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Home My WebLink AboutSUBMITTED PAPPERWORKDATE FILED: PLANREVIEWFEE:e RECEllyrNO.:(a�Tn(gPERMTNLTNMER: - 2-31109 1 a CONCURRENCy;EA..-3 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, FL 34982-5652 561462-1553 A) 00/6 cot APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION .............. ... ........ - .................... - ......... - ................ - ......... --.: :::t-- - -� :::-- :; : :: :�.:. � ...................... ....... Smog ....... I LOCATION/SITE ADDRESS: ......... I ......... .... ... ... I.: .............. : ............ .................. 1-1 .... ....... ..................... 2. S/D NAME: 3. PROPERTY TAX ID #: 4. LEGAL DESCRIPTIOI< 6. PAGE 5. PLAT 7. BLOCK 8. LOT,::::::::::::: NO. NO. NO. ........... . . . . . . . . . . . . . . . 9. PARCEL SIZE: ACRESISQ Fr.:::: LOT DIMENSIONS 10. 11 12. SETBACKS (ACTUAL) FRONT: :,,,,,,:,,::::t,BACK: TYPE OF CONSTRUCTION (Check all appropriate boxes) IV NEW CONSTRUCT RESIDENTIAL OTHER (SPECIFY) RIGHT: SIDE EXPANSION/ADDITJDN LEFT: SIDE . INTERIOR RENOVATION ................................... ..... ....... ................ . ......... .... ......... . ...... ........... DESCRIPTION OF PROPOSED USE: . h .... - ...... ... 4qvpanzee&:::;: .. .............. .... irt. Sq. FUCONSTRUCTION 15. Sq. Ft. Ist Floor: 16. VALUE OF CONSTRUCTION: ... .... The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County memo the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures we not consistent with similar types of construction activities. Ifthevalucis52500ormoMa RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 I, I ST. LUCIE COUNTY CERT #: STATE: . : ....... — .... — ...., ... ZIP .......... FAX NO. email: (772) 46.1 STATE: ZIP OWNER INFORMATION NAME: PHONE (DAYTIME): CL�� CONTRACTOR INFORMATION ST. of FL REGJCERT BUSINESS NAME: C QUALIFIERS NA1v1E:I ADDRESS: ... ox: CITY:F0;.:,; ..... . PHONE (DAYTIME) ARCHIT/ENGINEER: ADDRESS: ........... CITY: PHONE (DAYTIME): BONDING COMPANY; 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. CATION: 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 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 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. i OWNER/CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF-<� 1 , The foregoing instrument was acknowledged efore me this C"t day of 13t)g , 2001 by aam.fll, Y.� , who is personally known to me or whohas produced C1 d.d,--- -,7•u+�+ dentification. Sig`nature of Notary Type or Print Name of Notary Commission No. l} 11DN pµaEpWDW8 MY COMM ISSMtDDOB W ffim-waaw amaam,.aoin»�r� " CONTRAC OR SIGNATURE `On� STATE OF FLORIDA COUNTY OF SE L"c - • - The foregoing instrument was acknowledgedfo ere me this ,1]., day of ON , 20g1 by 1 1 � , who is personally known to me or who has produced as identification. r�_ �.. s \� .Sri Signature of Notary Type or Print Name of Notary .. WOLVFAION Commisipr}6 MYSIDNIDD ) „ ea aei 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. FF11: T U 9NLY k. �i i� SECTION TOWNSHIP RANGE U 38 MAPNO. ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1ST FLRELV MAX HGT —1, CONSTTYPE v OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC (after LOT SPLIT LO LOT SPLIT FAPIT (before 1 0) V90) REQUIRED ............. . .. . ........ ..... . . .. ..... ADMINST LIBRARY PARKS PERMIT VARIANCE IMPACTFEE IMPACTFEE FEE REPORT CODE PUBLIC BLD IMPACTFEE HABITABLE AREA RADON FEE 2E, RC47 (RADON) SCHOOL GROSS ROAD CREDIT TOTAL ROAD IMPACTFEE IMPACTFEE [qN IMPACTFEE IDUE SCHOOL CREDIT Y N .... .... . ............ .... .............. TOTAL IMPACTFEE SCHOOL IMPACTFEE POLICE FEE FIRE FEE MISC FEE TOTAL POLICE/FIRE MISC FEES ADDITIONAL Y N SPECIFY TOTAL PERMITS of ALL REQUIRED FEES .... ........ . .. .. ...... — .......... . ......... .. . ..... .... .. . ... ....... — .. REVIEWS ZONING ZONING PLANS misc. M ETA SEATURTLE MANGROVE REVIEWED BY EXAMING DATE i 0 B 03 COMPLETE //-/9&3 // - / - INITIALS OCq Yi � D31, OVE-C, . \ cLv'1� St Lucie County Inspi CO . -4 2300 Virginia Avenue Ft Pierce, FL 34982 . 0 RIOP (772) 462-2172 FE St Lucle Counfy Public Works CERTIFICATE OF TERMITE TREATMENT e CONSTRUCTION SOIL TREATMENT 1 }^ —PERNIIT # Z3n� I I� pl Z. (�it— JOBc-ADDRESs3m EC �nct e of I�oO► 3 BUILDER „ I< , l S PEST CONTROL CONTRACTOR_ DILIGENT-ENVIRONMENTALSERVICES, INC PEST CONTROL LICENSE# JB 94495 We, the undersigned, hereby certify that we have pretreated the above -described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet of area treated: ZSCZ Percentage of solution: Date of treatment: Z -S- a J AFooting A1st Treatment ❑ Re -treat OSlab 1st Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools ❑ 1st Treatment ❑ Re -treat ❑ Other ❑ 1st Treatment ❑ Re -treat Chemicals used: v�_ Total gallons used: 2� S'CgN e NEB Time of Treatment: SI 4ocie C o4n(y FBC104.2.6 Cer[iftcateofProtectiveTreatmentforpreventionoftermites. A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permitftles. 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 ofgallons 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 applications.. ❑ Perimeter for Final Inspection NOTE: vo-' Signature of exterminator There must be a completed form for each required treatment or re -treatment 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 Revised 6/l3/02 ding fail and a re -inspection fee charged. JV" .•-��' `mil'►:''' A ' r St Lucie County Inspe`_ ns 2300 Virginia Avenue , Ft Pierce, FL 34982 4 (772)462-2172 CERTIFICATE OF TERMHE CONSTRUCTION SOIL TREATMENT PERIVIIT #3 0� �� JOB PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES, INC. PEST CONTROL LICENSE #, JB 94495 We, the undersigned, hereby certify that we have pretreated the above -described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet of area treated: i a SSG ZqL/� Chemicals used: 9i bAo `C G Cq Percentage of solution: Total gallons used: 1 �t1 St , By�Fo ucie Co Date of treatment: Z� �� 't1 Time of Treatment: ` au UnrY ❑ Footing ❑ 1st Treatment ❑ Re -treat ❑ Slab ❑ 1st Treatment 1 ❑ Re -treat 3 ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools . ❑ 1st Treatment ❑-Re-treat ❑ Other 6W f FBC104.2.6 Certificate of Protective Treatment forprevention 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 for the person the permit is issued to and another copy forthe 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 of gallons 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 applications. ❑ 1st Treatment ❑ Re -treat 6(Perimeter for Final Inspection NOTE. There must be a completed form for each required treatment or re -treatment 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 6113/o2 dmg 08/24/2004 14:23 FAX 17724637665 RR DAVIS CONSTRUCTION [A003 [E7� St Lucie County Building & Zoning Department r a 2004 2300 Virginia Avenue Fort Pierce, FL 349M 561462-216S Fax 561-462-1148 at, Luclo County Public Works Request for 30-Day Temporary Power Release Date:- _ - Permit Number. 23110872 Pod 3B Property Address: 3_ Fin a r-('anai Rrl. P,r Rinrrn pr 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 SYSTEM AND EQUIPMENT IN PREPARATION FOR FINAL INSPECTION IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. The temporary power release b requested for the above stated purpose only, UQ/e C and there will be no occupancy of may type, other than that permitted by construction pUnfi_ daring this time period. •Y 2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including Bpildisg Division Policy, which is incorporated bcm;u by rerereaers 3. All conditions and requiremeab lifted in the attached document eatitled "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 LIABiLamS 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. . — I -- --- ....a .VV1YVVl VV.. 11.1 11.11J 1V1111nuU 11 V1, y- VVI co ON P.O. BOX 186 FORT PIERCE, FL 34954 PHONE; (772) 461-8335 PHONE. (772) 778-9188 FAX. (772) 485-7665 www.rkdavis.com dboyd@rkdavis.com SCANNED BY St. Lucie County To: Lori From: Deb Boyd Co.: St Lucie County Building Dept Pages: 2 (mcluding cover) Fax: 462-1715 Date: 12/17/03 Re: Center for Chimpanzee Care, 3000 Header Canal Road, Fort Pierce, FL 13 Urgent X For Review []Please Comment X Please Reply l7Please Recycle Good Morning, Here is the list of sub -contractors for the Chimpanzee Center. I am currently working on obtaining the 5 original sub contract agreements from each sub -contractor. The filled lands affidavit was submitted with the building permits. I filled out only one listing each building (pod). Please call me if I need to do something else. have the notice of commencement. I was told only one notice needed to be filed listing each building. I will have 5 copies for you when I pick up the permits. Thanks. Deb Boyd NOTES $CyIV V st, e),o OUn& MUST BE ATTACHED TO BUILDING PLANS DATE r BC Architects, Inc. June 11, 2004 - S St. Lucie Co. Building Dept. Inspection Department 2300 Virgaia AV POSTED I Ft. Pierce; FL 34982 i�t 1144 JJ i JUN 4 /RE: Center for.Captive Chimpanze 1 Permit No. 23110856 Pod 2B ermi No 231E10892 Po B 2 County Public Works Permit No. 23110877 Pod 4A Permit No. 23110861 Pod 5A Permit No. 23110867 Pod 6B 01.4 �08�� ), Dear Building Official: UC�e L+oUry The following revisions to the drawing shall be satisfactory: The 2 x 4au9led kicker added to each truss continuous from bottom chord to top chord must be fastened with 4. 16d nail to each trusses at the top and bottom chord. Sin erely; Bria e , 900 E. Osceola St., Stuart, FL 34994 (772) 223-0010 bc@bcarchitectsinc.com a BC Architects, Inc. �SEP September 16, 2004 1 eo� cr I e County I St. Lucie Co. Building Dept. Inspection Department 2300 Virginia AV Ft. Pierce, FL 34982 RE: Center for Captive Chimpanze Permit No. 23110856 Pod 2B Iffe—iWINoV231-108724C�-Wf Permit No. 23110877 Pod 4A Permit No. 23110861 Pod 5A Permit No. 23110867 Pod 6 B Dear Building Official The following revision maybe substituted for the construction of the roof sheathing. The plywood sheathing as previously specifiedshall be replaced with 18 ga. galvanized 1" girts on 30" O.C. anchor on both sides (2) to each truss with 1/4" dia x 1 1/4". S' cerel Bna Carnes goo E Osceola St.,Stuart, FL 34994. 172.223.0010 • bc@bcarchitectsinc.com A. M. ENGINEERING TESTING, INC. 3504 INDUSTRIAL 33RD STREET Fr. PIERCE, FLORIDA 34946 LOCAL OFFICE: (772) 461-7508 � - Inl I DENSITY OF SOIL IN PLACE UR - 1.1 1 Client: Richard K. Davis Construction Corp. Contractor: Client Site: 3000 Header Canal Road - Pod 3B - Center for Captive Chimpanzees St. Test No. Date Tested Location Eleva- tion (ft) Field Test Results Proctor Max Dry Density (cf) Com action Pass/ Fail HCP HZO % Dry Density (ct) Probe Depth In Place Min Req'd 1330 1/26/04 NE Corner 0-1 10.4 109.3 12 112.2 97.4 95 P 1331 "" 1-2 80 112.2 95+ 95 P 1332 "" 2-3 80 1 112.2 95+ 95 P 1333 1/5/04 "" 3-4 10.8 111.2 12 112.2 99.1 95 P 1334 "" 4-5 80 112.2 95+ 95 P 1335 1/26/04 Center 0-1 11.3 109.7 12 112.2 97.8 95 P 1336 "" 1-2 70 112.2 95+ 95 P 1337 "" 2-3 90+ 112.2 95+ 95 P 1338 1/5/04 "" 3-4 10.7 108.6 12 112.2 96.8 95 P 1339 "" 4-5 90+ 1 112.2 95+ 95 P 1340 1/26/04 SW Corner 0 - 1 11.21 110.4 12 112.2 98.4 95 P 1341 "" 1-2 80 112.2 95+ 95 P 1342 "" 2-3 80 112.2 95+ 95 P 1343 1/5/04 "" 3-4 12.4 110.1 12 112.2 98.1 95 P 1344 "" 4-5 60 112.2 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. SCANNED • The laboratory Proctor maximum dry density was determined in accordance with ASTM D 1557. Distribution: Client - 2 SLC Bldg. Dept. - 1 BY Reviewed by: St. Lucie County A. M. ENGINEERING AND TESTING, INC. sZ' Rebecca Grant Ascoli, P. E. Florida Registration No. 51863 1315-1 Pg.xG Inst for Captive Chimpanzee Record: 1 of 5 Property Identification Site Address: 3004 HEADER CANAL RD Secrrown/Range: 25 :35S :38E Map ID: 22/25X Zoning: AG-5 - CO Ownership and Mailing PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Map �6CIE g PafcellD: 2225-211-0001-000-2 Cae, ��00"i Account k: 12647 y 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 11/8/1994 612000 01 CT 0928 / 1617 5/1/1986 1650000 00 CV 0500/2496 B/l/1982 951200 01 CV 0383/2517 1/l/1978 570000 00 CV 0280/0212 Exterior Features View: ExtType: Grade: StoryHght: Interior Features BedRooms: FullBath: 1/2Balh: %A/C: Lki HC -HC C-C 0010 - 1 Story 2 1 100 RoofCover: YearBlt: EffYrBit: No.Units: Electric: HeatType: HeatFuel: %Heated: 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 0 ES - Enam Metal 2001 2001 1 MIX - MAXIMUM FHA - FrcdHotAir ELEC - Electric 100 Total Land and Building Total Land: 153.01 Acres Buildings: 5 Finished Area: 7324 SgFt SC RoofStrucc Frame: PrimeWall: Sec Wall: PrmintWall: AvgHUFI: Prm.Flors: %Sprinkled: GA - Gable BS - CB Stucco DW-DW CT - Tile -Ceramic Special Features and Yard Items Land Information Type Y/S Qty. Units Coal. Cond. YrBlt. No. Land Use Type Measure Depth 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 http://10.1.28.86/PRC.asp?prclid=222521100010002 11/18/2003 APPLICATION FOR: [ x ] New System ( ] Repair STATEOF FLORIDA PERMIT DEPARTMENT OF HEALTH DATE'PAID 'I ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID APPLICATION FOR CONSTRUCTION PERMIT RECEIPT }' Authority.: Chapter 381, FS 6 Chapter 1OD-6, FAC [ ] Existing System [ ] Holding Tank [ ]-Temporary/Experimental [ ] Abandonment [' ] Other(Speofy). , :APPLICANT: T ---- LEONE e Center far_Cg[p>hlive ChimganzeP e rP' _ AGENT,: _ n NAILING ADDRESS: St. Lucie Cour PO Box 186, Fort Pierce, FL 34954 - ------------------------------------- TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT: ATTACH BUILDING PLAN. AND TO -SCALE` SITE PLAN ;SHOWING PERTINENT FEATURES'. REQUIRED BY CHAPTER. IOD-6, FLORIDA ADMINISTRATIVE CODE. --------------- ------------- --------------- PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION,OR DEED] LOT: BLOCK: SUBDIVISION: DATE OF of ,9nc. 2F-�S-�fl SUBDIVISION: PROPERTY ID #: 2225-211-0001-000/2 [Section/Township/Range/Parcel No.-], ZONING: - PROPERTY SIZE: ACRES [Sgft/43560] PROPERTY WATER SUPPLY: [ ] PRIVATE` [ :]'PUBLIC' 153.02 PROPERTY STREET ADDRESS:3000 Header Canal. Road, Fort Pierce, FLnnn 6 DIRECTIONS TO PROPERTY: Okeechobee Blvd W to header Canal Road, N to Goldsmith, sites on the right BUILDING INFORMATION [ ] RESIDENTIAL I A COMMERCIAL ~Unit Type of No. of Building. J# E BJP Business Activity No .Establishment Bedrooms Area.Saft Served For Commercial Only 1 Chimpanzee Housing 2 3 4 2200 SF chimp, housing [ ] Garbage Grinders/Disposals [ ] Spas/Hot Tubs [ x-k Floor/Equipment Drains [ j Ultra -low Volume Flush Toilets [x ] Other (Specify) Waster/laundry tubs/ hose bibs1/fix-its APPLICANT' S_SIGNATVRE: � � `�� V`� l - DATE: DH 4015, 10195 (Replaces HRS-H Form 4015 [Page 11 which may be used) Page 1 of 3 (Stock Number; 5744-001-4015-1) INSTRUCTIONS: APPLICATION FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property_owner's legally authorized representative. MAILING ADDRESS: P.O. box or street, city, state and zip code mailing address for applicant or agent. LOT, BLOCK, Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot isnot in a recorded subdivision, a copy of the lot SUBDIVISION: legal description or deed must be attached-- --_ - - --__—_ _ -- DATE OF SUBDIVISION: Official date of subdivision recorded in county plat books (month/day/year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. PROPERTY IDff: 27 character number for property. (Health Department may require property appraiser IN or section/township/range/parcel number.) PROPERTY SIZE: Net usable area of property in acres (square footage divided by 43,560 square feet) exclusive of all paved areas and prepared road beds within public rights -of way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Contiguous unpaved and noncompacted mad rights -of -way and easements with no subsurface obstructions may be included in calculating lot area. WATER SUPPLY: Check private or public. PROPERTY ADDRESS: Street address for property. For lots without an assigned street address, indicate street or road and locale in county. DIRECTIONS: Provide detailed instructions to lot or attach an area map showing lot location. BUILDING INFORMATION: Check residential or commercial. TYPE ESTABLISHMENT: List type of establishment from Table 11, Chapter IOD-6, FAQ Examples: single family, single wide mobile home, restaurant, doctor's office. NO. BEDROOMS: Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for occupants. BUILDING AREA: Total square footage of enclosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. N PERSONS: Number of persons residing, using, or working in establishment. For residential establishment, 2 persons per bedroom are assumed. BUSINESS ACTIVITY: For commercial applications only. List number of employees, shifts, andboom of operation, or other information required by Table 11, Chapter IOD-b, FAC. FIXTURES: Mark each listed fixture with number installed or "NA' if not applicable. SIGNATURE: Signature of applicant or agent- Date application on day submitted to Health Department with appropriate fees and attachments. ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of property, any existing or proposed wells, drainage features, filled areas, obstructed areas, and surface water. Location of wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a Boor plan showing the square footage of the establishment, all plumbing dmins and future types, and other features necessary to determine composition and quantity of wastewater. .STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT. LOT: o-p4 (U/ BLOCK: SUBDIVISION: PROPERTY ID #:.,Z22 ' 1� _ O6O _ OC,�oZ p 4 h� PERMITS#r .4 AGENT: vR1Q hQAA �7O �C' zs_ Ss -gig Parcel No.. or Tax ID Number] ------------------------------------------ ----------- --- Sr ---------------------"-- TO.ME COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER;.QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL.. COMPLETE ALL ITEMSe ___ ____________ PROPERTY SIZE CONFORMS TO SITE PLAN: [�] YES [ ] NO NET USABLE AREA AVAILABLE: 152,6 2. ACRES TOTAL ESTIMATED SEWAGE FLOW: --.o O GALLONS PER DAY [RESIDENCES -TABLE 1 /_OTHER=TABLE 2] AUTHORIZED SEWAGE FLOW: - GALLONS PER DAY 11500 GPD/ACRE OR 2500GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: [ SQFT UNOBSTRUCTED AREA REQUIRED: _ .SQFT BENCHMARK/REFERENCE POINT LOCATION:. 7,'�7,5I M-A ft V F71h F1 ELEVATION OF ,PROPOSED SYSTEM. SITE IS 7.9 [INCHES4T)] [ABOVE/ THE MINIMUM SETBACK WHICH. CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: _75 / FT DITCHES/SWALES: /5 FT NORMALLY WET? [ ] YES [YL, NO WELLS: PUBLIC: -7 O.Z7 FT LIMITED USE: 16D -7 FT PRIVATE: I,S .FTNON-POTABLE: ;j O FT BUILDING FOUNDATIONS: /I FT PROPERTY LINES.: FT POTABLE WATER LINES' / O FT SITE SUBJECT TO FREQUENT FLOODING: [ ]'YES f4 NO 100YEAR FLOODING? t-( YES [ ] NO 100YEAR FLOOD ELEVATION FOR SITE: 7 O(LO 14 FT MSL/NGVD SITE ELEVATION: 2!0Z FT i MSL/NGVD SOIL PROFILE 'INFORMATION SITE 1 ( d Q 614 SOIL PROFILE INFORMATION SITE 2 Texture Depth to to to to to to to to USDA SOIL SERIES: Munsell #/Color .Texture Depth to to to to - to to. to to - to USDA SOIL SERIES OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING' GRADE. TYPE: [PERCHED / APPARENT;] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [. ABOVE,/ BELOW ]' EXISTING GRADE. HIGH WATER TABLE VEGETATION: [, ] YES ( ] NO MOTTLING: [ ] YES ( ] NO DEPTH': INCHES SOIL TEXTURE/LOADING;-- E'� 01O.:SY�STEM SIZING: DEPTH OF ,EXCAVATION: INCHES DRAINFIELD CONFIGURhTI!"','TRENCH [ ] BED [ ]: OTHER (SPECIFY) .SITE EVALUATED DATE: DH 4015, 0195 R laces HRS-H Form 4015 [Page 3) which may be used) (Stock Number: 5744-003-4015-1) Page 3 of 3. INSTRUCTIONS. PERMIT NUMBER: APPLICANT AGENT: LOT, BLOCK, SUBDIVISION PROPERTY 11) NUMBER: PROPERTY SIZE: r Permit tracking number by County Health Department. Property owner's full name. Property owner's legally authorized representative. Lot, block. and subdivision for 27 character number for property (property appraiser ID number or section/township/range/parcel number). Cheek if property at site con ofrns fo subauttzd site —plan. Record -het us3bie'arca ai'aifaDlC-= lot'area-exe(usivaf=— ali paved areas and prepared road beds within public rights -of -way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. SELVAGE FLOE;. Record the estimated sewage Row for the establishment front Table I (residence) or Table 2 (non-residential). Chapter IOD-6, FAC. Record the authorized sewage flow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the application must be denied. UNOBSTRUCTED AREA: Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfleid absorption area and at least 75 percentof the unobstructed area must mcct minimum setbacks in Chapter IOD-6, PAC. The unobstructed arza Hurst he contiguous. to the drain+`reld. BENCHMARK. INFORMATION'. Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation...Record the . elevation of the proposed system site in relation (above or below) to the benchmark. MINIMUM SETBACKS: Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of tine applicant lot must be measured. 'fhe location of any public drinking well within 200 feet of the applicant's lot must also he verified. FLOOD iNFORMA'l'ION: Record mfomration on lot's subject to flooding_. For lots subject to flooding record 10 vear flood elevation for site and actual site elevation. SOIL PROFILE INFORMATION Two soil profiles within the proposed absorption area to a minimum depth of feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsc❑ colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNK" if the. series cannot be determined. W AI ER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation. USDA soil maos, and historical information. Indicate if there is high water table vegetation present, indicate if mottling is present and depth. SOIL. TEX-PURE: Record soil texture or loading rate, for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION- Check drainfneld configuration required if other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE. EVALUATED BY: . Signature of evaluator, tide, and date of evaluation. Professional engineers must seat all documents submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK 1 REFERENCE POINT IS: BENCHMARK SITE I SITE SITE 3 [ + I SHOT Ili. _ 11.1. H.1. ll 1. [•JSHOT (- SHOT [-ISHOT' _., APPLICATION FOR: [ X1 New System [ ] Repair APPLICANT: - STATE OF FLORIDA PERMIT # 1X DEPARTMENT OF HEALTH DATE 'PAID ONSITE.SEWAGE DISPOSAL SYSTEM FEE PAID APPLICATION FOR CONSTRUCTION PERMIT RECEIPT # Authority: Chapter 381, FS & Chapter-IOD-6, PAC { ] Existing System [ ] Holding Tank Temporary/Experimental ] Abandonment [. ]. Other(Sp%peecs�[----, for Captive Chimpanzee Car ', ; `� L RGNE' (772) 461-8335 d AGENT: K Davis MAILING ADDRESS: PO Box 186, Fort Pierce., FL 34954 U ------------------------------------------------------------------- TO BE COMPLETED BY APPLICANTS. OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER lOD-6,. FLORIDA'ADMINISTRATIVE .CODE. ------------ PROPERTY'.INFORNATION [IF LOT IS NOT IN ARECORDED .SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED]' LOT:- BLOCK:. SUBDIVISION: NW 1/4 of Sec 25 35 38 DATE OF SUBDIVISION: PROPERTY ID #: '[Section/Township/Range/Parcel No.] ZONING: 22.25-211-0001-000/2 PROPERTY 'SIZE: ACRES [Sgft/43560), PROPERTY WATER SUPPLY: [X8] PRIVATE [ } PUBLIC 153.01 PROPERTY STREET ADDRESS: 300.0 Header Canal Road., Fort Pierce., Fl u p0a 3 . DIRECTIONS TO PROPERTY: Okeechobee Blvd Pl to Header .Canal RedW No Goldsmith, kite on right. BUILDING INFORMATION[ `,] RESIDENTIAL [ xl COMMERCIAL 'Unit Type of No. of Building # Per- onss Business Activity No Establishment Bedrooms Area Hc(ft Served For Commercial Only 1 Chimp Housing, 2200SF chimp housing- 2 Y 3 4 [ ] Garbage.Grinders/Disposals [ ].Spas/Hot Tubs [XA Floor/Equipment Drains [ ] Ultra -low Volume Flush Toilets [ xy Other (Specify) wachar/1.a11nHrV tnhc hose bibs/ llxyits ...,.APPLICANT.' S�:SIGNATURE:�_ rt l)(,f �Y VUY �. DATE DH 4015,; 10196 (Replaces HRS-H Farm 4015 )Page 1] which may, be used) Page 1 of 3 (Stock Number: 5744-001-4015-1) INSTRUCTIONS: APPLICATION FOR: Check type of permit, if 'Other' specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street, city, state and zip code mailing address for applicant or agent. LOT, BLOCK, Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a recorded subdivision, a copy of the lot SUBDIVISION_-- legal -description -or deed must be attached - --- DATE OF SUBDIVISION: Official date of subdivision recorded in county plat books (month/day/year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. PROPERTY ID#: 27 character number for property. (Health Department may require property appraiser ID# or section/township/range/parcel number.) PROPERTY SIZE: Net usable area of property in acres (square footage divided by 43,560 square feet) exclusive of all paved areas and prepared road beds within public rights -of way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Contiguous unpaved and noncompacted road rightsof--way and easements with no subsurface obstructions may he included in calculating lot area. WATER SUPPLY: Check private or public. PROPERTY ADDRESS: Street address for property. For lots without an assigned street address, indicate street or road and locale in county. DIRECTIONS: Provide detailed instructions to lot or attach an area map showing lot location. BUILDING INFORMATION: Check residential or commercial. TYPE ESTABLISHMENT: List type of establishment from Table H, Chapter 10D-6, FAC. Examples: single family, single wide mobile home, restaurant; doctor's office. NO. BEDROOMS: Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for occupants. BUILDING AREA: Total square footage of enclosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. B PERSONS: Number of persons residing, using, or working in establishment. For residential establishment, 2 persons per bedroom are assumed. BUSINESS ACTIVITY: For commercial applications only. List number of employees, shifts, and hours of operation, or other information required by Table II, Chapter 10D-6, FAC. FIXTURES: Mark each listed fixture with number installed or 'NA" if not applicable. SIGNATURE: Signature of applicant or agent. Date application on day submitted to Health Department with appropriate fees and attachments. ATTACHMENTS: A site plan drown to scale, showing boundaries with dimensions, locations of residences or buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of property, any existing or proposed wells, drainage features, filled areas, obstructed areas, and surface water. Location of wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a floor plan showing the square footage of the establishment, all plumbing drains and fixture types, and other features necessary to determine composition and quantity of wastewater. STATE OF :FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT,# APPLICANT: l :r., F_r- -o(2 { 1 M (�4i 1 �Z£ [ P� AGENT: FC +IA 12 n K . LO'S .LOT:12 .BLOCK: SUBDIVISION:-1 (� l/� ` _„ '2C - 2 5 -38 PROPERTY ID #: [Sect(Vion/ToimshiippC//R-ange/PParc..eel/No. or Tax ID Number] Z2Z5-21I _ ---- --_-------------- ------- --------- TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR:OTHER_QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE60 SUBMITTAL. COMPLETE ALL ITEMS. -------------- -------_---_---=---------------------- PROPERTY SIZE CONFORMS TO SITE PLAN: [ YES [ ] NO ,NET USABLE AREA AVAILABLEi Z ACRES TOTAL ESTIMATED SEWAGE FLOW: (per GALLONS PER DAY [RESIDENCES-TABLE.1 JcOTI[FR-TABLE 2� AUTHORIZED SEWAGE FLOW,: GALLONS PER DAY (1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK REFERENCE POINT LOCATION: 235 QAVD9R (o j'Y Or {-l(I ff)1Ii J I. f � 4 (- 124 � _ ELEVATION OF PROPOSED SYSTEM SITE,IS �' [INCHES/dV (ABOVE -ELO ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM. THE PROPOSED SYSTEM TO :THE FOLLOWING FEATURES' SURFACE WATER: Gj) FT DITCHES/SWALES: / J. FT NORMALLY WET? [ ] YES (1 7xo WELLS: PUBLIC: I FT LIMITED USE: Idy FT PRIVATE: q5 FT NON -POTABLE: FT BUILDING FOUNDATIONS: FT PROPERTY LINES: FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [VKNO 106YEAR FLOODING? (vj YES [ ] NO 100YEAR FLOOD ELEVATION FOR SITE.: %fi (1 P_ l>. FTMSL/NGVD SITE ELEVATION: _20.2 FT MSL/NGVD' SOIL PROFILE :INFORMATION SITE 1 Munsell #/Color Texture Depth to to _ to to to to to to USDA SOIL SERIES: OBSERVED WATER TABLE: ESTIMATED WET SEASON HIGH WATER TABLE VEGE SOIL TEXTURE/LOADING DRAINFIELD CONFIGURA REMARKS/ADDITIONAL C SITE EVALUATED BY:. ,SOIL PROFILE INFORMATION SITE,2 Munsell #/Color Texture_ Depth i to i to to to to to. to USDA SOIL SERIES: -. _. _ -_ INCHES [ABOVE / BELOW] E%ISTING GRADE. TYPE: [PERCHED / APPARENT] tTER,iABL9°'ELEVATION: INCHES [ ABOVE / BELOW ] E%ISTING GRADE. tTTON ( L,YES% [ ] NO 'MOTTLING: ( ] YES [ ] NO DEPTH: INCHES ar L'T FOR SYSTEM,. SIZING: DEPTH OF EXCAVATION: INCHES .1 TPNCH- [ ] BED [, ] OTHER (.SPECIFY). .'ERIA:,'i-' . Page 3 of 3 DH'4015, 10196 (Replaces HRS-HForm 4015 [Page 31 which maybe used) - (Stock Number:. 5144-003-4015-1) INSTRUCTIONS: PERMIT NUMBER: APPLICANT: AGENT: LOT, BLOCK, SUBDIVISION: PROPERTY ID NUMBER: Permit tracking number by County Health Department Property owner's full name. Property owner's legally authorized representative. Lot, block, and subdivision for lot. 27 character number for property (property appraiser ID number or section/township/range/parcel number). PROPERTY SIZE: Clrec i properfy at site con orms�t0 sutiin tt�d-5itep_7a7-Record nef`usab e=art—ea=nvatlaZTe- loTarca ekciusrve=6F= all paved areas and prepared road beds within. public rights -of -way or casements; and exclusive of streams, lakes, normally wet drainage ditches, marshes. or other such bodies of water. SELVAGE FLOW= Record the estimated sewage flow for the establishment from Table 1 (residence) or Table 2 (non-residential), Chapter 100-6, FAC. Record the authorized sewage. flow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the. application must be denied. UNOBSTRUCTED AREA: Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfield absorption area and at least 75percent of the unobstructed area must meet o minimum setbacks In Chapter 1 OD-6, FAC. The unobstructed area must be contiguous to the drainfield, BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposedsystem site in relation (above, or below) to the benchmark. MINIMUtvi SETBACKS: Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of thcapplicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also he verified. FLOOD INFORMATION: Record information on lots. subject to flooding. For lots subject to flooding record 10 year hood elevation for site and netual site elevation. SOIL PROFILE .INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use. USDA Soil Classification methodology (,Mansell colors and USDA soil textures). Refusals must he clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water tablevegetation present, Indicate if mottling is present and depth. SOIL TEX3'URFi: Record soil texture or loading rate foraystem sizing. DEPTH OF EXCAVATION: If applicablerecord depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION- Check drainfield configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required, SITE EVALUATED BY: .Signature of evaluator, title, and date of evaluation. Professional engineers must seat all documents submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK 1 REFERENCE POINT IS: .BENCHMARK _ SITE I SITE 2 SITE 3 _ [+ l SHOT ILL H.I. H.I. SHOT [ - [ SHOT [ - I SHOT t • STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: - " CONSTRUCTION PERMIT` RECEIPT #: CONSTRUCTION PERMIT FOR: New System I ] Existing System [ ] Holding Tank [ ] Ianovative _ [ ] Repair [ ] Abandonment [ ] Temporary [t/j APPLICANT: I ( .; , �}',Y'!) '✓ PROPERTY ADDRESS: l (.,{: �� l�`li`��L- �. LOT: `�� BLOCK: "— SUBDIVISION: lji� r c- �. i (�';�. Je=' }} l✓ > [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: _ [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065 F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTOR PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS . 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 PERMI' DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTINi REQIIIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [Q110 j GALLONS GPD SEPTIC TANK/AEROBIC UNIT ' CAPACITY .f MULTI-CRAMBER /IN -SERIES A [ ]"GALLONS / GPD CAPACITY IN- SERIES [ , N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS ® [ ] DOSES PER 24 HRS # PUMPS I ] D I( ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANARD [ ] FILLED I CONFIGURATION: I ] TRENCH i>Q, BED �� = r"-',II,2/�I7 "\Y �l E Y; I x N t F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L / D FILL REQIIIRED: [(�;� ] INCHES O T H E R BY: APPROVED BY: DATE ISSUED: I (/, I I ] [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT IZh 4,1D I -I !Q,-;t J� i �n EXCAVATION REQIIIRED: I C ] INCHES �'1"1'L15 tt EXPIRATION DATE: rr% (/ DH 4016, 12/99 (Page 1) (Previous Editions May Be Used) Pagell of 3 Part 1 -Health Department Part2 -Applicant Part 3 - Installer/Contractor . � r Part 4 - Buildinc Departirl L N/ja t b I WUiLUUUNT ST. LUCIE COUNTY BUILDING $ ZONINL 2300 VIRGINIA AVENU6 FORT PIERCE. FL 319E2-M32 S61d6 .1w FILLED LANDS AFFIDAVIT PAGE 02/02 So st Co nq, I. the undersigned, am the owner of the following described property: for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, SP Number ,, UI I 1 r1L. 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. Carole Noon Property Owner Name STATE OF FLORIDA. COUNTY OF_ Sr 1_6G/19 I Property Owner Signature Date ACKNOWLEDGED BEFOREMETHIS �� DAY OF_j% M4� 200 By GAp__od� /V00A1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED ASIDENTtFICATtON. Rob -Ex 4. if ellfsT SI A URE OF NOTARY TYPE OR PRINT NAME OF NOTARN _ NOTARY Pt JQI 1 7nLE cc 271667 COMMISSION NUMBER (SEAL) am,�pu4 Roger A. Nest A 04q % Commission # CC 971587 Sa" ;�;o Eapud 7,2004 Bo Bondeded ThC Atlantic Bonding Co, B1a = St, Lucie County Building & Zoning K` 2300 Virginia Ave 1 Fart Pierce, F.L 34987, BUILDING PERMIT SUB -CONTRACTOR SUMMARY S'0q��Ve St Co ntj, Rr,�il3Yci K L$Vt,CtitZsEi,-t.�Ck7i�1 C�Lg !; will be using the following sub -contractors for the (Company/Individual Name) project located at :rrCXX)1 2C Catt3l:Fd is kbct.I3ez �:M: .'2Z�.5-211.-ppg1-Ot"OJ2:r orProperty Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors Bsted below, Iwill immediately advise the Building and Zoning Department of St. Lucie County, DF]R'iGE�iISE CiNLY PERMIT ISSUE DATE: NUMBER: -- — --- - - _,..r� 61r; St. Lucie County Building & Zoning 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY SC Rld'HL'd K I$U,Lg; QS1St[UCt1a7 Corp,...will be using the following sub-contractto4,fu tiip .' (Company/Individual Name) 'C70 project located at -iJW0 I r Carkd Fd9, EbrL Pierre, Ft. 7?257211-0001-000/2 (Street address or Property Tax ID 4) 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. St. Lucie County/ Trade Name of Company/Contractor State of Florida LicenseNumber Electrical Gerelbb Electr on (1ntractors (o nJ�J J, 17f) 1� Plumbing with Park Plubirg ....._....._ _.. . _.._ HVAC/ Sb a Air dmditiaiing G (fo p Mechanical coo 6 ('4 Uq(o J. Roofing Rtchacd K ,8vs b nstructicn Gas N/A. INUMBER: ISSUE DATE: - 12/17/2003 11:54 FAX 15614657665 RA DAVIS CONSTRUCTION U 002/002 &C4 ST. LUCIE COUNTY PUBLIC WORKS &t 41/)' BUILDING & ZONING DEPARTMENT CieSCod my BUILDING PERMrr SUB -CONTRACTOR AGREEMENT SLLucie Comt3,Contractor Certification N=bcr; State of Florida Certification Number (If applimblcr Srelcoiectrical Contractors have agreed to be the (ComparW Name/Individual Name) ............ 1.1- 1. .... .. ....... ......... " ...... . . ;:R ;!n t uction sub -Contractor for ; Iaha 1�1 i:%; %PAV ........... ......... ...... (rype of Trade) (Primat), Contractor) . . . . . . . . . . . . . . . I . . . . . ... for the project located E�W� 2225-212—OOOL-C)002 ...... .......... .. I _1 . I (Project Street Address or Property Tax ID 4) 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 Contmi License) ORIGINAL SIGNATURES ARE REQUIRED Z.- 44- i , A . J 'PRINT NAM DATLr V Business Name: Address: City/State/zip: Phone: OFFICE USE ONLY: PERMIT pI ISSUE DATE 14/11/ZVVO 11:04 11A6 100146B7U00 an UAVIS WNYMUC171UN 10002/002 N KS ST. LUCIE COUNTY PUBLIC W03L BUILDING & ZONING DEPARTMENT BUH.DINGPERMrr SUB-CONIRACWRAGREEMDU st Lwie coudy Contmctor Cortification Nmbcr. State ofFlorida CA:dffiCW0nNUmbw(1f applir=k have agreed to be the Sub-contraclor for Richard :X C6nitLi�6ciOn Corp . . . . .... .... . (rypo of Trade) -(Primary Contractor) `i�22U 0/2 - - for the project located at R (PxoJcrA Street Address crFh;PewTax1D It is undmvood 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 Lucia County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) QUALMER (Name of the IrAhidM dr, on dre comractoes Liceiaw) ARE Address: CiwStzw&LiP: rhma, . ..... . .... . 5T. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT SCE WJ3-00NUTx (7roRAG�REEMENT `Sr GUCie Ci/��® �4h St Lucie County Conteetor Cecfirication Number. .... , .: • :.- State ofFloridt,Cerdficati=Nuciber(U&pp1[-Vd: CM016446:.:::".: .1 ...::.:ii i ::�:::a::r:;::::::: have agreed to be the (Company Narnefindividual Name) :I sub -contractor for Richard R'dayi Con5Cruction core .:..�............:. (Type of Trade) y Contractor) for the project located at 'Annh:; m<= as ""'T,;n i� R� gp 22—e,1-aaaT� l z. cproject Slrcel Addressor Properly Tnx IA *I) 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 Contractors License) p,WqNAL SIGNAp=5 ARE REQUIRED zSI ATURE Sea Coasfkl ,condition ng DATE •• . usinessName: _Sheet lldeta'i:'I'nC� Address:=,3:2Q? lrtdtls:tfiat 3'I,st•:Stt'eet:' i:: . Cityfslaurzip: 9r1 Fi:0Ice:, Flodda 34946 Pbow: email: OMCE USE ONLY- PERMfYS ISSUE EAT ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT sr �U eyNFO �/e St. Lucie County Contractor Certification Number: 18178 000701 State of Florida Certification Number (If applicable): rM 053853 Y Richar&XR Davis Construction Corp have agreed to be the (Company Name/Individual Name) ::Roofirlq:'.:. sub-conlraclorforRichard K Davis Construction Corp (Type of Trade) (Primary Contractor) for the project located at 3000 Header Canal Road, FP 2225-211-0001-000/2 (Project Street Address or Property Tax ID H) 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 Douglas Davis IZ (Z Cj SIGNATUtE PRINT NAME DATE Business Name: Richard K Davis Construction Corp Address: PO Box 186 City/State/Zip: Fort Pierce, FL 34954 Phone: 772-461-8335 email: ddavis@rkdavis.com OFFICE USE ONLY: 7ERMIT7 ISSUE DATE 79ANNE HOLM; N, CLCRA OF THE CIR !,OU. - ' ii;. "_h1t t:uui".(, ,le dumber: 23079r-7 OR BOOK 18, A6E 70i r6corded:11 " L, J 10:40 QQ�/ �n1 NOTICE OF COMMENCEMENT PennitNo.�nn i3��b0 /i/, TaxIDNo.2229-211-none-onni2 State Of Florida County Of St Lucie THE UNDERSIGNED hereby gives notice that improvement' will be made to certain real property, and it accordance with Chapter 713, Florida Statutes, lrle following information is provided in this Notice o Commencement. Legal Description of property and street address, if available 25 35 38 NW 1 /4 Less ads and canals (153.01 AC) (or 1268-1081 General description ofimprovements rive (5) Group housino• units for captive chimpanzees Owner Center for Captive Chimpanzee Care Inc (to incLxle in pp —se 2 E D 2 3 4 5 6) Address300oHeader Canal Road Fort Pierce F1 34945 Owner's interest in site of improvement Fee Simple SCAn;n� Fee Simple Title holder (if other than owner) Not a p p 1 i c a b 1 e RY Address rt Contractor _Rirharri K nAyl* inn ¢h nr Address Po Box 186, Fort Pi P'i-FP.`'! Surety Not applicable Address Amount of Bond $ µl..;• Lender Not appli Address n ? ,-':Fnv$: .,,Phori �1rIriZF.iTiE><CL� Persons within the State of Florida dalignated by Owner upon; whom notices or other documents may be servec as provided by Section 713.13 (1) (8);;7,., Flgrida-Statutes:--'"--- Name Richard K Davis Construction Corporation Phone#772 461 81"i5 Address PO Box 186, Fort Pierce, FL 34954 Fax# 772 465 7665 In addition to himself, owner designates of (Phone# Fax# )to receive a copy of the Lienor's Notice as provided in Sectior. 713.13(1)(b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. OWNERS SIGNATURE STATE OF FLORIDA, COUNTY OF fA-I The foregoing instrument was acknowledged before me this -JPz=3,by2 r.a o .u-,— who is personally known to Fl cso t z4.._w as Identification. V1day of tJ�� me or who has produced �,...yyuSERWOLASPO §IGNATURE OF NOTARY My COMMISSION I OUOOM Q1E2 Posw�asms TYPE OR PRINT NAME OF NOTARY NOTARY PUBLIC TITLE COMMISSION NUMBER UVVz S4 Lucie County 0 Building d Zoning Department 00 Virginia Avenue SCANIVsD '2 ��:'FO PlerceoFL34982 561462-1553 St By Luce County ............. 77ds ertiflCation for Wind Load Compliance' 5 P Op. dbY Pr9jondesiSnarchitect oreashaecr. M CaMdEcAtIon must be aubmicied with all`.=mDV°d� (Precldad tharau rtetiaural welly mluavts or other abm7ar eompoaear 4 heing effected) nod ce:taln other mimrbuildiag ---------- Cartincattoll statement: certify thAltolhe but OfraY)wOwlidze and bello4 these Plus and specifications have beers designed to Comply With tfii applicable Structural portion of the Building Codes currently adopted and enforced by St. Lucia County. I RUO c4t* thit structural elements depicted on these Plans provide adequate resistance to the wind loads and forces specified by current code provisions. sen (per check or complete the appropriate box.) ' MOR It Builtling, Code 2001 Edjtlon.�'ASCY 7-98 9 DeOl - 9d IS (eheeklo n.) Enclosed__PardaPyEnclosed OPea Building 1. 3.11uudl 4, 8M I nd Speed Used In Building Design: 5. Wind XxPosure Ciaasw��tl 3. Second gust (rdkt0exii0sun tables in Building CodC'jdcAflflcd In Me#,): 6.AvcrzgC'WI'ndVelocity 'P'reS Structure. Sure of, Exterior Faces orst, PSF 7. P6k Wind VelocityPressure on Exterior Faces of Structure —31. —Q-PSF 8. Importance/Use Faictir (9ttubi from Building Cade): � Ito 9.Loads: Fioo; .5 to.' Were shear Walls Considered for Structure (check cue): yes. No �—Vf No, attach explanation) 11. Is a Continuous Load Path Provlded-(Cbcrk one); Yes�No' (if No, attach explanation) li. Ara C0111901itzl't-and Cl , a . d dLnSDkallProYjded (chwk one): Yes No Lan 0. _(Iflgo,artachexp tL 13.MWmumSolIBearlagPrmu're, 150-0—FSF :As witnessed bymy I iiireby certify that the I nformatio - I n, intind'ed pith ibis certification Is true and correct) tp the, best of My 6 kno' ii ' kdgOand belief, Certification [Seal Hero] Date: 0 T'SLCCDV Form # o20.00 M 16/66/2e6.7 15:16 FAX 15614657065 Rli DAVIS CONSTRUCTION in Product Review Affidavit St Lucie County, Public Works Department Code Compliance Division The following products will be installed in the structure located at _SQOu tki4eCAAJ a Building Permit # Owners Name CP.7Te. / L-jo�,'rP C MDCAle Owner's Address 39oa l�C.c✓vJ / �P dam/ k,, cg Contractor AIL. [)AVI 5 6a/J'C7 -. ton -tractor's Address 0 0 fn s'Prce Product *FroductRated Desl n Pressures Manufacturer odelNumber Method of Attachment Windows •Fillinthe ratedwtnddaignpressares(Lstedbylha+ ujaUarerfareachprodactll#ed 1st Choice t /p0 SF P�r�S7 17 5' 2" N inia Mullions irmu"lass r A iZn o.e, �u1L°Df'itA-. skylights ss (other) Butt Glass �u l Uluc a ,,,r d I U I 1 Swing Type Doors 1st Choice •135.5 2nd Choice ,..,,_ad verhead Garage Doors 1st Choice 2nd Choice ,r..6w4 ootIng Material AsphalUFiberglass Metal 3 ri v s. >3 lerz I have reviewed the above components and cladding, and have appi provide a uate resistance to the wind loads and forces specific NameX� _ Signature Design Fitzn / L�l I��rft (S�ert No.j'�ZOZ�� the structure to Date: (J = _ 2400 Rhode Island Avenue Ft Pierce, FL 34950 �N ST LUCIE COUNTY FIRE DISTRICT BUREAU OF FIRE PREVENTION SCANNED PLAN REVIEW BY St. Lucie County Telephone: 772-462-8306 FAX: 772-462-8466 ( ew Construction (__)Tenant Improvement ( )Addition Jurisdiction: Occupancy: Address: Contractor Contractor's Address: State: Architect/Engineer: Building Owner: Occupancy Type: Gross sq ft: Occupant Load: Construction Type: SLC Institute for Chimpanzees 3000 Header Canal Rd RK Davis PO Box 186 Florida BC Architects Chimpanzee apartments/Business 2,583 ( )Renovation/alterations ( )Shell Only F.P.B.: B-03-390 Building Dept: 23110872 Number of stories: 1 Phone # 772-461-8335 City: Ft. Pierce Zip Code: 34954 Phone # 772-223-0010 Review Date: 12/3/2003 Automatic sprinklers: Net sq ft: Based On: 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 ( ) Reviewed by: / J /mil Date: ACCESS KEY SWITCH REQUIRED ( ) 12/312003 1. OFFICE USE ONLY: SCANNED l ,t' rB�Y DATE FILED:_ \ r ^` 1� _ PERMIT S( 6�/,A°A REVISION FEE:_ RECEIPT #: I i ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELnPmFmT 1 � z it 772-462-1553 i PROJECT , INFORMATION ADDRESS 2. DETAILED DESCRIPTIONS OF PROJECT 3. CONTRACTOR IN ST. OF FL REG/CERT BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): 4. ARCHIT/ENGINEER: NAME: ADDRESS: CITY: PHONE (DAYTEIIE): 12/19/02 LUCIE