #: '2Z 4. LEGAL DESCRIPTION(attac 5. El 10. PROJECT INFORMATION SITE PLAT 6. PAGE A 7. BLOCK ... ... .. ... J� BOOK ::...:..::::.,..:....::: NO. .:::: NO. .._:..::...:..:..,::.:: 8. LOT .: ........_......................._.....__.__:...._........_,........................... 153 01 .. .:::::::..: PARCEL SIZE: ACRES/SQ Fr. ....:.:..........:::.:.:..::.::. LOT DIMENSIONS �� �� -'° �° ° ° ° "" ........................................ 14. Sq. Ft.lCONSTRUCTION.:2583........._....:f._.._.:..:..::.:... 15. Sq. Ft. lstFloor ......................................-........................................... 16. VALUE OF CONSTRUCTION: $ $82,656 00 The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. Vthe value is$2500 ormore,a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER INFORMATION CONTRACTOR INFORMATION ST. of FL REGJCERT #: BUSINESS NAME: Ric QUALIFIERS NAME: j .. ... ....... 7. ADDRES&T-O', .......... cITy:F.6ff.-?ie - ......................... PHONE (DAYTME) .. . . ......... -- ... ; ........ ... - ........ ...... .. --, STATE: CjZg)-6] $33$ FAX NO. ADDRESS: �y.uu.6r,:.usceoia*,)t..;:..::..z:..z:..�:..;:..::..::..::..::..::..::�.:: .... :� ............. .......... CITY :Stuart l .......... ...... STATE: .................. - ....... PHONE(DAYTIME): ST. LUCIE COUNTY CERT #: ZIP ZJY?:Jn .. ............... — CQM;s: email: ! ZIP 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. SECTION TOWNSHIP RANGE 3s, MAPNO. ZONING LAND USE 7 L ✓ LOT CVG % TAZ NO. FLOOD ZONE FIRM FIRM 1!�� 15T FLR ELV MAX HGT CONST TYPE CCUT CUP TYPE OCCUP 9 OF FLRS WATER I SPRINKLERS STORMWATER LOT OF REC (before 1/90) LOT OF REC (after 1 1/90) LOT SPLIT F IREOUIRED I LOT SPLIT APPROVED I ADMINST LIBRARY PARKS PERMIT VARIANCE IMPACTFEE IMPACTFEE FEE REPORT PUBLIC BLD HABITABLE E CODE IMPACTFEE AREA 7RADO!7 r�l (RADON) SCHOOL GROSS ROAD CREDIT Y N TOTAL ROAD IMPACTFEE IMPACTFEE IMPACTFEE DUE SCHOOL CREDIT Y N ....... . . ........... .. ..... TOTAL IMPACTFEE SCHOOL IMPACTFEE POLICE FEE FIRE FEE MISC FEE qzb. ACro TOTAL POLICE/FIRE I MISC FEES ADDITIONAL Y N SPECIFY TOTAL PERMITS of ALL REQUIRED FEES REVIg;;--1 ZONING ZONING PLANS MISC. VEGETATION SEAT RTLE I MANGROVE REVIEWED BY EXAMING DATE COMPLETE INITIALS :IZA -CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has conunenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application. The following building permit applications are exempt from undergoing a full concurency 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 IMEROVEMENTS 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. �Cw - ,Its ram WNER/CONTRACTOR SIGNATURE CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OFF k: I x x e .... The foregoing instrument was acknowledged before me this Co day of ZJ, + 200c4 by �oAeL.. lJnati , who is personally known to me or who has produced .�(Q,� as identification. Signature of Notary 1-'t'CL� I KNU_¢-�r-' Type or Print Name of NotgW AMafAWOtVENTON ,�' MY COMMISSION i DE 089967 Commission No. _ 'Epp jSeal)p AMM aat;08 +�ane� BmdeamuBuaeK�s'^x" STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 1-1 day of .�el� , 200 by a2-y 1 l -s who is personally s-nally m..to me or who has produced as identification. Signature of Notary Type or Print NamgJ.Zktary AM ERWOLVENTON i MY COMMISSION l DO 089967 Commission No. s t "UD06 an ' tam ageNunvysmtea NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For specific instructions see appropriate permit checklist. 166 St Lucie County Building & Zoning 2300 Virginia Ave Fort Pierce, FL 34982 SCANNED BUILDINGPERMIT By SUB -CONTRACTOR SUMMARY St. Lucie County . . . . . . . . . . . . . - will be using the following sub -contractors for the (Company/Individual Name) project located or Property Tax ID #) , FL 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 Gorelco'Blectrical Contractors Inc ECA 001408 �..Kenneth kGermia 10431 Plumbing :South: Park Plumbing S 8431 Delbert . Keiter CPC'029690 HVAC/ :::;..:Sea Coast Air Conditioning 8283 Mechanical John Langel CAC'016446 Roofing :.R 9 ic hard K Davis Construction 18178 O:Box::186, Fort Pierce, FL CGC 053853 Gas No td; Appl i c a bl e OFFICE.USE2 ONLY: PERMIT ISSUE DATE: NUMBER: I I I ` a ST. LUCIE COUNTY PUBLIC WORKS �. BUILDING & ZONING DEPARTMENT ROP. BUILDING PERMIT SC SUB -CONTRACTOR AGREEMENT S( St. Lucie County Contractor Certification Number: U� h� 0 04nPy State of Florida Certification Number (tf applicable): have agreed to be the (Company Name/Individual Name) / sub -contractor fore`)_ fypeofTrade) (Primaiy Contractor) for the project located Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED SIGNATURE PRINT NAIMF IIATF Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: �sr ��r cvv: aa.cv am aorra•���r vv.r aua vnrao �wr.�ana:r.aau:r _ yq VUL/UUL t. t • 1 Y� t' 9!i{nnal:iuini!r en i p n !rn!op!F il,'j�:�y !:2isi SLLuesCam!yC0114P000rCOf@(I;OCtiOriNmlheC .. � 64teof17midmGan6tabaaNep6erC[roypntertty . _ .: .,X„•.:• �...:,.,::,:,, _IX I i`"!"F ,! niauinnr�.'�;ik":"_ "i;�^�':Iii��€! -�':i?�^li �1'�:ikl:"I�_i�m�ri! flit�f.,''.,iii'NII_��L�1C1a,triE2�'!i°c�i"vS�� �;' htVe ✓>�lO blithe X'Snif.aaaQO✓,�al FOr �• •.••_.._. _t'111! ;'i(i:i: :Xu.:::: "' �IillliliJl i �tioaryCvatwctor) X - - !:c!srrcol:r:::::::qrar::rr;w;?i'iI1hI1:I;Y1fII2fim�i.o:. '`ii,Alii for topaojectlounda 1 1 4[ liti�pe:c::ms;!curn9e- t4�:! r. :3it.pppl�o/z Athol Addaar arPtopszCy T3xM M) It is tntde.mod that, iff4 a 16 any d=sv of etnm »ga ding our pada4m ioa with to •above mentioned VMjv4L I VM immediarely advi3c theBuili2ng and zM tg Deparstment dEL Lucie Comity by personally fling a Chimp of Contractor nofim Lymm: strcnv No. O"W) ]BUSINESS QUALIFIER (Name of the individual shown on the Contractor's Liccnse) ORIGINAL SIGNATURES ARE REQUIRED cToh.Y i� Jc�7•ar� /Y obi NATURE P 'I�R+1 NAME ✓ DAXE • ]lijfj !:::.:Ig9:99,:Xf•iPP'^ :!'ill,INI!i!!" �'I!'i � �i"n"in. TII'li !I;d;''r r.r. T'am0; :.C.!s •W :I:r.:P •y. � ri" 4!!;,:ri�i Mii „In.;::i: ;Ralbg_;!i3!!;: a: ••::.:,, il!!i .' u:.,, .o. is r i i .: � '__r?r:q: C _ 11:�!: L9'9;ii!II (`7f^IBI ' I' ! I ' : oen: _:"!''I:•"G � -, � '" I'mtY.—l:IN:f!I iIE,'rj,-ryryfii�'10'lllll ..i0 II' a' :._t.. ,1 FI'' ... ,9:: r•.•"!!;''j:ii innfib OMCE M ONLY !taua FEB - 5 2004 N8I.L0llUSN00 S'.AVO Tj SOM9117e2T Iva 0:21 1•003/cono v 06766 1W ynYlJ liMSTK Flom Uy/$3/8UU$ 16:39 FAX ib$i$$$7$65 RH-W►V1S (:Uhtb'11CU1:1'lUtl u vvlc/uu2 tw uuFr uuL R;�v „lam fit III Io?—) tYbette Itislo&rjtmdtbAlf6misawcbmwufzmn ig 11 mowvvfidpWmvoM9w i�lQV$ 0110d.�=Cti; Wl� �9I>R.!'�OE �iu..'Fi afStLueset�uaigbyFafill�,gsvPCwrtactic�,¢� �CCDv iia ODs.OD) QUALWZR (Nate of the Inavwual shown ou the Conaacwr s uccwo OWMALSIGMA ALES ARE RE UIRE—D SIGNATURE RM NAME HATE ,�,.. L��G"' n� t'} i'�ilb� 1.:=' - .i..: .CJ "�1T'•, -ti • 5 - �.: � FED - 5 2004 04/13/2004 12:20 FAX 156146571, RK DAVIS CONSTRUCTION Z002 1 02/03/2004 15;29 FAX 1581455ct.- M 10AV1b rJVttt., vu. WE ST. LUCIE COUNTY PUBLIC WORKS SC BUILDING & ZONING DEPARTMENT St 414% Sy (a Coll, M-CONMACrORAGREEMINT nty St Luria Clutamr ContnWcar CatificationNumbW. have agreed to be the (CQMp2fV?4AW1o*v1dUd Name) .............. .. ........ �:::-iij ffypc of Todc) (Primary Can actor) for the project located or It is understood that if there is any change of status regarding our participalion with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lurie Cmmrf by personally filing a Change of Contractor notice (Fons: M=Dv No. 004.00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) Business Name: Adbam: CIIY/Sbddzv. FhW: 46i. ,ram :l au — 197-V ii -i ", 0c 1 - . torA -1,10041,74-1i amitl-,g ST, LUCIE COUNTY BUILDING & ZONING FORT PIERCE, FL34 8N2--56Sc�N 52 561-462-1553 $r (49), _W UCi Y_ FILLED LANDS AFFIDAVIT I the undersigned, am the owner of the following described property: (Tax ID/Legal escription/Aftess) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. �W� Robw YAM a4lbq Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS C.O DAY OF �� , 20,tA WHO IS PERSONALLY KNOWN TO ?a OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (SEAL) NOTARY PUBLIC TITLE CONM9SSION NUMBER �w•wa AMBFRWOLVEaiINI MY COMMISSION I OD 009967 u� f�ESMvdi3,20D6 R ?m ROT' 9aMeETw&d9et NNary SeMus Property Appraiser - St.Lucie County, FL Page 1 of 1 Inst for Captive Chimpanzee Record: 1 of 6 Property Identification Site Address: 3004 HEADER CANAL RD Sec/Town/Range: 25 :35S :38E Map ID: 22/25X Zoning: AG-5-CO Ownership and Mailing PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes ParcellD: 2225-211-0001-D00-2 Account#: 12647 Land Use: ORPNAGES ' City/Cnty: ST. LUCIE COUNTY Owner. Inst for Captive Chimpanzee Address: 3000 S Header Canal Rd Ft. Pierce FL 34945 Sales Information Date Price Code Deed Book/Page 12/9/1999 436100 01 WD 1268 / 1081 1/13/1995 335000 01 WD 0939/0178 11/811994, 612000 01 CT 0928 / 1617 5/1/1986 1650000 00 CV 0500 / 2496 6/1/1982 951200 01 CV 0383 / 2517 1/1/1978 570000 00 CV 028010212 Exterior Features Yew: ExtType: HC - HC Grade: C-C SloryHght: 0010 -1 Story Interior Features BedRooms: FullBath: 2 1I2Bath: 1 %A/C: 100 Special Features and Yard Items Type Y/S Qty. Units Exemptions Permits Map Legal Description 25 35 38 NW 1/4-LESS RDS AND CANALS- (153.01 AC) (OR 1268-1081) Assessment 2003 Val: 468700 Assessed: 468700 Ag.Credit: 0 Exempt: 468700 Taxable; 0 BUILDING INFORMATION RoofCaver: ES - Enam Metal YearBlt: 2001 EffYrBlt: 2001 No.Units: 1 Electric: MX-MAXIMUM HeatType: FHA - FrcdHotAir HeatFuel: ELEC- Electric %Heated: 100 Land Information Qual. Cond. YrBlt. No. Land Use 1 7500-ORPNAGES Total Land and Building Total Land: 153.01 Acres Buildings: 5 Finished Area: 7324 SgFt SCANNED BY County RoofSlruct: GA - Gable Frame: PrimeWall: BS - CB Stucco SecWall: PrmintWall: DW- Drywall AvgHt/FI: n Prm.Flors: CT -Tile-Ceramic %Sprinkled: Type Measure Depth 801 -Acres 153.01 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED hftp://www.paslc.org/PRC.asp?prelid=222521100010002 2/3/2004 Permit No. 24040507 (lOB) State of Florida NOTICE OF COMMENCEMENT Property Tax ID No 2225 211 0001 000/2 County of Sf': Lucie - The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of property and address if available -25 35 38, MW 1/4 less. roads 'arid Canals (153.01 AC) General description of improvements Six (6) group housing units for.; captiye'chlmpanzees Owner:.Center for Captive Chimpanzee. Care, Inc. Pods 7,5,9.1fl,11112 Owner's interest in site of improvement fee simple. Fee Simple Title holder (if other than owner) n/a. Address _' n/a Richard.K`Davis Coiist>;uctlon'Cor Contractor p Address -P0' Box 186i ::Fort Piei ce 'FL 34954` Surety h(a: Address n/a AmountofBond n/a S'( Phone #.. Fay #->�i 465:7665 Phone # .. !: .::: ... Far # commencement is one year from the date of recording unless a different date is specified. L-S()b . (kod Owner Signature e State of Florida, County of � I Acknowledged before me this to , day of 20 o`i , by _S(�t FJtRS�..• , who is personally known to me or who has produce d((-� t__ � _l 'A �. „ � as identification. `t�lr++t�2. "iyF -c,C-, Signature of Notary Type or Print Name ofNota STATE Of FLORIDA rSH. AWeR OLVERTacal) Title: Notary Pt117li�UCIE COUNTKommission Number ,c COUNr},. ,� My COMMISSION t DO 069967 % •� � L I: H j C ��� a' E%PI6ES:Maidi9,P006 ,aa: THIS IS TOCE[IT IFYT,y„,n, TRUE.. AND COHREC'i rY Ci f iik ORIGINAL. JoAi LK LI ay Data J� as -n c� co �•o r7 O CD -1 d <mRl D ac = .. Cr p O lU ND z N CD n co-O 4_1nnr u, rr7 F+ T O m is .O �D O r� �7 m = om a �n H �C-3 .c c to H H T an - Ma rn c rO - co 00 co D Z r- c n m 0 Y St Lucie County Inspc _:'JnS 2300 Virginia Avenue Ft Pierce, FL 34982 (772)462-2172 CERTIFICATE OF TERMITE TREA CTR'�2,q DUUNSTRUGFION SUIL'1'1iEN MEN'I' PERMIT 7 JOB ADDRESS 3 oUo E%A� �Ahf Pl- 4 PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES INC. @ COUnt;, PEST CONTROL LICENSE# Js 94495 We,. the undersigned, hereby certify that we have pretreated the above -described construction for subterranean termites in accordancewith the standards of the National Pest Control Association. Square feet of area treated: %}�� Chemicals used: Percentage of solution: Date of treatment: ❑ Footing ❑ 1st Treatment ❑ Re=treat ❑ Slab ❑ 1st Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools . ❑ 1st Treatment . Total gallons used: k2 Time of Treatment: R 3 FBC104.2.6 Certificate of Protective Treatmentforprevendon of termites. A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certificates. as.each required protective treatment is . completed, providing a copy far the person the permit is issued to and another copy for the building permit files. The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment site location, area treated, chemical used, percent concentration and number ofgalions used to establish a verifiable record ofprotective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of application's.. , ❑ Re -treat/ / Other ❑ lst'Treatmmt ❑. Re -treat s�Perimeter for Final Inspection NOTE. 0 ” There must be a completed form for each required treatment or re-trea nt and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection fee charged. Revised 6113102 dmg 0003 08/24/2004 14:23 FAX 17724657885 RK DAVIS CONSTRUCTION 1 St. Lucie County Building & Zoning Department 2300 Virginia Avenue Fort Diem FL 34932 S61462-2165 Fax 561-462-1148 Request for 30-Day Temporary Power Release SEP 2 3 2094 S?, Lucie County Public Works SCA St. IfcLrzo eC. THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: Date: 8-25-04 i• �� ,� � �.e�e a �... e Property Address: 'iom Re a,, ranal PA. Part P9urro in 1. The temporary power retrace is requested for the above stated purpose only, and there will be no occupancy of any type, other than that permitted by contraction daring the time period. 2. As wilnem by oar signatures, we hereby agree to abide by all tarns mod conditions of this agmennenq including Building Division Policy, which is incorporated hcreio by rcrcrcoec. 3. All conditions and repoirements listed in the attached document entitled "Requirements for 30 Day Power for Testing" have been fulfilled and The premise is ready for compliance inspection. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH AMY BE NCURRE DUE TO THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. A. M. ENGINEERING 1,1 TESTING, INC. 3 504 INDUSTRIAL 3 3— STREET FT. PIERCE, FLORIDA 34946 LOCAL OFFICE: (772) 461-7508 FAX: (772) 461-8880 Client: Richard K. Davis Construction Contractor: Client Site: Chimpanzee Farm, Pod 10 B Foundation Fill 2004 6t, Luolo County PiS6ffc Works Report Date: 7/6/2004 Technician: RA Permit No: 24040507 Test No. Date Tested Location Eleva- tion (ft) Field Test Results Proctor Max Dry Density C Com action Pass/ Fail HCP H2O Dry Density C Probe Depth in In Place Min Req'd 1431 6/14/04 NW Corner 0-1 45 10.3 115.5 12 119.4 96.7 95 P 1432 1 1-2 50 119.4 95+ 95 P 1433 2-3 50 119.4 95+ 95 P 1434 3-4 70 119.4 95+ 95 P 1435 4-5 70 119.4 95+ 95 P 1436 Center 0 -1 45 10.7 115.9 12 119.4 97.1 95 P 1437 " 1-2 50 119.4 95+ 95 P 1438 2-3 60 1 119.4 95+ 95 P 1439 3-4 60 119.4 95+ 95 P 1440 4-5 80 119.4 95+ 95 P 1441 SE Comer 0-1 40 11.6 114.2 12 119.4 95.6 95 P 1442 1-2 45 119.4 95+ 95 P 1443 2-3 45 119.4 95+ 95 P 1445 3-4 70 119.4 95+ 95 P " 4-5 80 119.4 95+ 95 P Remarks: All elevations are below bottom of slab. The field density tests were performed in general compliance with ASTM D 2922, Density of Soil in Place by Nuclear Methods. • The Hand Cone Penetrometer (HCP) test, in conjunction with information about the soil type, is empirically correlated to the relative density of the subsurface soils. • The laboratory Proctor maximum dry density was determined in accordance with ASTM D 1557. Distribution: Client - 1 SLC Bldg. Dept. - 1 Bennett - 1 Reviewed by: A. M. ENGINEERING AND TESTING, INC. Rebecca Grant Ascoli, P. E. Florida Registration No. 51863 1431-1443.xis 04/09/2004 07:44 M 15614057605 RA DAVIS CONSTRUCTION 1a002 Product review Affidavit St Lucie County, Public 'Works Department Code Compliance Division The following products will be installed in the structure located at 3obo hl A4t- Cd,td_AJ: Building Permit # Owners Nae Gl men r t v+r s Owner's Address 3000 /. 4oj,- ''rncg ' Contractor t C i s ,s f: Contractor's Address •0. Oz i 9(a ap eLre- - Product Vroduetkated esi n Pressures Manufaeturer Model Number Method of Attachment Wmdows '.Fig in the rated wind design pressures listed by die manu aelurerjor each product listed 1st Choice +t 0(6.7 - g0- 0 % is ? pjw" e o ni - $"i�eech corner Ewa Ig'�o.a. provide adequate resistance to the wind loads and forces specifleil by curre e�provisions. Name: Signature_ ,p � Design Firm c Cert No.Z' _ bate: 04/09/2004 U7:43 r'Ad 15614UM55 KK DAV15 UUNYMU'MN ti7iUU1 St. Lucie County Building and Zoning Department 0 2300 Virginia Avenue Fort Pierce, FL 34982 561462-1553 Design Certification for Wind Load Compliance This Certification is to be completed by the pmjwt design architect or engineer. Iles Certification trust be submitted with all applications for buildingpermits involving the construction of new residence (single ormuld- family), residential addition, any accessory structure requiring a building permit, and any nonresidential structure. This Certification shall may apply to interior renovations (provided that no structural walls, columns or other similar component is being affected) and curtain other minor building permits. For further assistance, please contact the Building Inspection Office at 462.1553 or 462-2171 a...•�1a:as�sti��[�li��./Yrlif�7f41'��� -.__ nit .: e Certification Statement•, I certify that, to the best of my knowledge and belief these plans and specifications have been designed to comply with the applicable structural portion of the Building Codes currently adopted and enforced by St. Lucie County. I also certify that structural elements depicted on these plans provide adequate resistance to the wind loads and forces specified by current code provisions. Desigil Parameters and Assumptions Used- (Please check or complete the appropriate box) 1. Florida Building Code 200I Edition _ ASCs; 7-98 2. Building Design is (check one) Enclosed T— Partially Enclosed Ryea Building 3. Building Height �� 4. Wind Speed Usi'd' in Building; Design: �3 second gust 5. Wind Exposure Classification (refer to exposure tables ini Building Code identified in Llte pt)- 6. Average Wind Velocity Pressure on Exterior Faces of Structure `ZZ .Z PSF 7. Peak Wind Velocity Pressure on Exterior Faces of S cture _ .� PSF S.Importance/Use Factor (ohminfroutBuildingC/ode): t© 9.Londs: Floors_ C ySF Roof/dead L5 -. -PSF Roof/live PSF 10. Were Shear Wails Considered for Structure (check one)t Yes ✓ No _(tf No, attach explanation) 11. Is a Continuous Load Path Provided (check one): Yes V No _ (if No, attach explanation) 12. An Component and Cladding Detail Provided (check one): Yes ✓ No _(if No, attach explanation) 13. Minimum Soil Bearing Pressure: PSF As witnessed by my seal, I hereby certify that the information included with this certification is true and correct, to t e best of my knowledge and belief. Name: t C—Achy- Certification#: [Seal Here] Date: Design Firm: "f( ` I SiCCDV Fate tf 020.00 ST LUCIE COUNTY FIRE DISTRICT BUREAU OF FIRE PREVENTION sC `S�<GejeyN�O PLAN REVIEW eC0 '2400 Rhode Island Avenue Telephone: 772-462-8306 4'� Ft Pierce, L 34950 FAX: 772-462-8466 ( ew Construction ( )Tenant Improvement ( )Addition ( )Renovation/alterations ( )Shell Only Jurisdiction: SLC F.P.B.: B-04-162 Occupancy: Institute for Captive Chimpanzee's Building Dept: 24040507 Address: 3004 Header Canal Rd 10B Number of stories: 1 Contractor RK Davis Construction Phone # 772-461-8335 Contractor's Address: PO Box 186 City: Ft. Pierce State: Florida Zip Code: 34954 Architect/Engineer: BC Architects Phone # 772-223-0010 Building Owner: Review Date: 4/22/2004 Occupancy Type: Apartments/Chimpanzee/Business Automatic sprinklers: Gross sq ft: 2,583 Net sq ft: Occupant Load: Based On: Construction Type: SBCCI Type: V unp NOTE 1. All revisions must be in compliance before the final inspection. 2. The Fire Marshal requires 24 hour notice on all inspections. 3. The respective Building Department shall schedule all final inspections through the Fire Marshal's Office. 4. Permit fees are required to be paid in full prior to any inspections. 5. Failed inspections require payment of fee prior to rescheduling of further inspections. 6. A copy of the required revision/s have been transmitted to the Architect () Contractor ( ). 7. Penetrations through rated assemblies shall be of proper UL design. 8. UL design criteria shall be submitted with the construction plans. 9. Fire Alarm Panels shall be located indoors. THE FLORIDA FIRE PREVENTION CODE, 2001 EDITION IS CURRENTLY ENFORCED. REVISIONS REQUIRED y ACCESS BOX IS REQUIRED ( ) ACCESS KEY SWITCH REQUIRED( ) Reviewed by / /� Date: 4/22/2004 STATE OF FLORIDA CFN ni#: 56-SF-06953 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT OSTDSNBR : 04-0217- -N CONSTRUCTION PERMIT FOR: [ x ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ ]Repair [ ]Abandonment [ ]Temporary [ ] APPLICANT: Center For Captive Chimpanze AGENT:F_RED JONES SCiAhINIgp) PROPERTY STREET ADDRESS: 3000 Header Canal Rd Fort Pierce FL 34945 St LBY 1-10e LOT: BLOCK: SUBDIVISION: [Section/Township/Range/Parcel No.] PROPERTY ID #: 25-35-38- [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. 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. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 D R A I N F I E L D MULTI-CHAMBERED/IN SERIES: [Y ] MULTI-CHAMBERED/IN SERIES: [Y ] ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] [ 462 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ 0 ]SQUARE FEET SYSTEM TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED [ Y ]MOUND [ N ] CONFIGURATION: [ N ]TRENCH [ Y ]BED [ N ] LOCATION TO BENCHMARK: FPS 23.5 NAVD Administration Building ELEVATION OF PROPOSED SYSTEM SITE [ ] [ INCHES ] [ BELOW] BENCHMARK/REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ IS-0 ] [ INCHES ] [ BELOW] BENCHMARK/REFERENCE POINT FILL REQUIRED:[ 42.0 ]INCHES EXCAVATION REQUIRED: [120.0 ] INCHES OTHER REMARKS: The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(f), PAC. Building plumbing stubout invert to be 6 inches ( 23.0 NGVD ) below reference point. Excavate 4l'x14'x10' deep. Design engineer to certify elevation prior to inspection. This system to process ordinary domestic waste only. This system approved for future construction of a residence and/or administration building. SPECIFICATIONS BY: DUNCAN, JAMES TITLE: APPROVED BY: Polisskv. Jodi TITLE: Environmental Spec St. Lucie CHD DATE ISSUED: 4/8/04 EXPIRATION DATE: 10/8/05 DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744-001-4016-0) fostds cons_4016-13 Page 1 Of 2