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Home My WebLink AboutSUBMITTED PAPERSOFFICE USE ONLY: DATE FILED: PLAN REVIEW FEE: \ RECEIPT NO.: v PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE &FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT 5 CBU�r I DING & CODE REGULATIONS DI SION ;j / 2300 Virginia Avenue 8 Y Ft. Pierce, FL 34982-5652 uc/'Q 772-462-1553 -- Cp r� ` �1(4C2-02b PLI CATION for EUILDING PE IT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: tqo) S. t CC f—v C(x,l akTC, 2. PROJECT NAME: SITE PLAN NAME: 3, 4. PROPERTY TAX ID #: LEGAL DESCRIPTION (� 5. PLAT BOOK 4 Z- 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. Z Y 9. PARCEL SIZE (ACRES/SQ FT.): ®• c LOT DIMENSIONS: W x WAX 60-L r )( 6 N. j! 6� X &aLl) 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: 11. SETBAC ) (ACAL FRONT: n' N BACK: RIGHT SIDLEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: e51 eYl�"t 14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1 st FLOOR: 16. VALUE OF CONSTRUCTION: $ 5 ) 1 c 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 similar types 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 6/25/09 .2 T.S OWNER INFORMATION NAME: 1 %LLJU4 r 1 tJ cv ADDRESS: ® `, w_ e, CITY: STATE: ZIP: S PHONE (DAYTIME): �%� l ��?�� 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: STATE: ZIP: PHONE (DAYTIME): U CONTRACTOR INFORMATION ST. of FL REG.CERT #: M BUSINESS NAME: a P-Ir W AQQ QUALIFIERS NAME: Qm �� n ADDRESS: CITY: F Y-} *- brL STATE: PHONE (DAYTIME): 77 S7? --7 SZ FAX NO. ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): U BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: r ST. LUCIE COUNTY CERT #: ZSg5q :Ln C- ZIP: J TA ��- Email:+ w( jee.eGU1({.p66 S. ZIP: ZIP: 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 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, 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 THIS 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. -Z� OWNER OR CONTRACTOR SIGNU c STATE OF FLO%4A. COUNTY OF The foregoing instruMent was acknowledged before me this day ofJ)1"20. R- by who is personally known or has produced =:7WExp1res&10r2015 NOTARY PUBLIC STATE OF FLORIDA Camr#VA1*736 V TRACTOR SIGNA URE STATE OF FLORI 6� COUNTY OF The fore9 oing, instrument me this VIPday of 1 , by is personally known acknowledged bet via". 26 I has produced as identification. roeP.EY W . Mc GHEE ,Sfgnatuq df Notary NOTARY PUBLIU STATE OF FLORIDA Commission No. CaffAKE)120736 • Expires 8M012015 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 OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY BP #; SECTION TOWNSHIP RANGE MAP NO. ZONING LAND USE �65— LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE �� AREA FEE FEE (RADON) LIBRARY PUBLIC BLD UBIC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRE FEE FEE GENERAL SCHOOL ROAD CREDIT Y N LAW ENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC � GAS LOT OF RECORD FEES REQUIRED PLUMBING y/ FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE ?j COMPLETED INITIALS t COASTAL TESTING LABORATORY P.O. BOX 2023 PALM CITY, FL 34991-2023 OFFICE 772 220-6688 FAX 772 287-1591 SEND TO SAINT LUCI_E COUNTY Attention BUILDING DEFT. From Date e locaffon FAX COVER SHEET Urgent ❑ Reply ASAP Please comment U Please review ❑ For your information Total pages, including cover. T00 1n T62TLRZZLL XVd CO.OZ VT0Z/9Z/C0 DATE: JOB NUMBER: PERMIT'NUMBER: CLIENT. CONTRACTOR: J023 LEgAL: J013 ADDRESS: COASrAL T ESTI 5 LABORATORY, LLC Post O 202 3 Pal*wCay, FL 34991-2023 772.220.6688 Cc RP4C W/II T Si"REPOR7r 4sri 9 D 6928-.70 March.26, 2014 14-0324 1402-0140 N/A 1901 S. 7f ead er Ca na.LRoa& FortKarce, FL SOIL CLASSIFICA?'ION Fx REMARKS: A3 Loowttxvvsandy soawi -lit ct &deratL,,a nbtuitof c4whe& she7l/ rEST SAMP LE LOCATION: 10' rS LR CL-n-ner ^ Cesitte.#- of Pa& -10' IS RF Cornea I w-PlacerDry D :%r MaAem4 w l2u %cQmpac -cvv 1) 101.8 103.4 98A 2) 101.2 103.4 3) 102.0 103.4 Re4pecquay Submitte&,, Ern,e4to'Vela4cor P.F_ 97.8 Zooz T69ILMLL YVd W OZ VTOZ/99/CO A I i COASTAL TESTINQ LABORA-WRY., LLC Post Offiz&BaxI2023 PaUmCay, FL 34991-2023 772.220-6688 AV�7&�E� 94L14 DATE: MarCh/26,2014 CONTRACTOR: A & (5 Pool& J013 NUMBER: 14-0324 PERMR'NuMBEx: 1402 -0140 112 110 u. 108 106 104 102 100 98 ASTM D 1557-09 I . .... . ....... ..... ....... .. .... .. 8 10 12 14 Moisture — Percent of Dry Weight cooln T69TLMLL XVJ eO:OZ fTOZ/9Z/CO r �' C0,45T�4L 7 ,STINC� LABOR47"ORY.7 LLC Pos-O f ic&l3oxI2023 PatmCfty, FL 34991-2023 772.220.6688 coM��cry&1y rtsrr r .4STM D 6938 ZD vArf. Maeclv26, 2014 JOB NUMBER: 14-0324 PERMIT NUMBER: 1402 -0140 CLIENT: A & 0 FOOLk CONrRACrOR: A Cr 0 Pool JOB LEGAL: MIA JOB AMRESS. 1901 S. Ifeader Ca naa&Roa& Fort- Pr erm, FL SOIL CLASSIFICATION ET REMARKS: A3 Loowtmmsa4utysoaWUh,a-wWderate-a*wuntOf cru&he&s lem TESi SAMPLE LOCA77ON: 10' IS LR Corner - Center of Pact -10' IS RF Corner 2) 101.2 3) 102.0 Respect fra,Uy Sr item tied, a 1� 103.4 103.4 103.4 g co mpa-Crtow 98.4 97.8 98.6 ruwT!F- Mardv26, 2014 p-rjz1 r NUMBE- Z:1402 -0140 g 10 12 14 Moisture — Percent of Dry Weight PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT CHANGE OF SUB -CONTRACTOR AGREEMENT I, Ja ry-e57: L.e.anrLr- � , am requesting a change of sub -contractor Main Qualifier Name From f5GLo _r i12 C_ E hC . to the new contractor listed below. Existing Sub -Contractor Name i�New Sub Contractor Information; St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): ? C AT IC_ (Company Name/Individual Name) have agreed to be the IE�ec- 'Y(-CGJ Sub -contractor for Na &s (Type of Trade) (Primary Contractor) for the project located at A) ` S (Project Street Address or Property Tax ID #) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) Business Name: Address: City/State/Zip: Phone: SInURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF kc A <-, THE • RREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS I L DAY OF U I , 20 1 BY WHO IS PERSONALLY KNOWN IOR%HAS PRODUCED AS IDENTIFICATION. C , S GNATUR�OF OTARY PUBLIC PRINT NAME OF OFFICE USE ONLY: � �®� NDA MARTINET r. •° = (MI biic - State of Florida My Comm. Expires May 31, 2015 'ARY PUBLIC a;;;R�Commission # EE 88807 PERMIT# ISSUE DATE SLCPS: 11-27-2013 April 16, 2014 St. Lucie County Building Department 2300 Virginia Avenue Fort Pierce, FL 34982 Permit # - 1402-0140 Address - 1901 S. Header Canal Road To Whom it may Concern, Please be advised by way of this correspondence that A & G Concrete Pools will not be using Ed's Electric, Inc. for this pool project. We are asking to remove them from our permit and Matula Electric will be applying for the electrical permit for this project. Please feel free to call me here at the office if you have any questions. Sincere es T. Leonard Owner / Secretary A & G Concrete Pools, Inc. CPC 1457902 410 Saeger Avenue • Fort Pierce, FL 34982 9 (772) 878-7752 • (772) 770-0088 9 Fax (772) 467-1624 Planning & Development Services r''` y h' '"` 1;'�� ` i� Building & Code Regulation Division j T :I'ly z 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT f PERMIT #: Qo;t o JOB ADDRESS: / o e ,r (ro', BUILDER/CONTRACTOR: _ _ „ j _ S r PEST CONTROL CONTRAI PEST CONTROL LICENSE We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated:_ Chemicals used: • Ua52�� Percentage of solution: ,Q Total gallons used: Date of Treatment: Footing 151 Treatment Re -Treat Driveway Treatment Re -Treat Other 1a Treatment Re -Treat Time of Treatment: 16 0 Slab 1-It Treatment Re -Treat P 1 1-" Treatment Re -Treat Perimeter for Final Inspection Signiture of F r inator Note. There must be a completed form for each required treatment or re -treatment and th/s form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled lnspecdon W11 fall and a re-inspecVon fee charged. FBC104.2.6 Certificate of Protec6iv8 Treatment for prevention of termites A weather reststantjobsite posting board shall be provided to receive dupllcata Treatment Certificates as each Wu/red protecftve treatment is completed, providing a copy for the person the permit is issued to and another copy for the bulldlng permit fries The Treatment Certificate shall provide the product used, identity 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, final 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. pl-ecc-e_ 3gh5-t PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY Pr"6 ConnJr—pC64's will be using the following sub -contractors for the (Company/Individual Name) project located at I - ` 0 1 �. v COL'nol Pt4 (Street address or Property Tax ID #) 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 Number Electrical �Q_,�,License 6 � U 1 n C. —1�1 C. LL Plumbing con C LQ�C. HVAC/ Mechanical Roofing Gas CEUSE ONLY: IIPERMIT NUMBER: I 1 I ISSUE DATE: 1 11 \ r PLUG & DEVELOPMENT SERVICES Building &. Cole Compliance:Division BUILDING: PERMIT SUB 'CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Nurfi&er: State of Florida Certification Number (irappiicable): Er Q00 f 5 (oq (Company Name/Indi ' (Type of Trade) i For the project located at I `1 l( 1 (Project Street ~ /► have agreed to- be the Sub-contractor,for (Primary Contractor) or Property Tax ID 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 filing a Change of Sub -contractor notice, (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: C S Inc - Address: bo`wt QUAn 1 City/State/Zip: Ti3 vfi 3''9"'F 2 — Phone: -i 7r�- y ' cluil to email: R �i M - �_N_ SIGNATURE (\ PRINT NAMP DATE STATE OF FLORIDA, COUNTY OF THE FO GOING IN TR MENT WAS SIGNED. BEFORE ME THIS DAY OF—P&W"A20 BY V ` V L WHO IS PERSONALLY KNOWN OR HAS AS IDENTIFICATION. TRACEY W. McaHEE (STAMP) 1C sit NOTARY PUBLIC PRIM MW SLCPDS:IZ/16/2013 • �#EEI20� 4� Expires 8110/2015 PERMIT # ISSUE DAT _ PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 25959 State of Florida Certification Number (If applicable): CPC 14 5 7 9 0 2 A & G CON MTE POOLS, INC. have agreed to be the (Company Name/Individual Name) PLUMBING Sub -contractor for A & G CONCRFTF. POOLS, INC. (Type of Trade) (Primary Contractor) For the project located at O' C3, �� cctrl& (-) I (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 filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004=00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: A & G CONCRETE POOLS, INC. Address: 410 SAEGER AVENUE City/State/Zip: FORT PIERCE, FL 34982 Phone: 772-878-7752 email: �JA�MES' T. LEONARD SIGNA PRINT AME DATE STATE OF FLORIDA, COUNTY OF (� THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS l 1441DAY OF , 2014 BY 1 WHO ER IM OR HAS PRODUCED S G AT OF NOTARY PUBLIC SLCPDS: 12/16/2013 AS IDENTIFICATION. Il� m*NOTARY RACEY W. BUC (STAMP) PUBLICPRINT N E OF NOOF FLORIDA ami# EE120736 xpires 8110/2015 JOSEPH E. SMITH, CLERK nr THE CIRCUIT COURT - SAINT LUCIE COU-- FILE # 3923421 OR BOC z02 PAGE 1780, Recorded 02/10/2014 0:48 AM NOTICE OF COMMENCEMENT To be completed when construction exceeds $2,500.00 ($7,500 Mechanical ) PERMIT NO. _ TAX FOLIO NO. ZZ ( 'VIZ^flWQ-3 STATE OF FLORIDA,, • , , COUNTY OF The 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 the Notice of Commencement: General Description of Improvements: Swimming Pool Only Owner Information or Lessee Information, if the Lessee Contracted for the Improvement: rm Name: r `O-L4 C �-71 O C Address: _ _ Interest In Site of Improvement: Fee Simple Fee Simple Title Holder (if other than owner) Contractor: A & G Concrete Pools 410 Saeger Avenue Fort Pierce, FL 34982 772-878-7752 Surety: (If applicable, a copy of the payment bond is attached): Name and Address:___—�__�__�__A—_�,___—__-----__�� Phone Number __ —__—_—,__-Amount of Bond: _ Address: —_----_— ------- —Phone Number—_--__ t- y O U to cn Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Florida Statutes Section 713.13(1)(a)(7): Name_____ _—_—_--- ____-----_----- -- __________Phone Number In addition to himself. Owner designates of to receive a copy of the Llenor's Notice as provided in Section 713.13 (1) (b ), Florida Statues: Phone number of person or entity designated by Owner __— --- —_______ Expiration date of notice of commencement ( the expiration date may not be before the completion of construction and final payment to the contractor, but will bei year from the date of recording unless a different date Is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.7 3, FLORIDA STATUES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing and that the facts in It are true to the best of my knowledge and belief. (Section92.525, Florlda Statutes) SKINATPRE OF OWNER OR LFcGFG �R� OO ESS SHUT RED OFFICER/DIRECTOR/MANAGER/PARTNER mfll PRINT NAME AND P(ROLVIDE T1ITTTLE' State of Florida, County of—S�'IfC_I�Y,-d � --- Ac led ed before me this �.�ri! day of i�,ltl� 2014 by as ______ for_ ___ _—_____—__--------- who is personally known to me or has pro id_ed —__—as Identification. TRACEY W. 111oGI1EE NOU NPUBLIC jjTATEOFIFLIND11 Con"EE129M NotaryPublic StampqeFWnte7WpeWd1aVe of Notary PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, 2214 •'3W- Oo02_- ooaC) e (Parcel 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. Al AA-&— C, L Y o Property Owner ame (Ple P 'nt) Property Own r Signature Date 0 - C STATE OF FLORIDA, COUNTY OF AC O LEDGED BEFO ME THIS DAY OF t 120 BY I ouckWHO IS PERSONALLY KNOWN TO OR WHO HAS ARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 08/24/2010 AS IDENTIFICATION. r TRAM W. "HEE TYPE CE YPUBUC E OFFLORIDA ►# EE120736 ` I ° EXPIFWSI012016 PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMIT # I (We) acknowl get t a ne swimming pool, spa, or hot tub will be constructed or installed at ("I 6 1 CJ ,� 121'1C,1_Q KCS and hereby affirm that one of the following methods (Please print street address) will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29. The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for Safety Covers for Swimming Pools, Spas, and Hot Tubs). / All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85decibels at 10 feet. All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms placed no lower than 54 inches above the floor or deck. I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S. I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized. I, the contractor, agree to instruct the owner of the proper use and mai nance of such safety device. SIGNATURE OWNER SIGNATURE D C NTY OF & OF FLOR A, COUNTY OF 1ULX1 C NO UBLIC . 11v ._ Tmm W. McGHEE The foregoing instrument was acknowledged before me this Jlj�day of , 20 T by Personally Known ✓ or Produced Identification Type of Identification Produced: SLCPDS Revised 04/11/2011 The foregoing instri 40% this day of by Personally Known or Pro%d�uced Identification Type of Identification produced:' ' L ^ "�(E' `�', :I ee • FND IR&C i7gl E. 0.14' ' Sj 10 FPL EASEMENT • I � LOT 2 M 1" F ` 8.85 ACRES 2$2.7'ull r N 1--� LO o� Z4 z � I �O w G*'y C) .4 �i 4. L tiRllJQN A TOO ------ -- SURVEYOR'S CERTIFICATE 1 HEREBY CERTIFY THAT THIS SURVEY MAP IS TRUE AND CORRECT TO THE' BEST OF MY KNOW WDGE AND BELIEF AS SURVEYED IN THE FIELD. I FURTHER CERTIFY THAT THIS ,SURVEY VM THE MINIMUM SET FORTH IN uCHCOMPAPTER 6J.17 BYTHE FLORIDAICAL BOARD OF STANDARDS LAND SURVEYORS PURSUANT To CHAPTER 200M FLORIDA STATUTES, AND THAT THERE ARE NO ABOVEGROUND OTHER THA"*MM, S�yt=L PROFESSIONAL SURVEYOR AND MAPPER FLORIDAREGISTRATION #4811 MARK W. TEEM P.S.M. Alm4 1 PUBLIC WORKS -8Y LUCRE COUNTY. m FL S89*40"11 "E 1239-86 9pm LOT 3A7. Oro NUT401 W 620-01 0 N M to 189*36'07"W TOI3 TOIL--r------' .619.71 "•_ _UNPLATTHD ACREAGE `LEGEND � T L .ARC —OHW---wasMADME —Q• p(E' m vmm Fern cm 4WHORETE MONU MENT 4BX6YBIfic"mm)lac F: 4RM ROD wow raw 4AL&OW 4 -CAP pM {BGtci-0FYWY a -00KORETEMONUME V< �iRa�D o -EUOAE r oR RM PFE FM 8IW � qEW "0R VVJX 11Y • *W0F ASPH : Fcpwp a t VYF " �M p��pLATMOTA "A M&WARN PRO OFRVEOR 410WOF LAIDWSAdCEd8JRFp CH •CH= - p -pEWWDWANM68EARM CB •CHMSEAit M P= •PRoRWK NALsuRYEVM APW F� �QadD+ -0ELTA AMM2 4 MP_ 0 Co. DafiWAPP ve 10 L FLOOD ZONE: "X" y .EHVATM ELEVATM er ORB • -OFFKAdU.R6C0M90OK p8 4"T800K w -XWSOOK po pB00K -A•F M -FOUM nw mw TTP WM -TfpoN 4i►TERmom m 4*WHVDPJW UP •UIFJiYPOLB FW .. y .UppeUM"R -... LEGAL DESCRIPTION:. (AS FURNISHED BY CLIENT) LOT 2, THE PLAT OF MYERS'SUBDIVISION NO. 1, ACCORDING TO THE PLAT THEREOF; RECORDED IN PLAT BOOK 42, PAGE 1, PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA. ADDRESS: 1901 S. HEADER CANAL ROAD FORT PIERCE, FLORIDA a• SURVEY NOTES: 1. NOT VALID UNLESS SEALED WITH AN EMBOSS® SURVEYOR'S SEAL. 2: LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR.RIGI•ITS0r-wAY, EASEMENTS, OR OWNERSHIP. 3. LAND DESCRIPTION HEREON WAS PROVIDED BY THE CLIENT. 4. BEARINGS SHOVIMMEREON ARE BASED ON THE CENTERLINE OF ROAD. 5, THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE ANDIOR FINANCING AND SHOULD NOT BE USED FOR DESIGN OR OONSTRUCYION PURPOSES UNLESS OTHERWISE STATED ON THE SURVEY. S. ELEVATIONS SHOWN HEREON ARE BASED UPON N.G V.D.1M. 7. DIMENSIONS PREVAIL OVER SCALE. 6, ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNNG PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES- ®. SURVEY NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. " 10. THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A COMMITMENT FOR TITLE INSURANCE. 11. UNDERGROUND UTILITY INSTALLATIONS, UNDERGROUND IMPROVEMENTS, FOUNDATIONS ANOM ANDY OTHER UNDERGROUND STRUCTURE WERE NOT LOCATED BY THIS SURVEY UNLESS SPECIFICALLY NOTED. 12 UNLESS NOTED OR DEPICTED OTHERWISE. ALL . PROPERTY CORNERS SHOWN WERE FOUND AND. HAVE NO IDENTIFICATION OR SAID IDENTIFiCA'TION WAS, ILLEGABLE 13. THIS SURVEY IS PREPARED FOR THE EXCLUSIVE USE AND BENEFIT OF ONLY THE PARTIES CERTIFIED TO HEREIN, RIGHTS OR LIABILITY TO ANY THIRD PARTIES CANNOT BE TRANSFERRED OR ASSIGNED. CERTIFIED,TO: r .,.ar,o&t crate) FTtt]• CORNERwromE SURVEYING LB# 7941 13833 WEWNGTON TRACE E 4 #129 WIELUNGTON, FLORIDA 33414 CM) 2354= (volm&IWO PR A Q Oft f1 lE�� SCALE. DRON fBY: FILE NO,:.. OLI-61" FB PG: PxG PAGE: ;,1 OF 1 .• ATE .• c1. 1,10 FND IR&C 2791 (D.11' E, 0.14' S) S89'40'11 "E 1239.86 1 O O j CONC DRIVE 10' FPL EASEMENT-� _ z Q 1 U I� I C) /\�\{\ 07 07 OO T' > �/ L_ O 2 - � o PAVERS 8.85 ACRES l Z CONC PAVERS I 3 SLAB+ 282.7' ' CONC _ 1 Q EXISTING SLAB I RESIDENCE 241 A W U 1 236.6' I COVEaaveRas° JLn 262'- z Q C.)I G EXISTING GARAGE 265 3' AM- M cn O O I 236.6' ea NC xISTING ONC SLAB S B ABANA/GUEST GENETOR ® RA r . � / L''ILLJ U a o I - Ir- 244.2' I' t N EXISTING UNC N O O PAVILUON nNi 9.5S X 95' PAVILLION 1- II Uzi W A S+ NG 1 ":1- :E 1 2 _D 24.0' d SON O z M BA EXISTING 9.5• X 9.5• ALUM LO'T 3 - 10' FPL EASEMENTS EXISTING CUL - - - - - - EXfSTING 12 GRAVEL DRIVE N89'40'11 "W 620.01 LOT 1 LEGEND rn1 O = FND #5 IR&C 2791 ifl.7' CO = PROPANE TANK Q = EXISTING WELL 22-7' 0.7' CONC = CONCRETE 0 = CABLE BOX MI ® = ELECTRIC TRANSFORMER p BEL LSOUTH SERVICE TOWER COVERED PAVERS LLl ';a> = WOOD POWER POLE t- = GUY . WIRE 56.7' rl 3 C� Q ^Q R/W = RICHT-OF-WAY TOB = TOP OF BANK O CV FND = FOUND Q IR = #5 IRON ROD EXISTING h us GARAGE L0 IR&C = #5 IRON ROD & CAP (10 OHU - OVERHEAD UTILITIES P.L.S. = PROFESSIONAL LAND SURVEYOR LB = LICENSED BUSINESS L 5&7' P.B. = PLAT BOOK ALUM = ALUMINUM NSLRWCD = NORTH ST. LUCIE RIVER WATER CONTROL DISTRICT FPL = FLORIDA POWER & LIGHT PERTH 1E0 TO` 2S 17.3' r 0 0 -- 17 i' c" 4 7' 28' 14.7' 27' 3.0= i7 EXISTING co RESIDENCE B 0' °J COVERED � 1 PAVERS t6 '-10 48 3' PAVERS PORCH 6.0' 24.0" o i 6.0' o 30.0' . • o L EXISTING CABANA/GUEST BUILDING DETAIL ] d_~I O I- EX{STiNG� PAVILLION ' ' MARK C. Lzi L v PAVILION EDYYARD W.NBECHT, P.A. 51�9 4017, 0 1 88 OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY T T 4 HARBOR COMMUNITY BANK, ISAOA, ATIMA TOB N 89'36'07"W- ToB Toa 619.71 UNPLATTED DESCRIPTION SURVEY NOTES CANAL . ACREAGE LOT 2 ACCORDING TO THE PLAT OF MYERS SUBDIVISION 140. 1, AS RECORDED IN 1_ This survey is not valid without a signature and original embossed sea! of a Florida Professional Land PLAT BOOK 42, PAGE 1, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA. Surveyor. 2_ Description provided by client and/or their agent. 3_ The last date of field work was December 2, 2013. (Sketch) 4. Underground improvements and foundations were not located as part of this survey- 5. Bearings shown hereon are based on the East line of Lot 2 bearing North 00'00'29'• West, per plat and as monumented. All bearings are relative thereto. 6_ Property lies in flood zone X, per Flood Map 12111CO250 J, dated 2-16-12. 7_ All boundary information shown is -plot and calculated unless otherwise shown_ 8. Lands shown hereon were not abstracted for right of ways, reservations agreements, and/or eosements of record. Such information, if desired, should be obtained and confirmed by others through REVISION DESCRIPTION DATE 6 MODIFY DRIVEWAY, BARN, HOUSE AND SEPTIC SYSTEM 4/9/08 7 MOVE PROPOSED CABANA 8 FEET SOUTH 5/14/08 8 UPDATE BOUNDARY SURVEY 3113113 9 FINAL SURVEY 12/3/13 } Ls rnn�r 11 f W+ SCALE : 1"=100' 011'.� I I `S00°00'29"E I 160.00 FND IR < jo (No ID) u7 cfl o C1- z -COVERED ` 0 U \ PAVERS Of a O, U Q � z I Q 0� O MIN. SETEAC R.M. j I, Q FRONT .1 U k of SIDES j w C N R SIDt - REAR TECH. 1\1 BOUNDARY SURVEY PREPARED FOR MARK & L1SA FLOYD appropriate title verification. 9. Additions or deletions to survey maps or reports by other than the signing party or parties is REF_ JOB NO_ DRAWN BY DATE DRAWING No LAVENTURE & ASSOCIATES, INC, prohibited written consent of he signing petty or potties. 06.0694 JOE M 6/22/06 13.0694-1 PROFESSIONAL SURVEYING AND MAPPING By_ F_B.,PG. 'CALCULATED BY SCALE 1 SHEET NO. 1 774 WEST MAY ROAD RIC D C. LA , N RE, FL lDA P.L.S. 5209 # DATE 06-166 11 / RCI 1, =10D' 1 OF 1 FORT PIERCE, FLORIDAF 34982 L6 7056 (772) 398-6430 Phone (772) 398-6426 Fax