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HomeMy WebLinkAboutSUBMITTED PAPPERSpp N.'et" .+,? PE""T REQUIREl7.� PLEASE PRINT. DO NOT COMPLETE SHADED AREAS_ DATE: ,� RECEIVED . yes �� V SCgNNE� SI'lUCIE COU.' Date Init.' C)BY PROJECT INFORMATION 1992 DEC 31 AM IC; 2S St. Lucie County PROJECT ADDRESS: gy3Q %�n( u 1,is Aj-P CUU,IT.IDL;LLCr `NT SITE PLAN/PROJECT NAME: COORDIN kTOR SUBDIVISION: /r%DP��/ ZnlG� (2-0 LOT: /-SL BLK: MUM PROPERTY TAX ID #: PARCEL SIZE (ACRES LEGAL DESCRIPTION: OWNER NAME: ADDRESS: CITY: /- ZIP: IYq'i7 PHONE #: (�Z07) `i a /- �.�3 % I ezy/ 7� 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- S TATE: n PA �PIt' Ago .- gg l ,-:.:..:..- ...: \.........:STt.✓.:.:u.�..w�.`. ..r...2 —_ IAtaiC713S IS 4.1in�•r..2 :N/II ire. 2.i ZIP: i'Aitl�+i'G Y�w.`t PR #: aa� PERMIT INFORMATION LOCATION: a V.50 r C �i e u1 S d�✓P_ S_LOT SIZE DIMENSIONS: aa5 7 �(� X 2 S. % y k AZ6 - BUILDING SETBACKS (ACTUAL): FRONT , 7 REAR: /QL R.SIDE G A LSIDE G- SQUARE FOOTAGE-QFCQNSTR�JCTION: c32_ S�Q DESCRIPTION OF WORK n.cl! !rA a ,C v /{oar PROPOSED USE: k eS c'cP.e V c- x�-- TYPE -OF CONSTRUCTION/DEVELOPMENT ORDER: (CHECK ALL APPROPRIATE AREAS) RESIDENTIAL: !,--' COMMERCIAL- INDUSTRIAL- OTHER: NEW CONSTRUCTION: EXPANSION OF EXISTING BLDG: INTERIOR REMODELING:- OTHER (SPECIFY): EST. COST:/O© Q©D EST. COMPLETION DATE: B t llE 0 SCANNED STATE ll GI ERT #: COU �_ BY Lucie County BUSINESS NAME: � , A�N�/L. � - •P QUALIFIERS NAME:' ADDRESS: CITY: STATE: ZIP: PHONE #: L� ARCHIT/ENGINEER: ADDRESS: CITY: STATE: ZIP: PHONE #: BONDING COMPANY: ADDRESS: g CITY: STATE: ZIP: LORTGAGE LENDER: ADDRESS:-S S CITY: STATE: F/� _- ZIP: z( d q- , fq lo' PLEASE PRINT. DO NOT COMPLETE -SHADED AREAS. ~ PROJECT INFORMATION PROJECT ADDRESS: SITE PLAN/PROJECT NAME: SUBDIVISION: �� o f. I� t=ice f� • iLIi.. 7 I mm= A 3 W 3,�5 M 3 DATE: X - R-;i/ -.�22 BLK: PROPERTY TAX ID #: _9LJ `2S 3'0 / - 00 3 6 - o©O/ PARCEL SIZE (ACRES OR SQ. FT.) r�cl2 E S LEGAL DESCRIPTION: Ae ,S au& MA'70-e [p5zj- 3y j '7 R • Of fot ly Ar Ae AtWkI V QAyv E . Vl+l l r T,4rsscL OWNER NAME:. -� - :f-. � - -, '(10 CNePuI ADDRESS: 31�3' Delnwa2G �(/� CITY:STATE:eria� ZIP: S y q $ PHONE #: ( �v ry• ) yb� - o y,i / 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: STATE: ZIP: ;1 C3GG 1 Ni`Yg SR:RINi�I UR IBM _ �Cl I agrcr�x.,. LAi;TB iTSE/ 10-AR�tTN6 E Ot3D 24NEx I �( x—mmQAm €SZ)I3R Cl IC DRIVEEQA� UIRED R` Yes No — ' Date i3 A Init. � LOCATION: PERMIT INFORMATION /LOT SIZE DIMENSIONS: 115, '% BUILDING SETBACKS (ACTUAL): FRONT 12 g' 3 REAR 10 7, 0 SQUARE FOOTAGE OF CONSTRUCTION: _ DESCRIPTION OF WORK: 4 PROPOSED USE: TYPE OF CONSTRUCTION: (CHECK ALL RESIDENTIAL COMMERCIAL:_ NEW CONSTRUCTION: EX INTERIOR REMODELING: EST. COST: �1'$-� pq 0 R.SIDE IATE AREAS) INDUSTRIAL: SCANNED - BY EL St. Lucie County L. SIDE .4 2f.. d OF EXISTING BLDG: (SPECIFY): Yma OTHER: STATE OF FL REG./CERT #: ZLr� COUNTY CERT #: CONTRACTOR NAME: S ADDRESS: CITY: o Y Pc STATE: �(on�G�l ZIP: 3 o`) PHONE #: (`C7-) �{G/- O I. - ARCHIT/ENGINEER: om w ADDRESS: 3 Lo CITY: e4rt STATE:lA ZIP: `s PHONE BONDING COMPANY: ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDE ADDRE S: �, 2 C TY: � �ltw(= STATE: ZIP: PLEA E HAVE THE .FOLLOWING'ACKNOWLEDGEMENTS"NOTARIZED _ _ .- . .VEt'rIFY ,THAT: •(,PLEASE CHECK 13OX A OR B) A. ( ) I AM THE RECORD OWNER OF THE ABOVE DESCRIBED PROPERTY_ B- - ( ) I AM NOT THE RECORD OWNER OF THE ABOVE DESCRIBED PROPERTY AND I HAVE AUTHORITY TO -ACT AS AGENT FOR THE RECORD OWNER. I GERTIFY.THAT ALL-INFORMATION'SUBMITTED WITH THIS APPLICATION IS TRUE AND Cp14pLETE - TO :THE. BEST .OF1 'MMYY KNOWLEDGE. SIGNATURE ow : C-DATE-_�02 STATE OF FLORIDA, COUNTY OF ST: LUCIE Before me, the undersigned_ authority, personally appeared, who upon being duly sworn, deposes and (PLEASE PRINT APPLICANTS NAME) .Sal e.'that the information contained.in the foregoing application is true arid" correct. gwc,rn Myoon/ and subscribed before me this day of 19_ I�Z(h0.1.4 4eaz/ep.1— Notary Public, State of Florida at Large THERESA ROWEN My commission expires Notary Public, State of Florida CC133025/BONDED FOR OFFICE USE ONLY DATE RECEIVED APPROVED ( ) DISAPPROVED ( ) CONDITIONS• ENVIRONMENTAL PLANNER: DATE- SITE INSPECTION: —DATE: FINAL INSPECTION: DATE: / PERMIT NO.: PR #: Z / O 3 5 (Offlice Only) (Office Use Only) j2EF. NO: _ SCANNED (Office Us".Only BY St. Lucie County INSTkUCTIONS: Please provide the following information in the space provided. Please be sure to Print or Type all required information.. For assistance in completing this application, please contact the St. Lucie County'Department =6f Community Development - Planning Division, at (407) 468-1576„ .during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. All applications for Vegetation Removal Permit must be submitted by 4:30 P.M.' each business day in the Zoning Division, Room 201, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. i r I i Please use your permit reference number (PR #) when making any inquiries or picking up your permit. When your permit is ready for pick up, you will be called. Please leave a phone number where you can be reached between 8:00 - 5:00, Monday through Friday. VEGETATION SURVEY REQUIREMENTS: A. or duplex development, pana- arawn _slcetcthes­_accompan ed�l%_tographss. Three`• .ET) ,coo §urveys-and�photo�raphs are requ-j- 5EP. B. If multifamily or non-residential, survey must be in the form of an aerial for field survey, accompanied by photographs. Three (3) copies of all surveys and photographs are required. All surveys must show clearly the following information: 1. Location and extent of vegetation on site; •2. Common or scientific names of major groups of vegetation; 3. Vegetation designated for removal and/or grubbing (numbers or _ percentages); 4. Vegetation to remain undisturbed; 5. Existing and proposed structures; 6. Driveway location PLEASE NOTE: Site development plans must have survev prepared to the same scale or in a manner which illustrates the relationships between areas of vegetation and proposed site improvements. PLEASE PRINT. DO NOT COMPLETE SHADED AREAS. DATE: PROJECT INFORMATION PROJECT ADDRESS: jGn fY iA,S . SITE PLAN/PROJECT NAME: PERMIT INFORMATION DESCRIPTION OF VEGETATION REMOVAL ACTIVITY (LAND CLEARING AND/OR TREE REMOVAL) • Dv) f,- //,^-- SIIBDIVISION: f%LO��Z cf/��.. (� LOT: / BLK: PROPERTY TAX ID NUMBER AND TYPES OF TREES TO BE REMOVED (AS APPLICABLE) N(7h PARCEL SIZE (ACRES OR SQ. FT.) LEGAL DESCRIPTION: _n o - FT nF ?7\.� e�f .sr 3Q7 7 F�r 6F � PURPOSE FOR VEGETATION REMOVAL �). L9 A, L t e r� OCJ or= rr- L(ACI (aZFI /,� 1 r 7a ciIto 2- 0-14) °. r .N ST_. tstci. e P-1 vee v✓7 6�vnT. i� OWNER NAME: LJ_C I�Nr E �C/7 C C� I 0 k 1 I�/1� K Pi �^1 f- DATE WORK EXPECTED TO BEGIN:-. ADDRESS: DATE WORK EXPECTED TO BE COMPLETED: CITY: STATE: ZIP: PHONE : (yt ) (4 0 -;; 1 ID #:0000 CHECK APPROPRIATE BOX: APPLICANTS NAME: _uuo0-c- F (/C(,o SINGLE-FAMILY/DUPLEX NON-RESIDENTIAL ( ) ADDRESS: _j/OS Q,Q (Q,u MULTI -FAMILY ( ) PUBLIC ( ), CITY: i�/7, �p✓( (° /STATE: 1El , ZIP: 3� PHONE n: ( lU�) �G��•-d�3! PR# FOR OFFICE USE ONLY SPECIAL APPROVALS • REQUIRED DATE RECEIVED VEGETATION ENVIRONMENTAL PLANNING/SITE PLAN CODE ENFORCEMENT �- USA---- TAZ -� WATER SUPPLIER � SEWER SUPPLIER �- DER CERTIEICATION FL DNR (CCCL) FL DOT -� SLC STPER � MANGROVE MANGROVE ALT � SEA TURTLE PROT REQUIRED FE S BP VALUE $_l36 9?i 4_0 / PLANS REVIEW FEE $ C OF C FEE- $� ROAD IMPACT FEE $ �� ROAD IMPACT DISTRICT ROAD IMPACT CREDIT: YES: _ SCHOOL IMPACT FEE $ Zj�2 SCHOOL IMPACT CREDIT: YES: SCHOOL BOARD APPROVED EXEMPT_/I ALTERNATE DEV_ FEE $ ALT. DEV_ FEE ZONE: �j- GAS AIR CONDITLONING ELECTRIC .PLUMBING_: `.SCREEN ENCL'/FE.NCE. POOF . DRIVfh'AY . 2492 2�03� SCANNED BY `- ..- St. Lucie County NOT REQUIRED RADON RCPT JS ( ) -ROAD IMPACT ZONE: Z NO: _ DATE PAID:CHK NO: - YES: NO: DATE PAID: CHK= SUB PERMITS EQUIRED "NOT REQUIRED ZONING' CHECKS' __--.-- COVERAGE LlMEN'I' L01' SPLITS F STATE OF Permit Number ;. DEPARTMENT OF HENhCAT ONsiAI�ili CONSTRUCTION APPROVAL E/�1� ONSITE SEWA&E rank Minimum Draintrench OR Minimum Absorption Size Bed Size Grease u gallons interceptor gallons Square Feet C 0 O Square Feet gallons Dosing tank gallons Square Feet `� )Square Feet — gallons Square Feet Square Feet — gallons Square Feet Square Feet ments: SCANNED n must be in accord with requirements of chapter 10D-6, FAC. BY construction permit is valid for a period of one calendar year from date of issue. St. Lucie Coun I Ilation inspection and approval is required before the system is covered. tub -out for !r tubgAdjor �s-J6 to be _,Z�_�%l�ril?C '%01� O/= ? benchmark to be �«p t.]c1Ll U G UEhy- benchmark tub -out for to be benchmark tub -out for to be benchmark and quantity: A 4 EXCAVATION MUST BE CHECKED RV TNTR T1F.RARTMFNT RRTrIA � I�.L1S' DRAINFIELD INSTALLATION. %Fin Lteu I4 -„ ad 14 M t7u w Sy (f�nr l�E%2 ChAR-/� TF AREA QV 1IRATA7RTRbTI Tq gTJBJFr T Tn CATTTRATTrttj PPP R --- ROOF WST BE GUTTERED PRIOR TO FINAL APPROVAL. -- — ind specifications by: " u� Title ( Ave t F. tttoria `' by:. r(C Date I County Public Health Unit J copies; of this form v A be provided to the applicant, Installer and the building department D� rao. J 23 SQUARE MILE to 1V /A FOR OFFICE USE ONLY VEGETATION REQUIRED DATE RECEIVED NOT REQUIRED ENVIRONMENTAL [ ] PLANNING/SITE PLAN [ ] CODE ENFORCEMENT SCANNED USA [ ]By TAZ r„ [ St. Lucie County WATER SUPPLIER ] ] SEWER SUPPLIER DER CERTIFICATION [ ] ] FL DNR (CCCL) [ ] FL DOT [ ] 0 SLC STORMWATER PER [ ] MANGROVE ALT [ ] SEA TURTLE PROT [ ] [ REQUIRED FEES BP VALUE ZO L PLANS REVIEW FEE $ RADON FEE $ 3 Z. (� o C OF C FEE $ S0 RCPT # JS ROAD IMPACT FEE $ 6T7 ROAD IMPACT DISTRICT /Yl ainl/q M ACT ONE o? ROAD IMPACT CREDff YESw� �� NO : ]ACV �! 84, OU ALTERNATE DEV FEE $ T. DEV ZONE SCHOOL IMPACT FEE $ N SCHOOL IMPACT CREDIT S �} NO [ ] SCHOOL BOARD APPROVED EXF PTIOI YES( ] NO[ O U ] 't h<�a, �rr,i P ti POLICE IMPACT FEE $�_ FIRE IMPACT FEE $ d/ SUB PERMITS REQUIRED NOT REQUIRED GAS [ AIR CONDITIONING ELECTRIC [ [ l PLUMBING SCREEN ENCUFENCE ROOF [ e DRIVEWAY ✓1 [ 1 [l ' 1 ZONING CHECKS _�BBL �/ _LOT COVERAGE _ /EASEMENT _LOT SPLITS OWNER/BUILDER AFFIDAVIT SCANNED BY DISCLOSURE STATEMENT St. Lucie County F.S. 489.103 (7) EXEMPTIONS State law requires, construction to )be done by licensed contractors. You have applied for permit under an exemption to that law. The exemption allows 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 responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. To qualify for this exemption under 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 shall be reported by the Community Development Director to the Florida State Department of Professional Regulation Signed and acknowledged on the day of 19 OWNER/BUILDER SIGNATURE STATE OF FLORIDA, COUNTY OF ST. LUCIE Sworn and subscribed before me this 19 Notary Public, State of Florida at Large My commission expires: day of .�' -1'i1r uant to Resolution No. 92-262 of Board of County Commissioners of St. Lucie County, Florida: This document has been prepared by and is to be returned to: ROBE" A. BURSON, P.A. By: Robert A. Burson, Require Florida Bari 217638 Nailing Addreset Poet Office Box 1620 Stuart, Florida 34995-1620 Street Addreant 67 South Federal Highway Stuart, Florida 34994 (407) 286-1616 File Number: 92-333 STATE OF FLORIDA COUNTY OF ST. LUCIE i 'I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL A. Burson, P.A. SCANNER BY St. Lucie County BEFORE ME, the undersigned authority duly authorized to administer oaths and take acknowledgements, did personally appear this day, Jack Krieger as Vice -Chairman of the Board of County Commissioners of St. Lucie County, Florida who, after being duly sworn and deposed does state as follows: 1. That by various Right -Of -Way Deeds recorded in the public records of St. Lucie County, Florida, the Board of County Commissioners of St. Lucie County, Florida have accepted a certain 60 foot wide parcel of land for public road right-of-way purposes, which right-of-way is commonly known as Andrews Avenue. 2. That the Right -Of -Way Deeds were recorded in Official Record Book 657, Page 2601, Official Record Book 657, Page 2603, Official Record Book 657, Page 2605, Official Record Book 657, Page 2607, Official Record Book 657, Page 2609, and Official Record Book 809, Page 1027, all of the public records of St. Lucie County, Florida 3. That said Andrews Avenue is located across portions of Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company Subdivision as recorded in Plat Book 2, Page 10 (also known as Page 10 D) of the Public Records of St. Lucie County, Florida 4. Andrews Avenue lies immediately North of and contiguous to the right-of-way of the North St. Lucie River Management District Canal Ntimber 49, which canal is 101 feet in width. 5. That portion of the above described canal which lies within Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision is described as follows: The South 101 feet of Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision as recorded in Plat Book 2, Page 10 (also known as Page 10 D) of the Public Records of St. Lucie County, Florida All lying in Section 23, Township 35 S, Range 39 E, St. Lucie County, Florida 6. That portion of Andrews Avenue which lies within Lots 13, 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision is described as follows: The North 60 feet of the South 161 feet of Lots 13 (less the Westerly 775 feet of Lot 13), 14, 15 and 16 in the Northwest 1/4 of Model Land Company subdivision as recorded in Plat Book 2, Page 10 (also known as Page 10 D) of the Public Records of St. Lucie County, Florida. All lying in Section 23, Township 35 S, Range 39 E, St. Lucie County, Florida I 7. The right of way of Andrews Avenue is a public road but is privately maintained. (i. The facts as set forth above are true to the best of affiant's knowledge, information, and belief. Further affront sayeth naught. The foregoing affidavit is duly executed on behalf of the Board of County Commissioners of St. Lucie County, Florida on this 29tbday of October 1992. BOARD OF COUNTY COMMISSIONERS ST. LUCIE COUNTY, FLORIDA By: r ;l� f CHAIRMAN Sworn to, acknowledged and subscribed before me this :4'/I/I day of ('(� 1,' �J t., 1992 by a t as 1,i.,? of the Board of County Commissioners 154 St. Lucie County, Florida (Signature of Notary Public - State o (Print, type, or stamp commissioned name of Notary Public) Personally known ;< or produced identification Type of identification produced fdutary F f:;i:. Scale ofFlorida A!y Colrarssico F.::ts:c; Scpl. 24.1793 Bond.d iluv lmy rain- Immnnm Inc. s:\ssnc-ssT\vAxrAss\Arn.ois OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT SCANNED E.S. 489.103 (7)- EXEMPTIONS BY St. Lucie COun State law requires construction to be done by licensee contractors. You have applied for a permit under an exemption to that law. The exemption allows 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 responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. - To qualify for this exemption under 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 shall be reported by the Community Development Director to the Florida State Department of Professional Regulation. Signed=and acknowledged on this d y of of OWNER/BUILDER SIGNATURE J�'�Z spZ STATE OF'FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of 19 by. who is PE known to, me or who has. .produced. L `as': identif i'G'ation Signature Of Notary Type or Print Name of Notary It - STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT e Authority: Chapter381, FS Chapter 10D-6, FAC f G Applicant b u 6- F C la7t _FM Permit Number Z ------------ PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL ------------- Septic tank or aerobic unit q_&Aallons Septic tank or aerobic unit gallons Graywater tank gallons Laundry waste tank gallons Treatment Tank Grease interceptor gallons Dosing tank gallons Minimum Draintrench OR Minimum Absorption Size Bed Size Square Feet C d O Square Feet Square Feet `� x S�Square Feet Square Feet Square Feet Square Feet Square Feet Other Requirements: SCANNED BY (a) Installation must be in accord with requirements of chapter 10D-6, FAC. St. Lucie County (b) A system construction permit is valid fora period of one calendar year from date of issue. (c) Final installation inspection and approval is required before the system is covered. rr __/M10 Or (d) Invert of stub -out for to be 7_0 ,06"L-_ -_ benchmark InvEG-of-stub=ouYior to be /lrup Wgu CU L U041- benchmark Invert of stub -out for to be benchmark Invert of stub -out for to be benchmark (a) Fill quality and quantity: A RV TRTR TIRPARTMENT PRIOR TO DRAINFIELD INSTALLATION. (f) Other: Ip A_pgA g^ t11ENgI8b1Ja STIR.LrT Tn RATTIRATTON PROM ROOF DRATNA(;R- ROOF MUST BE GUTTERED PRIOR TO FINAL APPROVAL. System design and specifications by: Construction authorized by: (k tom. c T.0 ai County Public Health Unit Title- -Date V 2 Note: Completed copies of this form will be provided to the applicant, installer and the building department. AUDIT CONTROL NO. r,Z SQUARE MILE 2,31 HRS-H Fatm 4018. Feb 85(Otuoletesm lous edl8onswhlch may not be used) (Stock Number. "4 1401") Page 1 of 2 / SCANNED BY St. Lucie County SN: 9999 VAN TASSEL RESIDENCE FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program - Residential Point System Method Version 1"0 January, 1992 Department Of Community Affairs Printout generated by EPI92 and submitted in lieu of Form 900~A-91 THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1, 1992 _________________________________________________________________________ PROJECT NAME: VAN TASSEL ---------- AND ADDRESS: FORT PIERCE, FL BUILDER: OWNER: COMPONENT: DIMENSION: STRUCTURE TYPE: Single -Family PREDOMINANT EVE OVERHANG Length: PORCH OVERHANG Length: WINDOWS Double Tint Total Area All Vertical Glass Total Area All Skylight Glass Total Area WALLS Ext Wood Frame Area: Adj Wood Frame Area: DOORS Ext Wood Area: Adj Wood Area: CEILINGS PITCHED Under Attic Area: FLOORS Slab -on -Grade Perimeter: DUCTS Unconditioned Space Length ALL COOLING Central A/C Ceiling Fan: Credit HEAZING'-- Strip Heat HOT WATER Natural Gas Heat Recovery with A/C Bedrooms: INFILTRATION PERMITTING OFFICE: --------------------------- CLIMATE ZONE: 7 8 9 PERMIT NO.: JURISDICTION NO.: VALUE: RATING: VALUE: OFFICIAL CHECKLIST 3^00 "00 355"00 355.00 "00 1850"00 R-Val: 390"00 R-Val: 56"00 21"00 2585"00 R-Val: 275"00 R-Val: R-Val: SEER: STRIP: FF: 4"00 Conditioned Floor Area: 2460"00 Pract: AS BUILT POINTS / BASE POINTS * 26,330"48 43,199"87 d I GLASS TO FLOOR AREA RATIO = •1443 ' --------------------------------------- ___ ---------------------------------------- I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Cod PREPARED BY W_zt- 1DATE: hereby certify that this building is in compliance with the Florida Energy Code. OWNER/AGENT: DALE: 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 553.908 F.S. BUILDING OFFICIAL: DATE: SUMMER CALCULATIONS BASE ___ __= AS -BUILT =-- GLASS ---------------- 1 ORIEN AREA x BSPM = POINTS 1 TYPE SC ORIEN AREA x SPM x SOF = POINTS N 173.00 60.2 10414.6 1 DBL TINT N 173.0 54.9 .85 8062.5 E 20.00 127.0 2540.0 1 DBL TINT E 20.0 109.5 .83 1812.8 S 146.00 124.2 18133.2 1 DBL TINT S 146.0 107.7 .77 12165.9 W 16.00 127.0 2032.0 1 DBL TINT W 16.0 109.5 .8.3 1450.3 ------------------------------------------------------------------------------- .15 x COND. FLOOR / TOTAL GLASS = ADO. :c GLASS - ADJ GLASS 1 GLASS AREA AREA FACTOR POINTS POINTS 1 POINTS ---------------------------------_•-------------•--------------------------------- .15 .2,460.00 355.00 1.039 33,119.eO 34,425.93 1 2Z,491.46 NON GLASS------------ 1 AREA x BSPM = POINTS 1 TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- 1 Ext 1850.0 1.6 2960.0 1 Ext Wood Frame 19.0 1850.0 1.60 2960.0 Adi 390.0 1.0 390.0 1 Adi Wood Frame 19.0 390.0 .60 234.0 1 DOORS---------------- 1 Ext 56.0 6.4 358.4 1 Ext Wood 56.0 9.40 526.4 Adi 21.0 2.6 54.6 1 Adi Wood 21.0 3.90 79.8 CEILINGS------------- 1 UA 2460.0 .8 1968.0 1 Under Attic 30.0 2585.0 .80 2068.0 FLOORS--------------- 1 blb 275.0 -20.0-5500.0 1 Slab -on -Grade .0 275.0--20.00 --5500.0 INFILTRATION --------- 2460.0 14.7 36162.0 1 Practice #2 2460.0 14.70 36162.0 ---- - - --------------------------- - - - -- TOTAL SUMMER POINTS 1 70,818.94 1 60,021.66 TOTAL x SYSTEM - COOLING 1 TOTAL x CAP DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINTS 1 COMPON RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 70,81S.94 .37 26,203.01 1 60,021.66 1.00 1.100 .340 .017 18,340.10 ROBERT A. BURSON, P.A. ROBERT A. BURSON, Esquire Post Office Box 1620 Stuart, Florida 34995-1620 Attorney # 217638 (407) 286-1616 RAB File Number: Permit No. Douglas Dixon, Clerkofthe Circuit Court - St. Lucie Co File Number: 3 2 1 2 9 6 2 OR BOOK 0 8 1 4 PAGE Recorded: 11-03-92 01:13 P.M. 033 Tax Folio No. 2323 501 0036 000/7 STATE OF FLORIDA NOTICE OF COMMENCEMENT SCANNED COUNTY OF MARTIN BY St. Lucie Countv TBE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description p[pro arty (Legal descriptiggnd, if availabt(e the t set ac�cres: The South Ott/ ,Party of the East 33yy// !! I•eet o Lot �b in e orthwest 1/4 of MODEL LAND COMPANY SUBDIVSION as recorded in Plat Book 2, Page 10, of the Public Records of St. Lucie County, Florida, LESS: a. The West 172 feet, and b. The South 101 feet for the right -of - for North St. Lucie River Water Management District Canal No. 49, and c. the North 60 feet the South 161 feet thereof for the right of way of Andrews Avenue 2. General description of improvement: single family residence with improvements 3. Owner information: a. Name and address: DUANE E. VAN TASSEL AND CHERYL T. VAN TASSEL, his wife 3108 Delaware Ave., Ft. Pierce, FL 34937 b. Interest in property: Fee simple c. Name and address of fee simple titleholder, if other than Owner: 4. Contractor name and address: STATE OF RORIDA ST. LUC'F COIJ •STY OWNER BUILDER THIS IS TO CE'T.IEY THAT THISJS A .d' "."..., TRUE AND CORfcECT COPY OF THE 5. Surety (Note: Attach copy of bond if applicable): • oRiGIrV1L. a. Name and address: 5r: �;', b. Amount of bond $ NONE _ �..�Z ::: c'r, _-•'• CLERK 6. Lender name and address: r4, • ` , . MMLTNPPY SAVIIvTGS, FA , ,;,.p, K-rt•%-^', F'' " Deputy Clerk Post Office Box 10673 CUFTY, Riviera Beach, Florida 33419 DATE _ 7. Name and addresses of persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: . 8. In addition to himself, Owner designates the Lender set forth in paragraph 6 above and of to each receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. The expiration date of this notice of commencement is 1 year from the date of recording unless a different date is hereinafter specified: 199 OWNERS i STATE OF FLORIDA (J/ A<NE E.AN TAS UHERY/L 1VA�SS SE�LCOUNTY OF hARTIN The foregoing instrument was acknowledged Affix Notary Seal Below: •'0.� PVB. Qr:CfGAL NOTARY SEAL ` 2 1p.. �� JOSEPj11NE L LURSON �: COMMISSION NUMCER % ?a -Cr; L' AA7662712 „ ••F, �� MY COMMISSION EXP. F FL MAYI'9.1993 D:\CONSTRUC.LNS`}70T-CON�rN07➢ID.02R �a 2 y November 199_, by personally kn t me or who has produced as identificati ho did not take an oath. Ore PL 110 (ex Cly ee eoa®laeloeed) J SEPHINE B RSON Print9d or typed name of Notary (exactly 718 _ nedn4_ Zx�ation date of Notary's commission:/ 9� Notary's Commission Number (serial nmlber): Title or Rank, if any: ST. LUCIE COUNTY BUILDING 'PERMIT WARNING TO OWNER: YOUR 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. ST. LUCIE COUNTY COMMUNITY DEVELOPMENT D ZONING DI�iSION PHONE: 4 8-1553 PERMIT #: 92-02701 TAX ID #: 232350100360007 PERMIT F6R CONSTRUCTION THIS IS TO CERTIFY THAT: 0' COUNTY CERT. #: N STATE CERT/REG: N OWNERS NAME: VAN TASSEL, D HAS PERMISSION TO: CONSTRUCT SINGLE FAMILY RES LOCATION: 8430 PROVIDING THE PERSO TO THE TERMS OF TH� AND TO THE PROVIS CONSTRUCTION OF BUI THE TERMS ABOVE ST OCCUPANCY UNTIL CE BEEN ISSUED. AC PT PPL A S OF INGS I_ ED IMM DIA IFICATE F THIS PERMIT MUST BE DI PLAYED ON IS COMPLETED. CONSTRUC ION UNDER DAYS OF THIS DATE. ----------------------- ----- C07�TRUCTION FOUNDATION FLOOR COLUMN BEAM STRUCTURAL INSULATION FINAL GAS PIPING APPLIANCE FINAL SEPTIC TANK _ A LY REVOKES THIS PERMIT. CCU ANCY AND/OR ZONING SITE AND NOT MIT MUST BE C E: 05/13/92 SPECT CONFORM NING DIVISION GULATING THE VIOLATIONS OF ABSOLUTELY NO MPLIANCE HAS UNTIL WORK WITHIN 180 TERRY VIRTA COMMUNITY DEVELOPMENT ADMINISTRATOR ------------------------------------ N.O.C. PLUMBING ROUGH IN TOP OUT FINAL DRIVEWAY TERMITE ELECTRICAL TEMPORARY ROUGH IN ROUGH IN ROUGH IN FINAL HEAT/COOLING DUCT/PIPE FLUE REFRIG FURNACE FINAL