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HomeMy WebLinkAboutSUBMITTED PAPPERWORKOFFICE USE ONL. ��I PLAN RE DATEFILEVIEW FEE. U RECE14?'P Idb - PERMIT NUMBER: / 0q D l--1 CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED s�LPoC St. Lucie County Building and Zoning 2Pie e, FL 34982- 6 OR Ft. Pierce, FL 34982-5652 �- 772-462-1553 FflY�P APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 4580 Uo-ea, 2�r • 2. S/D NAME: SITE PLAN NAME: �� V 3. PROPERTY TAX ID #: (-)00 - .S 4. LEGAL DESCRIPTION (attach extra sheets if necessary):,, 35 4 I 3 crc- 6� C, ,-I- Ll - Les5 Art R - ( 3 0o 0-r') n- Qq b-7 5. PLAT 6. PAGE 7. BLOCK 8. LOT BOOK 3g No.i 12 , l,� QQ NO. 1 /� NO. 1 9. PARCEL SIZE: ACRES/SQ FT. I - S 1 LOT DIMENSIONS WI.1 -4Q x 2-N k Y 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: QDDITtON I ]n -c 1!�-iCvV��rr�� , 50 1e� 11. SETBACKS (ACTUAL) FRONT: l BACK RIGHT: LEFT: �/n SIDE �� SIDE � S 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ 1 RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: reS I lefvfi C-- n 14. Sq. Ft/CONSTRUCTION: 12-1o` 15. Sq. FL IstFloor: /a Z 16. VALUE OF CONSTRUCTION: $ l D O O O 0 � a31 a 6-7, -5,)- 17te valuo of rnmtmction is used to &th mine the amount ofpermit fees to be wswsett St Lucie Countv reserves the right to question and or modify the indicated value of constmction if it is demonstrated that the submitted figures are not consistent with similar ql= of construction activities. If the value is S2500 or mom, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 --A� yb8-3ga4 OWNER INFORMATION NAME: Lk7 - ADDRESS:- CITY: I'L71t Y1Q:�L''f� STATE: @ t . ZIP PHONE (DAYTIME): A `.�' `>r Co C) B ' n--S ( f email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): STATE: CONTRACTOR INFORMATION /� ST. of FL REGXMT �##: �CGC. / S� s4 Q D p BUSINESS NAME: IIeaJ ( i WNC P�-t-y cr-,4 ROM 7 CITY: PHON ARCHIVENGINEER C—. CITY: �"1.i.PJ—✓-� STATE: PHONE (DAYTIME):( a g -7 LP-7 3 S BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: m ST. LUCIE COUNTY CERT #: m ZIP Iry v IMPORTANT NOTICE: When a perndt is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. CERTIFICATION:�4-� 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 CONDrfIONERS; ETC-.; not-otherwise-mcludedwith-this building -permit -application. The following building permit applications are exempt from undergoing a full eoncurrency 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 YOUINTEND 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. r i R'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. 4 NWNER/CONTRACTOR SIGNATURE gam"° Ann E. aaew "CONTRACTOR SIGNATURE WC0imiMwn TATE OF FLORIDA ""�� o` r.A' 6W'res0&0bw 02 pt� 7 STATE OF FLO A AUNTY OF .` ;j- LUZA PJ COUNTY OF� LL0a% eJ I Che foregoing instrument was acknowledged The foregoing ent w acknowledged oefore me this day of NQYLim, 2CO, by efore me this dad- of Qs/ , 200r1 by � nl�i ISC ,who is personally t� LGEU - , who ' Monally Iknown� or who has produced known to me or who has produced I as identification. as identification. 1 P� Ann E. Be we In-c-Vv � MY CMIMMa91an L1D259t27� Sture of Notary , a Expirest')ct6terD2, 2007 Sture of Notary C�_JL_/ h �a �S2_ I Type or Print Name of Notary- Type or Print Name of Notary CommissionNA. '-SS - (Seal) Commission No.DDa5-S(L'%(Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR TINS BUIIdNG 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. DATE FILED: 41zs�> �rs�7 a PLAN REVIEW FEE- RECEIP"I'NO.: S oLO PEmTNUMBER_ Ci704' d lcV CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie County Building and Zoning - - _ 2300Virginia Avenue '2i3RID'• - Ft. Pierce, FL 34982-5652 _ 772462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE I. LOCATION/SITE 2. 3. 4_ 5. 9. PROJECT INFORMATION S/D NAME: SITE PLAN NAME: . PROPERTY TAX ID #: 0002 — GAL DESCRIPTION (attach extra sheets if necessary): PLAT y _ 6. PAGE � NO. CK 7. N BOOK C )3�1� NO. PARCEL SIZE: ACRES/SQ FT. /, SS1 LOT DIMENSIONS _ 10. DESCRIPTION OF OR W ORK /(gyp P�/Y/O/•� y L..LOS��it��TlLdt^^f� �d 11. SETBACKS.(ACTUAL) FRONT. BACK: 8_ LOT NO. 1{7 K? K Dz?/ C7 �p4i�Ta/OiJ_ . RIGHT: SIDE 6-0 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION .{'7 EXPANSION/ADDITION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) 9 13. DESCRIPTION OF PROPOSED USE: �� <D LEFT:- SIDE [ ] INTERIOR RENOVATION [ ] INDUSTRIAL 14. Sq.FtICONSTRUCTION: I?%� 15. Sq.Ft.lstFloor- 16. VALUE OF CONSTRUCTION: $ 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 construction if it is demonstrated that the submitted figures arc not consistent with similar types of construction activities. If the value is S2500 or more, a RECORDED Notice of Commencement must he submitted with this application. SLCCDV Form No.: 001-02 CERTIFICATION,. OWNER INFORMATION NAME: "5.7- ADDRESS: O oC'gv+i.1 fL l t/ • - .CTTY: �2� STATE:,.- ZIP PHONE (DAYTIME) ���-p3email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): CONTRACTOR INFORMATION STATE: ST. of FL REGJCERT #: BUSINESS NAME: QUALIFIERS NAME: ZIP ST. LUCIE COUNTY CERT #: C;:2 ADDRESS: �{��5� �f iL ©L/ V� ,4-67- CITY: S�o`r� / STATE: ZIP PHONE (DAYTIME): (MP o2b' b —61CZ3 FAX NO. 77A-oV-7 %f�6 email: aLC ARCHIT/ENGINEER: C U,: ADDRESS: �a �, d USCG is CITY: STATE: PHONE (DAYTIME): ( cr7 e5 72-T-- BONDING COMPANY: ADDRESS: CITY: STATE: MORTGAGE LENDER: ADDRESS: CITY: STATE: ZIP ZIP ZIP t 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. This application is hereby made to obtain a permf in 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 concnrrency 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 1T IS NOT YOUR RIGHT, TTTLE, 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 SUBIECT TO ATTACHMENT. AFFIDAVIT: I certify that all the foregoing information is and that all work will be done in compliance w all applicable laws regulating cons tion and z ing. (,Z V_�Zr 2N I.RAC-TOR SI A'TURE::? CON G---OR-SIGNATU STATE OF FLO COUNTY OF The foregoing identification. loji-(� or Print Name i Commission No (Seal) STATE OF FLA `' I f . COUNTY OF (mil { ( l The foregoing iqsment a knowled ed before a this / &da f 206_7by wbef is personally Type or Commission NOTE:-rWQ-(2)-SIGNATIJRES,ARE REQUIRED: EACH SIGNATURE MUST BE NOT THIS BUILING-PERMITJAS AN OWNERIBUILDER, THE OWNER MUST PERSON THIS APPLICATION IN -THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For specific instructions see appropriate permit checklist. identification. ING FOR TO SIGN EDWIN M. FRY, Jr.. CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE k 3121475 'OOK 2893 PAGE 2015, Recorded 10/17;' "Z at 01:41 PM Bontort V. Cu Ute; o- Barhm W. Caembllsa ' 30 lU Ullth Aumme Plantation, Lti 33325-2329 PA''eTMneooP. 0704-012 TN, Wor4m„wJtu nv nOnPbee I �•, q'p NOTICE OF COMMENOMI[ T L°h�..iTp`J N1h1iW1 The mdeoiamd hmebl Sim nodes d:u Improrsmeor well be tmde ro Imlein red Prop M. sad in aeeneom" with Cbayrv7U, Iloddammes du follvwto/ inlemeldon it provided In the Nodei v£mmmeoesmeaa 1. DESCRIPTION OF PROPERTY(fepl dcimipdon red mac adds+) Ta.TFOLIO NUMBER:.252 i O3000/5. SUBOrVIS10N BLOCK TBACE___LOT_BLOG_UMT All of Gnu®act Lot 4. S29 T 75E R-hl-E SC nude Do 1.3 HAIM feeeOWWf,1.93 lW fa SB Am 1GENERALDBSCRIP710NOFAD'R04EM8b£p:_—=t•_+sli=eM/or seaodeL'—of eiT±e frodlw .;.may-,� I OWNER INFORMATION: Mama Benton W. ambldaa nod Brenda W. Olmdelise_ h%r b. Addrev_30 RW I28 /name.. Planation. FL 39325-27Z9 tlaraaclnpmPanYFfs-B1�7a a Nerve enaeddreO of hs simple ddeholdrr(Ilodvzthw oanu) p/A 4. CONJRACPORS KAML+, ADDRESS AND MOM NUMBER: Dorf GiM=fTnw. lfm r = Tn.. M35 SE RLid Olive tone. SUart. Ylordda 34997: sfm _: (772) 260-OIP3 S.SURETY'S NAMR,ADDRESS AND MOM NUMBERAND BOND AMOUNT.' OM a LENDERS NAME, ADDRIM AM PHONE NUMBER. a 7.Penomw'11 Ev lb Stem afFloridI d91iprmd by 0wmer up Do whamm eiro M. 1- upon ly Smdvt 713.13 (O(s) 7.. Florida Sureus: B. in Ovver's Aatherlied ONce/Dlrenor/Psrtver/A1maSer provided to Radon onlvss a dlQmmtdauis Benton R. mmbliso/Ovi¢ I/tins Nvmevnd ProvldeSlparory'a TIULOo f t Suu ofFI 1 Carry of—gLuQ� The fvaioinf iomvmeot wis eckowledBed before lm dds. j� dayof OCWb9r 2g 07 By Effitm W. O.mbliw u ower Memo afpeWoe) (TSpe of wdtvdy...e.t. Ownrr, olEw. naita, vnomey in lmOv Pm attaz (Nesrc ofpvrty mbcbwfcf whom lasuvOnemiu eaocured) Paronmly Rnowv_orpOdyFe�ibgJeljowJplg7tgofll)_ ', G int (Prmred Name e!NvuryPob ) h (Sip "PubBc) {; Under peomdu of Fc4wY- I deelsrrthet I hays rved the foregoing end mat the feet, in It huger (section 92.525. Florida Suro ca). ,p S(/I''=11fte(s)'of OOunorr((/s) or Oernnee%r((i)' Authorised OIEr<r/O(rectvr/Parmer/DSaor�erwho signed abovir By, iS� Zx-Y V LYLB.e..eYCGv BY STATE OF FLORIDA ST. LUCIE COUNTY THIS TO CLE. RTX.FAJR. IFYTHATTHIS IS A RCTCOPYOFTHE ORIGIN E WIN CLERK Data M1 CD C-1 N Cryry•• � O W rye ).+a /U S. DEPARTMENT OF HOMELAND SECUI; - ' ELEVATION CERTIFIU ? Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION Al- Building Owner's Name BENTON CHAMBLISS JOB# 340-ol A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 4580 SOUTH OCEAN DRIVE City FT. PIERCE State FL ZIP Code 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) SOUTH 200 FEET OF NORTH 1100 FEET GOVT. LOT 4, SECTION 29, TOWNSHIP 35 SOUTH, RANGE 41 EAST OMB No. 1660-0008 Expires Febmary 28. 2009 For Insurance Company Use: A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL As. Latftude/Longitude: Lat. _ Long. _ Horizontal Datum: ® MAD 1927 ❑ NAD 1983 AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain food insurance. A7. Building Diagram Number 5 AS. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) N/A sq it a) Square footage of attached garage NIA sq ft b) No. of permanent food openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade N/A wells within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b NIA sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name 3.3. State ST. LUCIE UNINCORPORATED 120285 ST. LUCIE FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12111CC G all 9191 11/4192 AE 8.0 Bi u. moicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)_ Bl 1. Indicate elevation datum used for SFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (C�BRS) area or Otherwise Protected Area (OPA)7 i9yes ®No Designation Date 1983 ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones At-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized NIA Vertical Datum NGVD 1929 Conversion/Comments NONE Check the measurement used. a) Top of bottom Floor (including basement, crawl space, or enclosure floor)_ 19.3 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 31.13 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) NIA._ ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) N/A._ ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.5 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) 9 Lowest adjacent (finisher) grade (LAG) 3.7 ® feet ❑ meters (Puerto Rico only) , g) Highest adjacent (finished) grade (HAG) 4.1 ® feet ❑ meters (Puerto Rico only) SECTION URVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and Seale and or, engineer, cr archdect authorized by law to certify elevation information. l certify that the informafion is C ate represents my best efforts to interpret the data available. ! understand that any false statement be nishable by fine orimprisonment under 18 U.S. Code, Section 1001. ® Check her comments a a4,'d on back of form. J. City : Stuart Fii:r_ki 0 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the t-tsponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit Sul:,. -_:, for Bldg. No.) or P.O. Route and Box No. Policy Number 4580 SOUTH OCEAN DRIVE - City FT. PIERCE State FL ZIP Code Company NAIC Number SEC N D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bottysides of this EI o CeJ f i to for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION E-BIPILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FORZONE AO AND ZONE A WTHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Ell. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and,the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) Is—_ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is__ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher Floor (elevation C2.b in the diagrams) of the building is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (lop of slab) is __ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery andfor equipment servicing the building is __ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F -PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner, or owners authorized representative who completes Sections A. Band E for Zone A (without it FEMA-issued or community -issued BFE) or Zone AO must sign here. -The statements in Sections A, B, and E are correct to the best of my knowfedge. Property Owner's or Owners Authorized Representative's Name State FL ZIP Code Signature Date Telephone Comments Tit Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. Gt. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO G3. ❑ The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compriance/Occupancy Issued G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum _ Local Official's Name Title Telephone Date ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 4580 SOUTH OCEAN DRIVE City FT. PIERCE State FL ZIP Code 34949 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. DATE OFALL PHOTOS: 6122107 i I • ,,.i r � `'I. I®alt J1 I �, � g' On. till V ti c. x- ' C -�!'�I�fIM�l��ll�lllu"J �r�„ �� ��� l� � ,, '`}t •�►w`1 `' . ji • REAR/ LEFT SIDE VIEW REAR/RIGHT SIDE VIEW 0 0 U.S. DEPARTMENT OF HOMELAND SECURII Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICAT Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 Owner's Name SECTION A - PROPERTY INFORMATION I For Insurance ComDanv Use: I A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 4580 SOUTH OCEAN DRIVE City FT. PIERCE State FL ZIP Code 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) SOUTH 200 FEET OF NORTH 1100 FEET GOVT. LOT 4, SECTION 29, TOWNSHIP 35 SOUTH, RANGE 41 EAST A4. Building Use (e.g., Residential, Non -Residential; Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Let.- Long.- Horizontal Datum: R NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 5 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) N/A sq It a) Square footage of attached garage NIA sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade NIA walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8 Community Number B2. County Name 83. State ST. LUCIE UNINCORPORATED 120285 1 ST. LUCIE I FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12111 C0194 G 8/19191 11/4192 AE 8.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile R FIRM ❑ Community Determined! ❑ Other (Describe)- B11. Indicate elevation datum used for BFE in Item B9: R NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)_ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes RNo Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` R Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Ai-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A11-A30, AR/AH, AR/AO. Complete Items C2ay below according to the building diagram specified in Item A7. Benchmark Utilized N/A Vertical Datum NGVD 1929 ConversiontComments NONE a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member(V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) information. I certify i I understand that any ® Check Check the measurement used. 17.2 R feet ❑ meters (Puerto Rico only) 27A R feet ❑ meters (Puerto Rico only) N/A._ R feet ❑ meters (Puerto Rico only) N/A._ ® feet ❑ meters (Puerto Rico only) ll .2 ® feet ❑ meters (Puerto Rico only) 3.0 R feet ❑ meters (Puerto Rico only) 4.0 ® feet ❑ meters (Puerto Rico only) SECTION -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICAI ed and sealedpfa land surveyor, engineer, or ar . tauthorized bylaw to certify elev information giphis Certificate represents est efforts to interpret the data available. ant be punishable by fine mprisonment under 18 U.S. Code, Section 1001. are vi d or back of f WHOM FEMA Form 81-31, February 2006 See reverse side for continuation. all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Uni S' md/or Bldg. No.) or P.O. Route and Box No. Policy Number 4580 SOUTH OCEAN DRIVE - City FT. PIERCE State FL ZIP Cod 949 Company NAIC Number r SEC O D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sid s of this Eleva n C icate.for (1) community official, (2) insurance agent/company, and (3) building owner. Comments' C2 a IS TH C UN \ I." LJ CheoK.heretif attachments SEC N1E:�IBUILD!Nb ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) , For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (ncluding basement, crawl space, or enclosure) is =_ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (ncluding basement, crawl space, or enclosure) is []feet ❑ meters [:]above or ❑ below the -LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _._ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Secfions A, 8, and Eare correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Address City State FL ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community and G of this Elevation Certificate. Complete the applicable ftem(s) and sign below. management ordinance can complete Sections A. measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or commun"ity4ssued BFE) or Zone AO. G3. ❑ The following information (Items G4.-G9.) is provided for community floodplain management purposes. ,. G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement - - G8: Elevation of as -built lowest floor (ncluding basement) of the building: [3 feet ❑ meters (PR) Datum _ G9. B FE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum — Local Official's Name Title Community Name _ \ Telephone \ Signature, Date \, !, \� �` Date _ ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or 4580 SOUTH OCEAN DRIVE FT. PIERCE State FL ZIP Code 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View' and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. DATE OFALL PHOTOS: 6122107 a t s JLL % ry'C•' o- o H 4 L r U.S. DEPARTMENT OF HOMELAND SECUR,' ELEVATION CERTIFICA, ` OMB No. 1660-0008. Tede7=al Emergency Management Agency ,,, Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: At. Building Owners Name BENTON CHAMBLISS JOB# 340-01 Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 4580 SOUTH OCEAN DRIVE City FT. PIERCE State FL ZIP Code 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) SOUTH 200 FEET OF NORTH 1100 FEET GOUT. LOT 4, SECTION 29, TOWNSHIP 35 SOUTH, RANGE 41 EAST A4. Building Use (e.g., Residential, Non -Residential; Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Let.- Long.- Horizontal Datum: ® . NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 5 AS. For a building with a crawl space or enclosure(s), provide A9. For a balding with an attached garage, provide: a) Square footage of crawl space or enclosure(s) NIA sq it a) Square footage of attached garage N/A sq it b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade NIA walls within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.15 NIA sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8 Community Number B2. County Name B3. State ST. LUCIE UNINCORPORATED 12=5 ST. LUCIE FLORIDA B4. Map/Panel Number B5. Suffix 136. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date 1 Effective/Revised Date Zone(s) AO, use base flood depth) 12111=94 G 8/19191 11/4192 AE 8.0 ' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined. ❑ Other (Describe)- 1311. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ONo Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. _ C2. Elevations -Zones At-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, ARIAI-A30, ARIAH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized NIA Vertical Datum NGVD 1929 Conversion/Comments NONE Cheer the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure Floor)_ 17-a ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 27.0 ® feet ❑ meters (Puerto Rico -only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A._ ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) N/A._ ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 11.0 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAgy 3.0 0 feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade ( G) 4.0 ® feet 0 meters (Puerto Rico only) SEI6 OND-SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be anded by a land urveyor, engineer, or architect authored by law to certify elevation information. I ce info b on this C fr ie ffcate represents my best efforts to interpret the data available. 1 understand tha ny Ialse to nt aybe pupfshable by fine orimprfsonment under 18 U.S. Code, Section 1001. , ® Check of form. Company 6/22/07 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Sully �r 1or Bldg. No.) or P.O. Route and Box No. Policy Number - 4580 SOUTH OCEAN DRIVE - - City FT. PIERCE State FL ZIP Code 9 Company NAIC Number S CTI -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sid f this Elevatio a ficate for (1) community official, (2) insurance agenttcompany, and (3) building owner. {�1V E - BUILDI(OG ELEVATION INFORMATION (SURVEY NOT -REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E7-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is._ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 andfor 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is __ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A. B. and E for Zone A (without aFEMA-issued orcommunity-issued BFE) or Zone AO must.sign.here:: The statements in Sections A;B,.and E.are correct to the best of my knowledge., — Property Owner's or Owner's Authorized Representative's Name City State FL ZIP Code Signature Date ` Telephone Comments The local official who is authorizec and G of this Elevation Certificate. ❑ Check here W attachments_ _ SECTION G -COMMUNITY INFORMATION (OPTIONAL) irdinance to administer the communhys floodplain management ordinance can complete Sections A, B, C (or E), the applicable items) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been sighed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or commur ity4ssued BFE) or Zone AO. G3. ❑ The following information (Items G4.-G9.) is provided for community floodplain management purposes. G6. Date Certificate Of Compliance/Occupancy G7. This permit has been issued for. ❑ New Construction ❑_Substantial Improvement G8. Elevation of as -built lowest floor (ncluding basement) of the building: _._J11 feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: __ ❑ feet ❑ meters (PR) Datum Local Official's Name.. Title • •� '. Community Name Telephone ' Signature Date ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 4580 SOUTH OCEAN DRIVE City FT. PIERCE State FL ZIP Code 34949 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. DATE OFALL PHOTOS: 6122107 EL 14 i T, Ili �Yi ' s4. C h f1 W �1' � `i'Jjj���•4� �� w� a �p:�i� - - T: REAR/RIGHT SIDE VIEW Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Benton W Chambliss Record: 1 of .1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �UCIE g Site Address: 4580 OCEAN DR ParcellD: 2529-343-0003-000-5 Sec/Town/Range: 29 :355 :41 E Account #: 34972 Map ID: 25/29S Land Use: SF Res ` Zoning: HIRD City/Cnry: ST. LUCIE COUNTY Ownership and Mailing Legal Description Owner: Benton W Chambliss Brenda W Chambliss 29 35 418 220 FT OF GOVT LOT 4-LESS A1A- (3.00 AC) (OR 2381- Address: 4580 Ocean Or 2407) Fort Pierce FL 34949 Sales Information Assessment Final Total Land and Building Date Price Code Deed Book/Page 2006 Val: 2161200 Land Value: 1698000 Acres: 1.51 10/3/2005 900000 01 DE 2381 / 2407 Assessed: 2161200 Building Value: 463200 11/27/2002 1040000 00 WD 1623 / 1776 Ag.Credil: 0 Finished Area: 4248 SgFt 9/18/1997 95000 04 WD 1103 / 2634 Exempt: 25000 1/1/1986 0 01 CV 0488 / 0243 Taxable: 2136200 TotalTax: 42767.15 BUILDING INFORMATION om am Exterior Features View: - RoofCover: ExtType: HB+ -HB+ YearBlt: Grade: B+- B+ EffYrBlt: StoryHght: 0030 - 3 Story No.Units: Interior Features BedRooms: 5 Electric: FullBath: 3 HeatType: 1/2Bath: 1 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Oual. Cond. YrSIt. SDSF - SITE DEV S-F Y 1 1 AV AV 2001 TN - Tin RoofSlmct: HP - Hip 2000 Frame: - 2000 PrimeWall: BS - CB Stucco 1 SecWall: - MX- MAXIMUM PrmintWall: FHA - FrcdHotAir AvgHVFI: ELEC - Electric Prm.Flors: 100 %Sprinkled: Land Information No. Land Use Type 1 0100-SF Res 250 -Front Ft 2 9900-UNCLSFD 205 -Front Ft ACRG 3 9900-UNCLSFD 520 -Acres ACRG More... DW - Drywall CT - Tile -Ceramic 0 Measure Depth 240 245 1.28 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclid=252934300030005 4/13/2007 �01.1 PHNd2 110. Fonndation tocatior <rr.i..: :tion . 'kqw� FOUNDATION CERTIFICATION �c E149f10 Jul. 31 199E Ol : _8HI I P1 File Number: SL-158 (Amend) Permittee Name: Dr. Walter Benedikter . Mail to: Bureau of Beaches and Coastal Systems Division of Water Facilities Florida Departm=t of Environmental Protection 3900 Commonwealth Boulevard, MS 310 Tallahassee, Florida 32399 This is to certify that all aspects of the location and all elevations of the foundation as constructed are in'accordance.with both the plans and the project description approved by the Department of Environmental Protection as part of the permit. The location certification is . based upon such surveys as are necessary to determine the actual location, pile tip and pile head elevations, and any Grade beam or cap elevations, which are specified below: (1) Distance relative to the coasW To p L-o C . c . Srcc6o,cK Lt r� -construction control line that f the seawardmost piling has been l o n , toZ So ��►+ LORyEtz placed:: ' IO'yi,'zi2-., oazH LoRs�a, Pile tip elevation: Pile head elevation: C,6,4ES•r "CM-m. cJZ'R�Gz�RE (4) (New) rya: 4,�- /—A04c� Registered Surveyor State of Florida registration Number:. . Note: Any deviations from the approved plaits and specifications shall be stated as an exception to this certification. No further yertical construction on the permitted structure is authorized until the Bureau of Beaches and Coastal Systems has notified the permittee in writing that this foundation certiffcarion has been accepted. DNR Form 73-114 (Rev. 1-85) " Poll � PHONE 110. ?^04900 Jul. 31 199E 01:26R.1 P1 Foundation Y ocatior <n.r. ,8 ti2n r� FOUNDATION CERTIFICATION File Number: SL-158 (Amend) Perinittee Name: Dr. Walter Benedikter Mail to: Bureau of Beaches and Coastal Systems Division of Water Facilities Florida,Departtnent of Environmental Protection 3900 Commonwealth Boulevard, MS 310 Tallahassee, Florida 32399 This is to certify that all aspects of the location and all elevations of the foundation as constructed are in'accordance with both the plans and the project description approved by the Department of Environmental Protection as part of the permit. The location certification is based upon such surveys as are neMsary to determine the actual location, pile tip and pile head elevations, and any grade beam or cap elevations, which are specified below: t.zq' UGSz t,F Afo'FAgA`F- (1) Distance relative to the coastal To p co G - C . Secea cs,�_ L..,tq ,.construction control line that the seawardmost piling has been l o n , (oZ Sovz►� Loa�er< placed:-.' l0137.z72 koaz.. eocsVya� nn (2) Pile tip elevation: C _11M).,, (3) Pile head elevation: (`) (5) Cap "eyation:'' ignature (Seal) •D,, Registered Surveyor State of Florida Registration Number: Note: Any deviations from the approved plans and specifications sball be stated as an exception to this certification. No further vertical construction on the permitted structure is authorized until the Bureau of Beaches and Coastal Systems has notified the permittee in writing that this foundation certification has been accepted. DNR Form 73-114 (Rev. 145) �' ` FRO9 r' PHONE N0. Foundation Loca(ior _`ication FOUNDATION CERTIFICATION b 2234900 he Jul. 31 1990 01:2bw-1 P1 File Number: SL-159 (Amend) Perttuttee Name: Dr. Walter Benedikter Mail to: Bureau of Beaches and Coastal Systems Division of Water Facilities Florida Department of Environmental Protection 3900 Commonwealth Boulevard, MS 310 Tallahassee, Florida 32399 This is to certify that all aspects of the location and all elevations of the foundation as constructed arc in'accordance.with both the plans and the project description approved by the Department of Environmental Protection as part of (lie permit. The location certification is based upon such surveys as are ,necessary to determine the actual location, pile tip and pile head elevations, and any grade beam or cap elevations, which are specified below: L.z� L,lGvc ot^ A..�oP��.� (1) Distance relative to the coastal io e> L-o G . e . 5er 64cK Lt s� construction control line that the seawardmost piling has been l 00. (oZ 1 Soaz►R + Lo. ere placed::.1�1`oazH LoR 16r� n (2) Pile tip elevation: rJ' ^ 3= -' (3) Pile head elevation: tI '-q loaves: i�o¢".51i2,,GTJRE �',� k .` (5) Cap 'evarion::° / .4cbp �rAh5;PM-: nature (Seal) Registered Surveyor State of Florida, Registration Number: 3 3c, •Da Note: Any deviations from the approved plans and specifications shall be stated as an exception to this certification. No further�vertical construction on the permitted structure is authorized until the Bureau of Beaches and Coastal Systems leas notified the permittee in writing that this foundation certification has been accepted. DNR Form 73-114 (Rev. 1-85) v' CHANGE OF SUB -CONTRACTOR FORM DATE: �j j 07, MASTER PERMIT NUMBER: U�� ©lay f)� c I ©%&�a2dt / (MAIN QUALIFIER), AM REQUESTING A CHANGE OFSUB-CONTRACTOR TO �d f� � •BL lC�--rAiI-IC FOR. THE PROJECT LOCATED AT � � J - _l Vz ,` (Project Street Address of Property Tax D)-#) BUSINESS QUALIFIER (Name of the individual shown on Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED vl83L a /D 0 etp % CO C OR'S SIGNATYkE PRINTNAME D Business Name: Address: [� `7 7t�. rW G (/J� / Y,=T /W - City/State/Lip: ^-� /,� Phone: ! .7v` email: 1_( St Lucie County n5p�ecdans RECEIVED 23G41 Vi>:gikn2 kvenne Ft Fierce, FTL, 349'62 NOV 15 2007 (772) 462.2177 Public W St. L ty CFRTI1f ECG TE OF TERMITE TMA' CONSTRUCTION SOIL TREATMENT P ,W&T #.S �' - t7 7 a�1 - 012 L SOB ADDRESS 9570 S ()Mf /V Le-, BUILD ER � �� I D& c A PEST CONTROL CONTRACT PEST CONTROL LICENSE C�914�s We, the undersigned, hereby certify that we have Pretreated the above -described coanstructioae for subterranean termites in accordance with the standards of the National Feet Control Association. Square feet of area treated: N/0 Percentage of solution: Date of treatment" Q Footing ® 1st Treatment Re -treat Slab 1st Treatment Re -treat ® Driveway �I 1st Treatment Re -treat Q Pools U 1st Treatment D Re -treat ® Other U 1st Treatment Chemicals used: �Hcn P Total gallons used: %S�S— Titme of Treatment: ]FBC104.2.6 CertifedW Of Protective Treatmera fOrprevenlibn of termites. Aweather resistant fabsite posting beard shall be provided to receive duplicate Treatment Certificates as each required protective treatment it completed providing a copy for the person the permit is issued to and another copy for the building permit files. Vie Treatment Cen fcate shall provide the product used, identih, 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 of protective treatment. If the soil chemical barrier method for termite prevention is used, finial 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. ® Re -treat ® Perimeter for Final Inspection � Signature of exterminator NOTE: There must be a completed form for each required treatment or re-trearment and this form mast be an the jab site to be picked rep by the inspector at time of each inspection or the scheduled inspection will fait art a re -inspection fee charged. P.ei•iird 4129102 dmp, 1 1 DILIGENT Lawn and Pest Congo/ 800-®IL ,. FAX 800-837-0311 'rermitePretreat.com State License JB94495 Notice of Preventative Treatment for Termites (as required by Florida Building Code (FBC) 104.2.6 and Broward Comfy Chapter FBC 105.2.2) PEST PREVENTION I LAWN & ORNAMENTAL CARE I TERMITE SERVICES [IMOSQUITO ABATEMENT I RODENT & NUISANCE WILDLIFE EXCLUSION & REMOVAL SERVICE ORDER NUMBER SERVICE DATE // //! 6 7 TIME 0156NNY ❑ CLOUDY DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON — STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE, LP CODE CCOUNTY ff1 7• Lu CONTACT PHONE NUMBER NOTES SLe- 070Zf- Ciz ;4LOAnNG MONOLITHIC ❑ CUTOUTS ❑ FOOTERS TREATMENT TYPE TAMP&TREAT ❑TREATONLY PRODUCT BASELINE ❑PROBUILD TO ACTIVE INGREDIENT ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ BAIT STATION ❑DRAGNET ❑DEMON TO ❑TERMIDOR TO ❑BORACARE ❑ CONCENTRATION 'tJ X06% ❑.12% ❑.225% ❑.5% ❑.23% ❑OTHER— GALLONS APPLIED /ys7 7 SQUARE FOOTAGE / V1(e, LINEAR FOOTAGE d-VES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS ••�.11• u3 e r•PNp pEST, O__ l 0 As per 104.2.E FBC - If sell chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval. Certificate of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.) N this notice is for the final exterior treatment, initial and date this line FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER [TERMITE MONITOR INSTALLED ❑ YES ❑ NO) Payment Terms: Customer's payment In full is due at time of initial service. Customer agrees that a finance charge in the amount of 18 % per annum will be assessed on all unpaid balances that are not satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid balance the following fees will be assessed Including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds payment fee. Customer will be respen Ible for paying all costs associated with any collection process. // A-67 — Date Applicator (Diligent Lawn and Pest Control, Inc.) Date Customer (Property Owner or Agent) �� r ® 800-DILIGENT NHQ/ an — '° r800Diligent.com Corporate 3100 NW Boca Raton Blvd. I Suite 106 1 Boca Raton, Florida 33431 1 800.487.8190 Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 http://stiucieco.gov/ce INSPECTION CARD Permit#: SLC- 0704-0121 ConfA 842 Type: Building (Miscellaneous) Issued 08/16/2007 Status: ISS Double Fee: No Job Location 4580 OCEAN DR City: FORT PIERCE Jurisdiction: St. Lucie County Lot: 4 Block: Parcel: 2529-343-0003-000/5 Subdiv: Flood: AE Elev: 8 Flood Map: 194G Job Description: CLOSE IN GROUND LEVEL FOR ADDITION OF 15 X 20 ELEVATOR AND ADD SECOND AND THIRD LEVEL ABOVE ENTRANCE. Setbacks Left: Right ;IFront 137.11 Rear, Inspection Notes: 11/5 CAN'T POST THE FORM BOARD UNTIL ALL PRIORITY 1 INSPECTIONS ARE DONE. L.GALBRAITH Contractor DOUGLAS L. CAMPORA DON CAMPORA CONSTRUCTION CO (772) 260-0123 6435 SW WILD OLIVE LN STUART, FL 34997 Property Owner BENTON CHAMBLISS (954) 608-0311 4580 OCEAN DR FORT PIERCE, FL 34949 Property Owner BRENDA CHAMBLISS ( ) - 4580 OCEAN DR FORT PIERCE, FL 34949 SUB -PERMITS Permit # Status PT Cert # DBA Owner / Builder Job Description 0704-0121-01 ISS EP 18506 COOK ELECTRIC INC Change Of Electric Sub From (21197) Parrett Nelson To Cook Electric (18506) 0704-0121-02 ISS PP 19684 BEACH PLUMBING & METER 0704-0121-03 ISS ME 20714 CRULL SERVICES INC INSPECTIONS - For Requests,, Call:, (772) 462-1261 -,- U. Permit # Code Description Priori Date Schad. Res Description Inspector Date Insp. 0704-0121 101 Notice of Commencement 1 92 " Accepted As Noted Barbara Counsello 10/17/2007 0704-0121 104 Compaction Test 1 0704-0121 110 Fooler/Foundation 1 10/18/2007 90 Approved Gary Scheigner 10/18/2007 STEM WALL FOOTER- PLEASE CONFIRM 10/17/07 window schedule with dougl comr. bac 0704-0121 122 Flood Elev Cert Under Coi 1 10/17/2007 90 Approved John Moriarty 10/1712007 07 4-0121 129 Pile Ca 1 10/18/2007 91 Partial Approval Gary Scheigner 1011812007 c`asf pilrngs-(t'rantentry) ,J.oeight'aUger ne,water jetted wood piling (reardeck)� 00/15/07 wmdow schedule with'doug/'contrbac-MUSTSUBMIT'ENGINEERSREPORT ONPI_LIRGS---) 0704-0121 12 Pile'Cap 1 _b 11/5l07 recvd engineer .ate ..-.�,- letter schopde enteryriseFCri6-tc"r` augi- ems_ lin_gs and 6 pressure treated_woo�iles- fnvd to a td for (review-bacounsel(o� Re -inspection 1 0704-0121 105 Form Board Survey 2 0704-0121 110 Footer/Foundation 2 - front stairway. ::,'i!: Permit Nun 0704-0121 0704-0121 115 Slab 2 0704-0121 121 Termite Spray 2 0704-0121 116 2nd Floor Slab 3 0704-0121 118 Column 3 0704-0121 123 Stairs (concrete steel) 3 0704-W21 125 Tie Beam 3 0704-0121 169 Elevator Shaft Walls 3 0704-0121 115 Slab 4 - 3rd floor slab. 0704-0121 118 Column 4 0704-0121 125 Tie Beam 4 0704-0121 140 Construction Rough Frami 4 0704-0121 169 Elevator Shaft Walls 4 0704-0121 115 Slab 5 - 4lh floor slab. 0704-0121 118 Column 5 0704-0121 125 Tie Beam 5 0704-0121 169 Elevator Shaft Walls 5 0704-0121 118 Column 6 0704-0121 125 Tie Beam 6 0704-0121 133 Window/Door Bucks 7 0704-0121 134 Roof Sheathing 7 0704-0121 137 Strapping 7 0704-0121 145 Truss Drwg 7 0704-0121 135 Wall Sheathing 8 0704-0121 136 Roof Dry-in/Tin Tab 8 - existing roof to receive new cement tile roofing to match new. 0704-0121 148 Window/Door Aftachment 8 0704-0121 600 Product Certification 8 0704-0121 650 Frame -all 8 0704-0121 141 Insulation 9 0704-0121 144 Hot Mop 9 0704-0121 804 Driveway Bldg 9 - D.O.T. permit required. 0704-0121 149 Progress inspection 10 - roof. 0704-0121 167 Roof Final 11 0704-0121 996 Final Termite Treatment 11 0704-0121 999 Final Inspection 11 Permit Nun 0704-0121 5'271. o , Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6443 http://www.stiucleco.org/public—works/pe"itting.htm Property Owner Inspection Notes i Inspections Building(Miscellaneous) 'ermitType Other L tories 1 Inspection Area THIRD Name BENTON CHAMBLISS Phone Business Name Date Scheduled Priorit) Status 608-0311 Max Expiration Date 02/06/2009 Inspector (Code Inspector Date Inspected 480 Plumbing Final 9 480 Plumbing Final 9 280 Electric Final 9 999 Final Inspection 11 Ken Arnold 06/02/2008 108 Engineer Letter 0 Engineer Approval Accepl Ken Arnold 06/02/2008 Ken Arnold 06/02/2008 108 Engineer Letter 0 Engineer Approval Accepl Ken Arnold 06/02/2008 101 Notice of Commencement 1 Accepted As Noted Barbara Counsello 10/17/2007 Barbara Counsellor 10/18/2007 110 Footer/Foundation 1 Approved Gary Scheigner 10/18/2007 Ken Arnold 11/06/2007 129 Pile Cap 1 Engineer Approval Accepl Ken Arnold 11/06/2007 Barbara Counsellor 10/18/2007 129 Pile Cap 1 Partial Approval Gary Scheigner 10/18/2007 Moriarty John 10/17/2007 122 Flood Elev Cart Under Const 1 Approved John Moriarty 10/17/2007 105 Form Board Survey 2 Accepted As Noted IVR System 11/06/2007 Barbara Counsellor 11/15/2007 115 Slab 2 Approved Gary Scheigner 11/15/2007 .Barbara Counsellor 11/15/2007 121 Termite Spray 2 Approved Gary Scheigner 11/1512007 Barbara Counsellor 11/15/2007 110 Footer/Foundation 2 Approved Gary Scheigner 11/15/2007 IVR Access 12/05/2007 123 Stairs (concrete steel) 3 Approved Dave Johnson 12/05/2007 Barbara Counsellor 11/29/2007 118 Column 3 Approved Gary Scheigner 11/29/2007 Barbara Counsellor 11/29/2007 169 Elevator Shaft Walls 3 Approved Gary Scheigner 11/29/2007 Barbara Counsellor 11/29/2007 123 Stairs (concrete steel) 3 Disapproved Gary Scheigner 11/29/2007 Barbara Counsellor 11/29/2007 116 2nd Floor Slab 3 Approved Gary Scheigner 11/29/2007 Barbara Counsellor 11/29/2007 125 Tie Beam 3 Approved Gary Scheigner 11/29/2007 Frank Williams 12/20/2007 125 Tie Beam 4 Disapproved Gary Scheigner 12/20/2007 Frank Williams 12/20/2007 169 Elevator Shaft Walls 4 Approved Gary Scheigner 12/20/2007 Frank Williams 12/20/2007 118 Column 4 Disapproved Gary Scheigner 12/20/2007 Frank Williams 12/20/2007 115 Slab 4 Disapproved Gary Scheigner 12/20/2007 Frank Williams 12/26/2007 169 Elevator Shaft Walls 4 Approved Gary Scheigner 12/26/2007 Frank Williams 12/20/2007 140 Construction Rough Framing 4 Disapproved Gary Scheigner 12/20/2007 Frank Williams 12/26/2007 125 Tie Beam 4 Approved Gary Scheigner 12/26/2007 Frank Williams 12/26/2007 118 Column 4 Approved Gary Scheigner 12/26/2007 Frank Williams 12/26/2007 115 Slab 4 Approved Gary Scheigner 12/26/2007 12/26/2007 140 Construction Rough Framing 4 Approved Gary Scheigner 12/26/2007 Ken Arnold 01/09/2008 118 Column 5 Approved Gary Scheigner 01109/2008 Ken Arnold 01/09/2008 125 Tie Beam 5 Approved Gary Scheigner 01/09/2008 Ken Arnold 01/09/2008 115 Slab 5 Approved Gary Scheigner 01/09/2008 118 Column 6 Accepted As Noted Gary Scheigner 01/15/2008 Frank Williams 01/15/2003 125 Tie Beam 6 Approved Gary Scheigner 01/15/2008 Ken Arnold 06/03/2008 141 Insulation 6 Approved Gary Scheigner 06/03/2008 Lode Gerstemeier 02/11/2008 146 Truss Drwg 7 Approved Gary Scheigner 02/11/2008 Lorie Gerstemeier 02/11/2008 137 Strapping 7 Approved Gary Scheigner 02/11/2008 Loris Gerstemeier 02/11/2008 134 Roof Sheathing 7 Approved Gary Scheigner 02/11/2008 Audrey Humphrey 05/28/2008 133 Window/Door Bucks 8 Approved Gary Scheigner 05/28/2008 Audrey Humphrey 05/28/2008 136 Roof Dry-inriin Tab 8 Approved Gary Scheigner 05/28/2008 t e. — VAIMi Public Works Department Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 PERMIT RENEWAL REQUEST .� p ) ADDRESS: O StP� �°=-r! �� 1 �C PERMIT NO.: / c/ 00—f 4-149-.s L-. o AA> . AM REQUESTING THAT THE ABOVE PERMIT IS RENEWED FOR EIGHTEEN MONTHS. I UNDERSTAND THAT I MUST SCHEDULE AND PASS ALL REQUIRED INSPECTIONS FOR THE PERMIT TO BE FINALED. FURTHER, I UNDERSTAND THAT THIS IS A ONE TIME RENEWAL AND THE PERMIT SHALL EXPIRE SHOULD I NOT RECEIVE A PASSING INSPECTION DURING ANY SIX MONTH PERIOD DURING THE RENEWAL PERIOD. or Datf STATE OF Fl, COUNTY OF N Swam to and subscribed before me this,Zday of 2011_-? 5m byJ09tj!�W (3QL)g)0j5 , Who is sonalky known_ or who has produced o 3 as identification. ��(o • J °I� �y. D�f p I'e^ cZi Notary Public, State of Florida / Signature ofNotary: Commission No. eal) � • � "• MyrOM SSION#DD633047 EXPIRES: March 6, 2011 FOR OFFICE USE ONLY: `> •r, ¢�` Banded nNwotariMUunean�Mo9 RENEWAL FEE: OPEN INSPECTIONS ( ) X . PERMIT FEE TOTAL INSPECTIONS ( ) Yh� S` , G" Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 http:llstlucleco.gov/ce BUILDING PERMIT Issued: 08/16/2007 Conf#:842 Permit#: SLC- 0704-0121 Job Location: 4580 OCEAN DR City: FORT PIERCE Permit Type: Building (Miscellaneous) Page 1 Job Description: CLOSE IN GROUND LEVEL FOR ADDITION OF 15 X 20 ELEVATOR AND ADD SECOND AND THIRD LEVEL ABOVE ENTRANCE. Subdiv: Lot: 4 Block: Parcel: 2529-343-0003-000/5 Contractor DOUGLAS L. CAMPORA DON CAMPORA CONSTRUCTION CO (772) 260-0123 6435 SW WILD OLIVE LN STUART, FL 34997 Property Owner BENTON CHAMBLISS 4580 OCEAN DR FORT PIERCE, FL 34949 Property Owner BRENDA CHAMBLISS 4580 OCEAN DR FORT PIERCE, FL 34949 (954)608-0311 Setbacks Left: Right: Front:137.11 Rear: Zoning: HIRD Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 1,598.00 Minimum Floor Elevation: Flood Map: 194G Flood Zone: AE Elev: 8 Job Value: $ 183,287.52 Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to comply with all requirements of the 2004 Florida Building Code. NOTICE: In addition to the requirements in this permit, there may be additional restrictions applicable to this property that may be found in the records of this County, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. s:553.79(10), F.S. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S. Christopher Lestrange Building Official Date For Automated Inspections, Call (772) 462-1261 For Questions, Call (772) 462-2172 St. Lucie County Land Development Code Section 11.05.01 (A) (2) states; Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of issuance of the Building Permit. VMSINC. 0 Final Maintenance Permit Inspection Report Category: 4 Other: Permit No.: 09 A - 41 �o � oOC] 0-7 County: Sf Luc. Q Section: State Road: A I A Inspection Date: q-7-61 permit issued to: A)U' 5 Description of work. cav ti «46h 'ToS/2 �i 14 `• Location, dis$o S_ a Cash ►by�vR �- p�rlre Fl. Remarks: Otiuv Wa4 Cowhe�.'ito, viitJ (ef4✓ ArsuiLs ('ut�of �VaiyQ�'e. / I( WORT( IS ACCEPTED SUBJECT TO THE CONDITIONS OF THE PERMIT Enspector: 1 ry•,rp-e(J fe✓viwf o iVMS„C. Final Maintenance Permit Inspection Report E Category: 4 Other: Permit omo.: 09 A — q �o Oc] o7 County: St. Lu-cta Section: State Road: A IA Inspection Date: q-7`cl permit issued to: .)ou C4 L•�p�dF � ru ��� a t� (d. l+,C Description of work. Q✓I VP�JG� c,U� ti «F•�- 7o SA f}l 4 `• Location: ReRiAarks: oilue l ay COl he lot. C6y.n��� V [�CG[JII�G�j• Owl p6VI 1(tCI / �irsU,. ;Li law /acl L�a��iD 6� ('rs�o� OVa�hQj�. WORK IS ACCEPTED SUBJECT TO THE CONDITIONS OF THE PERMIT Inspector: N �/� ` 07/26/2006 00:56 2057222048 Apr 02 09 1221p Douglas Cam m ARLINGTON RENTALS PAGE 01/01 772-m- p.ic D7� f np 121 LETIER OF ACCEPTANCE U. Driveway Connection Permit # 2009A490.0007 From: Mr. Benton Chamblim (Residual Pmpcdy Owncr) April 2, 2009 458D South Ocean Drive Fart Pierce, Florida 34949 To: Mr. John Kwmid AssetlNBiatteaa11e0 Daspectar (VW F.FJ Mr. Paul Binge Florida Depatlment of Trw"Pmtxdm Rep t3wtleaaan: owner located at 4580 South MountItis witithis aorrsspondeooethat l,the residential property Drive, in the city of Fort Pierre Florida, am aware that a ± 1 ffi' diameter concrete culvert pipe hors been abandoned in the Dcpadntent's right ofway under tie driveway entering my residence. Comegoendy. T approve and accept with my signature below that the front right Of way has boon p{aded and stabih'med with sod to oreft positive rain water drainage to flow from rim south public Pak access towards the north, a=m the asphalt driveway Connection provided MOD department's right of WZ9 I any event that their may be standing water at tie driveway area at fhe frontage of said property, I will in no way hold the Florida Departitent of Tmospartetlan or Asset Maintenance Department responarble for such as evens. Reap c*lly Submitted, ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 772462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: as'a 343-00D3-0Do-5 (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 Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF & ^t u� z y'� ACKNOWLEDGED BEFORE ME \T�HIIS_ t)-1 j DAY OF ' ✓"1 ✓� \ .2OC�I BY �� f J`JL-t �J,tVIIJII�WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED S IDENTIFICATION. >2� � J47n ;5 �!;G ese--'� SIGNATURE OF NOTARY NOTARY PUBLIC TITLE TYPE OR PRINT NAME OF NOTARY F^'la 7 COMMISSION NUMBER Ann . Baese A.4 GMseW DD253127 an Eigme� October 02, 2007 (SEAL) Building Code Compliance Division Receipt 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 httpJ/Stlucieco.gov/ce Daze: 05 April 2007 Receipt #: 0000052835 Job Address: 4580 OCEAN DR 'ecmit Number: SLC- 0704-0121 Received By: spe➢sv Amount: $100.00 Paid With: CK ,redit Card Number: Check Number: 1231 Paid By: REALTIME PROPERTY & DEVELOPMENT Sign: Benton Chambliss 4580 S. Ocean Drive Fort Pierce, FL 34949 St. Lucie County Building & Zoning ATTN: Public Works Department 2300 Virginia Avenue Fort Pierce, FL 34982 To Whom It May Concern: I, Benton Chambliss, owner of 4580 S. Ocean Drive, Fort Pierce, FL, hereby certify that I will be providing a copy of the water/sewer hook-up agreement prior to Certificate of Occupancy and will provide proof that all appropriate fees will have been paid at that time. Sincerely AP .' l/ WII Benton Chambliss Date: U / Reviewed By: Contractor: Job Location: Permit #: V 1 o/(-U a ( the permit package for the above referenced location was not accepted due to lacking the lowing items: the permit package for the above referenced location was accepted but WILL NOT be completed until we receive the following items: 1. Site Plan Approval: 2. Recorded Warranty Deed: 3. Health Dept / Utility Approval: 4. Survey, FFE: 5. Sealed Plans: 6. Notice of Commencement: 7. Subcontractor Forms: 9. Manual J's or Manual N's: 10. Wind Load Calculations: -' 11. Product Review Affidavit: 12. Vegetation Removal Permit: 13. Landscaping Plan: 14. Parking Plan: 15. Other: "•With a detailed review additional information maybe required. U b13 3ci 21 ST LUCIE COUNTY BOARD OF COUNTY PUBLIC WORKS COMMISSIONERS DEPARTMENT BUILDING & ZONING DIVISION FAX COVER SHEET FAX #: (772) 462-2522 PHONE #: (772) 462-1553 DATE c"/l 6 /J1 NO. OF PAGES INCL. COVER: RE: W cte - O I2 I SENDER: PHONE #; (�b%- �5_t55- r �r r1�i?fitG UO / . w J arxg�rs a.: Code Compliance Division Review Comments 2300 Virginia Avenue R. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 Page 1 httpJ/stiucleco.govlce PROPERTY INFORMATION Address: 4580 OCEAN DR Unit # : City/State/Tip: FPR Parcel # : 2529-343-0003-000/5 Zoning: HIRD APPLICATION INFORMATION Permit Number: 0704-0121 Activity Type: New Permit Type: Building (Miscellaneous) Contractor Name: STEVEN M. WEAVER Owner(s): BENTON CHAMBLISS BRENDA CHAMBLISS FL 34949 Jurisdiction: St. Lucie County Lot#: 4 Block: Application Type: Building Permit w/o subs Other Activity: Stories: 1 Automatic Sprinkler System? ❑ Business Name: REALTIME PROPERTY & DEVELOP. SERVICE: Business Addr: 942 SEAWAY DR City/State/Zip: FORT. PIERCE, FI Fax Number 772-468-3427 REVIEWS AND COMMENTS Review Type Status Reviewed By Date Started Date Complete Date Released Documents Missing Pending 04/16/2007 1 Comment NEED TO BRING IN A RECORDED NOC WITH PICKUP Front Counter Review Complete Valerie Spells 04/06/2007 04/05/2007 Zoning Review Pending Lydla Galbraith 04/13/2007 04/16/2007 1 CommentAPAG VATION PAGES ARE NOT LABELED CORRECT. AS FAR AS WE CAN SEE PAGE A6 WEST ON SHOULD BE THE EAST ELEVATION. PAGES NEED TO REFLEX THE CORRECT SIDES. 6 NEEDS TO BE CORRECTED. D 2 CORRECTED SEALED PAGES 04/16/2007 2 Comment E PROPOSED NEW STEPS AND DRIVEWAY NEEDS TO SHOW AT THE SURVEY AS WELL. E FRONT SETBACK NEEDS TO BE MEASURED TO THE STEPS. �(4 IrCU_l EAR SETBACK NEEDS TO BE MEASURED FROM THE PROPOSED DECK. E NEED 2 CORRECTED SIGNED AND SEALED SURVEYS 04/16/2007 3 C ent MEASUREMENTS OF PROPOSED REAR DECK ARE NOT CORRECT ON THE SURVEY AND SITE PLAN. ACCORDING TO PLANS THE DECK IS 12'X13.33' ACCORDING TO SURVEY AND SITE PLAN THE DECK IS 1.39'X? SURVEY AND SITE PLAN NEEDS TO BE CORRECTED AND HAVE ALL THE CORRECT MEASUREMENTS. WE NEED TWO UPDATED SEALED SURVEYS AND 2 UPDATEDS SEALED SITE PLANS. 04/16/2007 4 Come THE PLUMBING SUB CONTRACTOR IS ON HOLD. HIS LIABILITY IS EXP. HE NEEDS TO UPDATE (// \I HIS LICENSE Code Compliance Division Review Comments 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2622 Page 2 http7/stiucleco.gov/ce 04/16/2007 5 Comment ACCORDING TO JOB DESCRIPTION YOU ARE GOING TO CLOSE IN GROUND LEVEL FOR ELEVATOR, WHAT ABOUT THE STAIRS WITH LANDING, AND THE FIRST, SECOND AND THIRD FLOOR? IS THIS GOING TO BE DONE UNDER THIS PERMIT? THEY SHOW ON THE BUILDING PLANS. WE NEED A COMPLETE DESCRIPTION OF WORK TRANSMISSION VERIFICATION REPORT TIME : 04/16/2007 14:01 NAME : FAX TEL SER.# BROH5J320634 DATE,TIME 04/16 14:01 FAX NO./NAME 94683427 DURATION 00:00:39 PAGE(S) 03 RESULT OK MODE STANDARD ECM BOARD OF COUNTY COMMISSIONERS DATE %10 1 c'J ATTN: sT LUCIE 'COUNTY (4b5 _3(4 9-7 PUBLIC WORKS DEPARTMENT BUILDING & ZONING DIVISION FAX COVER SHEET FAX #: (772) 462-2522 PHONE #: (772) 462-1553 NO. OF PAGES INCL. COVER: 3- RE_0141 - C)(21 SENDER: PHONE #:I 4 Jam` CO a TRANSMISSION VERIFICATION REPORT DATEJIME FAX NO./NAME DURATION PAGE(S) RESULT MODE cWn 5/1`c� BOARD OF COUNTY COMMISSIONERS TIME : 05/01/2007 10:23 NAME : FAX TEL SER.0 SROH5J320634 05/01 10:22 94683427 00:00:49 04 OK STANDARD ECM ST LUCIE COUNTY 4LB'3(427 PUBLIC WORKS DEPARTMENT BUILDING & ZONING DIVISION FAX COVER SHEET FAX #: (772) 462-2522 PHONE #: (772) 462-1553- DATE: co-cA 6 le-i ATTN: NO. OF PAGES INCL. COVER: RE: Cl SENDER:_ PHONE #: J 111je- YAW/ f F--,�Jt�r -7 5.� Building Code Compliance Division Receipt 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 httpJ/stiucleco.gov/ce Date: 16 August 2007 Receipt #: 0000056686 Job Address: 4580 OCEAN DR 'emit Number: SLC• 0704-0121 Received By: spd6v Amount: $1,212.98 Paid With: CK Paid By: RENTON CHMELISS Sign: :relit Card Nmnber: Check Number: 1211 Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 hftp://stiucleco.gov/ce Date: 05 November 2007 Job Address: 4580 OCEAN DR Received By: spolsv Paid With: VS Paid By: DOUGLAS CAMPORA Building Receipt Sign: Receipt#: 0000058587 'ermit Number: SLC- 0704-0121 Amount: $5150 ,redit Card Number: XXXXXXX COCXX1345 Check Number: Code Compliance Division 2300 Virginia Avenue Fees/Pa fllelltS °•° Ft. Pierce, FL 34982 y Phone: (772) 462-1553 Fax:(772) 462-2522 •• riooress voau. ' yut aN pWner CHAMBISS NN ^>+ —� r City/StatelZip" FPR, FL, 34949 ° . °• _, — ' ParoN # 2529 3431 03-000/5 Jurisdiction CTY .. "_ Zoning HIRE. of #^' 4 ,r •' �, ; ] � "X , •-'uturpLandUse 't3eWentiaVConservat'on t Subdtvisipn 25.' 3Y .. , Btock °- APPLICATIONINFORMATION .., 4. •. s P„ermft7ype Buitdglg(MlsceOaneous).° ° tv 4pplicakiorf:Type Other ' Acdvi Y e •.. Issued YP New " y 8 ' r ,e '- S o t -b ' `Sys v a. t nesa ] stoma iCSpnnider tem ^ . ,.:,. �.. „ a ... ; *• .... FEES j Code i Type= •: Account v ¢uantiV Amount Date Posted " F.aid?, 'NpW? Chang785 • . 06 Change of Contractor 4912415 322000 200 $50.00 62/08I20o8 .g PlanR744• 06- Plan Revia w-1&2Family'Rastdi4912415322666206` '.;'';$1QOA0 '. •Od/Q¢12007^^,Yes, Radon206 06-Radon Fee' ` •• 5500004/208200'600' •' 7.99., ,� .08716/2007 ^', YeS` p, '�_' Inspe234 65D OOOQ 208201 000 •^. SPA � OS/t6J2007 Yes * • ° BJtv1S651 g01241532205tl`2007 $5 OQ `. •'. 08/1$12007 tserr't685 Od=Pet nit Fee -Re & Comm 4 ' 24' 322OW 0Q + $i r192= , . = 08f18/2007° ° Yes Chang785; `w 06=Change of Contractor ••�•`` " 49.1 2415 322000 200'ry , ° $50,06 •. ' ".^ ° ].1/05/2007 =Yes ' •`� < •_ '_ Credi694 O6-Cre5iit; Card Surcharge 39% ; ^ 49] 24i+5 549305^`200' $1 50 `:` : , '11/05}20tl7 Ctiang785 O6 Change of•Coniractor u 49i 2415322ff00,200! $50 00 • °� "' 02/08/2008 -= Yes $ �Y 40.• Y ¢ � ,6 • We Entered 02108/2008° Date Paid p2/08/2008{ " .. Entered By gersteml ,Historical? iJo •'� ' ,# E .Recaipt# Amount ' Date Poe ted` r { 0000052835 . $100.00 ' 04106/2007 - Pa(d By DON CAMPORA CONSTRUCTION CO INC +;• 0000056686 $1A21298 08}18(2007 ° Payment Type° CK i �,• " 0000058587 '• $51 50 '11105/2007 ;CheckiCK3>CashtCA" • 0040080877 $50 00 OZ}0812008 Check # 11171 +++ 4 Refund } Visa Fee ° Waived + Credit Card Numbsr, .=Revefsat r it �.redit Uard Authorition= 4 ' P ,a=• ^ A ° -;+ " Issued To: DON CAMPORA CONSTRUCTION CO INC • _,_ • Received By'. gersteml • ` ° • ' ,' Date Paid • -- $i,d14:48. -:.• .:..: $.1414.4$ :.. $,0.60 To,refrash the balance. Please cJick the Refrest Data"buttoh at the top ofThef6rm 5wu Building Code Compliance Division Receipt 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http://stiucieco.gov/ce Date: 08 February 2008 Job Address: 4580 OCEAN DR Received By: gerstemi Paid With: CK Paid By: DON CAMPORA CONSTRUCTION CO INC Sign: Receipt 0000060877 'emit Number: SLC- 0704-0121 Amount: $50.00 7redit Card Number: Check Number: 11171 ��GtGrl; Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http:ilstiucleco.gov/ce Date: 08 February 2008 Job Address: 4580 OCEAN DR Received By: gersteml Paid With: CK Paid By: DON CAMPORA CONSTRUCTION CO INC Building Receipt Sign: Receipt#: 0000060877 'emit Number. SLC- 0704-0121 Amount: $50.00 :redit Card Number: Check Number: 11171 S" Building Code Compliance Division Receipt 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http://stlucioco.gov/ce Date: 08 February 2008 Job Address: 4580 OCEAN DR Received By: gersteml Paid With: CK Paid By: DON CAMPORA CONSTRUCTION CO INC Sign: Receipt 0000060877 'ermitNumber: SLC- 0704-0121 Amount: $50.00 Jredit Card Number. Check Nmnber: 11171 5N" Building Code Compliance Division Receipt 2300 Virginia Avenue FL Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http:/Istiucieco.gov/ce Date: 08 February 2008 Job Address: 4580 OCEAN DR Received By: gerstemi Paid With: CK Receipt#: 0000060877 'ennit Number. SLC- 0704-0121 Amount: $50.00 �redit Card Number. Check Number: 11171 Paid By: DON CAMPORA CONSTRUCTION CO INC Sign: I 10 -J Code Compliance Division 2300 Virginia Avenue FL Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 httpJ/stiucleco.gov/ce BUILDING PERMIT Issued: 08/16/2007 Conf #: 842 Permit #: SLC- 0704-0121 Job Location: 4580 OCEAN DR City: FORT PIERCE Page 1 Permit Type: Building (Miscellaneous) Job Description: CLOSE IN GROUND LEVEL FOR ADDITION OF 15 X 20 ELEVATOR AND ADD SECOND AND THIRD LEVEL ABOVE ENTRANCE. Subdiv: Lot: 4 Block: Parcel: 2529-343-0003-000/5 Contractor DOUGLAS L. CAMPORA DON CAMPORA CONSTRUCTION CO (772) 260-0123 6435 SW WILD OLIVE LN STUART, FL 34997 Property Owner BENTON CHAMBLISS (954) 608-0311 4580 OCEAN DR Property Owner BRENDA CHAMBLISS 4580 OCEAN DR FORT PIERCE, FL 34949 FORT PIERCE, FL 34949 Setbacks Left: Right: Front: Rear: Zoning: HIRD Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 1,598.00 Minimum Floor Elevation: Flood Map: 194G Flood Zone: AE Elev: 8 Job Value: $183,287.52 Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to comply with all requirements of the 2004 Florida Building Code. NOTICE: In addition to the requirements in this permit, there may be additional restrictions applicable to this property that may be found in the records of this County, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. s:553.79(10), F.S. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S. Christopher Lestrange Building Official f qo-o I Date For Automated Inspections, Call (772) 462-1261 For Questions, Call (772) 462-2172 St. Lucie County Land Development Code Section 11.05.01 (A) (2) states; Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of issuance of the Building Permit. Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 http:llstiucieco.gov/ce BUILDING PERMIT Issued: 08/16/2007 Conf#;842 Permit#: SLC- 0704-0121 Job Location: 4580 OCEAN DR City: FORT PIERCE Page 1 Permit Type: Building (Miscellaneous) Job Description: CLOSE IN GROUND LEVEL FOR ADDITION OF 15 X 20 ELEVATOR AND ADD SECOND AND THIRD LEVEL ABOVE ENTRANCE. Subdiv: Lot: 4 Block: Parcel: 2529-343-0003-000/5 Contractor DOUGLAS L. CAMPORA DON CAMPORA CONSTRUCTION CO (772) 260-0123 6435 SW WILD OLIVE LN STUART, FL 34997 Property Owner BENTON CHAMBLISS 4580 OCEAN DR FORT PIERCE, FL 34949 Property Owner BRENDA CHAMBLISS 4580 OCEAN DR FORT PIERCE, FL 34949 (954)608-0311 Setbacks Left: Right: Front:137.11 Rear: Zoning: HIRD Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 1,598.00 Minimum Floor Elevation: Flood Map: 194G Flood Zone: AE Elev: 8 Job Value: $ 183,287.52 Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to comply with all requirements of the 2004 Florida Building Code. NOTICE: In addition to the requirements in this permit, there may be additional restrictions applicable to this properly that may be found in the records of this County, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. s:553.79(10). F.S. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S. Christopher Lestrange , Building Official Date For Automated Inspections, Call (772) 462-1261 For Questions, Call (772) 462-2172 St. Lucie County Land Development Code Section 11.05.01 (A) (2) states; Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of issuance of the Building Permit. ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT F�OR10p' BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (Inapplicable): if, C C Name) F=-7 C 0v0 ao4 3 have agreed to be the eile rl &J sub -contractor for FeGU —inPrf r0 � M-(-rv+ (Type of Trade) (Primary Contractor) �� I 2 for the project located at 4 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 ✓ G �� WeiEzDn PO-e- - _d z-e)7 SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: .Phone: C, Z5 q D - 3 a-1 3 email: ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. State of Florida Certification Numberr (if appucabfe)_ Cr-Co 5 % � g S L—leau I l yvlY 1" U tA'C-rl C,,n -�'l( .. have agreed to be the (company 1 sub -contractor for l d I tyyL � rtlgwfv - (Type- of Trade) (Primary Contractor -04�/ I C'(-5 for the project located at (Project Street Address or Property Tax ID 1) 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) PRINTNAME DATE Business Name: Address: City/Statelzip: -r ;Phone: % 7 a- g I- 1 rj email: ST. LUCIE COUNTY PUBLIC WORKS a BUILDING & ZONING DEPARTMENT onto4 . BUHMING PERMIT SUB -CONTRACTOR AGREENICNT St Lucie County Contractor CertificationNumber. c)—,L 1 "1 State of Florida Certification Number (if apph-g-)� 13 O C % Z 6 L agreed to be the v A Ci sub contractor for I I M� f4VelQejYti (Type of Trade) (Primary Contractor)Ley-u I Cam. --:I� (— for the project located at +5 90 (�, , 00� , �-?ejlze (Project Street 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 Address: City/State2ip: Phone: —7 "12-- Je,4 &off` `E S v� PRINT NAME DATE St. Lucie County Building & Zoning 2300 Virginia Ave ow Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY . p1 �LrnP l Cp I JlN ' will be using the following sub -contractors for'the (Company/Individual ame) i CCy-y project located at Lfsx V (Street address or Property Tax ID t) 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 C G ,j �^q -7 CW Co `lam Plumbing IwYvb��� InG dS-j�8S HVAC/ I ` SON l Gt; Mechanical Roofing Gas PERMIT ISSUE DATE: NUMBER: f' ST. LUCIE 0. (n Y DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERNQT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. State of Florida Certification Number (If applicable): •fir_ fNINNNNINN1NYt1111ff1rY11NN 1NYYr1ilNNNHNN has agreed to be (companyfindividual name) the Ek2rAC tCaX sub -contractor for, mtr�c7�l one} (type of construction trade) (name of tAe prime contractor) for the project located at ��0%2iYt-7)r l)&, 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 Community Development Department (Growth r Management Division) of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). itYNNH1NH4HYlYYiHIIfYH1YkNHHHYkYIYYYYYYifiYtlHHIYYHNHfNYHYHIYYHI BUSINESS QU LIFIER (original signatures required): 7 ry si ature print name date business name: address: city,state,zip: phone: - SLCCDV FORM NO.: 002-00 PERMIT 0 ISSUE DATE I 'a:: SS-N NOIiVOI�7[1ffiWOO• Ll'll (.v.i.ia Z0. El 'OnV ��3 � f-lnn•,� El r�c�. 01 z ST. LUCIE COUNTY PUBLIC WORKS BUILDIl�G & ZONING DEPARTMENT BUILDING PERMIT SU$-CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: Zo I2 —I State of Florida Certification Numbei(if appplicabie): �iF� �¢25�1 S 17n-Q_ A t J M �jlYl�C _ roJm-QG ml ve agree o be the Q W fY')V!J n q shb-contractor for (Type of Trade) (Primary Contract r) for the project located at 46f �o c,, n" r-la D r. ( rojcct•Street•Address or'Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIE� (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES Al 1E REQUIRED i hnni d G- 41 R-x III -Ito SIGNATURE PRINT NAME DA E Business Name: Address: City/Statc/Zip: Phone: CIFFTf:F, TTRF n PERMIT # ISSUE DATE Sl.t-+ 1 CA t3 Co . M+ 0 �/05/2008 11: 51 7724625267 ST LUCIE CO PAGE 01 ST. LUCIE COUNTY pUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: p3tfv State of Florida Certification Number grappttable): 004-01AI 5-cuflRT�ooFtNG INc• (CompanyName/Individual Name) have agreed to be the Roo r 10 G sub -contractor for �1 R" C (Type of Trade) I�MPOK A COP1 S ( . (Primary Contractor) for the project located at LI5$O ��PN�t2w2 (Project Street Address or Property Ta.N FD 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) a1-5lo$ DATE Business Name: S'TO P PT 10( t)D QG INC. Address: 14O N�_ 1%mp- HLO-I. City/state/zip: 5"fOAPT FL 3L ciety .Phone: —LZBSy email: RESUA RECEIVED added FEB 0 8 2008 PEW 'CTING Caya St. Lucia Cowrty, FLnn LL CK" � � 04/17/2007 23:32 r� 7724625267 sr LUCIE Co m s,r.7LULm CO-Umyy mjcwURRS BIMMING & ZON NG DEPARTMENT 0o a gbacioOD,mty Ceiaoc2donNum>tien 111= ooG o t�' -M nf iorida Cectificariunl3mnber �r> x �_ L_LLea >a�g-3y3-ooba- 6Do/S It is understood tltat,if them is any change of status zEdazd>su°�p�oypahon with the above mendorie�`pro3e I will imlmediateiY advise tire" Bmlding and Zonis ;D� of St. Lucie County by PessonaIIY Ong a Chm6o.e of cpametornon�- (� S'CMv rse.004-M) (Name ofthe ]ladividwJ sturw'u onthe Conar`s L'eevse) BUSINESS QUAT.UM _ 'Eft ORIGINAI. SIGN RE UIRE� ,C 1 DATY glmp¢cgNeMC: AddteS_uuc: .Ph - Cak-A;LI.JC'+ VL7.:� .tea Co- O-cr U 5 RECEIVED FEB 0 6 2008 PLRM17TING , St. Lucie CountY,F6 j5a i r• Cavn 04/17/2007 23:32 772462521 ST LUCIE CO ; PAGE 07 ST. ILUCM COUNTY PUBLIC WOPMS BUMDMG & ZONING DEPART ONT BTMDING FIMMIT SU13-CONTRACTOR AGREEMENT St Lucie ColmtyContractor Certification Number: 7 1" LPOo ©©(� State of Florida Certification Number (tcaantjcl fc): co YA,52— T � � f / a A.171, l A,,C 6ave agreed to be the iz sub -contractor for gas of Trade) {P Contractor) for the project located atySYtp 062aw )(/IrP .%P�/ (Pmicct Street Addn= or Property Tax II? #) It is understood that, if ere is any c o s gs egg�ng o r p I'm th the QQ�' 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 QUAIJMR (Name of the Individual shown on the COAnactOt'S LicenSe) Business Name Address: CirylStaiclzip: Phnnc: � 1 1 J ST. LUCIE COUI\; DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT -YOC 61,Aclirn3 fQfv-,!A *� sr c -ono =alai St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): 185oc.Q N..1ff...NNN.IN1N..f1NNNiN.Nf.....ii..ff..fNNNN.ffNN1.f.NfNN.Nyf has agreed to be (company/individual name) the .E Iec A(' i CCU sub -contractor for-�1Ct1Po2� t tS i .6). (type of construction trade) (name of the prime contractor) for the project located at �k58d ocoan l rwe _ It is understood that, (street address or property tax ID #) if there, is any change of status regarding our participation with the above mentioned projecta will ''immediately advise the Community Development Department '(Growth Management Division) of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). fiftfNtffffNflfNNfNNfffNHfNiNfffNffNRfNNNN BUSINESS QUALIFIER (original signatures required): r ����QQ�✓ T M C d r� �O Ignatu print name ate business name: , address: city,state,zip: phone: -'/�/,'-� ..y:�•'/i' - - ... ,.., � �- -..�.. .. .. .. -. is �-• .':. �-SLCCDV FORM NO.i-002-00 PERMIT # ISSUE DATE • • - Joseph P. McCarty, Architect, Inc. 900 East Osceola Street Stuart, Florida, 34994 772-287-6735 fax:772-287-4618 DPR Registration Number 9639 June 11, 2007 St. Lucie County Code Compliance Division 2300 Virginia Avenue Fort Pierce, Florida 34982 RE: Chamblis Residence, 4580 Ocean Drive Permit Number 0704-0121 To Whom It May Concern: Please be advised that I am the Design Professional of Record on the above referenced project. tAttached is a copy of The Bureau of Beaches and Shores Foundation Certificate showing lowest horizontal member feet NGVD. This beam is° 16" thick, floor system is 8" thick, establishing finished floor aVfO.3 feet. s info7atieri-kes.lae n added to sheet Joseph P. Joseph P. McCarty, Architect, Inc. 900 East Osceola Street Stuart, Florida, 34994 772-287-6735 fax:772-287-4618 DPR Registration Number 9639 June 11, 2007 St. Lucie County Code Compliance Division 2300 Virginia Avenue Fort Pierce, Florida 34982 RE: Chamblis Residence, 4580 Ocean Drive Permit Number 0704-0121 To Whom It May Concern: Please be advised that I am the Design Professional of Record on the above referenced project. Attached is a copy of The Bureau of Beaches and Shores Foundation Certificate showing lowest horizontal member at •17.3 feet NGVD. This beam is'16" thick, floor system is 8" thick, establishing finished floor g2A.3-felt. This information has been added to sheet Joseph P. McCarty Joseph P. McCarty, Architect, Inc. 900 East Osceola Street Stuart, Florida, 34994 772-287-6735 fax:772-287-4618 DPR Registration Number 9639 July 9, 2007 St. Lucie County Code Compliance Division 2300 Virginia Avenue Fort Pierce, Florida 34982 Attn: John Moriarty RE: Chamblis Residence, 4580 Ocean Drive Permit Number 0704-0121 Dear Mr. Moriarty, Enclosed please find two current surveys. Beaches and Shores requires elevations to be given in NAVD format, whereas everything else is NGVD. Both elevations are given, with the NGVD elevations in boxes (and highlighted yellow) Elevation certificate is included with elevation of existing house. The new ground floor is to be at elevation 4.83 and 5.0 NGVD wit the proposed bathroom on the ground floor elevated to 8.17 NGVD to get it higher than the 8.0 NGVD FEMA BFE. 17.3 NGVD Bottom of structure has been added to plans. All elevations on plans are NGVD. Revised energy calculations are included and manual J was calculated and is included showing that the existing HVAC systems are adequate to handle the minor added area on each floor. There is no HVAC in the new ground floor level. Drawings have been revised to indicate that the plans have been prepared to the 2004 Florida Building Code with 2006 revisions. As discussed by phone, we will apply for a DOT permit, but would like the permit to be a CO condition, so we can start work on the house. A note has been added to ground floor plan to indicate that any equipment or electrical outlets, disconnects panels or switches to be mounted above the BFE of 8.0 NGVD. Elevator specifications are enclosed. Electrical load calculations have been added to Sheet Al. Sheet A5 has been revised to show secondary weather barrier. Sheet Al has been revised to show railing detail and design loads. r-- 1620 Tangerine Street Melbourne, FL 32901 October 23, 2007 SCHOPKE ENTERPRISES, INC. CGC061587 PE 9872 NOV05dV1 a 2007 (321) 676-5456 (321) 723-9354� (800) 595-1268 FAX (321) 723-1294 Don Campora Construction Co. 6435 SE Wild Olive Lane Stuart, FL 34997 REF: Cambliss Residence, 45080 Ocean Drive, Fort Pierce, FL -. Permit#: c�S'L"C=0704=0:12`h'?� Gentlemen: Installation of the 11 auger cast pilings and 6 pressure treated wood piles for the above referenced residence were performed on October 16, 2007 and witnessed by the undersigned. These pilings were drilled to the depth specified on the approved plans and reinforcing steel installed accordingly. This work was done in strict accordance with applicable portions of 1810.3.3 of the Florida Building Code 2004 edition. The equipment used met or exceeded the requirements of this specification and 136% of calculated grout take was obtained. The pressure treated wood piles were inserted in drilled and filled grouted holes thereby yielding the same compression and tension capacities as the 11 auger piles. We therefore recommend acceptance of this installation. Respectfully, Emory N. Schopke, P.E. FL Reg. #9872 ENS:tft }C Cj -7 HEAST ELEVA 905 WAGNER PLACE FT. PIERCE, FL.349K PHONE (772) 461-0030 FAX (772) 461-9008 ra.--t4;-n9 To whom it may concern, The elevator installation at the above address is complete and has been installed and tested in accordance to all applicable Florida State codes. in y, rles S. McGee President, Southeast Elevator, Inc. May 22 08 01:45p Mccarty Hrcnitect Joseph P. McCarty, Architect, Inc. 900 East Osceola Street Stuart, Florida, 34994 772-287-6735 fax:772-287-4618 DPR Regisbmion Number 9639 May 22, 2008 St. Lucie County Code Compliance Division 2300 Virginia Avenue Fort Pierce, Florida 34982 Attn: Chris Lestrange CBO RE: Chambliss Residence, 4580 Ocean Drive Permit Number 0704-0121 Dear Mr. Lestrange, rrc car Joao r.. ©?oy-Olz/ As per our discussions, please be advised that I have determined that the residential fire sprinkler system on the above referenced project is not required by the Florida Building Code 2004 or St. Lucie County Zoning. As such, the owner has decided to abandon the system. Hard -wired, interconnected smoke detecto re 4ded as a minimum in each bedroom and in common areas m as well as ground floor. Sincerely, Joseph P. j 1620 Tangerine Street Melbourne, FL 32901 October 23, 2007 SCHOPKE ENTERPRISES, INC. CGC061587 PE 9872 (321) 676-5456 (800) 595-1268 CORRECTED CERTIFICATION Don Campora Construction Co. 6435 SE Wild Olive Lane (321) 723-9354 FAX (321) 723-1294 Stuart, FL 34997 REF: Cambliss Residence, 4580 Ocean Drive, Fort Pierce, FL Permit #: SLC_Q7.04-0121 SLC-0812-0270 Gentlemen: Installation of the 11 auger cast pilings and 6 pressure treated wood piles for the above referenced residence were performed on October 16, 2007 and witnessed by the undersigned. These pilings were drilled to the depth specified on the approved plans and reinforcing steel installed accordingly. This work was done in strict accordance with applicable portions of 1810.3.3 of the Florida Building Code 2004 edition. The equipment used met or exceeded the requirements of this specification and 136% of calculated grout take was obtained. The pressure treated wood piles were inserted in drilled and filled grouted holes thereby yielding the same compression and tension capacities as the 11 auger piles. We therefore recommend acceptance of this installation. Respectfully, J Emo . Schopke, P.E. FL Reg. #9872 ENS:tft Horida Departrac.___ of Governor Environmental Protection JLt. Goovernvernorr Marjory Stoneman Douglas Building L,. 3900 Commonwealth Boulevard Michael W. `Sole Tallahassee, Florida 32399-3000 Secretary January 29, 2007 Benton W. and Brenda W. Chambliss c/o Joseph P. McCarty, Architect 900 East Osceola Street Stuart, Florida 34994 Dear Mr. McCarty: Notice to Proceed Permit Number: SL-238. Permittee Name: Benton W. and Brenda W. Chambliss Your request for a permit pursuant to Section 161.053, Florida Statutes, for construction or other activities seaward of the coastal construction control line, has been approved by the Department of Environmental Protection. However, construction may not commence until after the permittee complies with any preconstruction requirements described in Special Permit Condition 1. Please read the permit and permit conditions including both the General Permit Conditions and any Special Permit Conditions. closely before starting construction. General Permit Conditions I(q) and I(s) pertain to written reports which must be submitted to the Department of Environmental Protection at specified times. Forms for use in preparation of these reports are enclosed. Make sufficient copies of the periodic report form to provide the required reports. The periodic reports are due in the office of the Bureau of Beaches and Coastal Systems on a monthly basis on the last working day of each month. No progress reports are required until such time as construction activities have started. The permit will expire on January 26, 2010. Upon receipt of a timely written request signed by the permittee or authorized agent, the Department will consider extending the permit for up to but no more than three years. You must apply for a new permit for completion of any work not accomplished under the original permit. Although you may apply for a new permit, there. is no assurance that such new permit for the same construction or activities would be approved. Any person whose substantial interests are affected by any decision of the Department on the application has the right to request an administrative hearing in accordance with the provisions of Sections 120.569 and 120.57 of the Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-106.201 of the Florida Administrative Code, as indicated below. Send requests for hearings to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department must receive the request within twenty-one (21) days after your receipt of this notice. When the Department receives an adequate and timely filed request for hearing, the Department will request the assignment of an administrative law judge. Once an administrative law judge is requested, the referring `Afore Protection -Less Process" www.dep.stale.Jl.us Joseph P. McCarty, Architect January 29, 2007 Page Two agency will take no further action with respect to the proceeding except as a party litigant, as long as the Division of Administrative Hearings has jurisdiction over the formal proceeding. Rule 28-106.201(2), Florida Administrative Code, explains what must be included in a petition for a formal administrative proceeding. (a) The name and address of each agency affected and each agency's file or identification number, if known; (b) The name, address, and telephone number of the petitioner; the name, address, and telephone number of the petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; and an explanation of how the petitioner's substantial interests will be affected by the agency determination; (c) A statement of when and how the petitioner received notice of the Department's action; (d) A statement of all disputed issues of material fact. If there are none, the petition must so indicate; (e) A concise statement of ultimate facts alleged, including the specific facts the petitioner contends warrant reversal or modification of the Department's proposed action; (f) A statement 'of the specific rules or statute the petitioner contends require reversal or modification of the Department's proposed action, including an explanation of how the alleged facts relate to the specific rules or statutes; and (g) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Department's proposed action. A person may request an extension of time to petition for an administrative hearing. The person filing the request for extension must do so within the time limits for filing a petition described above and serve all parties with the request. The request must state why an extension is needed. The Department will grant an extension only when good cause is shown. If a petition or request for extension of time is filed, further order of the Department becomes necessary to effectuate this,notice. Accordingly, the Department's final action may be different from the position taken by it in this notice. Actions undertaken by you under this permit, pending the lapse of time allowed for the filing of such a request for hearing, may be subject to modification, removal, or restoration. Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Section 120.57 of the Florida Statutes and to participate as a party to the proceeding. If a legally sufficient petition for hearing is not timely received this notice constitutes final agency action. When this order becomes final, any party to the order has the right to seek judicial review under Section 120.57 of the Florida Statutes and Rule 9.030(b)(1) and 9.110 of the Florida Rules of Appellate Procedure by filing a notice of appeal with the Department of Environmental Protection, Office of General Counsel, Department Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399, and with the appropriate district court of appeal within thirty days after this final order is filed with the Department Clerk. Joseph P. McCarty, Architect January 29, 2007 Page Three The notice filed with the district court must be accompanied by the filing fee specified in Subsection 35.22(3) of the Florida Statutes. Any subsequent intervention will only be at the approval of the presiding officer upon motion filed under Rule 28-106.205, Florida Administrative Code. A person whose substantial interests are affected by the Department's proposed agency action may choose to pursue mediation as an alternative remedy under Section 120.573 before the deadline for filing a petition. Choosing mediation will not adversely affect the right to s hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth below. A person may pursue mediation by reaching a mediation agreement with all parties to the proceeding (which include the applicant, the Department, and any person who has filed a timely and sufficient petition for a hearing) and by showing how the substantial interests of each mediating party are affected by the Department's action or proposed action. The agreement must be filed in (received by) the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, by the same deadline as set forth above for the filing of a petition. The agreement to mediate must include the following: (a) The names, addresses, and telephone numbers of any persons who may attend the mediation; (b) The name, address, and telephone number of the mediator selected by the parties, or a provision for selecting a mediator within a specified time; (c) The agreed allocation of the costs and fees associated with the mediation; (d) The agreement of the parties on the confidentiality of discussions and documents introduced during mediation; (e) The date, time, and place of the first mediation session, or a deadline for holding the first session, if no mediator has yet been chosen; (0 The naive of each party's representative who shall have the authority to settle or recommend settlement, and (g) Either an explanation of how the substantial interests of each mediating party will be affected by the action or proposed action addressed in this notice of intent or a statement clearly identifying the petition for hearing that each party has already filed, and incorporating it by reference. (h) The signatures of all parties or their authorized representatives. As provided in Section 120.573 of the Florida Statutes, the timely agreement of all parties to mediate will toll the time limitations imposed by Sections 120,569 and 120.57 for requesting and holding an administrative hearing. Unless otherwise agreed by the parties, the mediation must be concluded within sixty days of the execution of the agreement. If mediation results in settlement of the administrative dispute, the Department must enter a final order incorporating the agreement of the parties. Persons whose substantial interest will be affected by such a modified final decision of the Department have a right to petition for a hearing only in accordance with the requirements for such set forth above, and must therefore file their petitions within twenty-one days of receipt of this notice. If mediation terminates without settlement of the dispute, the Joseph P. McCarty, Architect January 29,2007 Page Four Department shall notify all parties in writing that the administrative hearing processes under Sections 120.569 and 120.57 remain available for disposition of the dispute, and the notice will specify the deadlines that then will apply for challenging the agency action and electing remedies under those two statutes. You are advised that notice of this agency's final action on this permit has been given to other interested parties. They have fourteen (14) days from receipt of the notice to exercise any rights they may have under Chapter 120, Florida Statutes. Actions undertaken by you under this permit, during this period may be subject to modification, removal or restoration. The authorized work is strictly limited to that described on the enclosed Final Order. If you have any questions pertaining to this permit, please contact me by mail at the letterhead address (add Mail Station 300), by telephone at (850) 921-7778, or by email at mailto:Amv.Albanese@dep.state.fl.us. Sincerely, F ' z ettstein, Environmental Manager ureau of Beaches and Coastal Systems FW/aw Enclosures cc: Permit Information Center John McDowell/Mark Taynton, Field Engineer St. Lucie, Building Official Benton W. and Brenda W. Chambliss, Property Owner CLORl Ikk ammmmEffmw PERMITTEE Benton W. and Brenda W. Chambliss c/o Joseph P. McCarty, Architect 900 East Osceola Street Stuart, Florida 34994 DEP ,SENT OF ENVIRONMENTAL PROTECTION urvision of Water Resource Management Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd. - Mail Station 300 Tallahassee, Florida 32399-3000 (850)488-7708 PERMIT NUMBER: SL-238 PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINAL ORDER FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the coastal construction control line that are indicated in the project description, was filed by the applicant/pennittee named herein on August 16, 2006, and was determined to be complete pursuant to rule on October 31, 2006. The proposed project is to be located landward of the 30-year erosion projection and the existing line of construction established by major structures in the immediate area. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons; the Department finds that upon compliance with the permit conditions, the activities indicated in the project description of this permit are of such a nature that they will result in no significant adverse impacts to the beach/dune'areas or to adjacent properties; that the work is not expected to adversely impact nesting sea turtles, their hatchlings, or their habitat; that the work is expendable in nature and/or is appropriately designed in accordance with Section 62B-33.005, Florida Administrative Code; and that it is an activity or type of construction which the designee of the Chief of the Bureau of Beaches and Coastal Systems has authority to approve or deny pursuant to Delegation of Authority, DEP Directive 137, effective May 14, 2001. Based on the foregoing considerations, the designee approves the application; authorizes construction and/or activities at the location indicated below in strict accordance with the project description, the approved plans (if any) and the General Permit Conditions which are attached and are by this reference incorporated herein, and any additional conditions shown below, pursuant to Section 161.053(5), Florida Statutes. EXPIRATION DATE: January26, 2010 LOCATION: Between approximately 88 feet and 325 feet north of the Department of Environmental Protection's reference monument R-63, in St. Lucie County. Project address: 4580 Ocean Drive, Ft. Pierce. PERMITTEE NAME: Benton W. and Brenda W. Chambliss PERMIT FILE NUMBER: SL-238 PAGE PROJECT DESCRIPTION: Landward Entry Addition 1. Location relative to control line: Approximately 68 feet seaward. 2. Exterior dimensions: 29 feet in the shore -normal direction by 40 feet in the shore -parallel direction. 3. Type of foundation: Piles. Excavation 1. Total volume of excavation: Approximately 34.7 cubic yards. Volume of net excavation: None; excavated material to be placed as fill on the project site. See Special Permit Condition 2. 2. Location of excavation to be removed: Trom approximately 0 feet to 68 feet seaward. Other Structures/Activities: 1. A paver driveway is to be located approximately 99 feet seaward of the control line. 2. A seaward deck addition is to be located approximately 143 feet seaward of the control line. 3. Exterior lighting. See Special Permit Condition 5. SPECIAL PERMIT CONDITIONS: 1. Prior to commencement of construction activity authorized by this permit, a preconstruction conference shall be held at the site among the contractor, the owner or authorized agent, and a staff representative of the Bureau of Beaches and Coastal Systems to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. The proposed locations of the structures shall be staked out for the conference. Contact John McDowell, toll free pager number 877/314-1329, to schedule a conference. 2. All rubble and debris resulting from this construction shall be removed to a location landward of the coastal construction control line. PERMITTEE NAME: Benton W. and Brenda W. Chambliss PERMIT FILE NUMBER: SL-238 PAGE 3. All material excavated shall be placed seaward of the coastal construction control line. 4. The permittee shall remove all invasive nuisance plant species from seaward of the control line, including but not limited to Australian pine, Casuarina spp., Brazilian pepper, Schinus terebinthifolius, beach naupaka, Scaevola taccada, and others on the Florida Exotic Pest Plant Advisory Council List of Category I and II Invasive Species. Plantings in other areas of the project site shall not include invasive nuisance plant species such as listed in the Florida Exotic Pest Plant Council's May 2003 List of Invasive Species Category I and II. 5. All lighting shall be installed and maintained as depicted in the approved lighting schematic. No additional permanent exterior lighting is authorized. Approved plans are incorporated into this permit by reference. -�l Done and ordered this 26 day of .nJuV 1 2007, in Tallahassee, Florida. Attachment: General Permit Conditions FILING AND ACKNOWLEDGEMENT FILED, on this date, pursuant to 5120'.52 Florida Statutes, with the designated Department Clerk, receipt of which is hereby acknowledged. 'l Deputy Clerk _ Date i State of Florida Department o n ronmental Protection FfiX Wettstein, Environmental Manager reau of Beaches and Coastal Systems ENVIRONMENTAL PROTECTION Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd., Mail Station 300 Tallahassee, Florida 32399-3000 Telephone (850) 488-7708 Fritz lAre( stem, Environmental Manager Date FW/aw cc ``Permit Fite DEP Form 73-131 (Updated 2/06) y J To: St. Lucie Building Department 2300 Virginia Avenue Ft. Pierce, Florida 34982 RE: Permit # SLC - 0704 — 0121 4580 South Ocean Drive Ft. Pierce, Florida To Whom It May Concern: 6445 SW Gaines Ave. Stuart, Florida 34997 (772)283-4761 February 8, 2008 ** ChaneeofSub-Contractor ** This,correspondence is intended to inform the St. Lucie Building Dept. that we, Don CamporwConstroction Co., Inc., have contracted with" Stuart Roofing, Inc." to complete our Roofing work at the above referenced job. The contract with the prior Roofing Sub -Contractor was terminated. Ct y Submitted, Douglas L Campora President of Don Campora Construction Company, Inc. 1 t To: St. Lucie Building Department 2300 Virginia Avenue Ft. Pierce, Florida 34982 RE: Permit # SLC - 0704 — 0121 4580 South Ocean Drive Ft. Pierce, Florida 6445 SW Gaines Ave. Stuart, Florida 34997 (772)283-4761 February 8, 2008 ** Chamee of Sub -Contractor ** To Whom It May Concern: Thus correspondence is intended to inform the St. Lucie Building Dept. that we, Don ,CamposCcnstruction Co., Inc. , have contracted with 'Nis -Air Air Conditioning " (Lic. # CACO-41199) to complete our mechanical / Air -Conditioning work at the above referencedjob. The contract with the prior mechanical Sub 6 was terminated . ':R!etspe;flySubmi*ouglas mpos President of Don Campora Construction Company, Inc. MU(gQOG/G ryi o� �3d g ,W'4 f19,'."&- I— -/ ,/.Iw j� #DD 321108 ; as � ��-w - • w ��� qa B*,aeamN �' oQ� (f ZIC ;5r81fc nc'�Q . . . . . . . . . . . V . . . . . . . a Joseph P. McCarty, Architect, Inc. 900 East Osceola Street Stuart, Florida, 34994 772-287-6735 fax:772-287-4618 DPR Regishation Number 9639 May 27, 2008 St. Lucie County Code Compliance Division 2300 Virginia Avenue Fort Pierce, Florida 34982 RE: Chambliss Residence, 4580 Ocean Drive Permit Number 0704-0121 To whom it may concern: RE: repair of pre -cast floor slab at old tub drain. Please be advised that all exposed steel strands or rebar are to be wire -brushed clean and then epoxy coated. Floor slab void to be filled with non -shrink grout, with plywood form attached to bottom of concrete slab with tap -cons as required. Sincerely, \) 1 Joseph P. / W_ Joseph P. McCarty, Architect, Inc. 900 East Osceola Street Stuart, Florida, 34994 772-287-6735 fax:772-287-4618 DPR Registration Number 9639 May 22, 2008 St. Lucie County Code Compliance Division 2300 Virginia Avenue Fort Pierce, Florida 34982 Attn: Chris Lestrange CBO RE: Chambliss Residence, 4580 Ocean Drive Permit Number 0704-0121 Dear Mr. Lestrange, As per our discussions, please be advised that I have determined that the residential fire sprinkler system on the above referenced project is not required by the Florida Building Code 2004 or St. Lucie County Zoning. As such, the owner has decided to abandon the system. Hard -wired, interconnected smoke detectors are provided as a minimum in each bedroom and in common areas adjacent to eaeh.l;� t`as well as the ground floor. Sincerely, ' N �— May 15 08 03:16p Mccar*-1 8rchitect 1 Joseph P. McCarty, Architect, Inc. 900 East Osceola Street F072 28-�" -11EI p.l S�zz Stuart, Florida, 34994����� 772-287-6735 fax:772-287-4618 DPR Registration Number 9639 May 15, 2008 St. Lucie County Code Compliance Division 2300 Virginia Avenue Fort Pierce, Florida 34982 Attn: Chris Lestrange CBO Sent via fax 772-462-6454 this sheet only RE: Chambliss Residence4Ocean Drive teal Permit Nun 704-0T.12-1-1=) Dear Mr. Lestrange, re LAC spew (zI'd-or e wt-jv - RECE Qd' E® MAY 16 2008 LZ.s G . Public Works St. Lucie County, FL 1 am the architect of an addition to the above referenced residence. I was also the original architect when the house was constructed. When the house was constructed a residential fire sprinkler system was installed in the home, but not called for on the plans. The new owner, who is constructing the addition asked if it is required. The building is Type IIIB construction, masonry walls, precast concrete floors and wood roof trusses. It is three stories high over an enclosed ground floor, parking and storage, 3570 SF A/C total and 1446 SF ground floor. This type of construction is allowed by Table 503. The home is not in a subdivision. The legal description is as follows: ALL OF GOVERNMENT LOT 4, SECTION 29, TOWNSHIP 35 SOUTH, RANGE 41 EAST, ST. LUCIE COUNTY FLORIDA; LESS THE NORTH 1100 FEET THEREOF; ALSO LESS RIGHT-OF-WAY FOR STATE ROAD AlA; BOUNDED ON THE EAST BY THE WATERS OF THE ATLANTIC OCEAN AND BEING BOUNDED ON THE WEST BY THE WATERS OF THE INDIAN RIVER. The house will be protected by heat and smoke detectors with off -site monitoring. Please feel free to call with any EZ;7 �-