HomeMy WebLinkAboutSUBMITTED PAPPERWORK'
BP #:L2-?/0300
OFFICE
USE
ONLY
,SECTION:
TOWNSHIP:
RANGE:
Q
u
MAP NO.:
MI5 V
�/�
ZONING:
!! 5
LAND USE:
��
LOT CVG %:
TAZ NO.:
FLOOD ZONE:
FIRM MAP #:
1ST FLR ELV:
MAX HGT:
CST TYPE:
OCCP TYPE:
�,
MAX. OCCP:
# OF FLRS:
!
I
WATER:
`O
SEWER:
-
SPRINKLERS,
STORMWATE
h
R
LOT OF REC (bet 1/90).-.
LOT OF REC (aftr 1/90)
LOT SPLIT
LOT SPLIT
REQ'D
APPRV'D
DECAL
LIBRARY
PARKS
PERMIT
��S / t7
NUMBER
IMPACT FEE
IMPACT FEE
FEE
- i0
REPORT
PUBLIC BLDGf
HABITABALE
RADON FEE
Ar
CODE
`��!
IMPACT FEE
AREA
0
(RADON)
Y N
ROAD
GROSS ROAD
CREDIT
TOTAL ROAD
IMPACT ZONE
IMPACT FEE
IMPACT FEE
DUE
:.
Y
x
SCHOOL
CREDIT
TOTAL
IMPACT FEE -
; <
SCHOOL
IMPACT FEE
POLICE FEE
FIRE
MISC FEES:
TOTAL
'l
POLICE/FIRE/
..
o`
MISC. FEES.
Y
N
ADDITIONAL
SPECIFY:
TOTAL ALL
PERMITS
FEES
REQ'D
/
REVIEWS.,
ZONING
,ZONING
PLANS
VEGETATION
SEA
',MANGROVE
REVIEWED BY
TURTLE
'
QEXAMINING
EDATE
Q
o k Jo co-ashrtAcl Slnadl 0-)-� aCC �
+o s�� t -LA— O P t e
OFFICE,U@E 0-u 1LY O Sty p(pµ
l �,,�asPit 0?k ao oZ.jz.o/
DATE FILED: AAA I
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: D
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE 8t FILLED IN TO BE ACCEPTED
M
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING&ZONING•DEPARTMENT
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-565V
561-462-1553
APPLICATION for BUILDING PERMIT
Jennl 35
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
SCANNED
i
PROJECT INFORMATION BY
1.
//��(,��� //��2
LOCATION/SITE ADDRESS: 3000 Il . Gr/I/6�.l�'AI/}-(� %L04-0 St. Lucie County
2.
Y]FECPn fii�-o/ GAS i ✓P
S/DNAME: i✓IZ�2S.fln/O-go�NDS SITEPLANNAME: G aw-1ve £
3.
PROPERTY TAX ID#: ZZ25 2/!- 000 /Z �ry3�d
4.
LEGAL DESCRIPTION (attach extra sheets if necessary): /dW of /y'oG SCGIrioJ 2-5, �VW,154,fo 35 5
PRr192 381 + /n 0-t,-Ge
5.
PLAT 6. PAGE 7. BLOCK 8. LOT
BOOK NO. NO. NO.
9.
PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS
i
10.
DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY.: ChtJe77)edG�.
f'12d-5-04! 5%D(2A-6lL S/ CAP'(-td• & 4M zf PAIL£ I4,,Ur r
11.
SETBACKS (ACTUAL) FRONT: QD y BACK: RIGHT. ' 3 Opb LEFT OU 1700 SIDE ��
S
SIDE:
12.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[vNEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ j RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[� OTHER (SPECIFY) �6RiG v L72/LffZ - $�/�J
13.
DESCRIPTION OF PROPOSED USE: 5709fI6gi�- S%
14.
Sq. Ft./CONSTRUCTION: 7�(v O 5 F 15. Sq. Ft. 1st Floor: Jr9�
16. VALUE OF CONSTRUCTION: $ 0 500 • oa
-i
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the
indicated value of censbuction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the vatue Ls 3 0
rati
or more, a RECORDED Notice of Commencement must be submitted with this appiion. I
SLCCDV Form No.: 001-02 1y - I -
THE AVERAGE PROCESSING TIME FOR MOST BUILDING PERMITS IS TEN (10) WORKING DAYS
OWNER INFORMATION: �. ... -
-NAME:- T11./^�S2IJTYT�2
ADDRESS: ��..//P'/'�OX�/ ✓�710
CITY: ` dil`)"Z/% STATE: L ZIP 33 2,
PHONE (DAYTIME): (4*1 /(Y"l• OD56
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS
BELOW. 1.
FEE SIMPLE TITLEHOLDER: NA
ADDRESS:
CITY: STATE: ZIP
PHONE (DAYTIME): I I
CONTRACTOR INFORMATION G
ST. of FL REGJCERT #: nGGG'/ /SST_. LUCIE COUNTY CERT #: C
BUSINESS NAME: lZlGlfi � l� e �+%l5 (�/�5%i2y�oN eaAe-
QUALIFIERS°NAME: • s _�_hOO6� r• ��%,5 _ _
ADDRESS: 0' 6 o)c /SRO
CITY: j)/ e4ae- STATE: ZIP 3y951
PHONE (DAYTIME): ilGl 1 "IiO�• 533 5 FAX NO.
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY.
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
/ / - // /'el C.L STATE: T- �' ZIP 3 y95y
N
STATE: ZIP
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.
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 installatiorrhas 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.
OWNER/CONTRACTOR SIGNATURE CONTRA TOR SIGNATURE
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s% J C, , COUNTY OF S7. L f/G/
The foregoing instrument was acknowledged
before me this � day ofAEB . , 20VI , by
(,QP_&Z_L(V'&, who is personally known to me or who
has pr duced CIS identification.
igyffiture of Notary
Igo&EQ 1I PIV163-7-
Type or Print Name of Notary
The foregoing in was acknowledged
before me this � day of �_, 200/ , by
AWj241 f %AVIf, who is personally known to me
or w o has produced as identification. .
Ajgffature of Notary
�o�� 11. >nlEfr
Type of Print Name of Notary
Notary Public Title Notary Public Title
�Com�gyWsion Plumber 66?Z%fin % Commission Number
�`kgp PU•,i��' ktloggor A. Priest V� �OgeF k. PMiaftE
Commteslon#CC 971587
(seal)
; � Expires Nov. 7, 2004 (seal) tCommtssion = CC 971197
' �B. Bonded TLrn ?• Q, Expires �o�. 7,2004
,'e 0(, o�` Abantie Bonding Co., Inc. �b�oudtug Co. h&.{�-..
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED.
IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERFBUILDER, THE OWNER MUST PERSONALLY APPEAR
TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OFFICE USE ONLY:
DATE FILED: O I
REVISION FEE: o
PERMIT NUMBER: 4 o 3o 043
RECEIPT NO.: O l 1 3 (o O 33
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561-462-1553
FILL COPY
APPLICATION FOR BUILDING PERMIT REVISIONS
1. LOCATION/SITE
ADDRESS:
1,0002
2. DETAILED DESCRIPTIONS OF PROJECT
REVISIONS:
1174,aed AU Nl /la"x/Z"
3. CONTRACTORI]
ST. OF FL REG./CER
BUSINESS NAME:
Qualifiers Name:
ADDRESS:
CITY:
PHONE (DAYTIME):
4.
i
ARCHIT/ENGINEER:
NAME:
ADDRESS: 4
CITY: 1
PHONE (DAYTIME): —i
Z �GNr
{7J 9'�evnc�,g-jjoN
ST. LUCIE COUNTY CERT.# Co 8 z-/ S
STA'
FAX
. lad C�e
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
2300 VIRGINIA AVENUE
FT. PIERCE, FL. 34982-5652 SCANNED
561-462-1553 LL BY
DESIGN CERTIFICATION FOR WIND LOAD COMPLIANCE""" County
This Certification is to be completed by the project design architect or engineer. This Certification must be submitted with all applications
for building permit involving the construction of new residence (single or multi -family), residential addition, any accessory structure requiring
a building permit, and any nonresidential structure. This Certification shall not apply to interior renovations (provided that no structural
walls, columns or other similar component is being effected) and certain other minor building permits. For further assistance, please contact
the Building Inspection Office at 462-1553 or 462-2172.
PROJECT NAME
DNS/%�l,7�UT� �!C C A✓e 017/v1 '
OFFICE USE ONLY
STREET ADDRESS
CAA9
5// DQ
PR NUMBER
II ��/
3 0 d U /--VT!' P/*Q1_ 64'1 A' i leof-
PERMIT NUMBER
! V( C2 FZ
OCCP. TYPE
3 9
CST. TYPE
CERTIFICATION STATEMENT:
I CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE AND BELIEF, THESE PLANS AND SPECIFICATIONS HAVE
BEEN DESIGNED TO COMPLY WITH THE APPLICABLE STRUCTURAL PORTION OF THE BUILDING CODES
CURRENTLY ADOPTED.AND ENFORCED BY ST. LUCIE COUNTY. I ALSO CERTIFY THAT STRUCTURAL ELEMENTS
DEPICTED ON THESE PLANS PROVIDE ADEQUATE RESISTANCE TO THE WIND LOADS AND FORCES SPECIFIED
BY CURRENT CODE PROVISIONS.
1. STANDARD BUILDING CODE 1997 EDITION ✓ 2. BUILDING DESIGN IS (CHECK ONE) ENCLOSED 1//
ASCE 7-95 _ OTHER (SPECIFY)
PARTIALLY ENCLOSED _ OPEN BUILDING
3. BUILDING HEIGHT: /3_ y FT 4. WIND SPEED USED IN BUILDING DESIGN: �[ f0 MPH
U !!
5. WIND EXPOSURE CLASSIFICATION (REFER TO EXPOSURE TABLES IN BUILDING CODE IDENTIFIED IN LINE /1): 0
6. AVERAGE WIND VELOCITY PRESSURE ON EXTERIOR FACES OF STRUCTURE: Zy 2 PSF
7. PEAK WIND VELOCITY PRESSURE ON EXTERIOR FACES OF STRUCTURE: Zy PSF
6. IMPORTANCE/USE FACTOR (OBTAIN FROM BUILDING CODE):
9. LOADS: FLOOR PSF ROOFIDEAD: Zo PSF ROOFILIVE: PSF
10. WERE SHEAR WALLS CONSIDERED FOR STRUCTURE (CHECK ONE) YES V/ NO _ If NO, why? (attach
explaination)
11. IS A CONTINUOUS LOAD PATH PROVIDED (CHECK ONE) YES P NO _ If NO, why? (attach explaination)
12. ARE COMPONENT AND CLADDING DETAILS PROVIDED (CHECK ONE) YES NO _ If NO, why? (attach
explaination)
13. MINIMUM SOIL BEARING PRESSURE: Z'6-60 PSF
AS V4TNESSED BY MY SEAL, I HEREBY CERTIFY THAT THE INFORMATION INCLUDED WITH THIS CERTIFICATION
IS.TRUE AND C BEST OF MY KNOWLEDGE AND BELIEF.
NAME t CERTIFICATION NO:
I [SEAL HERE]
DESIGN FIRM: DATE: z z O
07/Jkcw � SLCCDV FORM NO: 020-00
o. ST. LUCIE COUNTY
J DEPARTMENT OF COMMUNITY DEVELOPMENT
• 2300 VIRGINIA AVENUE, ROOM 201
FT. PIERCE, FL. 34982-5652
,,. 407462-1553
DESIGN CERTIFICATION FOR WIND LOAD COMPLIANCE
This Certification is to be completed by the project design architect or engineer. This Certification must be submitted with all
applications for building permit involving the construction of new residence (single or muHl-family), residential addition, any accessory
structure requiring a building perm%, and any nonresidential structure. This Certification shall not apply to Interior renovations (provided
that no structural walls, columns or other similar component is being effected) and certain other minor building permits. For further
assistance, please contact the Building Inspection Office at 462-1553 or 462-2172.
CERTIFICATION STATEMENT:
I CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE AND BELIEF, THESE PLANS AND SPECIFICATIONS
HAVE BEEN DESIGNED TO COMPLY WITH THE APPLICABLE STRUCTURAL PORTION OF THE BUILDING CODES
CURRENTLY ADOPTED AND ENFORCED BY ST. LUCIE COUNTY. I ALSO CERTIFY THAT STRUCTURAL
ELEMENTS DEPICTED ON THESE PLANS PROVIDE ADEQUATE RESISTANCE TO THE WIND 'LOADS AND
FORCES SPECIFIED BY CURRENT CODE PROVISIONS.
DESIGN PARAMETERS AND ASSUMPTIONS USED: (please check or complete the appropriate box)
1. BUILDING CODE EDITION USED "jut) SBCCI ASCE 7-88 OTHER (SPECIFY)
2. BUILDING DESIGN IS (ctmcK oNE) ENCLOSED PARTIALLY ENCLOSED OPEN BUILDING
3. BUILDING HEIGHT: �,L FT 4. WIND SPEED USED IN BUILDING DESIGN: //0 MPH
a. WIND EXPOSURE CLASSIFICATION (tEFM To ExpostnE ineLEs IN oLRONG CODE metmFlm IN UNE n): —�
a. AVERAGE WIND VELOCITY PRESSURE ON EXTERIOR FACES OF STRUCTURE a5! 7 PSF
7. PEAK WIND VELOCITY PRESSURE ON EXTERIOR FACES OF STRUCTURE PSF
a. IMPORTANCEUSE FACTOR (oarmm FROM Wumma com:
o. LOADS: FLOOR d , A PSF ROOFIDEAD: _2o PSF ROOFfUVE: PSF
1o. WERE SHEAR WALLS CONSIDERED FOR STRUCTURE (afar otf) YES ✓ NO If NO, why? (attach
eVionation)
11. IS A CONTINUOUS LOAD PATH PROVIDED (afar ow YES NO_ If NO, why? (Mfach
explanation)
12. ARE COMPONENT AND CLADDING DETAILS PROVIDED (afac port YES V*NO— If NO, why? (euafi
explanation)
17. MINIMUM SOIL BEARING PRESSURE 00 PSF
AS WITNESSED Y SEAL, 1 HEREBY CERTIFY THAT THE INFORMATION INCLUDED WITH THIS
CERTIFICATION E RRECT, TO THE BEST OF MY KNOWLEDGE AND BELIEF.
NPUE: CERTIFICATION NO: G%Z
[SEAL HERE]
DESIGN FIRM: auk DATE:
014,04N T✓C woxiao
St. Lucie County Property Record Card
Page 1 of 2
St. Lucie County Property Appraiser Geographic Information Services
Real Property Record for Parcel Number: 222 �:305
002 Record Number: 1 of 1
Location: ### Section: 25 Tow sange: 38E
Show Location Man
Owner, Legal Description, Deed & Total Assessment
Name: INST FOR CAPTIVE
Legal: 25 35 38 NW 1/4-LESS RDS AND CAN
CHIMPANZEE
ALS- (153.01 AC) (OR 1268-1081)
Address: P O Box 3746
Boynton Beach, FL 33424
Book: 1268 Page: 1081
Sale Date: 1999-12-09 Sale Amt: Sale/FT:
00:00:00 436100 0.00/SgFt.
Insp. Date:
By: jDate
Valued:
Permits:
Exempt.: 0
Land: 206600
Improve.: 0
Class: 0
TotaL 206600
Taxable: 206600
N
IISubdiv Name: IlNeiehborhood: 6622 / IIMaa-11): 22/25X / IIDOR Use: 6000 II
Imp. Type:
Class:
No.
Stories
Year Built:
Eff:
Baths: Bedrms: Pool• Fpm: Air:
Living Area: SgFt.
Wall:
Building Perimeter Sketch and Photograph
'
NO SKETCH
AVAILABLE
AT THIS TIME
SCANNED
BY
�g/ + , ",} t ? h{, St- Lucle�County.
�
Improvements
Improvements / Extra Features
No.
Code/Cat Size
No. Code/Cat Size
Land Valuation
No 7R
Front or Unit Depth MktVal AerVal
9900-UNCLSFD ACRG-ACRE
153.01 0 206560.0 0.0
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE
AND IS NOT WARRANTED
http://www.paslc.org/webmap/scripts/pre.pl? 10135871,222521100010002 3/2/2001
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
561-462-IS53
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
SCA
8! �uC10 Co 1114j,
(tax ID/legal description/address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number . I acknowledge that as
owner of the above described property, and in accordance with Section 7.04.01(D), St.
Lucie County Land Development Code, I shall be responsible for assuring adequate
drainage so that the immediate community WILL NOT be adversely affected. I further
acknowledge that in granting this permit for the development of this property, St. Lucie
County is neither obliged nor liable to provide for, or maintain in any form, adequate
drainage off my property which will not adversely affect the immediate community.
Property Owner Property Owner Date
(Print) (Signature)
STATE OF FLORIDA, COUNTY OF ST• z UG/E
SWORN TO AND SUBSCRIBED BEFORE ME THIS ��* DAY OF /" 15AW9)" . 206/
BY �/AP0GE /V00W WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
go&e--a x PR/EST (seal)
YGYATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY .nurpr Roger A. PrieRt
B�QSpY Pp •��OComIDlsdon#CC971587
NOTARY PUBLIC TITLE GG 97/5�7 a: Fgpl Bodedes 7.Z°04
COMMISSION NUMBER o �: Bonded '!�°
a of dl]antic Bonding Co., IIlF
SLCCDV FORM NO.: 011-00
bb14b5'/6bJ K.K. VHVIb
Ybie Yt71 Ftb 1G 101 lb:JJ
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMrf
SUBCONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (it writable):
(eamparrylndividual name)
I�-3�- ao9z000�
has agreed to be
SCANNED
By
St. Lucie County
the —Z! e C ktJ �(-�4' 1 sub -contractor. for _
(type of construction trade) (name of the prow contractor)
II
for the project located at 020 N. It is understood that,
(street address or property tes ID N)
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
.�4�
Form(SLCCDV FORM NO.004-00). 042 L
BUMNESS QUALIFIER (originals' tares re"Irem:
s gnature /� rintname % Date
business name: /
Gee �e-.0 L e 1 lz les}�g i}IzRA�Ir��S IIIG,
address: _S3 r W EH-iel fir,s� Dc�
city.state,zip: I_11 : �� z498G
phone: SGf 34� 44/
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PER]VIIT
SUB -CONTRACTOR AGREEMENT
St Lucie County Contractor Certification Number: C OU Z t 17
State of Florida Certification Number (if applicable): CC C O r2 310 5 3
has agreed to be
(company/individual name)
SCANNED
By
St. Lucie County
the" 1204 F NG sub -contractor for K • K, 5 eolu 577.
(type of construction trade) (name of the prime contractor)
for the project located at 3400 1✓ f/�,, ,, � tZ 647✓/n It is understood that,
(street address or property tax ID #)
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
Form (SLCCDV FORM NO.00400).
BUSINESS QUALIFIER (original signatures required):
I ,,, g-r,,r ]) oud LA-5 pw; S
signatur6 Print name Date
business name: lqf C �.-Al; S C6N 5T
address: W•rtdX
city,state,zip: °/r2 3 �7
phone: • V 3 3
DFFICEWSEMNOY. SLCCDV FORM NO.: 00;
11 PERMfr # ISSUE DAM
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
5 /,ONtiT.
(companylndividual name)
SCANNED
BY
St. Lucie County
will be using the
following sub -contractors for the project located at 3006 AJ �ft Cb)Al 10
(street address or property tax ID #)
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
Plumbing
ElectricalIJ
v l �(�/ D 3
2 , �3 6013 I
/73/-0072000
��%l o O �
HVAC/MeManiaal
N LY
Roofing
R • K�"I/I 5 if
8u
CGC o 536 53
Gas
FORM NO.: 003.00
Trade
Name of Company/contractor
St. Lucie County/
State of Florida License
Number
i
n a
rile NUmoer: MVS(78 UK HUUK 137j PAGE 2668
'a �°•lb3pd —3
Recorded:03/21/01 _11:00
NOTICE OF COMMENCEMENT
Permit TaxIDNo. Zzzzs'- zit-000i-cx�O Stale Off County Of Lucy& 4 .i ry
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real ro e
accordance with Chapter 713, Florida Statutes, the followinginformation is p p rtN and in
Commencement. provided in this Notice of
Legal Description of
General
Owner's interest in she of
and street address, if available
E n , . —
Fee Simple Titleholder (if other than owner)uc a Count
Address
Contracto
Address
Address
Amount of Bond
-4(a1-9335
-65-7&(�5
Lender
Address Phone#
Fax#
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13 (1) (a) T. Florida Statutes:
.
-
In addition to himself, owner designates r axe
(Phone# Fax# of
lto 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.
STATE OF FLORIDA, COUNTY OF jr Lbi�yt'5 OWNERS SIGNATURE
The foregoin� Instrument was acknowledged before me this ?� day of &Ap,:d!
� �by GA0016 �OG:V who is personally known to me or who has produced
STATEOFFLVIDA as identification.
ai.LL;' t,UUlii
TH!aiSTOCERTIFYTHAT TNISiS.4 C9Uy�
T' '` (seal) I NATURE OF NOTARY
t + ' :GiinECT CC'pY CF i iiE r Y cie�T �V
E. 'df/w er, riest 29Q Z2�/oT
an c971ss7 TYPE OR PRINT NAME OF NOTARY
es Now 7,2004 onaea _URI IC ITLE
-fl'hm NOTARY P
Y e- on eo.• Inc. --6fZ 7 COMMISSION NUMBER
.�'Q
rr,� CGvv'
JOANNE HOLMANo CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
File Number: 1832264 OR BOOK 1320 PAGE 2842
Recorded:08/15/00 10:24
NOTICE OF
Permit No.
State Of F.nQwa
THE UNDERSIGNED hereby gives notice that in
accordance with Chapter 713, Florida Statutes,
Commencement.
COMMENCEMENT ,
TaxIDNo._ 2.225 - 2N -ocot -oco2
County Of Sm. LLLe., - r n .,-ry
1provement will be made to certain real property, and in
the following information is provided in this Notice of
Legal Description of property and street address. If
eAM&W 3a 6aer ,ti e r , ..n,G L_S V 'C' Q660A I vaa ANO VX oLrp r -Mp PM QT TNL CP ow"Ca W FL_ S1MfL6 6V
^tE�lSaODA R'hRRnoa
General description n imp�ro�vmeents+
Sub, P"10 Nnm iblD
Owner "„t s.lL rba, eAoe�alE nw-ls eAR6 Aw�� rr r _0�•aa a man
Add. -----
Owners Interest in site of
Simple Title holder (if other than owner)
Address
Address
Address Fax# y
Amount of Bond
Lender ! J — Phone#
Address Fex#
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13 (1) (a) 7., Florida Statutes:
Name 2,awe¢a K rats e1rQuC-r.eN CD9LP Phone#_4�1- 83aS
Add---
In addition to himself, owner designates of
(Phone# Fax# )to receive a copy of the Lienoes 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.
Larb �
OWNERS SIGNATURE a3,tW. T.
STATE OF FLORIDA, COUNTY OF Sr, lel"ed before this �U�.j1T
The , toregoin�� instrument was acknowledged me s �, day of
�9?,by who Is personally known to me or who has produced
as Identification.
'•�'�.y�'��4^ (seal) Sy1/�� MTURE OF NOTARY
Y� Roger A Pmsl K/�7'��! - sJ
* * My Co MlnlmCC6996mi TYPE OR PRINT NAME OF NOTARY
' F`Pm "°"on0'r7°00 NOTARY PUBUG BUGITLE
%GG599�5/ COMMISSION NUMBER
a
e
A.M. ENGINEERING AND TESTING, INC.
I 3504 INDUSTRIAL 33rd STREET' FORT PIERCE • FLORIDA • 34946
ACH (561) 567.6167 FORT PIERCE (561) 461-7508 STUART (561) 283-7711 FT PIERCE 1-;
Report ��
of u
DENSITY OF SOIL IN PLACE I�;J+`�
ASTM D2922 APR 0 6
CLIENT: R K. Davis Construction Corp. L�_
St. Lucle
CONTRACTOR: Client Date: 4/6/0 �
SITE: Chimpanzee Farm
Shed - Foundation Fill Permit #21030043
DENSITY
TEST
NO.
DATE
TESTED
LOCATION
ELEVATION
MOISTURE -DENSITY
RELATIONSHIP
IN PLACE
DRY
DENSITY
PERCENT
COMPACTION
TEST
NO.
MAX.
DRY WT.
219
4/6/01
N.E. Comer
0 - 1'
212
125.3
123.0
98.1
220
N.E. Comer
1 - 2'
123.5
98.5
221
S.W. Comer
0 - 1'
123.3
98.4
222
S.W. Comer
1 - 2'
123.7
98.7
CANNED
BY
St-
-ucie Count
Copies: Client - 2 Respectfully submitted,
SLC Bldg. Dept. - 1
A.M. ENGINEERING.AN17 TESTING, INC.
RICHARD ROYETTE, P.E. FL Reg. Nfo. 42485
JUPITER OFFICE: 450E OLD DLYIEHIOHWAY, SUITE 2, JUPITER, FLORIDA 33458 1-888-339-7645 FAX (561) 745- 0981
GEOTECHNICAL ENGINEERING FOUNDATION INVESTIGATIONS CONCRETE. SOIL, AND ASPHALT TESTING