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HomeMy WebLinkAboutSUBMITTED PAPPERWORKOu(M USE ONLY: DATE FILED: t PLAN REVIEW FEE: RECEIPT NO.: �V I PERMIT NUMBER:`,tr O` % CONCURRENCYFEE: RECEIPT NO.: CERT. CAP. NO.: "rn4 ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED c t� St. Lucie County Building and Zoning g SQL2300 Virginia Avenue SCANNED ham Ft. Pierce, FL 34982-5652 BY F lri:w 561462-1553 St? Lucie-goUnly 0 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 3004 Header Canal Road, Fort Pierce; FL �34946 .;i: lfNOW 11. SETBACKS (ACTUAL) FRONT: BACK: �_ t RIGHT: A ;�, I:.: LEFT: F� f �' SIDE �` (}_ SIDE 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) 1✓ NEW CONSTRUCTION I EXPANSION/ADDITION INTERIOR RENOVATION RESIDENTIAL 1 COIvIIvIERCIAL,-1 INDUSTRIAL ....... ..:... I✓ OTHER (SPECIFY) Chimpanzee housing -- 13. DESCRIPTION OF PROPOSED USE: to'house chimpanzees 14. 16. Sq. Ft./CONSTRUCTION: 2583 15. Sq.Ft.lstFloor: VALUE OF CONSTRUCTION: $ $82,656.00 _ The value of construction is used to determine We amount of perm it 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. If the value is $2500 ormore, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 CONTRACTOR INFORMATION ST.ofFLREG./CERTY: CGC053853 ST. LUCIE COUNTY CERT #: 82 15 BUSINESS NAME: Richard K Davis Constructiod Corporation PHONE (DAYTIME-): 772) 461-'8335 FAX No. (772)465-7665email: rre, avis.com ` ARCHIVENGINEER: BC Architects ADDRESS: 1900 SE Osceola St CITY: Stuart - PHONE (DAYTIME): (772) 223-0010 BONDING COMPANY: ADDRESS: CITY: N/A STATE: MORTGAGE LENDER: N/A ADDRESS: CITY: STATE: ZIP 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. 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 ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this building pennit 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. 0 aA a 6:�� OWNER/CONTRACTOR SIG ATURE STATE OF FLORIDA COUNTY OF S� The foregoing instrument was acknowledged before me this _, day of y � 20g, by o .mot- who is personally known to me or who has produced as identification. Type or Print Name of Notary MMWOLVOOM �r ou M COMMI9910N 40U 669967 Commission No. (Sea ) UMS.Vanh% o06 '`'naa�"� eomaarmewa+.xamserx.• CONTRACAOR SIGNATURE STATE OF FLORIDA COUNTY OF,<tA7- Lu The foregoing instrument was acknowledged efore me is tl day of a , 20e ` by 1 a-d . who is personally known to me or who has produced as identification. Signature of Notary Type or Print Na40e4t oWpq� M�pISSSION tl OD 099967 20 Commission No.11 ,a a ,,,,n,n NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUH,ING PERMIT AS AN OWNERIBUILDER, 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. ST. LUCIE COUNTY S��NNED ENVIRONMEDEPARTNTAL RESOURCES DIENT OF PUBLIC VISION St•�UKS �eOou��Y LAND CLEARING PER:MIT ISSUE DATE 11/24/2003 CEsRIvIFI NO2[IL1423 EXPIRATION DATE 11/24/2004 SITE LOCATION/ADDRESS 3000 Header Canal Rd. ZONING Resd OWNER'S NAME_ Institute For Retired Chim azees LAND CLEARING CONTRACTOR under or near any native tree or on/in any native plants to be preserved. THE APPLICATNT SHALL KEEP THIS PERMIT POSTED ON -SITE AT ALL TIMES DURING LAND CLEARING. THE PROPERTY OWNER AND/OR AGENT SHALL BE RESPONSIBLE FOR OBTAINING ALL APPLICABLE STATE AND/OR FEDERAL PERMITS. Site Inspected By: lv'e DATE: —o 6 V 6 ? PERMIT NO: ) 'D 2 3 t{ C PROCESSING FEE: ' s2 7, 00 QC� ST. LUCIE COUNTY Qt, `Qy�Q© VEGETATION EXEMPT ON REQUEST FORM IT 4C,e COuph, Please complete the requested information and submit all items to &fie St. Lucie County Public Works Department. For additional information, please contact the St. Lucie County Public Works Department at (561) 462-1553. The activities set forth below do not require the issuance of a Vegetation Removal Permit. The burden of proving entitlement to any par icula \cxemption shall lie, at all times, with the person claiming the exemption. These cxcmpt'b!s shall not a ply to the removal or alteration of any mangrove tree or dune_vegctati` ��ppl�ant claiming exemption MUST submit photographs of the -arcs to be developed or non�protcctcd vegetation to be removed or an agriculture exemption letter from the SLC T perty Appraisers office. `� j I OWNER NAME: Institute fcr'CZa the `c9u>grizces PROJECT LOCATION/ADDRESS: 30M His,,Canal Ra$1' CITY: Fbrt Pierce STATE:\\FL /4 ZIP: 34946 CONTACT PHONE #: 46 1-8335 Jautie Wrre11\\ SUBDIVISI0�y1tr /aI—SLOT: n/a \\ BLOCK: n/a SECTION: /1 25 TO�WNS14I fa- RANGE: 38E MAP #: 22 ZONING:5� LAND USE: Cl2PANt�'S PARCEL SIZE: 153.01 PROPERTY TA AID #: _ 2225 211�01/2 LEGAL DE!91CRIPTION (ATTAC EXTRA SHEETS): 25;35 38 Nd 1/4 less rds & (153.01 FiC'J1 (or 1268-1CB1) �\ I LAND CLEARING CONTRACTACP�OR INFORM�II 'ION (I � PPLICABLE): NAME: Harnett Site Develornalt ADDRESS:5129 Okeatrlxe Rd, Fort Pierce, PHONE NUMBER: 461-M I I FLORIDA REG/CERT # 033D47092 ST LUCIE CO. CERTF\�\ DESCRIPTIO\N\OF ACTIVITY ON PROPERTY C��tsucticn of (5)� \ x snits for captive chii� Pyre PI Rods 2, 3, 4, 5, 6. 11 TED 11/21/2000 I am exempt from obtaining a St. Lucie County Vegetation Removal Permit due to the following: (PLEASE CHECK ONE OF THE FOLLOWING) 1. The removal or alteration of any protected vegetation as necessary for the following activities: A. The clearing of a path not to exceed 4' in width to provide physical access or view necessary to conduct a survey or site examination for the preparation of bona fide site development plans or vegetation inventories; or B. The clearing of a path not to exceed 10' in width to provide vehicular access necessary to conduct soil percolation or soil bore tests, provided such clearing or removal is conducted under the direction of a Florida registered surveyor or engineer. 2. The removal or alteration of any protected vegetation in an existing utility easement or right-of-way provided such work is done by or under the control of the operating utility company and that company has obtained all necessary license or permits to provide utility service through the casement. 3. The removal or alteration of any protected vegetation undertaken by a lawful operating and bona fide commercial nursery, tree farm, agricultural operation, ranch, or similar operation, provided that the removal or alteration is perforated on land owned or lawfully occupied by the person conduction the above operation and is performed pursuant to that operation. When the removal or alteration of protected vegetation, other than routine maintenance, has been perforated under this exemption no development order shall be approved for any other use or improvement on the same land within either: A) Two years from the date of completion of such vegetation removal or alteration provided that an agricultural classification has been granted for that land by the St. Lucie County Property Appraiser; or, B) Eight years from the completion of such vegetation removal or alteration if no agricultural classification has been granted land by the St. Lucie County Property Appraiser. 4. The removal of protected vegetation which has been destroyed or damaged beyond saving by natural causes or causes not covered by other sections of this Chapter or by which constitutes an immediate peril to life, property, or other trees. 5. The removal or alteration of protected vegetation upon any detached single family residential lot or parcel of land having an area of one acre or less. This exemption is, however, subject to the following conditions: UPDATED 11/21/2000 I CERTIFY THAT: (CHECK ONE) A. (X) I AM THE OWNER OF RECORD OF THE ABOVE DESCRIBED PROPERTY. B. t I AM NOT THE OWNER OF RECORD OF THE ABOVED DESCRIBED PROPERTY; HOWEVER, I HAVE AUTHORITY TO ACT AS AGENT FOR THE OWNER OF RECORD. (PLEASE PROVIDE DOCUMENTATION). I CERTIFY THAT ALL INFORMATION SUBMITTED WITH THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. e'w(d, x-N , OWNER/ AGENT SIGNATURE CONTRACTOR SIGNATURE STATE OF FLORIDA, COUNTY OF ST. LUCIE The foregoing instrument was acknowledged before me this k-1_ day of_Qoy_, 20o'A by • ^l t�.ti— ,who is personally know me or has produced �l di.tuo.. � . . as identification Signature of Notary 5 ' rvl bti R. 1/—�k%j . U---m Type or Print Name of Notary Notary Publicg^•'� 7(i1 sW0LygjM �11ft9omm- roza (SEAL): "eiYWBr ''o v Ib,eeO Sm,w W.re.N.. STATE OF FLORIDA, COUNTY OF ST. LUCIE The foregoing instrument was acknowledged before me this _ day of , 20 , by who is personally know to me or has produced as identification. Signature of Notary Type or Print Name of Notary Notary Public Title Commission Number (SEAL): rrttt*tttt++rtt**tt+*tttr*tt+*ttt+ttttrtt*t*+*t++r*+++ttt*+t+r++t++**++* FOR OFFICE USE ONLY APPROVED( DENIED! 1 UPDATED I1/21/2000 St. Lucie County Building & Zoning 2300 Virginia Ave •' Fort Pierce, FL 34982 S'C��Ns® BUILDINGPERMIT St. LUCI SUB -CONTRACTOR SUMMARY a COUn ry Tng1-ifi�tP for ��Caotive�: Chimpanzees will be using the following sub -contractors for the (Company/Individual Name) project located at .:2225-211-0001-000/2 "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 Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical Gerelco:nectrical:Contractors Inc ECA 001408 iKenneth-A Germia 10431 Plumbing SouthiPark,,P,lumbing 8431 ..Delbert W Keiter '. CPC 029690 HVAC/ Bea Coast Air :Conditioning. 8283 Mechanical John:Langel. CAC 016446' Roofing Richard, K Davis Construction 18178 186' Fort Pierce FL CGC 05:3853 Gas Not;'Applicabl.e. PERMIT NUMBER: I I ISSUE DATE: 04/13/2004 12:20 FAX 15614657a' RX DAVI$ CONSTRUCTION )i Z002F 02/03/Z004 15:Z9 FAX 15614651', Rta 04Y15 U. ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT • 1wnnstc rrsorlr ������� 97R1 CONTRACTGRAGREEMENx(-pCie County SL Lucie Cams, Conasmr CxVication Number: SattcofFbride Cu itatioa N!m!ber(L(gglimbb) tf ¢L c rs �i rdCXj11L'iMl )L�t°%tJ1 Yt1 c i have agreed to be the (CompuW Nxndlmdividua1 Name) .. :inn;f:;:iya;;;:x: 5ab-WnttaCMf fef (Type of Trade) (primary Contractor) for the project located at zt. ; • cart„)'.:°tamp w.r j m.'. ti+f aaaF,,,l�iis'-zi 1-0p01-0pp/z (project Street Addrm of property Tax IV N) 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 Coaany by personally filing a Change of Contractor notice. Ton=- SLCCDv No. W4.00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGN T tRES ARE RE UIRED SIGNATURE I PRINT NAME Hu9irmssName: ", ii w 4"Tt.rbar N� : Address: '1� Ct.�' i. .. .. citylswdLip: � ,r�.•L.y i _�"� phone:?�' $ lz:=747�t, email SB�nrieFo4ald? .?euo. corer U4/1J/L4VY 1G. G2 1'll6 1J V1Y ViV/VVJ Ap Mt vlo VvllaAAU{r11UlY eZ/U3/2o64 15:34 FAX 15914657965 R$ DAVIS cony '$Ula'ION yJUU2/UUZ �'��`".-:i, 'fail' l 1 'l T '. • ;� �'�'z ''-' � 1 1 11 •11 l " '.e1CA u ^aa^C�'�'.EIQJII'�B�tl UY.tl W - n. mogula 54UootFladdscgt4tinDaal4amLar�1� .:.,mgi, smem ^+Ili_l'_•'"s—',uti'haveagtaedtAbetlte farthepadaet Womd $351Fit%1St06d�#, SfStareiS � alli>Dl�a �� �pataa�haG vVtffiiLrc 81f090 mmti0ttadpL�Plt, � W� imt�alfiildq tdW[4:�CBsal�t� mI "'r""s cc$tLuclecomtrwpmmanyfilwaaclmmwofcmwamnotimtvam a=v NC6 BUSINESS QUALMZR (Name ofthe Individual shown on the Contmctor's License) ORIGINAL SION&TURES ARE REQUIRED I SIGNAT[JItE RINTNAME DATE MIT= 13,15 m S�+ q St �4o e�NFp re Co4nty FED - 5 2004 V4/1414VV4 14;4d rr 10019001000 A UAVIZ WiIDIAMiLVIN It/Juugfu" ld ff p� _yBUILDING ek ZONINGDEFAMMENT Sc Lutm SLOB of Maid'a [anIIC8ti=Nnw7ter WIAOieahl.} _ _!eve I � �7;;iCi .�tiei -"7!;!•". _ ,._.... ..:.., ° Plli r.... :.....::.:... Ld nmm�l , mr, a W NI __itf!.a:_T•Pdrllsnmr:�l ilii2.:iiniF,m uypioi:::i.i (Ca�a�NaarQe�vldnalNamq) a I Irerl: xugii a'e ! !"ilsub ranttuctotfar - :!rnrlrc; ,,r,s::::: :edi:,.:,•�::.. Ipe OfMx&) +9'C;uaWetfr)' n ;••••^::,.n' III'illi—,pi jiil`f�i)ti1:Pl;l'ir!I iii1:F{M; for liMgfQjaSlceetod�' tS tL GtMU°t i,uriilLiW;W,rtmQat�!'s` iNl'00�1tLv/2 .. �rajsi5MWAd&worFrcpwWTaxM1) It is understood tlt� if the i® Iny ehaoge o3 etaAls agalrrding our pitocipa@vn vrith the •above rnentiorledprojaeR [will immediatelyadaise theBuilding and ZCAiogDep�at of 8[ Lucia Cou* by personally filing a Chop of Conttutor notice 1P= srtcnv No. 004-00) ]BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REOUIREU �In4,, / 4 / u �� ATURE PRINT NAME PA E j I ii:"e'I'nmrlxiu:r,celJl{NLiflir :ifrir;:i!t;n ;^y,.i T il;rin.:. ra: Nf®0; I iI1Cil i.Il4 ....... hF:! lfi 'iadC:,i, .e:� i:�:iec,,ll� IfllAllrl j!n0, 4- YIII41�lu : sr, n Ir' Il G = : r (•.IIliIJG:.:�— i :Ilklf: PboOef y!I Pi;!y;ih[III11 it II' A7 ;.1 ir•SEI IS 'ri _ 1 n:l Fh ( MCE !<JSiE ONLY- KKWTV CWMA rm FEB - 5 2004 NolmalESN0D 8IAVG a 98DA"7789T TVd 0:21 4owcono Gya ST. LUCIE COUNTY PUBLIC WORKS mow. BUILDING & ZONING DEPARTMENT .F� BUILDING R pP IT SUB -CONTRACTOR AGREEMENT SCgNNFp / b St. C�ce Y Coin tY St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): ( ap dil/'i17-. —!%/S ��i'i�� have agreed to be the (Company Name/Individual Name) / VJ sub -contractor for V % &z_ ; ii ype of Trade) (Prima y 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 9IGNATUPE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: /_6ri i M ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 561-462-1553 FILLED LANDS AFFIDAVIT SCANNED By I, the undersigned, am the owner of the, following described property: St. Lucie county (Tax for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number;:::°i' s 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 forthe 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. 00iDte rLL�� �6&�Q 0M 4o)q Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF�-��- ACKNOWLEDGED BEFORE ME THIS LP - DAY OF 1 o. . 20�4 BY ��aAgL¢. t)Wt _ WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED c 4 1 )AA" 'V'L.L�n _c.. AS IDENTIFICATION. . 1 lam • 1 SIGNATURE OF NOTARY NOTARY PUBLIC TITLE (SEAL) COMMISSION NUMBER AMBERW(MEBIOR MY COMMISSION I DD 089967 EYp86:M2d9,?486 ��RanoaP mMNmu6tlpNM°�'Y�`°� Property Appraiser - St.Lucic , /mty, FL Page 1 of 1 Inst for Captive Chimpanzee Record:I of 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 Owner: Inst for Captive Chimpanzee Address: 3000 S Header Canal Rd Ft. Pierce FL 34945 PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes ParcolID: 2225-211-0001-000-2 Account*: 12647 Land Use: ORPNAGES City/Cnty: ST. LUCIE COUNTY Sales Information Date Price Code Deed Book/Page 12/911999 436100 01 WD 1268/1081 1/1311995 335000 01 WD 0939/0178 11/811994 612000 01 CT 0928 / 1617 511/1986 1650000 00 CV 0500 / 2496 611/1982 951200 01 CV 0383 / 2517 1/1/1978 570000 00 CV 0280 / 0212 Exemptions Permits Map Legal Description 25 35 38 NW 114-LESS RDS AND CANALS- (153.01 AC) (OR 1268-1081) Assessment Total Land and Building 2003 Val: 468700 Total Land: 153.01 Acres Assessed: 468700 Buildings: 5 Ag.Credit: 0 Finished Area: 7324 SgFt Exempt: 468700 Taxable: 0 BUILDING INFORMATION SC NN6® By _ Lucie Count, Exterior Features View: - RoolCover: ES -Enam Metal RoofStruct: GA -Gable ExtType: HC - HC YearBlt: 2001 Frame: - Grade: C-C EffYrBlt: 2001 PrimeWall: BS - CB Stucco StoryHght: 0010-1 Story No.Units: 1 SecWall: - Interior Features BedRooms: Electric: MX-MAXIMUM PrmintWall: DW- Drywall Full Bath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/2Bath: 1 HealFuel: ELEC- Electric Prm.Flors: CT - Tile -Ceramic %A/C: 100 %Heated: 100 %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cord. YrBIt. 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 NOTICE OF COMMENCEMENT Permit No. 24040519 (12A) Property Tax ID No :2225 211 .bOOI 000/2 State of Florida .. County of St -: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 3538 MW 1/4 1e5S: roads and canals (153.01 AC) General description of improvements Six (6) group housing units for captive Chimpanees owner Center for Captive Chimpanzee, Care ; Inc. Poets 7,8,9,IQ,11;12 Address 3000 Header.:::Canal Road, Fort. Pierce Owner's interest in site of improvement fee simple:, Fee Simple Title holder (if other than owner)"n/a Address ::nLa r by Section 713.13 (a) 7., Florida Statues: Name Richard Davis -Construction Phone# 461,8335 Address PO Box 186,'Fort Pierce, FL34954' Fas# 465-7665 In addition to himself, owner designates - of Phone # .. ..�i Fax ` to receive a copy of the Lienor's Notice as provided in Section 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. r 11..V✓I)CQ � 1 VI/l/V 1 Owner Signature State of Florida, County of _SVL C - . Acknowledged before me this Co , day of 20 O` , by l L.X6U tJtA1�- who is personally known to —me or who has produced �o :<a .'.. 1 "^ e_ .,>- as identification. Signature of Notary Type or Print Name of Notary STATE OF FLORIDA `,.�4, AMBER Wotyatrd$eal) Title: NotarvPilKli�UC1E COUWT�ommission Number 4 CO ,rl. ,�, R+N 1- MY COMMISSION IRU RB9967 HX``��99 �t4rth7,P066 THIS IS TO CERTIFY TH„T "?!CIS A TRUE AND CORREf CU"PY i(THE ORIGINAL. 0y Data__ _ 2 al' —� EXPIRES. BudeU Tw B Wael NNwY Berv�tt b ;;n -n c.i n m LD r, L �� C CD T r] z ro Cro oLnm I-- T o Co .o �0 L�rZo tr o CD 2 co �n H �n G.H T D fn C n h] —I CG co I `� oa D 1—I r- C n m n 0 H St Lucie County InspID)ns 2300 Virginia Avenue Ft Pierce, FL 34982 (772) 462-2172 CERTIFICATE OF TERARTE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT M��.. �_' JOB 4 DAv(S PEST CONTROL PEST CONTROL LICENSE# JB 94495 G INC. 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: /3 51) Percentage of solution: 2- 5 Date of treatment: ❑ FOotinc, ❑ 1st Treatment ❑ Re -treat ❑Slab ❑ 1st Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools . ❑ 1st Treatment . ❑ Re -treat ❑ Other l ❑ 1st Treatment ❑ Re -treat Chemicals used: Chat).M 1 a -T G Total gallons used: / 3 U Time of Treatment: 3: -3 CJ FBC104.2.6 Certificate of Protective Treatmentforprevention of termites. ,4 weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certi icates.as.each required protective treatment is . completed, providing a copy for 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 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 boa cover, listing all the treatments and dates of applications.. 1�erimeter 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 6113102 dmg RR DAVIS CONSTRUCTION 10003 08/24/2004 14:23 FAX 17724657665 �S Date: B-25-04 St. Lucie County Building & Zoning Department 2300 Mr&io Avenue Fort Piereq FL 34M 561462 2165 Fax 561-462-1149 Request for 30-Day Temporary Power Release SEP232004 Lucie County Pubhc Works - - - Permit Number. 24040519 Pod 12 A - Property Address: Rp dpr-r' nnl RA. Pnrr Rinr&n 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 SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL AGREE t INSPECTION.I.IINECAONDSIDER CONSIDERATION FOLLOWS:OVAL OF THE REQUEST WE HEREBY SC,%' St 4 ay D 1. The temporary power release Uue C sc is requested far the above stated purpose only, pun and there will be no occapaary of any type, other than that permitted by construction y daring this time period. 2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agree enq iusluding Building Division Policy, which is incorporated bcreia by reference. 3. All conditions and requirements 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 TESTING, INC. 3504INDUSTRIAL 33-�' STREET FT. PIERCE, FLDRIDA 34946 LOCALOFFICE: (772) 461-750 : (772) 461-8880 DENSITY, I iCE 'J Client: Richard K. Davis Construction Corptst ,u1 �320p4 Report Date: 7/6/2004 Contractor: Client Technician: RA Site: Chimpanzee Farm, Pod 12 AtjCWorKs permit No: 24040519 Foundation Fill oCle �° Test No. Date Tested Location Eleva- tion (ft) Field TesrAesults Proctor Max Dry Density C COm action Pass/ Fail HCP H=O Dry Density C Probe Depth in In Place Min Req'd 1401 6/14/04 SW Comer 0-1 40 10.8 114.0 12 119.4 95.5 95 P 1402 1-2 40 119.4 95+ 95 P 1403 2-3 70 119.4 95+ 95 P 1404 3-4 70 119.4 • 95+ 95 P 1405 4-5 80 119.4 95+ 95 P 1406 Center 0 -1 45 9.7 115.8 12 119.4 97.0 95 P 1407 1-2 50 119.4 95+ 95 P 1408 2-3 70 119.4 95+ 95 P 1409 3-4 80 119.4 95+ 95 P 1410 4-5 80 119.4 95+ 95 P 1411 NE Corner 0-1 40 11.11 114.3 12 1 119.4 95.7 1 95 P 1412 1-2 45 119.4 95+ 1 95 P 1413 2-3 45 119.4 95+ 95 P 1414 3-4 60 119.4 95+ 95 P 1415 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. SCANNED Distribution: Client - 1 SLC Bldg. Dept. -1 Bennett - 1 BY Reviewed by: St. Lucie County A. M. ENGINEERING AND TESTING, INC. Rebecca Grant Ascoli, P. E. Florida Registration No. 51863 1386-1400.xls ST LUCIE COUNTY FIRE DISTRICT d BUREAU OF FIRE PREVENTION SCQyNEp PLAN REVIEW St tug;8 pOunty 2400 Rhode Island Avenue Telephone: 772462-8306 ;ewerce, F 4950 FAX: 772-462-8466 Construction ( )Tenant Improvement ()Addition ( )Renovation/alterations ( )Shell Only Jurisdiction: SLC F.P.B.: B-04-163 Occupancy: Institute for Captive Chimpanzee's Building Dept: 24040519 Address: 3004 Header Canal Rd 12A Number of stories: 1 Contractor RK Davis Construction Phone # 772461-8335 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: Date: 4/22/2004 04/09/2004 07:44 FAX 15614657605 RH DAVIS CONSTRUCTION iR 002 Product .Review Affidavit St Lucie County, Public Works Department Code Compliance Division The following products will be installed in the structure located at -3oao N64kr &nj g. Building Pemlit # Owners Name lenkr rCwig s Owner's Address Yove / .0il-(',r1C.9 leer Contractor .' td If= ZfAvi5b s . Contractor's Address -v. (509 t ® t /re Product *Product8ated esi n Pressuros lbfanuracturer Model Number Method of Attachment Windows •.FX in the rated wind design pressures fisted by the manif anarerjar each product listed lat Choice +rae.7 —So.o I P6r 5 eotJ $"iAelctic,rA& Iwo 13"e.4. IC%T! Butt Glass t3 Glass Block h11.2-- ^•--- ^---- c/e- C Mr st V.w *.VVIO Choice Cd. *t Material e} H.v b.4- I have reviewed the above campononts and cladding, and have approved their use in the structure to provide adequate resistance to the wind loads and forces specified by curre c�previsions. Name' t signature_ y Design Firm - Cert. No. ty 04/0e/2U04 U7:4a FAA 15014U57UU5 MH 0AV16 UUN5'1'XU(;riUN VjuUl St. Lucie County Building and Zoning Department 2300 Virginia Avenue Fort Pierce, FL 34992 561-462-1553 Design Certification for Wind Load Compliance This Certification is to be completed by the project design architect or engineer. Ibis Certification mist be submitted with all -- epplioations for building permits involving the construction of now residence (single ormuld- family), residential addition, any. accessory structure requiring o building permit, and any nonresidential Structure. This Certification shall riot apply to interior renovations (provided tharno smictutal walls, columns or other Shaer component is being effected) and certain other mimrbuilding permits. For further assistance, please contact the Building Inspection Office at 462.1553 or 462-217Z l /7rn0 _' �J�i�j1i��'CIil1Lf�7fIY'�ir n -� e .. / I.. / I-Imo/,-L'[L..%t fI 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 lbads and forces specified by current code provisions. Desigil Parameters and Assum tions Used• (Please check or complete the appropriate box) 1. Florida Building Code 2001 Edition -ASCE 7-98 2. Building Design is (cheek one) Enclosed Partially Enclosed Yen Building 3. BuildingHbight 4. Wind Speed Ustd'in Building Design: i0 3 second gust S. Wind Exposure Classification (refer to exposure tables In Building Code identified In Line 41)_ 6. Average Wind Velocity Pressure on Exterior Faces of Structure 22 •Z PSF 7. Peak Wind Velocity Pressure on Exterior Faces of Sir cture _ .� ' PSF S.Importance/UseFactor (obtain from BuildingCod,e,): 140 9. Loads: Florra C PSF RooVdead • _PSF RooflGve aEPSF 10. Were Shear Walls Considered for Structuro (check one): Yes ✓ No _(If No, attach explanation) 11, Is a Continuous Load Path Provided (check one): Yes \/ No _(if No, attach explanation) 12. Are Component and Cladding Detail Provided (check one): Yes ✓ No _(if No, attach explanation) 13. Minimum Sail Bearing Pressure: v�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: Certification #: [Seal Here] Design Firm: Date: SLCMV Form B 020.00