HomeMy WebLinkAboutSUBMITTED PAPPERWORKNLY:
OFFICE USE OOL
DATE FILED:,����,��
PLANREVIEWFEE: RECEIPT NO.: /1 11'1Yln 50CERT. C NUMBER: I Q�
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning
2300 Virginia Avenue
Ft. Pierce, FL34982-5652 SCANNED
561462-1553
- — BY
Lucie- County
APPLICATION for BUILDING PERMIT St.
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 3004 Header Canal Road, Fort Pierce, PL3046 ` +, ,
2. S/D NAME: N/A SITE PLAN NAME:
3. PROPERTY TAX ID #: 2225-211-0001-000/2 u:
16. VALUE OF CONSTRUCTION: S $82,656.00
Thevalue of conAmetion is used to determine the amount ofpermit fees to be assessed. St. Lucie County mserves the right to question and/or modify the indicated
value of construction if it is densonstrated that the submitted figures are not consistent with similartypes of construction activities. If the value is $2500 ormom, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
OWNER INFORMATION
N Institufe for Captive Chimpanzee
DRESS: 3000 S Header Canal Road
ITY:FL ZIP 34945'FOrt Pierce STATE: .
1191
PHONE(DAYTIME): 7( ) - email: nooncnG,aOliCOm
72
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER: N/A.
ADDRESS:
CITY: STATE: ZIP
PHONE (DAYTIME): (�
CONTRACTOR INFORMATION
CGC 053853 ST. LUCIE COUNTY CERT N 8215:
ST. of FLREG./CERT q: - -
BUSINESS NAME: Richard K Davis Construction Corporation
QUALIFIERS NAME: Douglas Davis
ADDRESS: -P.O. Box 186
CITY: Fort Pierce STATE: FLZIP 34954 ;;
PHONE (DAYTIME): ( 772) 461-8335 FAX NO. (772)465-7665email ltyrrell(a�rkdavt com
ARCHIT/ENGINEER: BC Architects
ADDRESS: 900 SE Osceola St
CITY: Smart
PHONE (DAYTIME): (772) 223-0010
BONDING COMPANY: N/A
ADDRESS:
CITY:
STATE: FL
STATE:
ZIP
MORTGAGE LENDER: N/A
ADDRESS:
CITY: STATE: ZIP
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
N
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may-be-required-for-ELEC-TRIC-AITPLUMBING-,-SIGNS, WELLS, POOLS;-FURNACES,-BOILERS,-HE-AT$RS, TANKS,
AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application.
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.
cm(c N&M
OWNER/CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF--* I
The foregoing instrument was acknowledged
before me this Cn day ofL , 200.1, by
r ., t , who is personally
known to me or who has produced
as identification.
3°ignature of Notary
�0 L 1 kjet-Zoc�
Type or Print Name of lalod�ryype or print Name of N�FArem
a°`* MY COMMISSION f DD 0ON67
•
Commission No. ; (Se 4a�&
M
hang Bud�&kYbNwr6eN='
COr NTI2` R SIGNATURE
STATE OF FLORIDA
COUNTY OF N7!� L..c e ss
The foregoing instrument was acknowledged
cfore me �this\-1 day of t. , 20t8 by
o d \ l� r. S , who is personally
known to nre or who has produced
as identification.
Signature of Notary
� 2 �\'t- aERkILYkE3RO6L
Type or Prmt Name'9.ar3VY COMMISSION t DD O.967
r a F1�61ES:64rttI&'�8
Commission No. �r�„a` m,5eeaixsem�,.
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.
E
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
. 4kb��•
'V
CONSTRUCTION PERMIT FOR:
[ X ]New System [ ]Existing System [ ]Holding Tank
I ]Repair [ ]Abandonment [ ]Temporary
CID lj";
CENTRAX #: 56-SF-06952
DATE PAID:
FEE PAID $
RECEIPT
OSTDSNBR : 04-0216- -N
Innovative Other
APPLICANT: Center For Captive Chimpanze AGENT:FRED JONES
PROPERTY _STREET ADDRESS: 3000 Header -Canal -Rd -Fort Pierce FL 34945--
LOT: BLOCK: SUBDIVISION: f r
CVC)A
OP FM
[Section/Township/Range/Parcel No.]
PROPERTY ID #: 25-35-28- [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 9 [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: FFE 23.5 NAVD Administration Building
ELEVATION OF PROPOSED SYSTEM SITE [ ] [ INCHES ] [ BELOW] BENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [ 18.0 ] [ 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 a. 64E-6.013 (3) (f) , FAC.
Building plumbing stubout invert to be 6" below benchmark ( 23.0 NGVD ).
Excavate 411xl4'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: Duncan, James 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) (ostds cone 4016-1] Page 1 of 2
04/Ue/2004 UT:43 F'AZ 15e14e57UU5 nit UAV15 GUN5TX1Jt1'lUN
Imoul
St. Lucie County
Building and Zoning Department
2300 Virginia Avenue
Fort Pierce, FL 34992
561462-1553
St 4 yNFD
county
Design Certification for Wind Load Compliance
This Certification is to be completed by the project design arehaeet or engineer. This Certification mast be submitted with all
anActlonsfwbuildingpemilisInvolving the construction of new .. residnnocIsingleOrmald-family),tesidentialaddition, any _
accessary structure requiring a building permit, and any nonresidential structure. This Certification sball not apply to interior
racovations (provided that ao structural walls, columns or other similar component is being effected) and certain other minorbuilding
perraits. For further assistance, please contact the Building Inspection Office at 467.1553 or 462-2172.
�i
tl -: _ e
��rf1�1♦�'iJr}171r1�/i!%I1a�ililY'LIF
MMEMMI • IF-
Certification Statement:
I certify that, to the best of my knowledge and belie$ 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
Ibads and forces specified by current code provisions.
e i Parameters and Assumptions Used- (Please check or complete the appropriate box)
1. Florida Building Code 2001 Edition ; -ASCE 7-90
2. Building Design is (cbeck one) Enclosed Partially Enclosed an Building
3.BuildingH6ighU 4. Wind Speed Used in BwldingDesign; +3 �second gust
S. Wind Exposure Classification (refer to exposure tables In Building Code identified to Line #1)r "1 J
6. Average Wind Velocity Pressure on Exterior Faces of Structure 2Z •2 PSF
7. Peak Wlnd Velocity Pressure on Exterior Faces of S ctt re _ .� ' PSF
S. Importance/Use Factor (obtain from Building Cod,e.): 10
9. Loads: FlcorraM��PSF Roof/dead _i' --PSF Roof/live PSF
10. Were Shear Wallis Considered for Structure (check one): Yes ✓ No _(tf No, attach explanation)
11. Is a Continuous Load Path Provided (check one): Yes V No _ (if No, attach explanation)
12. Are Component and Cladding Detail P,r_ovided (cheek one): Yes ✓ No _(if No, attach explanation)
ta
13. Minimum Soil Bearing Pressure: ?an
As witnessed by my seal, I hereby certify that the information included with this certification is true and
correct, tot a best of my knowledge and belief.
Name: l [Seal Here]
Design Firm: Date: `) y
k I SLCCDV Form 0 020.00
04/09/2004 07:44 FAA 16614657605 RH DAVIS CONSTRUCTION Z002
Product Review Affidavit
St Lucie County, Public Works Department
Code Compliance Division
The following products will be installed in the structure located at 3obo h6sa r [4vid Ad
Building Permit #
Owners Name C rCep�,i7y r10s Owner's Address 3000 / Rp ,,.nag 4e1
Contractor X r A>75 s Contractor's Address v. (sox 100 pt piefre
Product
*Productkated
esi n Pressures
ManufacturcrModelNumber
Method of Attachment
Windows
*.AAI [n the rated wind design pressures listed by the manp/aelarerjor eaclr product listed
lot Choice
+bb.7 -Tro.o
PG-r
5 - r7pl
%'n 2Yzr4 e.oAJ
Fi��^1�7y� i CNFI` Le�F Cm p5t
1 K� 6 J a�r MU PUCIpf W�ti 6..
�oi�A A i f 43PsF-851'S�F �iEMing pl8 �� 1 3/$5 eneJ,4�er�a v
Iv.erueau varagu uuurs _ _ I Z.r}+ b.L• WO Ane *t A-r F{Pi�i ,A
I have reviewed the above components and cladding, and have approved their use in the structure to
provide adequate resistance to the wind loads and farces specified by carte c�previsions.
Name: Signature _
Design Firm w Cert No..
ST LUCIE COUNTY FIRE DISTRICT
sc�9fy�
BUREAU OF FIRE PREVENTION IS
PLAN REVIEW Utz0/0
0
2400 Rhode Island Avenue Telephone: 772-462-8306
D4h�
Ft Pierce, FL 34950
FAX: 772-462-8466
ew Construction
( )Tenant Improvement ( )Addition ( )Renovation/alterations
( )Shell Only
Jurisdiction:
SLC F.P.B.:
B-04-164
Occupancy:
Institute for Captive Chimpanzee's Building Dept:
24040502
Address:
3004 Header Canal Rd 9A 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
ACCESS BOX IS REQUIRED ( ) ACCESS KEY SWITCH REQUIRED ( )
Reviewed by: / �v "� Date:
4/22/2004
1
TERMITE PRE -TREAT SPEL-.,_ISTS
POST1
�.� f-86.6-P6V6EAT
j" FAX 800-837-8311
F53 ' 2006 'I DiligentFL.com
COU NTTW FL State License JB94495
St LUCIE CCUFL
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 1816 and Broward County Chapter FBC 105.2.2)
Service Date Time 3S on1 Builder R K nA UiY S C9Ql/,��
Lot Block Section u Shell Subcontractor °f
WEI/7tj,
Development Name/Projectt, mp c Q rP Treatment Type/Area
�(.0 o
Structure Address 3C>Db 'He-0-der -r A n l F-d
Floating ❑
Monolithic ❑
Patio Ef
City F?, �i�rce Cnty Pam'• Sl L-vciS
Garage ❑
Driveway ❑
Stem Wall ❑
Owner
Addition ❑
Cutouts ❑
Footers ❑
Notes
Front Entry ❑ Other
Treatment/Product Detail
Tamp & Treat ❑ Treat Only Er
Treatment Type: Initial Under Slab ❑ Retreat ❑ Final (J
Product: Dursban TC ❑ Dragnet ❑ Demon TC ❑ Probuild TCO -Other ❑
Concentration: ❑ .25% Y5% ❑ 1.0% ❑ Other Gallons Applied: 50
Square Footage: 500
Linear Footage:
H
Asper 104.2.6 FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance: This building has been treated in accordance with the rules and laws established by the Florida Department of
Agriculture and Consumer Services. Further, the treatment complies with the Florida Building Code. t1f r1111f/��
kME N r,
If this notice is for the final exterior treatment, initial and date this line GoaPORgr,•S�'���
2r F A L�
Applicator Q • Q �^^ Date �� "'• i
i . i;A),
Customer Signature
3100 No es ca Raton Boulevard Suite 106 • Boca Raton, FL 33431 • 800-487-8190 • Toll 'Free: 1-866-PRE-TO
MMIM[ �_NAHB
11
r
r ®ntel S®roicos
Enylro�rri
l(1 11 I 1 104.2.7, FLORIDP
` jotl STATUTES
PURSUANT 482 226TFLORIDA
1 TNIs NOTICE POSTED CHAPTER I
�I BUILDING CODE AND
li Dale of 1145 Inspection (It Made) b w
IJ 1 I
ZP O� Materials Used I
I Date of Initial Treatment Materials Used
I
Date of Final Exterior Treatment e r 01, Q j
L, � Otfeated FOr rWnvaar ror sabtavanean
owner is heieW edvlsed to
1 Woo DBsif0Yln9gani9m
tared under a reueaMenVRpai
has teen treated and P entol an annual tee Tee
This propeM rene«able M PaYm EmVonmental seru;ces, n is pTopeoy
termites. This Wall Peeled ennuallY M 01119'd rotecton 0
havefieProDertY and"lefmiteP Pm9rams.
Diligent Environmental Services p
rOvided thwn Tree and Shrub Cere
CALLUS re9adIn9 our Pest o e' Pretened Customer oiseoun FL 33431
Ask a0om
3100 N.W Baca Paton Blvd., 3ulle
I
,IPw,di119entll.cam
St. Lucie County Building & Zoning
' 2300 Virginia Ave
.. _ Fort Pierce, FL 34982 SCAN
NED
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St• Lucie County
iii'rfisf Hita fwill be using the following sub -contractors for the
(Company/Individual Name)
Project located at 2225-211=0001-OOOJ2-` 3000:Header-Canal Road, .Fort Pierce, FL
(Street address or Property Tax ID 0)
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 Toning Department of St. Lucie County.
St. Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical Gerelco'Electricai Contractors Inc ECA 001408
ii:Kenneth A Germia 10431 .
Plumbing South'Park' Plumbing, 8431
Q� Delbert W Keiter CPC 029690
HVAC/ Sea Coast Air Conditioning, 8283
Mechanical
John.Langel, CAC 016446
Roofing // Richard.'K Davis Construction 18178
B 'x '186 Fort Pierce FL CGC 053853
Gas Not.?Applicable
PERMIT ISSUE DATE:
NUMBER:
04/13/2004 12:20 FAX 1561465
0Z/03/2004 15:29 FAX
RK DAVIS CONSTRUCTION
M LIAV A b Wlb I AL-� A I Vi.
0002
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
SLM.00N7TtACr0RAGR2Eb2NT
St Lurie Cuuntr Coamwwr Ccitrmtion Number:
have agreed to be the
(Cerop3qy Nut*7rArvktua1
... ...............
Sub -contractor for
Crypt of Tinde) (Pirims carmoter)
.. .. ..t . .!
for the project located at iiwpi .... ..
(PMJW Street Afteft Or Property Tax ID N)
R is understood that if there is any change of status regarding our paiticipafion 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. 0044)0)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGN 4TVRES ARE ItEGUIRED
��z4vw,�-
SIGNATURE 11RINT NAME DgTE
M
Aftem:
...... . ....
cily1suiscizip:
q ;:!17% qi:
e-W-0. codFlom: smart Sig'
V4, i0. caae a<.ca run ...aaaauaruua a unraa wtYaaAut,11V1V t¢J uuZ/uuZ
0Z/U3/Z004 15_30 FAZ 15614"74-S RK 'LAVLS l:UhFIRW:1'lm _ Ig(Uu4i UU�
BWAM & ZONMt :iS' '„ 16f
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of tTAdoomwiybypmmn119fiblw=Chmpofc4m* twnobv%go= ai0mv
Na 004�
BUSINESS. QUALIFIER (Nam of du bwwi&w Shown on fhe Conhactoi s License)
ORIGINAL SIGNATUR 1 S ARE REQUIRED
IGNATQRE PMTNAME DATE
ffi
(?14
yEg — 5 2004
VY/1J/LVVY 1r.rV 1[a."1 lVV1YVJi VVJ !Y\ V(1.1J VVL\JLl\1:V 11 V1\
i
.IrJVVr/ VVi
Yy 1 1 ZONING DEPARTMENT
UI
1 1 Y' • '•. i.... l'
hrlro :csuxnl�ili p p ijpriinyp!��ilailii �idiiirf:.i
COItQar00L CerNG/ltieuNamhec SC L9cfo Clamq" i iF�: '._:. .._:........:. ..._....,.
21st1iiN!II'. !y'1llrlrr,.lirs ;'n�r R''':!Iliii:i.,.::
a21WofFlorida rrttCnr25anN=berarloj&aatry -�'axlrrlue
b01}I
,/� ..........
_ _.Lfae:x�:�TJBV1:}L.�'J�r. �(1 JY1-@'9.•� ,'�y1-,i�.Yi�vii trine g9ri11;::i�li �Q
t!Ca�mO•Nsar/1ad1vid0dNifm�
!Ii �Pllisl l'i: ,�II'plPl( ggn'E I li1:111 'Y.:: ••.••�-�.•. ....' IlilNiliii;; •••••••'.••Ir:c. rfi:
ix.�171Yr,:i:;:, uEl it 7 vii;iiin Self-i'An6MDI fOf ',, '�'n:..'r�.�x'�
e ofT3atle) � ��Coa6actor)
1...;!........Irrplte!urm'-";BElnni;Ti�i`if hllll;l 1 1 •e ......�.•y _,.. _.
f On c,,W ....__. ..:.,,
AW tIIO FrQJeetlecated 811ia WN, y�il(L��igC IxrrC Ir lip.
: '-wr_::ri' L..�J p.�i!i''.:nriHei�eu�rtn:.ri...<, � �'7��11-0001-CLU/2
(Rujsd BC .,.4dtkw orPk0pam TAX=) 0)
It is tmderdood ihat, ifftm is any cb=ge of status »BLS our 7 m wits to
,above mentiorodpmjw% I VM itmmediittely advise theBuff(ftg and ZotlftDWar==
of St LUCID Cowry by personally Ming a Change of Contactor notiaa L•mm K=W
No. 00440)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL_SIGNATMES ARE REOUIREU
4111(/0
'
SYNKrURE
PRINT NAME DATE
Pi I�r
i "' iniivtlil(iti ir.:vi9�t i'ii iilllli i:'i:: -':3 n°In• ii SII ' II'll:i.'nm:r:
j7ul lG!iiii;IIYI E:Ir..P.. „�..IIL1 ntl;j4lp;.ia4: ;!P
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OFFICE M.ON%Y.
. tcsua oa
snore NOIMMUSNOJ 610a 16
FEB - 5 2004
$0949DT89T Iva 0:27 Don/cono
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
R pP
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
n
St. Lucie County Contractor Certification Number:- 1 91 / X
State of Florida Certification Number (If applicable): CCe- 5( �11
M
.Z 1 / / • C./�/J/t- ! .Fil `t— have agreed to be the
R(Company Name/Individual Name)
'111�2M&}J sub -contractor for( / i_ S17L
(Irype of Trade) (Prima Contractor)
for the project located
Address or
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
DDTXTT WAINAC nATC
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
l 611,1 1
9/9
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
`fd?: 561-462-1553
FILLED LANDS AFFIDAV1t !'
c0unto
the undersigned, am the owner of the follpwing described property:
(Tax ID/Legal
for which I have applied to St. Lucie County for Fi 1 Development Permit. In accepting
this Final Development Permit, BP NumbeE���-acknowledge that as owner of
the above described property, and in accordan a 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.
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF <
ACKNOWLEDGED BEFORE ME THIS �y DAY OF V� , 20A
BY Q601— WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
_�A A i�_--> D', s_ e c AS IDENTIFICATION.
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
TYPE OR PRINT NAME OF NOTARY
(SEAL)
CONM9SSION NUMEER
rotri
AMBERWOLVERTON
�o.
I DO 089961
MY DOMMISSION
E%pM.Mjch3,2M
s�".an'r"�
OwiJeaTM&kR�Nolary SeMma
Property Appraiser - St.Luc ` 7,ounty, FL
Page 1 of I
PROPERTY RECORD CARD
Inst for Captive Chimpanzee Record:I of
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Map
Property Identification
Site Address:
3004 HEADER CANAL RD
ParcellD: 2225.211-0001-000-2 a1. OG=
Seerrown/Range:
25 :35S :38E
Account #: 12647 w
Map ID:
22125X
Land Use: ORPNAGES
Zoning:
AG-5-CO
City/Cnty: ST. LUCIE COUNTY�`r� Y.S�
Ownership and Mailing
Legal Description
Owner:
Inst for Captive Chimpanzee
25 35 38 NW 1/4-LESS RDS AND CANALS- (153.01 AC) (OR 1268-1081)
Address:
3000 S Header Canal Rd
Ft. Pierce FL 34945
Sales Information
Assessment Total Land and Building
Date
Price Code Deed
BooklPage 2003 Val: 468700 Total Land: 153.01 Acres
1219/1999
436100 01 WD
1268 / 1081 Assessed: 468700 Buildings: 5
1/13/1995
335000 01 WD
0939 / 0178 Ag.Credit: 0 Finished Area: 7324 SgFt
1116/1994
612000 01 CT
0928 / 1617 Exempt' 468700
5/111986
1650000 00 CV
0500 / 2496 Taxable: 0
6/1/1982
951200 01 CV
0383 / 2517
1/1/1978
570000 DO CV
0280/0212
I
r
i
Exterior Features
View:
ExtType:
Grade:
StoryHght:
Interior Features
BedRooms:
FullBath:
112Bath:
%AIC:
BUILDING INFORMATION
-
RoofCover:
ES - Enam Metal
RoofStruct:
HC -HC
YeafBlt:
2001
Frame:
C-C
EffYrBlt:
2001
Prime Wall:
0010-1 Story
No.Units:
1
SecWall:
Electric:
MX- MAXIMUM
PrmintWall:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1
HealFuel:
ELEC- Electric
Prm.Flom:
100
%Heated;
100
%Sprinkled:
GA - Gable
BS - CB Stucco
DW - Drywall
CT -Tile-Ceramic
Special Features and Yard Items Land Information
Type Y/S Qty. Units QuaL Cord. YrBlt. No. Land Use Type Measure
1 7500-ORPNAGES 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
Depth
http://www.paslc.org/PRC.asp?prclid=222521100010002 2/3/2004
I
•
Permit No. 24040502 (9A )
State of Florida
NOTICE OF COMMENCEMENT
Property Tax ID No. 2225 211=0001 000/2
Countyof
The Undersigned hereby gives notice that improvement will be made to certain teal 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 :and canals �:
(153_01 AC)
General description of improvements
Owner:.:Center for -Captive
Address :3000 Header.. Canal Road., For
Owner's interest in site of improvement fee -s
Fee Simple Title holder (if other than owner) _n
Address ...
Contractor :.R chard'K:Davis'-
Address
units for caotiv
Care, Inc.
Lrno-Le
/a
is
on Corp:: `
.. Aria A: �' ...
Surety ::.:n/a �:.
... _. ,. _.., _. ..,
Phone #Address
.. ..
� Fax #
Amount of Bond n/a" -� -
Lender:: n/a ..:... .: .,.....:....
.. .. ..
Phone.':..:. ..
#
Address ... : ... .... ...
.,....:
.� ............ .... Fax # ':.:: i __.:i.. ..:.:i
Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided
by Section 713.13 (a) 7., Florida Statues:
Name
Address
In addition to himself, owner designatesOf
,-
:.. .. Phone# ::.: r:::.: Fax# ........ .......:..:
to receive a copy of the Lienor's Notice as provided in Section 713.13 (I) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified.
LOU, �
Owner Signature
State of Florida, County of I
Acknowledged before me this to day of 2OS , by �SU tJ(}L>1
'who is personally known to to orwho has produced_��t o ;\- a .•,. t -t as identification.
Signature of Notary Type or Print Name of Notary cal
STATE OF FLORIDA Ataea+wOLvellrrlS )
.. aE
Title: Notary PaKlic UCIE COUNT60mmission Number ,<inyCO MY COMMISSIONtDD 069967
THIS IS TO CERTIFYTH ;TT`I!`: IS fr
TRUE AND CORRP-: CuPY ii{rYi4k
ORIGINAL.
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