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HomeMy WebLinkAboutSUBMITTED PAPPERS.;Or 0 PLEASE PRINT. DO NOT COMPLETE SHADED AREAS., PROJECT ADDRESS:. - SITE -PLAWPROJECT NAME: SUBDIVISION: / L.O.y{PlU(xY PARCEL DIMENSIONS: l - PROJECT INFORMATION DATE: i 5 LOT-- 6 BLK: .5 3 /,PROPERTY TAX ID #:�. I3OI'(LOS-Oo19$-0 PARCEL -SIZE (ACRES OR SQ. FT.),-- 9,$a5 ,,LEGAL DESCRIPTION: ✓ LO"ke wood park Ft -- OWNER NAME: Sea Y12 • 83l e ADDRESS : /' ?.O Fxx 30y 63 (7 c)5 beer Park Akue CITY."-: _ - R-A`e,,rcc, - - STATE: -�L - ZIP PHONE ) ' 595-9-I59 Lt6 O - '702 7 8 i vA� IG IF THE -FEE -SIMPLE TITLEHOLDER (PROPERTY OWNER) -IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. BELOW. FEE SIMPLE';TITLEHOLDER: / ADDRESS:' - CITY: STATE: ZIP: Z 0J 0 f DRIVEWAY PERMIT REQUIRED Yes ✓ No Dated Lf Init. q 2 3UANNED BY ;i. i_ucie County /LOCATION: tila lit ll hUuu �' /LOT SIZE DIMENSIONS: ✓ -75' r. 131 BUILDING SETBACKS (ACTUAL): FRONT v1 30' REAR ✓ 37/ R.SIDE � ll� L.SIDd 11 SQUARE FOOTAGE OF CONSTRUCTION: (5 37`11 b Vi n Area Total Linder )Qaa-fl- DESCRIPTION OF WORK: �✓= / Z ,PROPOSED USE TYPE OF CONSTRUCTION: (CHECK ALL APPROPRIATE AREAS) RESIDENTIAL ✓ COMMERCIAL: INDUSTRIAL: OTHER: NEW CONSTRUCTION-: EXPANSION OF EXISTING BLDG: INTERIOR REMODELING: OTHER (SPECIFY w EST. COST:6:1 STATE OF FL REG./CERT L COUNTY CERT #: CONTRACTOR NAME: MR OLof)erl ULUIC(el^ l ADDRESS: CITY: STATE: ` i ZIP: PHONE ARCHIT/ENGINEER: NI19 ADDRESS: � CITY: STATE-. ZIP: PHONE #: ( ) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: i a PERMIT INFORMATION STATE: ZIP. � l4 fierce STATE: ZIP: 341�5n ol FOR OFFICE USE ONLY SPECIAL APPROVALS REQUIRED DATE .RECEIVED NOT REOUIRED VEGETATION ENVIRONMENTAL ----— PLANNING/SITE PLAN CODE ENFORCEMENT USA TAZ WATER SUPPLIER SEWER SUPPLIER _ DER CERTIFICATION FLDNR (CCCL) -�`— FL DOT �-- SLC STORMWATER PER MANGROVE ALT SEA TURTLE•-PROT REQUIRED FEES 00 BP VALUE Ali6�QL�� q PLANS EXAMINING FEE $� � RADON FEE: ROAD IMPACT FEE $ -,�7wT a ROAD IMPACT DISTRICT_ /Z,n' ROAD IMPACT ZONE ROAD IMPACT CREDIT: YES: NO. SCHOOL_IMPACT FEE $ 7 S �•C�U DATE PAID: CHK#_ SCHOOL IMPACT CREDIT: YES: NO: SCHOOL BOARD APPROVED EXEMPTION: YES: NO: ' ALTERNATIVE DEV. FEE $ )� ( C.-- DATE PAID: CHK# ALT. DEV. FEE ZONE: SUB PERMITS GAS REQUIRED NOT REQUIRED AIR CONDITIONING ELECTRIC SCREEN �'-- SCREEN ENCL/FENCE —�- ROOF DRIVEWAY ZONING CHECKS / z BBL LOT COVERAGE EASEMENT LOT SPLITS Ll bl�vl� STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ` ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Authority: Chapter 381, FS Chapter 10D-6, FAC Applicant f �h I & ,�- / Permit Number .2 !R C nn G1"-3! L.p/PS ------- ----- PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL ------------- Septic tank or aerobic unit stLQ gallons Septic tank or aerobic unit gallons Graywater tank gallons Laundry waste tank gallons Other Requirements: Treatment Tank Grease interceptor_ gallons Dosing tank_ gallons Minimum Draintrench Size - Square Feet _ Square Feet _Square Feet -Square Feet OR Minimum Abs_orption_______ Bed Size ?s75- Square Feet Square Feet Square Feet Square Feet (a)r installation must bein�accord with requirements of chapter 10D-6, FAC. A system construction permit is valid for a period of one calendar year from date of issue. (c) Final installation inspection and approval is required before the system is covered. / (d) Invert of stub -out for to be / %,✓e benchmark. Invert of stub -out for to be benchmark. Invert of stub -out for to be _ benchmark. Invert of stub -out for to be benchmark. (a) Fill quality and quantity: A .S.Z (/ / X �Q XS ` g r Rv TUTS DRPARTMF,NT PRIOR TO DRAINFIELD INSTALLATION. (f) Other: IF nPE:A QF DgAINFrETI) IS STTR.TRr'T Tn RATURATTON'FROM ROOF DRAINAGE, ROOF MUST BE GUTTERED PRIOR TO FINAL APPROVAL. design and specifications by: Construction authorized by: /E g/ • gt. . TAI..; 0 `County Public Health Unit Title 'E5 Note: Completed copies of this form will be provided to the applicant, installer and the building department. AUDIT CONTROL NO. 1-1 1 7 n 5 Date /1 -//- 9e" SQUARE MILE i HMV Form 4015, Feb 05 (Obsoletes previous editions which may not be used) (Stook ftmbec5744 140150) .. Pagel of 2 .-. p'i ��; a o 4° �°O OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S.: 489.103 (7) EXEMPTIONS ..State law requires ,construction to .'be. 'done' by licensed contractors.: You'. have- . applied. for :a permit. under' ail exemption- to.: that ' law-. The exemption' `allovis you, :.as the'. -owner ' of your ' property,. to. act as your .own contractor -even though you .do not have a license. You must supervise the construction yourself. You may build or improve farm buildings, a one -family or two-family residence or a commercial building at a cost of under $25,000.00. The building must be for your own occupancy. It may not be built or improved for sale or lease. If you sell or lease more than one building you have built or improved yourself within one year after construction is complete, the law will presume that you built or improved it for sale or lease, which is a violation of this exemption._ You may not hire an unlicensed person as your contractor: Your construction must 'be done according to building codes . and zoning. regulations—.It..is. your...responsbility to make sure that people employed by you have licenses regaired'by state law and by county or municipal licensing ordinances. To qualify for this:'. exemption Amder. this subsection, _an owner must personally- appear and sign the building permit application. I hereby acknowledge._ that I have read and understand the above, disclosure statement'and'that I further understand that any violation of the terms- of. the owner/builder exemption. shell . be reported by the Community Development Director to the Florida State ' Department of Professional Regulation_ Signed and acknowledged on the _day of Q1 19 1 WNER/BUILDER SIGNATURF�J (�' (QC//Z STATE OF FLORIDA, COUNTY OF ST. LUCIE (f r/ Sworn and subscribed before me this _day of , W Notary Public, State of Florida at Large My commission expires: ,q __--_._......._................______._...-_..._-_. _._--_._--__ --_.-_- In Accordance with Sec. 553.907 I-.S.l I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy� Code. P((� ln t9- OWNER/ 11AGEN DATE" I i ���-©------ --- — Cl -------------------------------------- Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance in accordance with Section -5 JJ3.9cIt3 F.S. BUIL_DI:NG OFFICIAL; DATE_. .�.1�..`�(..`J(. y("�j('.�.T('.Y.'.%("%^'j!"`y('.jf"�'Ffi'YY'r�"�J('•N'rY Yf"%C R'!�S "�' �"�'h'3{'�"R'YY. Y{"�.'�"j<'.}:'}.'�"k'"�"�1'.Jl",YCT^.`�("5�("�('.`5:"�"�'"�('YY..'.�"�"�' f.'3!"�C'j('ii'il"�['x"�'l�f.'�"�"ii"jF'.'�('.�'Yi'y'{'.�'.�"`�(' SUMMER CALCULATIONS ��a� x�a��'�� #ate#����� x-�tt'#���x'•x�;�tt'�n-x�!�'><-���a�'� r�#���axa��a���r�r���x ;itt••��x�� ���•�r: ��'#�x�'x'� BASE =_ _-== AS -BUILT" GLASS------------------ 1 ORIEN AREA x BSPM = POINTS 1 TYPE SC ORIEN AREA x SPM x SOF = POINTS N :�2.00 47.8 1529.6 1 -- _ SSL TINT N32. U51.. - -- 5y-- .58 _ 954.8 NE 12.00 71.7 860.4 1 SGL TINT NE 12.0 76.6 .33 347.8 E 32.00 102.0 =264.0 1 SGL TINT E 32.0 107.1 .72 2462.7 SE 12.00 104.1 1249.2 1 SGL TINT SE 12.0 110.3 .86 1135.4 S 72.00 90.9 6544.8 1 SGL TINT S 20.0 90.3 .59 11.66.3 1 SGL TINT- S 36.0 98.3 .27 962.5 1 SGL TINT S 16.0 96.3 .32 1294.6 SW 12.00 104.1 1249.2 1 SOL TINT- SW 12.0 i10.:= .06 1135.4 W 20.00 102.0 ------------------------------------------------------------------------------- 2040.0 1 SGL TINT W 20.0 107.1 .72 1519.2 .15 x COND. FLOOR / TOTAL GLASS = ADJ. GLASS = ADJ GLASS 1 GLASS AREA AREA FACTOR POINTS POINT'S i POINT'S .15 1,SS7.00 192.00 1.240 16,737.20 - 20,751.51 _ 1 11,000.57 NON GLASS-------------- ; AREA x BSPM = ------------------------------------------------------------------------------- POINTS 1 TYPE R-VALUE AREA SPM = POINTS WALLS--------.....--------- 1 Ext 1020.0 1.0 1020.0 1 Ext Wood Frame 11.0 1020.0 1.90 1938.0 Adj 159.0 .7 110.6 1 Adj Wood Frame 11.0 158.0 .70 1.10.6 DOORS-----"---------------- 1 1 Ext 20.0 4.S 96.0 1 Ext Insulated 20.0 4.80 96.0 Adj 18.0 1.6 28.8 1 Adj Wood 18.0 2.40 40.2 CEILINGS --•------------- 1 UA 1578.0 .6 946.8 1 Under Attic 19.0 1573.0 1.1.0 1735.8 FLOORS -•-------------------- 1 Slb 176.0 -31.8 --5596.8 1 Slab -on -Grade .0 176.0 --31.90 -5614.4 INFILTRAVION--------- I 1587.0 10.9 17298.3 : Practice 02 1587.0 10.90 1.7298.7 TOTAL SUMMER POINTS 1 ^ 34,655.21. 1 26,600.07 TOTAL x SYSTEM = COOLING 1 TOTAL x CAR x DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINT^a 1 COMPON RATIO MULT MOLT MULT POINTS -1---------'---------'-'-------'---------------------------------_ --------'-------------- 34,635.21 .43 14,901./4 1 26,600.07 1.00 1.140 .380 .860 9,912.09 '� •1•?"�"�"rr"54"✓f'rY•' A• N4"iC'H"✓C �'ii:{"lf'rr' •Ic'iQ' ]F"Yt' � ]Y' �1"X' TC'1Q''!t"N"yf'�'"c'}�"� Q".�'Jf'�' •h. Yvf'S'•'�("�.'�'":f["}i -14"�' T ]C']!f �Y A'�"Y( R''�' �"YC'�'M"N' fiY' YE' ]T YC'M' TY"ff .YY'�'Y: '�"�' ^T :S"1�' WINTER CALCULATIONS '�'Yf'Ff'}('.N.n-'Yf'Vh..�'�'4"�"�";Y"iY'.i'iY'Yf'#"�''�('X'R"�'WY")C'SQ'-A' f�"YE"l-'T"�f'il"ii"k'.�+'ti'1Q"�.'�'i{"�"�'�'1`f.'�Tf. `T("�"�. SC'A4'�.'F'�'.�"n i'.It"Yn'>C"�+"1{"r4']C'�T-'#"�"�h'k ,�•,-'3� n"�1. SASE _-_ ___: AS -BUILT- GLASS--------------------- i ORIFN AREA x BWPM = POINTS 1 TYPE SC: ORIEN AREA x WPM x WOF - POINTS -------------------------------------------------------------------------------- N Z,2,00 5.6 179.2 1 SGL TINT N :2.0 9.6 1.27 391.3 NE 12.00 1.3 42.0 1 SGL TINT NE 12.0 7.3 1.63 142.7 E 32.00 -5.6 --179.2 1 SGL TINT E 12.0 2.0 -.55 34.`> SE 12.00 -13.4 --160.0 1 SGL... TINT SE 12.0 .-9.7 .85 -99.3 S 72.00 -14.0--1008.0 ! SGL TINT S 20.0 --10.2 .58 -1.1.7.7 1 SGL TINT S 36.0 -10.2 --1.01 370.7 1 SGL_ TINT S 16.0 -1.0,2 eu --14:3._; SW 12. ti0 --13.4 -160.8 1 SGL TINT SW 12.0 - ..7 .05 -•-99. W 20.00 -5.6 -11.2.0 1 SGL TINT W 20.0 -2.0 -.55 21.9 --------------------------------------------------------------------------------- .1.5 x COND. FLOOR l TOTAL GLASS = ADJ. x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS I POINTS ---------------------------------------------------------------------------------- .15 1,,587.00 192.00 1.240-1,399.60 -1,735.29 1 501.81. NON GLASS ------------ i-- - AREA x BWPM == POINT'S 1 TYPE R--VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS------------------ 1 Ext 1020.0 1.1 1122.0 1 Ext Wood Frame 11.0 1020.0 2.00 2040.0 Act j 158.0 1.3 284.4 1 Adj Wood Frame 11.0 156.0 1.80 r 284.4 DOORS -------------- Ext 20.0 5.1. 102.0 Ext Insulated 20.0 5.10 102.0 Adj 18.0 4.0 72.0 1 Adj Mood 18.0 5.90 106.2 CEILINOS ------------- UA 1.578.0 .6 946.8 1 Under Attic 19.0 1573.0 1.00 1578.0 FLOORS--------------------- i Sib 176.0 -1.9 -134.4 I Slab--car-Grade .0 176.0 2.50 440.0 INFILTRATION ----------- 1387 .0 4.1 6506.7 1 Practice *2 1.587.0 4.10 6506.7 TOTAL. WINTER POINTS ; 6, 964. 21 1 11,559.11 s DOTAL_ x SYSTEM HEATING 1 TOTAL CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS 1 C:OMPON RATIO MOLT MULT MULT POINTS 1--------..--.--.-..----.---._-_.-. ----•-_-._ _-._..._.__-_---__ -_-_--__--.-. __--.--. _..._...----_--.-_.-_ __-_-.---.-_-----_---_--• __ _---_-- 6, 964. 21 1.14 7,939.20 1 11,559.11 1.00 1.140 1.000 1.000 13,177.39 'LL•96 = Id7 $'Z°466` :': 0"9066 17'LLT21 6' ZT66 1 q6°Tu1?''22' 0,°TF,901. "626L Z.'Ti,617T SJ_NIOd =- SJ..NIDd + SIN 10d S_LI\IIO.J 1 SJ-N108 = SJ.NTDd , S-LNIDd 51.1\1I0d iJ_LO.J_ _I?1.Lt'hi _U:.71I 9NT_LV ii DidI-100O I T.10J. J_LLk,M 10H 01\!11U, I-1 ON1-f003 ;,J�4111nS *.K-#'k.,,,.k.x.#.x.k.#?;##X.i�..y..�..�#.k.;{.-X.',F•#i-4F #'.',-r Si�#. ifY-<#•Y Oir 0 °Z 0 ';;_ ±inn ° T ir6 ° 02 1 in:, ° T n 0 L z9S. .L1nW O1..Lt1d S4v`l�t3r? 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