HomeMy WebLinkAboutSUBMITTED PAPPERSOFFICE USE O Y:
DATE FILED: `I 4 1 � - oaf a
PLAN REVIEW FEE: 50 O O RECEIPT NO.:70"l PERMTT NUMBER
CONCURRENCY FEE: RECEIPT NO..: CERT. CAP. NO.: ���
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 SCH�
772-462-1553 BY ED
St. Lucie County
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PRO:IECT INFORMATION �
1. LOCATION/SITE S: SgpD s«���t �„�tan ret'verIrI torl�erce t L 3q�jBZ
2. PROJECTNAME: t- a joyko. o Ve/s+�dence�SITEPLANNAPA�: k4knado �estc�en�e
3. PROPERTY TAX ID #: 3 4 0 I' (J l— 00 0 2— OD O^ g
4. LEGAL DESCRIPTION (attach extra sheets if necessary): PLAT 0� S 6K c? FT' OF GOUT Lo1 1
OF sEc 1-3(.--40 N (00'FT of 6 5I4•(( FT LIG F Of FEC RT:AN) TAT PA
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. S. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.); 10 34 LOT DIMENSIONS:
10. COMPLETE DESC IRIIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: New
�dSl het l e rCtm� y
kome L trtc,
SETBACKS(ACTUAL)
RIGHT
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
]NEW CONSTRUCTION [ ] EXPANSION/ADDITION
RESIDENTIAL j ] COMMERCIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE. S(IJ G IE FA MtL
14. SQ. FT OF CONSTRUCTION: "i ` `�
16. VALUE OF CONSTRUCTION: $ 16�7 00
LEFT
[ ] INTERIOR RENOVATION
L ] INDUSTRIAL
15. SF. FT 1st FLOOR: 5 71�0
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 are not consistent with similu q es of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application,
SLCCDV Form No.: 001-02
UPDATED 6MI09
OWNER INFORMATION
NAME: S�"CaVFJD� ({AtUONAD0 / MARl'P, COPWV'A
ADDRESS: 5 raou �Yk lan R(ver r
CITY: fY o r �IerCe STATE: ` L ZIP::
PHONE (DAYTIME): 1(pp17) 6 F2 ^c(g Oq Email
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNERLISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): L—)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: C 8 C 12,562105 ST. LUCIE COUNTY CERT #:
BUSINESS NAME: a �e S i n Cem roc; or L L C
QUALIFIERS NAME a n
ADDRESS: 1492_ 5a 3edcre >+-
CITY: �mr �uC�le STATE: F —
PHONE(DAYTIME): (772)4"-63Z9 j FAXNO.��-�78'63�% Email:
r�i,-I er"l Pv l/l a n A rc�itcJ i C,
ADDRESS: 002 o 6c�v\ctuoa A 1'
CITY: c bye. -6V 4 STATE: C C'
PHONE (DAYTIME): (Wz 1`7'f'k-q%7
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
N
mi
u in oQAatM0j i- c6N
23P: 33 455
M
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and iuuotain 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, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF TIES PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
04ir�766 Q'I�OuG'�
OWNER OR CONTRACTOR SIGNATURE
STATE OF FLORIDA4 I U
COUNTY OF �T' 1
The foregnnoin instrument was acknowledged before
me this lO day of rlA 20
by frQ dpva c J4I�6 M2 6clCL�
who is personally known _ or has produced
identification.
of Notary
s�n dUANCtViLOIN#EE1iERO
t"
rn No. t 9 eal * f�4Y COM141dI5SI0N R EE 134549
EXPIRES: tlovembar2, 2015
�A �o..... Boaded T!m Budget Notary Services
STATE OF FLORIDA � I
COUNTY OF
The foregoin instrument was acknowledged before
me this � day of�a �1 �
t by 1y re Rgroi
is personally, known _// xoor has produced
�I , IT L L as identification.
of Notary
GEO 'r'rtWW sO, JUAfd CARLcS QINTER0
m No. WY C0t(Seal)! # EE 134943
EXPIAES:November2,2015
° Bonded TNu Budget Notary Services
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERIBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY
SECTION �\ TOWNS[
3rpS
RANGE
J A o 6 -oal
TMAPNO.
l
a
4 bj jJ
ZONING R� a
LAND USE
5
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. MAXHGT --
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CONSTTYPE
OCCUP TYPE
MAXOCCUP:
#OFFERS
2,
WATER_ _._ .._ . _- _
SEWER
SPRIIfdERS
STORMWATER
LOT OF REC
Before 1/199D
LOT OF REC
ABea 1/1990
LOT.MH .
REQUIIIED
LOT SPLIT
APPROVED
REPORT
CODE
1 �'
HABPFABLE
AEA
RADON
F
PERMIT. -
FEE
LIBRARY
MACP
FEE
PUBLICBLD
IMPACt'FEE
CORRECTION
_
PUBICBLD
R%dPACT
FEE
GENERAL.
PARKS
VRPACr _
FEE
SCHOOL
IWACf
FE6>. _ ..
_ _
ROAD .
BMACT
FEE-- _
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CRID11
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—
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FIRFJEMS
AJPACT
FEE
DMIgi AY
REQUIRED
Y
N
DRIVE_ WAY
FEE
ADMIISIRATWE
II
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MPCMMC_
mzcnac
PLUMBING
ROOF
_ GAS
NON -CONFORMING
LOT OFRECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING- / /
REVIEWS .
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REt+lEW
SEATURTLE
REVIEW
MANGROVE
REVIEW _
EAFED
b i �11
rPIETED 6 4 r I lu ` _
TALE
Now F-025J 60PLGCeMen}-
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE N 3962934 OR HOOK "-,) PAGE 2706, Recorded 06/09/2014 a:--,:36 PM
NOTICE OF COMMENCEMENT
Permit No. yob -Cod &, Tax Folio No. 3 yi0/- Goy -64:5 2 -00016
Stateofflorlda County of St. Wde
The undersigned hembygbi s noticethat Improvement will be made to certain real property, and In accordance with Chapter 723, Florida Statutes,
the following Information Is provided In this Notice of Commencement O a 1 4
Legal lsasclptlon of Paoparry. (and atraetaddrea Navallable): PW Of 16`u-2/ri(
rtllha FY' S 5/G. /( FiLY6 £6FFFC CR Q/1D THAT g6A ^ 61eiJi R Znb/rwr ,ti y/r�y�
cemraaorAddress:/csv/ '3E. OP/NCCf tf �( .;)0'9'eZ Phone Number: Tv a'.L- y46"-5
SurM/(ifapplicable, a copyof ehepay2iem bond Isattached): Amount of bod:$ �IQ
Name and address: /V �R Phone number.
a
Iamlaf Xamr. N/R Dhone Number:
Lenders address:Allrll
Penomwithln theState of Florida dasignated byOwner upon whom notims or other documents may be servedas provldod bysection
Z13,1 * a I., Florda Mutq
Name: bQ%�%/% Phon.Nymber. ��2 U�53,29
Address• r>< 9f-.L�.ts/P F9
/y9,2 sE=7�¢/ues��f
In add don to himself or herself, Owner designates—r Ay, //% of :o recdwacapyofthe
Uedrs Notice as provided In Section 713.13(1) (b), Florida StgUpp}y,h u�G 53
Phone number of person or entity designated by owner: %�L -Z%
Exiairationdateofnatimofcommencemem: (the expiration date may not be beforethe completion of construction and final payment tothe
wirb mr, butwill be 1 yearfrom the dated recording unless a different data is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNERAFTERTHE EAPIRATION OFTHE NOTICE OF COMMENCEMENTARE CONSIDERED
IMPROPER PAYMENTS UNDER CIAPTER 713, PART 1, SECTION 7UU, FLORIDA STAMES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SIR BEFORE THE FIRST
INSPECTION. IFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
Underpe hyof. ry�,/l_declarethatlhavemadthefo�Ing/Jnotice�000f commencement and thatthefacts statedtheMn am truetothe best of
my �a' .aiI ' �1J6 ' 47da9atb
( gnetumcf0wneror Lessee,or Own taor Lessee's Authodted Ofgmr/Dimctar/Pacner/Manager
($ignanoNsTitle/Omm)
The foragomgn lnsoumepmw�e+sac�knrowledgedbefIoremethba 3 day of a , 20e r
BYI{a,t4 DC �Y4 } A WOHA�doTToaO "Ilior'S for 11(J" sdenc�
Name of Type of authority (e.g. officer, trustee) Parry an behalf of whom Instrument: was eaw/ted
m Personally known_ or Produced ldeHicdionY .
I(Signumm, of Notary Publ - State of Florida)
elm, Type, or Stamp Commissioned Name of Note f L -c t .'Type ofldemlR,aUmprodumd
(ryplrxce N p
.... ._.. _.
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
rRUEBSIP-H
CORRECT COPY DFTHE
ORI&
J E.SPAITH,9LERI(t�
Date:
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE COMPLIANCE DIVISION
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
/'/p '�� °e` will be using the following sub -contractors for the
(Company/Individual Name) [ %�
project located at 6�09 So t& � a% �(,//%�✓ (OlC �rerce��,C 3�ga�
(Street address or Property Tax ID Q
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
(fk1lIs
Plumbing
A ®'.�%/�Q�/UC SFZI%lCf1"
i1,Fiv1
�j /L
CSC/�2J`�
f�.6saer �e�v�e
$VAC/
TW3D06,R flq CARE INC,
CK J(91,0(3
Mechanical
.7—,�J r
Roofing
U/(�FSNG� G
CCC 13,z8fo�
Gas
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BURDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
- FLF
State of Florida Certification Number (If applicable): 1- f go
5 1;40 VO5 5 --," T��C ��C have agreed to be the
(Company Namedadividual Name) /
1�actor for
Q ��s/ /�I �rJs�72YCTU✓—
(Type of Trade)(Primary Contractor)
for the project located at 5�10T
(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)
O �GINAL SIGNATURES ARE REQiT D
�tyia'(/fin Ct `j,US 21.
TURF PAINT NAME DATE
Business Name:
Address:
S
EL C-JyzIC I KJ
City/State/Zip: J7 `�
Phone: 9401
OFFICE USE ONLY:
Fu K3
email: 51(.t-eH l 'L-1 S CQ-)- R LSOOH.
ANe7-
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifapplicabte): C— AcA S (G V co3
St-z oocc cJA 10 - Grt`��NC have agreed to be the
(Company Name&dividualName)
1 \4/
6At-xkCJ sub -contractor for ZC1�//1G!
(Type of Trade)((Primary Contractor)
for the project located at ✓ 0 7- S • - C44W
(Project Street Address or Property Tax ID 0)
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 IGNA ARE REQUIRED
GU L
SIGMA PFJNTNANE
Business Name:
Address:
City/State/Zip-
Phone:
OFFICE USE
os {S- N:
DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT \
�r BUILDING & CODE REGULATIONS DIVISION �\
4 BUII,DING PERMIT
- SUB-CONTRACTORAGREEMENT ^
NMI I
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifapptia^ble): l.�" FC- 1z1,2 54`66'
a,le'v mn Aej� pq q '6Zrpo ,'�, ..Crrrehave agreed to be the
sub -contractor for
rimary Contractor)
for the project located at �� 5 ./—�� dam/
(Project Street Address or Property Tax ID #l)
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)
ORIG TAL S NATURES ARE REQUIRED
1 c$N�N �4yV� �9-2-ro
I PRINT NAME DATE
Business Name:
Address:
City/StatelZip:
Phone:
GPy✓a ��Ny, tjiiv�t
/,SOy sar irl�n't�l%N ASP.
-7 f(o email; 46 et V4404 1W
OFFT('.F. TTRF ONLY:
z
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
® BUIImING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: (J�(��C tJ
State of Florida Certification Number gappiirabte): C4Q,_
C7 jl RQp have agreed to be the
(Company Name/Indivi l Name) ////�'
0® (/1 sub -contractor for zlA/ a �e3)W q c
(Type of Trad4 qlrfinary Contractor)
for the project located at �7�� ✓ �—�`r ' �� ����j ��'
(Project Street Address or Property Tax II) ff)
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 onthe Contractor's License)
®RIG 'AL SIGNATURES ARE RE
Ci iu,,Al s CSl Aw-A
%—'81GNATURE PRINT NAME
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
V
4(W Tlc64c
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINTA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
3VC/ — /rI Z/ — AV
(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.
F"14YI ol�UG��-LLUW
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF ✓ ` ��CA`
ACK'NO�-W�LE/D/�1 BEFOREME THIS 2. DAY OF V"\`'�
A
BY f (% t 6L (p&VQ �. q `a' �4 IS PERSON ME OR WHO HAS PRODUCED
GNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
€C-{3494¢4 (SEAL.)
NOTARY PUBLIC TITLE COMMISSION NUMBER
JUAN CARLr,SQUR--TtRO YP
MYCOMr•1155:09FC �., 048 +c JUANCARLOSQUINTERO
* EXPIRES: Navemb-:2,2015 * , MY COMMISSION 4EE134948
BondadhmBudget kunySeMces N EXPI9ES:November 2;2015
� OFFLGe Bonded Thm Budget Notary Services
E OP" >p4w Mom. , f4%c.
"Considering Your Environment. -
State License Number 114708
11192 47th Road North Royal Palm Beach, FL 33411
561-333-87771 FAX 561-333-8999 / Toll Free 866-414-PEST
P4C-eOOv�. T4"
(� Property Information
Subdivision: �� V'ieres Lot: Block: Section:
Address T7(11a4 ,R i vea- Dr
City &.Zip
Owner
Name of Builder:
Shell Contractor:
Builder I Contractor Information
Construction Type
Monolithic: J FloatinglStemwall: Patio: Entry: _ Driveway:_
Addition: Other:
Product I Treatment Information
Treatment Date: 2(I Li Time; : pa Technician:
Treatment Type (must cnedc one) Initial Under Slab: Suppl meE htal:
Product Applied: Cypermethrin: Premise 75 Other f=E w
Concentration: _. ob % Mixed Product Applied: , R) Gallons
Square Footage Treated: 3 _ Linear Feet Treated:
N this is checked, then final perimeter treatment has been completed and the
following statement is applicable.
CertiflCate Of ComDllanCe. THIS BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE
PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OFAGRICULTUREAND CONSUMER SERVICES.
(Florida Building Code (FBQ 1818.1.7)
Applicators Name (Please Print)
7
Ad
CONCRETE BLOCK STEEL
1142 Water Toaver Road. Lake Paris. Fl. 33403�
561-848-9112 fax: 561- 848-1501
Toll Free: 877-484-9994
m%w.Maschmeyer.com
11287
General Project -km
CUSTOMER PHONE
772-528-8305
CUSTOMER FAX
gz
SOCIETY BUILDERS LLC
DATE 09/17/14 INVOIcENO 292648
1607-A LAUREL LEAF LANE
CUSTOMER NO 927 JOBNO
FORT PIERCE FL 34950
PAGE NUMBER 1 ORDERNO 161
DELIVERY ADDRESS
PURCHASE ORDER NUMBER
5407 S. Indian River Dr
DATE
QUANTITY
MATERIAL
PLANT
DELIVERED
UNIT
TAXABLE
NON TAXABLE
SHIPPED
NUMBER
PRICE
EXTENSION
EXTENSION
09/17
10.00
305 3000 PRPM
103
849215
$101.00
$1,010.00
09/17
1.00
ENVIRO ENVIRONMENTA
103
849215
$15.00
$15.00
09/17
1.00
FUEL SURCHAR
103
849215
$25.25
$25.25
09/17
10.00
305 3000 PRPM
103
849222
$101.00
$1,010.00
09/17
1.00
ENVIRO ENVIRONMENTA
103
849222
$15.00
$15.00
09/17
1.00
FUEL SURCHAR
103
849222
$25.25
$25.25
09/17
9.00
305 3000 PRPM
103
849225
$101.00
$909:00
09/17
1.00
ENVIRO ENVIRONMENTA
103
849225
$15.00
$15.00
09/17
1.00
FUEL SURCHAR
103
849225
$25.25
$25.25
R
mit to:Ma
chmeyer Concrete, Drawer
#1887
PO Box 5
35 Troy
MI 48007-
935
Cash or
Ck Disc.
$30.50 CAN BE TAKEN I
PAID
PY 10/10/
4. Pre
ax Subtotal.
$3,049.75
TOTAL SALES TAX
I TOTAL YARDS
$198.24
29.00 • $3,247.9
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BpCIETY 80IL0ER8 LLC
840] 8.
Inpien Rlvb� Dr
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Plan ning.&Developme; services
Building &Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 R E'.,' E IVE
772-462-2165 Fax 772-462-644�EB 2 0 2015
HLAMITTING
Request for 30-Day Temporary Power Release `UO10 County, FL
Date: 042I26120/ s Per it Number:
i
Project Address: 52 210 7 S - —;E%2 7
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only, and there will be no
occupancy of any type, other than that permitted by construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in writing to the Building Official stating
the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
coo 041ao("rO'Jv �11 S/26/S
v nunu VHIC J
GE7A) C O SIGNATU DATE
s
Pre - Construction Termite Treatment Contract
and Final Treatment Certificate
Everglades Pest Management, Inc. is a full service company offering pest control, lawn & ornamental
spraying and fertilization, and termite control. For more information, please call 866-414PEST. Specific
terms and conditions regarding this contract appear on the back of this page. Should holder have any
questions with reference to this contract, please contact our office at the number or address noted below.
This contract is transferable and is for the primary structure noted below. It does not include, unless
specified in writing, fences, detached structures, decks and additional construction provided after the date
contract is issued. Reference to termites applies to subterranean termites, including Formosan termites.
This contract does not provide for protection of any other wood destroying organism, insect or pest.
Treatment Notice Posted on hot water heater or electric panel.
General Conditions. Treatment & Repair Warranty: Disclaimer on Back Side
Company agrees to warranty the structure for an initial period of 12 months from the date of the initial
treatment. If termite infestation occurs at any time during this period the company will inspect property
and provide remedial treatment (a), spot or full, with liquid termiticide as required to eliminate or control
termites. Should termite damage be noted through inspection, company or subcontractor(s) chosen or
approved by company, will repair damage caused by termites. For an annual fee specified below, holder
may extend this warranty I contract for a maximum period of four years as specified in paragraph two of
terms and conditions noted on the back of this page.
Residential Treatment Information
*Treatments provided are for preventative purposes and was requested by the contractor or builder
noted below. **This buildine has received a complete treatment for the Drevention of subterranean
termites. This treatment is in accordance with the rules & laws established by the Florida Denartment of
Agriculture & Consumer Services and Pesticide Labels. Treatments are in compliance with Florida
Building Code 1816**. Abutting slabs treated subsequent to the initial treatment date.
Final Treatment: 5/8/2015 J t Builder: SocietyBuilde MPNAC'F
'� a.,.....elilsm
y/ r
Initial Treatment: 8/25/2014 Subdivision: n/a O16 • '- Z(?
w Oweep z
Property Address: 5407 S, Indian River Dr. LoVBtock/Sec: n/a n
PI�e•�• Y"[� f v4
Treatment Cost: Billed to Contractor Homeowner: n/a tJ °•• rd �O ��
Renewal Fee: $165.00 Treatment Area: Single Family Home Chemical: Bifenthtins`06%
This contract not valid without a
permitted by Florida Adaunhtra
RECEIVED MAY 08 2015
The contract is initiated through verbal request as
=eced Florida BuiblionAEode 1816.
M 114708
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort fierce, FL 34982
(772)462-1553 Fax 462-1578
CHANGE OF CONTRACTOR
Or subcontractor or cancellation of permit
Change of Contractor is to be completed by the property owner, and the new contractor of record for the
current permit. A new permit application must also be completed with new contractor information,
signature, and transfer fee. A new Notice of commencement must be filed in the new contractor's
name for job value's -greater -than $2,500 ($7,500 if A/C Change -out):- A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be completed by the general
contractor. Any cancellation of permit must be executed by the owner or qualifier of record.
Date:
Site Address:
Original
Permit Number:
State License SLC License
CCPA /' �J I///i�j e7G5 , L L L State License <5�PC W Z M 9 SLC License
New General Contractor (or Subcontractor)
Reason for Change / e. l%+ /e�i $j 60,I/1
ine unoersignea aoes hereby agree to indemnify and hold harmless St. Lucie County, its officers,
agents, and employees from all costs, fees, or damages arisingfrom any and all claims of action -for
any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of
State of Florida, Comity of St Lucie County
TT�1hee following iustrument was acknowledged before me this
2
�dayof PO'J 20�1 by "
the I, who is personalty know to me
ar whn hac mmnAnroA C1. sn'L- ...,m
Signature of Notary
*Only signature
DfNA GIVENS
Notary Pub fc IStabe f1Flrix
6o20
My Gomm. Expires Doc
Commission # EE 858761
BoedaO through National Notary A,
• SIGNATTM OF NEW GENERAL CONTRACTOR
7—
State of Florida, County of St Lucie County
The following instrument was acknowledged before me this
l3 nay of T�±aJ 20 W by
V--Q'1 - who is personally know tome
4who has mod.a &EA: & a
of subcontractor
Mgtary Pubj� * f Florida
hWt&omm. Expires Decfl6. 2016
Commission #.EE 858761
Bonded Thfough National Notary Assn
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KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC.
MARTIN (772) 337-7766 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712
PALM BEACH (561) 845-7445 www.ksmangineeiing.net MELBOURNE (321) 768-8488
FAX (551) 845-8876 E-mail: KSM®KSMENGINEERING.NET ST. LUCIE (772) 229.9093
C.A.: 5693 SOIL COMPACTION REPORT FAX (772) 589-6469
ASTM D 1557 and ASTM D 2922
DATE TESTED August 1, 2014 JOB # : 141348-1 d/SH/jd
PERMIT# 14060082
CONTRACTOR J.A.F. Tractor and Bobcat Service
JOB LOCATION 5407 South Indian River Drive
Fort Pierce, Florida
ITEM TESTED . Compacted Foundation Fill
TEST LOCATION DEPTH `PEN DRY MAX. DRY PERCENT
OF SAMPLE READ DENSITY PROCTOR VALUE COMPACTION
1. S.E.
0" - 12" 38
107.9 109.6
98.4
2. S.W.
" 37
107.4
98.0
3. Center
12-1- 24" 39
108.6
99.1
4_ N-W.
0" - 12" 38
107.8
98.4
S. N-E.
" 38
107.6
98.2
Soil Description:
Brown Sand
In Place Moisture:
10.0 Percent
Optimum Moisture:
11.6 Percent
Max. Dry Density:
109.6 P.C.F.
@ Test Locations The
Density & Penetrometer
Readings Indicate the
Degree of Compaction Meets
ME. .Ili
Grade.
Department
F 107.0 ..,._�.._..�
D I
R108.0i--.._..�.._..Ir..
Y 8 9 10
Moisture - % of Dry. Weight
RECEIVED AUG 04 2014
Ronald G. Keller, P.E.: 37203 / SI Lic. No.: 860 7 Julie E. Keller, P.E.: 68366
L0/Z0 39Gd 9NI833NI9N3 WSN 6909689ZLL 99:bI bTOZ/b0/80
KELLER, SCHLEICHER & MacWILLIAM ENGINEERI G AN-b Tin NG, INC.
MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-lk r7 SE��tBppA��ST'IAN (772) 589-0712
PALM BEACH (561) 845-7445 www.ksmengineering.net ' cj `I�'EiNWRNE (321) 768-8488
FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093
C.A.: 5693 . —...a Works pM (772)589-6469
SOIL COMPACTION REPORT &t: Lucia County, F1
ASTM D 1657 and ASTM D 2922
DATE TESTED August 1, 2014 JOB # : 141348-1d/SH/jd
PERMIT # 14060082
CONTRACTOR J.A.F. Tractor and Bobcat Service
JOB LOCATION 5407 South Indian River Drive
Fort Pierce, Florida
ITEM TESTED Compacted Foundation Fill
TEST LOCATION DEPTH
* PEN
DRY
MAX. DRY
PERCENT
OF SAMPLE
READ
DENSITY
PROCTOR VALUE
COMPACTION
1. S.E. 0" - 12"
38
107.9
109.6
98.4
2. S.W. "
37
107.4
98.0
3. Center 12!'- 24"
39
108.6
99.1
4. N.W. 0" - 12"
38
107.8
98.4
5. N.E.
38
107.6
98.2
Soil Description:
Brown Sand
110.0 �
I I I
I I
In Place Moisture:
W I
I I
I I
10.0 Percent
E I
I I
I
109.0 L..-..�—..—..�—..
..�_..—..�
.._..�—. —.
Optimum Moisture:
G I
I I I
I I
11.6 Percent
H
T
I
I I I
I I
Max. Dry Density:
p 108.0 } ••_..�.._.
_..�.._..�..
..�.._..
109.6 P.C.F.
C j
I I I
I
@ Test Locations The
Density & Penetrometer
F 107.0 =— • •
I
—
r — — r
—
— r —
Readings Indicate the
I
I I I
I I
Degree of Compaction Meets
Minimum
Rag-�fi ed
Dy
U`sta}�on
106.0for �8I ..—..9IrI
.._.1.I�1 .._.1.�I2
..—.10
..—.1.I�3
..—.1.,4A9
1 U G
2
NO.
b
Moisture - % of Dry Weight
b fOuilcling Department
mS t + e@gmail.com
///r I I 1111 ilionald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
Planning & Development Services
Building & Code Regulation Division
2380 Virginia Avenue
Fort Pierce, FL.-34982.
Phone:(772)462.2172 Fax:(772)462,6443
PROPERTY INFORMATION
Address: 5407 S Indian River Or
City I State / Zip: Fort Pierce, FI 34982
Parcel #: 3401-604-0002-000/8
REVIEW COMMENTS
1
Owner(s):
Maria Cordova / Segundo Maldonado
Jurisdiction: SAINT LUCIE COUNTY
Zoning:
RE-2 Lot#: 1
APPLICATION INFORMATION
Permit Number:
1406-0082 Stories:
Permit Type:
BUILDING RESIDENTIAL (SFR UP TO 2 FLOORS)
CONTRACTOR INFORMATION
Contractor Name:
Daniel Merin
Business Name:
Alpha Design Contractor Llc
Business Addr:
1492 Se Belcrest St
City / State / Zip:
Port St Lucie, FI 34952
REVIEWS AND COMMENTS
Review Type
DOCUMENTS MISSING
614/2014
Comment:
614/2014
Comment:
6/6/2014
Comment:
6/1612014
Comment:
ENVIRONMENTAL REVIEW
Comment:
FRONT COUNTER REVIEW
Comment
PLANS EXAMINER ELECTRIC
7/3/2014
Comment
7/3/2014
Comment:
7/3/2014
Comment:
7/312014
Comment:
7/3/2014
Comment:
7/3/2014
Comment:
713/2014
Comment:
Reviewed By
PENDING Deanna Givens 614/2014
VEG PERMIT SENT TO ERD
DRIVEWAY PERMIT SENT TO JIM BEAMS
PLUMBING SUB CONTRACTOR ON HOLD.
VEGETATION IN DRAWER UNDER (C) FEE IS LOADED
COMPLETE Ben Balcer
COMPLETE Deanna Givens 614/2014
Block:
Automatic Sprinkler System? No
Fax Number: 866-778-6356
Email: Nioomaquin@Hotmail.Com
Date Completed pate Released
611612014 6/1612014
6/1/2014 6/4/2014
INCOMPLETE Walter Pride 6/30/2014
METER TO BE 400 AMP RATED WITH 2-200 AMP MAINS.
21/2"CONDUIT IS MINIMUM SIZE FOR 34/0 WIRES.
GROUND ROD AND FOOTER STEEL GROUND WITH GROUND BRIDGE.
ARC FAULT CIRCUITS REQUIRED ON ALL BRANCH CIRCUIT WIRING, EXCEPT SPECIAL APPLIANCES.
MY RECOMMENDATION FOR LOCATION OF METER IS 5FT FOR SERVICE RUNS WITHOUT MAINS.
ALL OUTSIDE GFCI RECEPTICALS TO BE WEATHER RESISTANCE RATED.
ALL AIR HANDELER UNITS TO HAVE PROPER SIZED BREAKER LOCATED IN AIR HANDELER.
f
Planning & Development Services
Building S, Code Regulation Division
2300 Virginia Avenue
Fort Pierce, Fl— 34982
Phone:(772)462.2172 Fax:(772)462.6443
REVIEW COMMENTS
7/312014
UommenC
ALL UIRGUI 15 1 U BE NUMBERED.
713/2014
Comment:
LIGHT AND SWITCH ON PULL CHAIN TO BE LOCATED AT ATTIC ACCESS.
7/312014
Comment:
RECEPTICAL REQUIRED WITHIN 25FT OF ANY AIR HANDELER UNIT LACATED IN ATTIC.
7/312014
Comment:
LOW VOLTAGE PANEL CANNOT BE LOCATED IN CLOSET.
713/2014
Comment:
WATER HEATER MUST HAVE DISCONNECT.
PLANS EXAMINER REVIEW INCOMPLETE Ed Roseberry 612512014
6/26/2014
6/2612014
6/26/2014
6126/2014
61262014
6/262014
6/262014
62612014
61262014
61262014
6262014
ZONING REVIEW
3
Comment: PLEASE SHOW COMPLIANCE WITH R311.3.1 FOR YOUR EGRESS DOOR STEP DOWN.
Comment: PLEASE SHOW COMPLIANCE WITH R315 CARBON MONOXIDE ALARM REQUIREMENTS OUTSIDE OF ALL
SLEEPING ROOMS, UPSTAIRS AND DOWN.
Comment: PLEASE SHOW COMPLIANCE WITH R314 WITH REQUIRED SMOKE ALARM IN HALL OUTSIDE BEDROOM 4
AND MASTER BEDROOM.
Comment: PLEASE SHOW CORRECT EXPOSURE CLASSIFICATION IN DESIGN CRITERIA BLOCK, AND ANY OTHER
REFERENCES.
Comment: PLEASE SHOW CORRECT INTERNAL PRESSURE COEFFICIENT IN DESIGN CRITERIA BLOCK, AND ANY
OTHER REFERENCES.
Comment: PLEASE SHOW ROOF DESIGN PRESSURE REQUIREMENTS, ZONES 1,2, AND 3, IN DESIGN CRITERIA
BLOCK, AND ANY OTHER REFERENCES.
Comment: PLEASE NOTE CORRECT WIND VELOCITY USED FOR YOUR ROOF DESIGN IN NOTE 1 ON SHEET A-2
Comment:
Comment:
Comment:
Comment:
Comment:
PLEASE SHOW COMPLIANCE WITH R803.2.3.1 FOR REQUIRED ROOF SHEATHING FASTENERS IN NOTE 12
ON SHEET A-2
DESIGN CRITERIA BLOCK SHOWS DEAD LOAD REQUIREMENTS FOR SHINGLE AND METAL ROOF, YET
OTHER PLAN SHEETS SHOW ONLY METAL. PLEASE CLARIFY.
PLEASE FURNISH PRODUCT APPROVALS FOR ROOF METAL, AND ALL OTHER COMPONENTS TO BE USED
WITH ROOF MATERIALS, SHOWING COMPATABILITY WITH SYSTEMS AND METHODS REQUIRED IN PLANS.
PLEASE CORRECT DETAIL 5 8-5, SHOWING 140 MPH WIND SPEED DESIGN ON GARAGE DOOR DETAIL.
COMPLETE Lydia Galbraith 61612014 6/1112014 6/1112014
1
OEM INSULATION INSTALLATION CERTIFICATE
uniq-�gj_Li 2-
Gale Insulation
BUILDER: ptlohol iJesian Cmifadar SUBDIVISION
JOB ADDRESS: 5404 S1r6cin Mvi rbiCITY: r�. Pierre
PEPMT #:
LOT/BLOCK:
The undersigned hereby certifies that insulation has been installed in the above described property as follows:
1. Exterior CBS walls has been insulated with to a thickness of inches, which
according to will yield an 'W value of
Exterior frame walls has been insulated with
which according to
to a thickness of inches,
will yield an "R" value of
ROok Weq
2. gs(9at) has been insulated with S fraH -W rn to a thickness of S• 5 inches, which
according to Tck u hence a will yield an "R" value of ?-CD .
Ceilings (vaulted) has been insulated with
according to will yield an "R" value of
3. Interior knee walls has been insulated with
according to
to a thickness of inches, which
to a thickness of inches, which
will yield an "R" value of
4. Garage Partition walls adjacent to conditioned living space has been insulated with
thickness of inches, which according to
General Contractor/Builder
,Signature
will yield an "R" value of
elation Contractors Signature
License # CGC 1512179
to a
THE AFFIANT, Tnxe- VlQne, IS PERSONALLY KNOWN TOME Sworn to and subscribed before me this 3 _ day
of QGk_201Z[.
Notary Public, State of Florida
MARLIS C SMITH-DOEILER
MY COMMISSION #FF112303
EXPIRES May 9. 2018
3601-A CROSSROADS.PARKWAY • Fr. PIERCE, R.34945 1 E 3'0152
FT. PIERCE (772) 4GS-9191 • VERO BEACH (772) 589-1S14 * STUART (772) 283-3151
Till }' f f)cc fqC f ald aCc a CAV IT Ae., _?__ ___FREE,___, ___ _.__ . _. __ -.__