HomeMy WebLinkAboutSUBMITTED PAPPERWORKCERTIFICATE OF INSURANCE
® AUTO -OWNERS INS. CO.
AUTO -OWNERS MUTUAL INS. CO.
❑ HOME -OWNERS INS. CO.
OWNERS INS. CO.
PROPERTY -OWNERS INS. CO.
Agency Fike,J+Sale & Associates, Inc., P. O. Drawer 1069, Lakeland, Florida 33802
Insured
Address POST OFFICE BOX 2454, L>aKEL=, FLORIDA 33806. �
This is to certify that policies of insurance listed below have been Issued to the insured named above and are in force at this time.
Type of Insurance
Policy Number
Effective Date
Expiration Date
Limits of Liability
Workers Compensation
631712 20104942
1 1 88
1 1 89
Statutory
General Liability
EACH
AGGREGATE
® Camprebeosiyr Form
OCCURRENCE
® Premises - operations
® tartaric. tad Catubse
Bodily Injury
s500, 000
s500, 000
Hazard
0 Uadrlgloomd Hazard
794612 20251208
1 1 88
/ /
1 1 89
/ /
Natal, Damage
S250,000
$250, 000
® plodamaeComplabd
.'
Dperalioas Nazud
® Contractual lasmance
® Broad Form Ptopeny
Bodily bjuly Bad
Damage
Pwperg Damage
s
S
Iridepmd<ot Councmn
Combined
® Pelsansl la'am•
Automobile Liability
Bodily [Ojai,;
s
s
® Compnbeosi•e form
oarb Fenno)
(9 Carried
Bodily Injury
(Each Cccuneaeel
s
S
Hired
Property Damage
s
s
® N00-0v0ed
Bodily Injury Bed
560212 20214017
1/l/88
1/1/89
Property Damage
5500,000
$
Combined
Excess Liability
Umbrella
Bodily Injury bad
Property Damage
s
S
Combined
OTHER: ADDITIONAL
INSURED:ST LUCIE 00
JNTY CONTRA
R CERTI
0 & LICE
2300 VIRIG
t-A PAT ROOM 201
RT PIERCE
A 7DA 3498�
Classification of work covered and location of operations.
In Lakeland, Florida and elsewhere within the State of Florida.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the above policies. If cancellation
or change occurs during the term or terms of such policy or policies. and after the date of this Certificate, in such manner as to affect this Certificate.
TEN(10) days prior to written notice of such cancellation or change will be given to the Certificate Holder, as named belogi, in accordance
with whose requirements this Certificate is issued. Notice by regular mail so addressed shall be suffjcifQycompliancewith this 1. vision.
`
Dated at Lakeland, Florida this February 22, 1988 Agent
FIKE, SALE & ASSOCIATES, INC St
Certificate Holder ST LUCIE COUNTY CONTRACIOR
CERTIFICATION & LICENSING DIVISION AUTO -OWNERS INSURANCE
Street 2300 VIRGINIA AVENUE ROOM 201 //
City & FORT PIERCE, FLORIDA 34982 .� (;&',
State President
2600 (6-84)
'jI',HlNZ)UIV IJLHIVU rnurrmy 1 t rc5 q&&kc-5, SCANNED
^, re re.v of mir s '1 fltal IVY BY
will a f. L for r,�p:ianceST. L I COUNTY PERMITAPP�B Lucie �oyrlt'.�+
with Si. LUCIE �OU`ITY
Ordinance No. EC 87 3
PERMIT NO. (CODE # ) SEWAGE PERMIT NO.
APPLICATION FC
JOB LOCATION/
LEGAL DESCRIPTION _ 3
o
/O 72�0,� rz nUJI
.
FE QG pFR
ROAD IMPACT: DISTRICT ZONE
S/D MAP #
FLOOD BNEF\ ELEV
Y�
LOT BLOCK UNIT SEC
TWP E 7
2 7
PROPERTY TAX ID #
00 0 h
ZONE GMPP
LOT SIZE/DIMENSIONS 2
EST COST
SET BACKS: FRONT CC) S REAR /
SIDE /0 r7- SIDE S ^ 2
SQ FT BUILDING: LIVING AREA �1916-D ACCESSORY
ARCHITECT: NAME �F%L- L3�✓6W6Z5YL/n/6-
p
PHONE (&?j (5-Y -16 cc)
\ST
ADDRESS 201( ibI (129 1
CITY `-ZlIZEc211,10 FL ZIP 33 ?03
CONTRACTOR: STATE REG/CERT # G6f--'C ()0/-%c�/'D Z COUNTY CERT # 00
NKN C, IR�&-e W/y.(%
NAME�/Wn0 ,/-'IMA-CICW
(.o
ADDRESS?`9' Sox 211,T-y
CITY n�
STATES_ ZIP Z?X 6 PHONES/�
OWNER OF
PROPERTY:
NAME
ADDRESS_-.2,F0/
JVV111Z/J'Gr F1V'0
PHONE �%t;�—�,?0
CITY
?/&XCe-
STATE %R'
ZIP 3?yam
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared , who upon
being duly sworn, deposes and says that the information contained in the foregoing application is true a d correct.
2 Applicant ry
Sworn to and subscribed before me this day of �T,.,_�_ '
q 19�b.
SCHOOL IMPACT FEES T.
Required [:]Yes ❑ No
Notary Public, State of Florida at Large Amt. Pd
My Commission expires: Date Pd Posted
BUILDING PLAN CHECK
ST. 4UCIE COUNTY- FORT PIERCE FIRE PREVENTION BUREAU
M ` FORT PIERCE, FLORIDA
TELEPHONE 465-6655
CONTRACTOR:
4RCH ITECT:
OWNER:
LOCATION: —
TYPE OF OCCUPANCY:
SIZE OF BUILDING
Frank C. Decker
Cover Engineering
REYNOLD'S CENTER
5045 South U. S. #1
Mercantile
20,050 sq. ft.
PLAN NUMBER.
DATE RECEIVED
PHONE NUMBEI
PHONE NUMBER:
TYPE OF CONSTRUCTION:
NUMBER OF FLOORS: —
County
#1627
3-11-88
1V sprinkled
REQUIREMENTS:
1. Additional emergency lighting shall be required.
2. Minimun 2A-10BC rated portable fire extinguishers shall be required every 75' of travel
distance.
3. Sprinkler plans'shall be submitted to this office and permit obtained before work is
begun on sprinkler system.
4. Plans reviewed for Life Safety Code 101.
f
L CONTRACTORS RESPONSIBILITY TO NOTIFY BUREAU ON ALL INSPECTIONS
24 ,_
HOUR -NOTICE REQUIRED ON ALL INSPECTIONS
REVIEWED BY: Ln� pcDATE
SIGNATURE
era„• r�\ry�•.�wiA";-.F':�.':�10•+ K PLAN REVIEW
NAME OF ROJECTs RS /r0loir Cehtcr
ONNERs R.Prry Ar Re rso/Js
CONTRACTOR: �Cr dnk C. Decliler can-ri, (o .
OCCUPANCY CLASSIFICATIONS
TYPE OF CONSTRUCTIONS Ir
HEIGHT AND AREA:
/41'6"t" zoos v J�
IN
N( e r ch atlle
s-pr
OCCUPANCY REQUIREMENTS PER CHAPTER IVs Al err c/►:r h 6 le Y R CC a $S6tj
CONSTRUCTION REQUIREMENTSs
(A) FIRE PROTECTI ON s sJor
(8) EGRESS REQUIREMENTS: BD f^ s ,
n
OTHER REQUIREMENTS:
(A) ELEVATORS: )V4
(B)
SPRINKLERS
i STANDPIPES:
yQs
(C)
COMBUSTIBLE
MATERIALS -
INTERIOR:
Yars
(D) ROOF COVERINGS: 0jr
(E) LIGHT - VENTILATION - SANITATION: 6
(F) HANDI CAP ,REQUIREMENTS :
4
FLOOR PLAN
1 . •�R9B MPAT—
Pf R!EE WALL . A
EE .
2. DRAFT STOP ARCH TRIM WALL SECT.
3. H.C. BATH & GRABBAR.
4. WALL SECT. HANDICAP ACCESS TO
FRONT WALK.
i
• '� ^ JIL•Ji_PLANS-K_VIi=W--- NJ,
ruje_c NeIII ,
Type of use as defineo by Z3ning Ordinance.
N eO L l� —---------
-
Number Required 37
I/
LC04'1v,b �b F�uyp Y Number Provided
�1`hes Handicapped Required
Hanoi capped Provided Z
O`fstreet Loading Area? Y:N: -
U. Landscape: Approval
Disapproval
c.) Signs: Indicated_
Not Indicated
Note: Separate Permit Required
a.) Setbacks: Approval_
Disapproval
se Building Line Compliance Y: N: 1I
ilding Spacing Formula Used Y: N:
iveway Compliance - Refer Ordinance 87-0
Approval
Disapproval_
Note: Driveway Permit Required
-FLIu �IdC IS 6
v11J I I L � 0 i'e y U l r eS
W, /
p11�(nIhOQIGGI�ss
t6
i
136
� as'
U.S. P /
5C•1"6 AGIr- 41?
J a
3,) Ru90 Lnuact Fea Y:_ N:------
n.) Comments:
------------------------------------------------------------v-----
Date In: e�Ll � Date Out: D U
Reviewer: �v� S
P11AN REVIEW
NAME OF LROJECTs Rey
OWNER: terry E A.-.Jo-.s
CONTRACTOR: Frgnh.lC Deakjer CenSr
OCCUPANCY CLASSIFICATION: Merchati/e
TYPE OF CONSTRUCTION: zz S'p r
HEIGHT AND AREA:
141'611t zlz�Cgs v J�
OCCUPANCY REQUIREMENTS PER CHAPTER IV:
CONSTRUCTION REQUIREMENTS:
(A) FIRE PROTECTIONs sjb r
(B) EGRESS REQUIREMENTSs ?
OTHER REQUIREMENTS:
(A) ELEVATORS: V4
Merchah tile `r.4cccSsaty
od/001 SIP1�
(B) SPRINKLERS & STANDPIPES: / Q3
(C) COMBUSTIBLE MATERIALS - INTERIOR: COPS
(D) ROOF COVERINGS: 0*0
(E) LIGHT - VENTILATION - SANITATION: 61r
(F) HANDICAP REQUIREMENTS: ---
f
:E ST LUCIE COUNTY
-ROAD IMPACT FEE CALCULATION FORM
- — Name of Feepayer ��� a — —
Address 5_/SZ6_ zlie
Date _ a-d3 �%_ _ _ Permit 0
Road Benefit and Collection Zone 4
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
The impact fee calculated herein has been determined based on
the fee schedule adopted in St. Lucie County Ordinance 85-10,
effective February 1, 1986..
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
IMPACT FEE CALCULATIONS
LAND USE -
TYPE
0 UNITS ....... ..........
0 SQ FT (1000)./�=fl�..
0 PARKING SPACES ........
FEE PER TOTAL
UNIT % IMPACT FEE
0 STUDENTS 10 7: O
X $.:
e _
UK T 1 y(ag1s�r
ova
�(813� C98�-113J
IFL
G37..-
4
ESTATE OF'F-LQRI6q'-'jBpb ,
a -
)TRY LICENSING BOARD DOES
:CH AS QUALIFYING A
IGH HIS INSURANCE REFLECTS
E STATE SAYS HE NEEDS
STATUS TO RF.Fi.pom v,-
ix. MILCICH AGAIN THIS uMORNING1VTO1LET OHIMCT
TO CALL JACKSONVILLE (904)359-6310 AND TALKNOG
WITH SANDRA IN RECORDS,'BUT I HAVEN'T BEEN
ABLE TO GET THROUGHSANDRA WILL EXPLAIN TO
HIM WHAT HAS HAPPENED. MR. MILCICH SAYS THEY
ARE INCORPORATION. BIG PRO BLEM!!!!!!!!!j!!,
JAN SAID TO LET YOU KNOW WHAT I FOUND OUT.
DOT `— -----'-�--
CONSTRUCTIOAls - v ry91mr`' ,grof6fijir- '
LICENSING BOARD.,
i NIL CICH& TIMOTHY. PAUL
j FRANK C.DECKER CONSTRUCTION CO
•)
CERTIFIED GENERAL.-CONTRACTO
HAS PAIL) THE FEE REQUIRED Ry CHAPTE !y$9
FUR THE YEAR EX PI C
c .0. 989.
$IGNATI ID,
PLeABE NERD I.,OPTANT
CONSTRUCTION "INDUSTRY. FOLD
CEI�SI
POST OFFICE 30X.2
JACKSONVILLE, FL 3Z20?
AUDIT CON TNOL NO,
prr�� LIC)m3ary0•
o C �2 CGC00910 089 24
ra
ass:.
1 , 1
i
Cover Engineering
3011 N. Airport Road
Lakeland, FL 33803
ADDENDUM ill
2/16/88
Badcock Home`Furnishings Center
US1 & Midway Road
Ft. Pierce, Florida
Add fire sprinkler system to entire building. Protection
design will be based on ordinary hazard, Group II, as
per Factory Mutual Underwriters requirements.
The system will be supplied by the existing 12" supply
main in front of the property. Standard chrome plated,
pendant sprinkler heads will be used in all public areas
and brass heads in all non public areas. The riser will
include the necessary wall post indicator valve, check
valves, electric flow switch, electric alarm bell, and
water pressure gauges.
Drawings will be submitted for approval when the design
is complete.
WRC
a ,
W. R. COVER PEI 7734
STATE OF FLORIDA '
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
Authority: Chapter 381, FS
Chapter 1OD-6, FAC
Applicant✓
Permit Number, 7-
PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL-------------
Septic tank or
aerobic unit �O gallons
Septic tank or
aerobic unit gallons
Graywater
tank gallons
Laundry
waste tank gallons
Other Requirements:
TreatmentTank
Grease
interceptor - gallons
Dosing tank_ gallons
Minimum Draintrench OR
Size
Square Feet.
Square Feet
Square Feet
Square Feet
Minimum Absorption
Bed'Size
Square Feet
Square Feet
Square Feet
Square Feet
(a) Installation must be in accord with requirements of chapter 1OD-6, FAC.
(b) A system construction permit is valid for a period of one calendar year from date of issue.
(c) Final installation inspection a d approval isJ,egwred before the system is cpvered �r
(d) Invert of stub -out for /aEf %�'; to be l o. * °y ��� f� U. S• /
Invert of stub -out for to be
Invert of stub -out for to be
Invert of stub -out for to be
(a) Fill quality and quantity: A
BY TNIS DFPARTMJI NT PRIOR TO
DRAINFIELD INSTALLATION.
11/1% A)/1�J4/i_4;�.Aa,/A.dd �7i _1 i4'r E.n 1,N-��fi?-"1�%Li /r�s-
(f) Other:IF AREA OF DRAINFIELD IS SUBJECT TO
SATURATION FROM ROOF DRAINAGE,
ROOF :99T PE GIJ -,-€REP PRIOR rn
FINAL APPROVAL.
System design and specifications by:
Title
Construction authorized by;
4. County Public Health Unit
Note: Completed copies of this form will be provided to the applicant, installer and the building`de6drtment.
AUDIT CONTROL NO. -
Date —
benchmark.
benchmark.
benchmark
benchmark.
HRS-H Formm 6016, Feb 85 (Obsmetes previous editions which may not be used)
(Stock Number4744-001 4016-0) _ Page 1 of
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
SECTION 5 • BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH
*FORM500-86 AoMOOSTERED13YTKDeraRTMorrOFcarumvAFAuas
STATISTICS: RESIDENTIAL AND NON-RESIDENTIAL
BUILDINGS SEE S. 501.1111
ZONE: 8
PROJECT NAME: 0,0iPC0c:oME i i t/ Cd
ADDRESS:
BUILDING CLASSIFICATIONS : Zf4 2
CITY 21P CODE: Got fZcf'
BUILDING PERMIT NO.:
— BUILDER: arc. t > ion/
PERMITTING OFFICE:.
JURISDICTION NO.:
OWNER:
BUILDING INFORMATION
COMPONENT
U-VALUE
(Tote
NET AREA
(Square reset)
y
3
Concrete Block structure (CBS)
Wood frame
Other
U= O, /SB
4ZA:R, .•
- U= 0. 0 78
,
U_
Other
U=
LL
ge
Under Attic Cavity
Single Assembly
Other
U= O. V46
/GG78
U=
U=
Total Conditioned Floor Area
Concrete Over Unconditioned Space
Wood Over Unconditioned Space
Slab on Grade
U=
U=
"�$.'int
o
y
Clear Single Glaze
Char Double Glaze
Single Glaze
,Ont Double Glaze
Skylights _
Other
U= �•
Gi¢-�i
U=
U=
U=
U=
U-
QMetal
X
Wood
Insulated
Other
U= D• 4G
G 8
U=
U=
U=
m
k2c �
FG o
Total Ughting Wattage ....................................
Total Conditioned Floor - /• I
Area (sq. ft.)........................................ /G G 78 Watts/sq. ft.
Lighting Budget Maximum
Watts/sq. R
SYSTEMS INFORMATION
-AIR CONDITIONER EFFICIENCY (EER 8 ) or (SEER ) or (COP )
-HEATING SYSTEM TYPE STRIP® HEAT PUMP ❑ GAS ❑ OIL ❑ SOLAR ❑ '
HEATING SYSTEM EFFICIENCY COP or EFFICIENCY = % (Steady-state)
HOT WATER SYSTEM TYPE ELECTRIC® HEAT RECOVERY ❑ GAS ❑ OIL ❑ SOLAR ❑
Uo wall Allowable 0. 39 U. wall Actual. 0. 3 Z
Ue roof/ceiling Allowable c- Un root/ceiling Actual 0. 04G
Uo floor Allowable Uo floor Actual
If complying under the provisions of S. 502.1, enter the combined U.
values for the entire envelope in this section.
U. envelope Allowable 0•/7 Ue envelope Actual 0.//5
OTTV wall Allowable 2 V. 7 OTTV wall Actual 2915
OTTV roof/ceiling Allowable R • 5 OTTV roof/ceiling Actual 3 • LS
In accordance with Section 553.907 F.S., I hereby certify that the plans and
spedflceaons covered by this ' lation are in cornpliance wn�h�rre Florida Energy
Code. � //_
OWNERIAGENT �77.
DATE:
Review of the plans and pl specifications Covered by this calculation indicate com-
pllance with Me Fonda Energy Code. Before construction is completed, this
building will be inspected for compliance in accordance with Section 553.008 F.S.
BUILDING OFFICIAL:
DATE: "
PERMIT NO
CHECKED by
SECTION 5 WORKSHEET FOR ENERGY CALCULATIONS ,
BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH
FORM 500-86 State of Florae Energy Code
1. GROSS WALL AREAS
A) WALL TYPE:
B) WALL TYPE:
C) WALL TYPE:
D) WALL TYPE:
2. GLASS AREAS (Includes areas of windows, sliding glass doors, glass entrance doors)
GLASS TYPE AND AREA BY ORIENTATION
473 3 sq. tL
9 z 7 sq. ft.
sq. ft
sq. ft.
TOTAL GROSS WALL AREA = 5G6 0 sq ft
TOTAL GLASS
3. DOORS (EXCLUDING GLASS DOORS) -
Door area in exterior building envelope.................................................................... = Z o sq. ft.
Interior door area separating A/C from non A/C spaces ...................................................... = sq. ft.
TOTAL OPAQUE DOOR AREA = G S sq. ft.
4. NET OPAQUE WALL AREAS
WALL TYPE
GROSS WALL
(sq. ft.)
GLASS AREA
— (sq. ft.)
DOOR AREA
— (sq. ft.)
NET OPAQUE
= WALL AREA
(sq. ft.)
A. 6
33
B. -
C.
D.
M
S. ROOFICEILING AREA
I ROOFICEILING TYPE I AREA 1
GROSS ROORCEILING AREA =
HT (SHADING COEFFICIENT = _
NET ROOF/CEILING AREA =
6. AIR FILMS (LIST AIR FILMS IF USED TO DETERMINE U_ VALUES)
COMPONENT
R-Value
Outside Air Film
Inside Air Film
Wall
/7
B, 6&
Ceiling
Floor
B
0
STATE OF ,FLORIDA
' DEPARTM T.OF HEALTH AND, REHABILITATWE'SERVICE$ ,
•o,, s APPLICATION R ONSITE SEWAGE DISP SAL SYSTEM CONSTRUCTION PERMIT
-PART II -PLOT PLAN
SC/JCE
L -V71e� 6 -9 - B 7 ED S 7-
ac'F�CE
p 2,EA
\ ��wATE� POUN7X11a1 1
OTO LI Ei"S
YAGAN 7-
Commence at the 'center of Section 3, Township, 36 South,,
Range 40'East; thence run South, 315.75 feet for thee" POINT
OF BEGINNING; thence cbntinue South, 354.25 feet; thence run
West, 331 feet; thence North' 351-641 feet; thence`run,,,..test,'
330.99-feet, to the POINT 1OF BEGINNING, less rights of way
for U. S. No., 1 and canal right of _ way, all lying. and being
in Section 3, Township 36 South, Range 40 East,. St, Lucie
County, Florida. "
J-
I/ I+ I I IF
I ..
V
Sk)
m
"JAMES A. KJRBYIII
YthLl TLl�3G1�' f, LS'BURVEypg
tYIQ P.O.B OE AVENUE
7Q BOX 1628
FL 33460
(3051E,FL0621
IOON 40. -YBiI
F