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HomeMy WebLinkAboutSUBMITTED PAPERS'A& OFFICE USE ONLY BP #: SECTION TOWNSHIP RANGE MAP NO. ZONING Mj LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1sr 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 111990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE ��� AREA FEE FEE (RADON) LIBRARY PUBLIC BID PUBIC BID PARKS IMPACT. IMPACT FEE ACT IMPACT FEE CORRECTION FEE FEE GENERAL SCHOOL QAU CREDIT Y N LAW ENF IMPACT IlVIPACT IIvTACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED .-FEE VARIANCE FEE FEE / SPECIFY MECHANIC V ROOF ° �— NON -CONFORMING. MISCELLANEOUS FEES SUBS ELECTRIC GAS LOT OF RECORD REQUIRED PLUMBING = - FEES DATE SENT TO ADDRESSING - REVIEWS"' ('FRONT,,; ZONING SUPERVISOR PLANS '' 'VEGETATION SEA TURTLE MANGROVE ^' CO R% REVIEW REVIEW REVIEW'' ..REVIEW REVIEW REVIEW DATE RECEIVED` DATE INITIALS OFFICE USE ONLY: �� —� �� / (% 6 DATE FILED: I RECEIPT NO.: l I 1 PERMIT NUMBER: PLAN REVIEW FEE: 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 230Virginia Avenue SCANNED Ft. Pierce, FL 34982-5652 BY 772-462-1553 St. Lucie County d APPLICATION for BU ELDING PERMIT "' CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: =J 2. PROJECT NAMEA SITE PLAN NAME: 3. PROPERTY TAX ID 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: 10. COMPLETE DES RIPTION OF CONSTRUCTION PRQ)ECT OR WORK ACTIVITY: 11. SETBACKS (ACTUAL) FRONT: ��i,1 BACK: RIGHT SIDE: \S ► LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] CO RCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) %�ny �c' oy", " 13. DESCRIPTION OF PROPOSED USE: / © L- e `e 14. SQ. FT OF CONSTRUCTION: l 'Z'/ 15. SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ Le \?D J 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 OWNER INFORMATION NAME: L� �lC�►.-Qom`\c.� e� �1`�J \ ,, ADDRESS: �C �� � \-� � . � . ZIP: CITs\STATE: �-- PHONE (DAYTMM): !L,957YQs \3 Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTRAE): (.0) STATE: CONTRACTOR INFORMATION ST. of FL REG.CERT #:,� ST. LUCIE COUNTY CERT #: BUSINESS NAME: (5I'9 S nit i •P 6 , , ' /�I U r✓'�'d -� QUALIFIERS NAME: ADDRESS: j`5,® win e S'� STATE: PHONE (DAYTIME): (_) a�(D ' a ® FAX NO T61 —:Sy 1 / Email: ZIP: ZIP: (.?!!Z 9 OR ARCHrr/ENGINEER: ADDRESS:, STATE: CITY: �' PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: YAr 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 YOURRIGHT, 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. i / r OWNER O CONTRACTOR SIGNATURE FLORIDASTATE OF COUNTY OF 6, j The foregoing instrument was acknowledged before me this day of / 20� by S l who is personally known or has produced s C NTRACTOR SIGNATURE STATE OF FLORID) J �/ COUNTY OF /mot The foregoing instrument was acknowledged before me this h day of 20 by who is personally known — or has produced as S gna e o Notary .` t� - OS,'�� Signatur Notary AP� N Commission No. Oa� @ealj Nye ;1201 _ Commission No R'' sSf No. EE 58549 No. EE 58549 NOTARY ., NOTARY PUBLIC PUBLIC. ` • , • • • NOTE: TWO (2) SIGNATURES ARE RL i��H SIGNATURE MUST BE NOTARIZE�:�I� UI�Il�G FOR THIS BUILDING PERMIT AS AN �tW1�TE)<i/BUILDER, THE OWNER MUST PERSONALLY WAR 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. PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave ' - Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY 1 S's f/f /%LC Y will be using the following sub -contractors for the (Company/Individual Name) 1 project located at (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. OFFICE USE ONLY: PERMIT NUMBER: 1L-101` ISSUE DATE: rjuaAmAu & JUk VBJ_,UYlVi -N 1 SERV1UES ­ uilding & Code Compliance DAon BUILDING PERNIIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: !� g, State of Florida Certification Number (If applicable): ek D d d d /"?— a (Company Name/Individual have agreed to be the sub -contractor for a � (Type of Trade) (Primary Contractor) for the project located at --'5— Lt;1-7i� (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 ofthe Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: Phone: email: �d .�r> �0 402 /J Z) C, 2� P��1.���G%!� NATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF de9z2_ i , THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS`c DAY OF'%a` By Am ivy% -WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDE ATI GNATURE OF NOTARY PUBUIC ;=;;I PRINT NAME OF NOT, OFFICE USE ONLY: (STAMP) SUSAN MAGEE MY COMMISSION # EE 037286 Bonded hru Notary Publiry c Underwriters PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): have agreed to be the (Company Name/Individual Name) r Sub -contractor for �,Z_ (Type of Trade) NAJ (pry Y eVIA (Prunary Contractor) - N _ For the project located at (Project Street Address or Property Tax ID #) ME 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: Address: City/State/Zip: Phone: email: 4_7�7j- ;:� A 14- C_ IGNATURE PRINT NAME 126ATE STATE OF FLORIDA, COUNTY OF'GL L' THE FOREGOING INSTRUMENT WAS SIG D BEFORE ME THIS DAY OF , 20 BY / �/l WHO IS PERSONALLY K1Vp1� i OR HAS 0 PRODUCED AS IDENTIFICATION. N . p ..�� My Caron EX00 No. EE 25,205 _ ) N NOTARY (� ✓ NOTARY ` I ATWO F NO Y PUBLIC PRINT NAME OF NOT PUBLIC\oP``� i��q�OF FV SLCPDS: 12/16/2013 01/14/2014 10:24 772878765E WYNNE BUILDING CORP PAGE 02/02 PERMIT# ISSUE DATE onNj t: s ; • o; PI.A NING & DEVELOPMENT SERVICES Buildin j & Code Compliance Divisio>n� - l ]BUILDING PERMIT SLR-WNTRACTOR AGREEMENT St. Lucie County Contractor certification NuMber: i R 7 R R i State of Florida Certification Number (ifappli4lc): I CAC0 2 4 3 79 j Comfort Control of St. 'Lu i i e county. Inc. have a r®ecl to be the (Company Name/Individual Name) air conditioning (Type of Trade) For the project located at (Project Stieat / It is understood that, if there is any project, I will immediately advise the l uil . I Change of Sub -contractor notice. (Form Sl i BUSINESS QUALMER (Name, of i I NOTARIZED SIGDI.ATURES An HJEQZTI Business Name: Comfort Con Address: 1501 City/State/Zip: Port St. Lu I ell))�ACOIUNTY IGNATAO OF THE FOREGOING INSTRUMENT WAS SiGr ilk ]BY I PR"UCJEJa - ail TUBE OF N( 'Si; 12/16/2013 P !3 for Wynne Development Corp. (Primary Contractor) V\K.S `n0� c1 cd►::> V-04 V-Q. tress or Property Tax, U) #) status regarding our participation with the above mentioned and Zoning Department of St. Lucie County by filing a . DV (No. 004-00) adividaal slioAvu on the Contractor's License) I A4AR3 email: ]BRFORE ME THIS \L DAY OF WHO IS PERSONA AS IDENTIFICATION. NAME OF NOI �S WA. T)E Win— — , 20� Y KNOWN OR HAS (STAMP) �14k Notary Public State of Florida Jennie Knight My Commission FF 045851 %or x Expires 08/15/2017 lit ii ST. LUCIE COUNTS' BUILDING & ZONING 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: S Part of 3414 SO1-1701-000/9- Section 26, Township 36s & Range 40E (Tax ID/LegaJ 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. Matthew Lyle Wynne Property Ownec Name STATE OIF FLORtDA, COUNTY OF St - L U C l e ACKNOWLEDGED BEFORE ME THIS l y DAY OF �l4NU fYx y , 20 1 BY Matthew Lyle Wynne WHO IS PERSONALLYKNOWN�OMEORW140HASPRODUCL-D SIGNATURE OF NOTARY NOTARY PUBLIC TITLE MENT.iFiCATION. �C7 A-S Af I so TYPE OR PRINT NAME OF NOTARY (SLAL) OM-MTSSION NUMBER o��av'P"�•,, DOROTHY ANN BASKIN Notary Public - State of Fbtlds Is • My Comm: Expires Oct 2. 2016 Commission #► FF 015226 rF of F%, • Bonded TAroupb NAWW Notry Asia J - JOSEPH E. SMITH, CLERK (• E CIRCUIT COURT - SAINT LUCIE COUNT_ FILE # 3918282 OR BOOK 3-� PAGE 303, Recorded 01/24/2014 at Yu-:42 AM mi t1:i;.jnn:rit �.:r�• sJ l,., ... ,;ili,.:�r::• PER, IT NVM QGR' r NOTICE OF COMMENCEMENT The undersigned hereby given notice the, improvement will be made to certain real properly. and in accordance with Chapler 713. Flonda statutes the following information is provided in the Notice of commencement. I DESCRD'TION OF PROPERTY fLegal description and sued address) TAX FOLIO NUMBER' .3.9 1 4 - 50 1 - 1 7 0 1 -000 9 Spanish BiOCK TRACT LOT BLDG UNl1 SWA SIGN_ 5_ 1! o OP 40F S c1}� � � 2 Section _26r Township 36s 2 GENERAL DESCRIPTION OF IMPR OVEM ENT: Replacement Of Mobile Home 3 OWNER OVFORMATION: a. Name b.Address 8000 S. US1, Suite 402, PSL, FL 34952 c. interest r n proPe^Y d Name and address of fee simple titleholder (if other than owoer)__. 4. C(INTRACTOR'S NAME. ADDRESS AND PHONE NUMBER:_'4-�Svl�\SP\�- 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. GENDER'S NAME, ADDRESS AND PHONE NUMBER: 7 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) T. Florida Statutes. 201-8418 NAmr..AODttES5ANDPHONENUnt5ER:Doug .Brantley 1 Silver Oak Dr. PSLr FL- 8 in addition to himself or herself. Owner designates the following to receive a copy of the Lienor•s Notice as provided in Scow., 713.13 (1)(b), Florida Stalutcs' NAME. ADOR£SS AND PHONE NUMBER: 9 Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different dote s sp—Ged) : 20_ ___- _ _.._-�..�• .. ...� av Tue —eo Ax a THE FXPMATION OF THE NOTICE OF COMMt•NCI:MEN'+' Matthew Lyle Wynne Vice -Pre sllient Sig natu r Print Name and Provide Sign2tnry's'11Ue/Onicc Owner's Authorized Otrr+cer/Director/Portner/Manager State of Florida County of —Sx f. t I r i e The foregoing instrument was acknowledged before me this 11y day of �/Q N U M9'K��_. 70L V By Matthew Lyle Wynne as �IZg, I�RcSlbewr (Name of person) (Type of authority ..e.gOwner, officer. Irvslca, nwrncy r,r foci) For Wynne Building Corporation (Name of plvty on behalf of whom instrument was executed) Personally Known✓ of produced the following type of 1.0 OOttIM OTMY AIMIOM l Jr� IQ oT}{ �/ �Q N rJ Uf�SkirJ AJiLr o L rvn AAlK.�o,u, M°gry IoMle - Stitt of Florldat MY COMM. Eltplf„ Opt 2. 2016 (P,inted Name of Notary Public) (Signature of tary Public) COMM1N10 0 FF 015226 6otWd Natbnal b n. Under penalties of periury, I declare that I have read the foregoing and that the facts in i belief (section 92 525. Florida Statutes). Signaturc(s 0 s) or Owner(s)' Authorize Officer/Director/Partncr/Manager who signed ubovc. 13y: 8y Ra. 01,)a,100)IAwa,e,,.t7 STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO rFRT)FV TWLTTu1C is A '��\ WY 14NE Spanish Lakes Communities Division Port Saint Lucie February 26, 2014 BUILDING CORPORHM `SON 8000 South U.S. #1 Suite 402 Port St. Lucie, FL 34952 To: St. Lucie County Building Dept. Attn: Plan Review Re: 5 Hernando — Permit # 1401-0386 To Whom It May Concern: In regards to the abovementioned permit, the air conditioning unit will be moved along with the mobile home. If you have any questions I can be reached at (772) 878-5513. Matthew Lyle Wynne - V.P. Miami Division Miami Telephones: Port Saint Lucie (772) 878-5513 Miami (305) 235-3175 PROPERTY/NFORMATION: Address:. 5 Hernando Lane Owner(s):_ Wynne Building Corp . 'City / State / Zip: Fort Pierce., Fl , 34952 . Parcel #: .3414-50171701=000/9 Jurisdiction: :SAINT LUCIE COUNTY - . Zoning:... RMH-5 . ' Lot#:• . Block: 1 APPLICATION INFORMATION. Permit Number: 1401-0386 Stories: Automatic Sprinkler. System?. No. Permit Type::.. MOBILE HOME CONTRACTOR INFORMATION Contractor Name:: Lisa C Fasnacht . fax Number: 772-801-5412. Business Name: • Lisds'.Mobile Home Movers & Installers Inc Email:. Getoutsideanddosomething . Business Addr: 1500 Mariner Bay Blvd mai.. o m.. City /State / Zip:- Fort Pierce, -FI 34949 REVIEWS AND COMMENTS Review Type Status Reviewed By Date Started Date Completed Date -Released DOCUMENTS. MISSING PENDING Dawn Milone - 1/28/2014 1/28/2014 Comment: NOTICE OF. COMMENCEMENT . 1/29/2014 Comment: CONTRACTOR LISA FASNACHT LICENSE ON HOLD.. . FRONT COUNTER REVIEW • • COMPLETE Dawn. Milone 1/2.812014 1/2812014 Comment: PLANS EXAMINER:REVIEW :. INCOMPLETE :. :Dave:Johnson. .. 2/24/2014:. . M4/2014 . Comment: PER RULE.15C-1.0103 TABLE A YOU MUST USE.A 20': X 20. PIER PAD. TO SPAN 5' . 2/24/2014. Comment`.. PROVIDE HEAT LOAD CALC:S INCLUDE MAKE &-MODEL#OFAC. 3280.511(C)-MANUFACTURED HOME.. CONSTRUCTION AND SAFTEY STANDARDS 2/24/2014 Comment:, WORKSHEET SHOULD HAVE APPROPRIATE BOX CHECKED INSTALLATION METHOD: IE 15C OR . MANUFACTURESSPECS.. ZONING REVIEW COMPLETE -Lydia Galbraith 1/2912094 1/2912014 Comment:.. pESIDENTI.AL/C®19IMERCIAL BUILDING .PERMIT CHECKLIST ,Site Location: PermitNumber: _......._._.____.___._._...... General. i Technician: Application completely filled out with notarized signatures Sub Summary List with contractors' names and county & state certification numbers Sub Agreements with original signatures Owner Builder Affidavit Owner Builder Electric Affidavit . Filled Land Affidavit Geo or recorded warranty deed Recorded Notice of Commencement Utility Agreement or Payment Receipt Vegetation Removal Permit Non Conforming Lot of Record No N/A Yes No N/A 9/yes Uj 0 No /N/A Yes ri No A/A VYes F; No N/A Yes No N/A Yes � o � N/A Yes. No l / N/A Yes No I / , N/A Ell Yes ri No V AIA C Yes 17 No N/A Yes Plans, Calculations & Attachments Q copies commercial/2 residential): Complete set of plans with engineer/architect raised seal Uj Yes Uj Truss plans reviewed and approved by engineer/architect 17 Yes C 1 a Yes Uj and parking plan 3 Copies of approved site plans 2 Sealed surveys or plot plans with dimensions, finished floor elevation and setbacks Health Department approval stamped on survey and floor plan Health Department food establishment permit stamp on floor plan Manual J or Manual N calculations ,Signed Energy Calculations Sealed Wind Load Compliance Certification Product Review Affidavit Page 1 of 2 Cl es r " Yes E Yes —' 0 Yes 0' 1:J Yes 1= 1 J Yes ' E] Yes 171 r.-I Yes r1 No rt,N/A No - /N/A No N/A No N/A No El N/A No A/A No /N/A No N/A No N/A No N/A No N/A RE,S`IDENTIALICO1V MERCIAL BUILDING PERMIT CHECKLIST Site Location: Permit Dumber: Other: Health Department permit paperwork CD for Fire Department if commercial or multi -family DEP, SFWMD or Army Corp of Engineers Pool Barrier Affidavit Ground sign landscape affidavit Burn rate for sign cabinets RV and Mobile Home Tie Down Only (2 copies): Permit Worksheet (Tie -down diagram) Manufacturer set-up and installation manual Manufacturer blocking diagrams Signed penetrometer test (1 copy) Stair details Mobile home inspection report for relocation Copy of Title for relocation Class A approval from Growth Management Name: ienature: Technician: $ 0 Clear form Page 2 of 2 �f t-' Yes 1 No N/A Yes No N/A Yes No N/A l ! Yes f I No N/A 0 Yes C No N/A 0 es % No N/A Yes No N/A Yes No l_ N/A Yes No N/A r� n Yes No N/A Yes' No N/A Yes No /A Yes No V N/A Yes No N/A 13 i� T IPMM )3ago C'w-�c'on c-�. MIN, SETBACK REQ, FRONT SIDESta CNR SIDES —���- REAR ZNG. -1 TECH 204 @T, LUfsIE COUNTY DUILDINQ DIVISION REVIEWED FOR COM �}NCE REVIEWED BY ,/ DATE PLANS AND PER IT MUST BE KEPT ON JOB OR NO INSPECTION WILL BE MADE ":::::' .r <; • "" PERMIT WORKSHEET I page 1 R 2 PERMIT NUMBER;.,.; / 411 S� � � �— ���© O� �� New Home ❑ Used Home Installer License ,� `— Home installed to the Manufacturer's Installation Manual ❑ ' Address of home �J Home is installed in accordance with Rule 15-0 �.• being installed Single wide ❑ Wind Zone II ©Wind Zone III ❑ Manufacturer ir%Q e ' Length x width C9 ! x s�2 L Double wide ❑ Installation Decal n 122 NOTE if home is a single wide fill out one half of the blocking plan 2� it Triple/Quad ❑ Serial 7V % � cf 9 � .2 % ®� �{ If home Is a triple or quad wide sketch In remainder of home I understand Lateral Arm Systems cannot be used on any home (new or used) where the sidewall ties exceed 5 ft 4 in: PIER SPACING TABLE FOR USED HOMES - Installer's initials Tvnln�l ninr cno. 7— _ Load a caapacitoi F er sizzey (sq In) 16' x IS (256) 18 112' x 18 112' (342) 20' x 20' (400) 22' x 22 • (4s4)' 24' X 24' (576)' 26' x !' - (676) " 1000 ost 3 1 00 osf 4 6 6 8 000 pst 61 8 8 8 2500 pst T 6 8 B 8 3D00 Dst 81 1 8 8 3500 s 8 ' 8 interpolated from Rule i5C-1 pier spacing table. PIER PAD SIZES POPULAR PAD SIZES I-beam pier pad size "x Z D aSize Sq In. Perimeter pier pad size f �� X! 3 7 x 16 x 1 Other pier pad sizes x (required by the mfq.) 1 x 4 1 x 4 34 Draw the approximate locations of marriage 20 x wall openings 4 foot or greater. Use this 17 3/16 x 25 3717#1 symbol to show the piers. 17 1/2 x 25 1/2- List all marriage wall openings greater than 4 foot x 05 and.their pier pad sizes below, ANCHORS Opening Pier pad:size +� x'r 4ft FRAMETIES X 3 within 2' of end of home spaced at 5 4 oc TIEDOWN COMPONENTS OTHER TIES Number L-ongitudinal Stabilizing Device LSD� ,A,AA U�l�� Sidewall Manufacturer 1/11 �`H L�%L'� Longitudinal Longitudinal Stablilzlny Device x%/Lateral Arms Marriage wall Manufacturer PERMIT NUMBER .. ............. `. POCKET PENETROMETER TEST The pbcket penetrometer tests are rounded n to psf or check hereto declare 1000 lb. soil without testing. X X X POCKET PENETROMETER TESTING METHOD 1. Test the perimeter of the home at 6 locations. 2. Take the reading at the depth of the.footer. S. Using 500 lb. increments, take the lowest reading and round down to that increment. X X X TORQUE :PROBE TEST The results of the torque probe test Is inch pounds or check here if you are declaring 5' anchors without testing . A test showing 275 inch pounds or less will require 5 foot anchors. Note: A state approved lateral arm system is being used and 4 ft. .anchors are allowed at -the sidewall locations. i understand 5 ft anchors are required at all centerline tie points where the torque test reading is 275 or less and where the mobile home manufacturer may requires anchors with 40W lb, (ding capacity. I" Installer's initials ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER InstallerName Date Tested G ¢' Electrical 10 act electrical conductors between multi -wide units, but not to the main power This -includes the bonding wire between mutt -wide units. Pg. all sewer drains to an existing sewer tap or septic tank Pg. all potable water supply piping to an existing water meter, water tap, or other eat water supply systems. Pg. PERMIT WORKSHEET IPage 2 of 2 I Site Preparation Debris and organic material r ed Water drainage: Natural Swale Pad Other Fastening multi wide units Floor; Type Fastener � Length: Spacing: � Walls: Type Fastener. Length: _!Z—' Spacing: B '�— Roof: Type Fastener, / (A r— Length: C� ` Spacing: s For -used homes' a_ rrdi"n. 30 gauge, 8" wide, galvanized metal strip will be centered over the peak of the -roof and fastened with galv. roofing nails at 2" on center on both sides of the centerline. Gasket (w—therprcofing requlrwra t) I understand a properly installed gasket Is a requirement of all new and used homes and that condensation, mold, meldew and buckled marriage walls are a result of a poorly installed or no gasket being installed. I understand a strip of tape will not serve as a gasket. Installer's initials Type gasket 01'9`� Installed: Pg. Between Floors Yes Between Walls Yes —� Bottom of ridgebeam Yes Weatherproofing The bottomboard will be repaired and/or taped. Yes. Siding on units is installed to manufacturer's specifications. Yes Fireplace chimney installed so as not to allow intrusion of rain water. Yes _a6 A Skirting to be installed. Yes (% No Dryer vent installed outside of skirtinq. Yesy N/A Range downflow vent installed- outside of skirting. Yes WA Drain lines supported at 4 foot intervals. Yes Electrical crossovers protected. Yes Other: installer verifies all information given with this permit Worksheet is accurate and true based on the manufacturer's instaiiation instructions and or Rule 150-1 & 2 Installer Signature Dater i St Lucie County Building & Zoning 2300 Virginia Avenue Ft Pierce. FL 34982 Mobile Home Inspection Report All requests for permits to place or replace used Mobile / Manufactured homes must be accompanied by this completed Inspection Report and copies of both sides of the Title to the home. All used Mobile homes must be Wind Zone II certified. Owner: W YA8 C J-x -D& Cow Date: IAIN (Print or type) 5Pd'A!✓1Y L A/V SC�Address: �C UI LRX�Z— WAY.5 MH P �tf1�� �(�P�hysical atian of Home) Ta 9 r4 9O AN ^ F4 A 13 5 ps Year / Manufacturer l t►163 OF ERI / Serial #To?HIA296i'Y 'THUD Plate et -A Y3SSSS Width o�A Length 315� Single Double V Wind Zone 9 9 C = In Compliance N = Not in Compliance Fire Safety / Electrical _ 1. Smoke Detector. InstaliedZ Missing Fl7 C 2. Electrical System Checked: Exposed Wiring Other (� 3. Distribution Panel: Missing Loose Main Missing Breaker Missing Unplugged Opening Other (� 4. Electrical Fixtures: Missing Installed Improperly Improperly Wired Loose Wire GFCI receptacles not where required G 5. Electrical Ground: Chassis Main Panel Gas Pipe Revised 319/05 Page 1 of 3 Construction -C- 1. Exit Doors Operable: Front Back Other _ 2. Exit Door Locks: Missing Inoperable 3. Egress windows: Missing Inoperable 4. Windows: Broken Glass Inoperable 5. Screens: Missing Damaged 6. Floor System: Joist Decking. Area Damaged _ 7. Interior Paneling: Missing Loose Damaged 8. Rodent Proofing: Bottom Board Pipe openings Other G 9. Leaks Apparent: Ceiling Doors Floor Roof 10. Vertical tie -down straps: Missing Short Damaged _ 11. Structural modifications since rpanufactured: YES_ NOZ Ci 12. Walls: Structurally Unsound Loose Weather tight Plumbing 1. Trap: Missing Not connected Other 2. Plumbing fixtures: Missing Not installed Not Vented 3. Relief Valve: Missing Inoperable Other 4. Drain Waste and Venting Piping: Missing Not supported Clean outs Use of fittings Not capped Heating and Air Conditioning 1. Heating Appliances: Missing Not Connected Other. S_ 2. Deleted Heating/AC system: Not installed. Other. C 3. Thermostat: Missing Inoperable C 4. Air registers: Missing Inoperable. G 5. Ducts: Not sealed Missing Collapsed Page 2 of 3 i C 6. Gas furnace Water heater vent: Missing C 7. Return Air: To Furnace To A/C 8. Range: Vent Hood Loose From rooms C 9. Gas Valve: Accessible Installed improperly - C 10. Gas lines: Not capped Not supported Kinked Notbonded Summary 1. Is subject structure found to be fifty (509/6) or more damaged or deteriorated? 2. Will a remodeling permit be required? YES NO_z_ YES NOV_ The provisions of the repair and remodeling code shall ensure safe and livable housing and shall not be more stringent than those standards required to be met in the manufacture of'mobile homes. Such provisions shall include, but not be limited to, standards for structural adequacy, plumbing, heating, electrical systems, and fire and life safety. FS 320.8232 IF ANY RENOVATIONS OR IMPROVEMENTS OVER AND ABOVE THE REQUIREMENTS OF FS 320.8232 ARE TO BE PERFORMED ON ANY MOBILE HOME WHICH WILL BE PERMITTED TO BE TIED -DOWN IN ST. LUCIE COUNTY, A SEPARATE PERMIT WITH ENGINEERING (IF APPLICABLE) WILL BE REQUIRED. ALL SEPARATE PERMITS MUST OBTAIN A FINAL INSPECTION BEFORE A FINAL INSPECTION IS OBTAINED FOR THE TIE -DOWN PERMIT. NO MOBILE HOME WILL BE ALLOWED TO BE MOVED TO ST. LUCIE COUNTY OR RE- LOCATED WITHIN ST. LUCIE COUNTY UNTIL THE REQUIRED DOCUMENTS HAVE BEEN SUBMITTED, REVIEWED, APPROVED AND THE TIE -DOWN PERMIT HAS BEEN ISSUED. A REGISTERED FLORIDA PROFESSIONAL ENGINEER MUST COMPLETE THIS DOCUMENT, SIGN AND AFFIX Date inspected: Inspected By: tdo P�. Slgn tore requited Phone Number: (��J'//;�� )b7e�-73aj THEIR SEAL. License # 3 Jy Engineers Seal Page 3 of 3 STMN G. WOOD, P-E. 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AP09 --- _.._ _I.... peak . f.... _ ..- iagwnN uopw946QPl ....... I VISMLIZ #H L b698L BLL #1 0090-66sze ia'aasseyeeevou mina uewxjlv uam'sainmae nu. A-- Aeu..a.... .a .. ......._..___ _ �._ . - ....._......__.._...�. ...... -fit I It!-/tlb4 b3 B# 2179496 Identificalion 44B Number -- r. Year -Body Wi L-BHP — i Vessel Regls. Na. 1 nber 111 IT249P29044EI1989 2�RZ- 1....HS52--- --1.--------------1484e5.10 i Ilil e Registered Owner: Date of Issue 11/21/2013 Lien Release KENNETH F PETERS AND LOCKIE A PETERS AND BERNARD J PETERS By rest In the described vehlGe Is hereby released 56 WHALERS IN Title SALEM, MA 01970-6833 n.f. I Mail To: KENNETH F PETERS 56 WHALERS IN SALEM, MA 01970-6833 IMPORTANT INFORMATION 1. When ownership of the vehicle described herein is transferred, the seller MUST complete in full the Transfer of Title by Seller section at the bottom of the certificate of title. 2. Upon sale of this vehicle, the seller must complete the notice of sale on the reverse side of this form. 3. Remove your license plate from the vehicle. 4. See the web address below for more information and the appropriate forms required for the purchaser to title and register the vehicle, mobile home or vessel: http9Avww.hsmv.state.fl.uslhtmt/titlinf.html ICI n Steps Steps Home Specials Appliances Enth Doors &I 17{tit''"• is Electrical Pleating & Cooling mome Improvement St Repairs Kitchen Plumbing Set -Up Q Transport Fiberglass Code Steps Constructed from pressure -treated lumber Fiber -glass and resin exterior mating Non-skid surface on all treads and landing Rounded edges and comers White with black "pebble" finish steps and rails must be purchased separately 38" wide platform on all code steps Part No. Dimensions Side Rail 12-4398C...... 38-W x 14-H.................12-4399C ' 12-4412C...... 38"Fl x 21-9.................12-4411 12-4412CS..... 38-W x 24"H-8" risers ....... 12-44118 tyj I 12-4413C...... 38-W x 28"H.................12-44114 12-4413CS..... 38"W x 32"H-8" risers ....... 12-441148 12-4415C...... 38-W x 35"H.................12-4416C 12-4415CB..... 38"W x 40"H-8" risers ....... 12-44168 12-4417C...... 38"W x 42"H.................12-4417R 12-4418C...... 38-W x 48-H.................12-4418R Aluminum Code Back Rail 12-4414....... 38"W Economy Steps and Rails Same construction as our code steps Reduced platform sizes to fit your needs Extruded aluminum rails Steps and rails must be purchased separately Our Company Terms and C ➢L'ons Atian 'c en _e prime Supply Part No. Dimension Side Rail 12-439SE...... 32"W x 16"H, 14" Platform ..... 12-4399E 12-4398....... 34"W x 16"H, 24" Platform.....12-4399 12-4000E...... 38-W x 24"H, 14" platform ..... 12-4406E 12-4402....... 38-W x 24"H, 24" platform ..... 12-4406 12-44028...... 38"W x 32"H, 14" Platform ..... 12-4407E 12-4403....... 38"W x 3211H, 24" Platform ..... 12-44064 Special Order Steps Our fiberglass steps can be ordered to fit any application Contact the sales staff for more information Downloads Contact Ws Customer Feedback Home Projects Site Map http://atlanticprimesupply.com/id79.htm1 9/6/2008 '6ypR®VED pRODUCTS FOR THE�INSTALLXT101i OF CTiD ]Ro5 HOME SAFETY pRODUCTS Continued... 1VIOBILE Ins. Dba Olp O Box 58/467eS� Hohenwald, Tennessee 38462 to p;ER LOADS IN POUNDS B1 5001b 1,400 lb. gad Area Soil soil (sa. ft. 16" x 16" 16" x 16" 16" x 18" 16" XIS ,/,, (rounded) �� xI8'/zp'x15116 X 3/4" 17'/i' x 22'/z' (rounded) 17'/a x 25 24„ x 24„ 21.13" x 29,13" (rounded) 1.77 1,79 2.0 2.0 2.360 2.375 2.4 2.5 2.75 3.0 3.0 4.0 4.0 4.699 1,770 1,790 2,000 2,000 2,360 2,375 2.375 2,500 2,750 3,000 3,000 4,000 4,000 lRD ObN $ 2,5001 2,0001- _..:� Soil 2,650 2 ,660 3,000 3,000 3,550 .5,563 .,,563 3,750 4 125 4,500 4,500 6,000 6,000 7.047 PAD CONn- GU 3A pad riptlOR ;d pooter Conk 3,450 3,560 4,000 4,000 4,730 4,750 4,750 5,000 5,500 6,000 6,000 9,000 8,000 4,420 4,430 5,000 5,000 5,910 5,598 5,938 6,250 6,975 7,500 1,500 8,000 8,000 lb. 5,310 5,340 6,000 6,000 7,090 5,598 6,400 7,500 8,250 9,000 9,000 8,000 8,000 5,310 5,320 6,000 6,000 1,090 5,600 6,400 7,500 8,250 9,000 9,000 8,000 8,000 1S It0001b. 29 1b. pad Area soil . _ ** *1 SOU j 1 24" x 20" on top and { (2)1314°' x 26'/4' as a base 22" 1 Three (3)17" x Three 3)171/2" x 25'IZ' ---�-- SAP % AIMS IDLN' fE zC �TION btIODP`L # ,j6 oard Plastic C_ OTICBI Board Plastic Ca OT1CB2 Or, CMjJ pier (C90) with either a p boards Were test 4,800 9,600 4.8 5,000 10,000 5'0 6 000 12,000 6.0 TO 1b. 1 x8"x16„ 2��x8x16„ or double Stacked cap boa NIA N/A NIA ?,eyised 10/10 APPROVED PRODUCTS FOR THE INSTALLATION OF MANUFACTURED HOMES I C M MINUTE MAN ANCHORS, continued... 305 West King Street East Flat Rock, North Carolina 28726 MODEL # IDENTIFICATION DESCRIPTION Soil Class Working Load Ultimate Load MMSPP Longitudinal 20" x 20" x 1" Galvanized ALL N/A 26,400� Stabilizing System Steel Base Pad MMLBC N/A N/A Beam Clip for above 3 3/4" x 6" x 7 gauge N/A system MMLBT Brace for above 1 %" Brace tube (length varies N/A N/A N/A system by pier height) MMA-SD3 Steel Pier Pad 2.75 sq. ft. / 11 gauge N/A N/A N/A galvanized pad steel beam clips MMA-CAF Concrete Anchor gal. flange for mounting N/A N/A NIA Flange (dry) longitudinal & lateral braces to freshly poured concrete slab MMA-CFW Concrete Anchor gal. flange for mounting NIA N/A N/A Flange (wet) longitudinal & lateral bracesto freshly poured concrete MMA-LLBS Kit Lateral Hardware and N/A N/A N/A Longitudinal Struts MMA 14 Concrete Anchors Galvanized concrete (wet) N/A N/A anchor 5/8" dia., Length w/1- N/A 3/8" turn on end. MMA 42 Concrete Anchors Galvanized concrete (wet) N/A N/A N/A anchor 5/8 dia., 8" length, w/2" hook on end (Revised 04/10) MODEL # 2 MMA4 MMA 75 MMA 86 MMA 12 MMA 14 MMA 42 MMA 18 MMA 22 MMA SD2 APPROVED PRODUCTS FOR THE INSTALLATION OF MANUFACTURED HOMES MINUTE MAN ANCHORS 305 West King Street East Flat Rock, North Carolina 28726 IDENTIFICATION DESCRIPTION Soil Working Ultimate Load 3,150 4,725 Galvanized Auger 5/8" x 48" rod, double bolt 4a Anchor head with a single 6" disc Galvanized Auger 3/4" x 48" rod, double bolt head 4a Anchor with a single 6" disc Galvanized Auger 3/a" x 60" rod, double bolt head 4b Anchor with a single 7" disc Galvanized Auger 3/a" x 60" rod, double bolt head 4b Anchor with a single 8" disc Galvanized Concrete 5/8" x 10" threaded rod with Concrete Anchor nut. Use with concrete slab (dry) Galvanized Concrete 5/8" x 10" rod with a 3" turn Concrete Anchor on the end. Use with concrete slab (wet) s Galvanized Concrete Swivel head. Use with Concrete Anchor concrete slab (wet) Galvanized Tension Double head tension device N/A Device w/bolt hole in bottom of yoke for use with expansion bolt in concrete slab (dry) Galvanized Tension Double head tension device N/A Device adapter Galvanized Stabilizer 18" wide x 13.5" center x 7'/2" N/A Plate on the sides (Revised 04/10) 5 3,150 1 4,725 4,000 1 6,000 • ���NMI 3,150 1 4,725 3,150 1 4,725 3,150 1 4,725 3,150 1 4,725 3,150 1 4,725 3,150 1 4,725 LONGITUDINAL BRACE DETAIL QuT910E FIOMB OfJUI—•- ' C.m*WA AOLT 1,• LBRIYC��-, 2— Z9' MR I2` i0 24' Plot 2— 44' FOR 12' TO 32PIE 2— 52" FOR I�i" TO AO PltK 2— 65' FOR 1 �" TO 49' PIER x'x2—NIA CAW40E 80LT- 003 P1BR MMLBC BBAM CUP LON ,MDINAL & LATERAL BRACING SYSTEM DETAIL ASSEMBLY DRAWING LL • 'St; P.AB{�dhEn6iLleer KAM T11e Nl UW Mon AnCM1 LLSS ®woinq Sys om was too" 10 wmd tom I. N. Il< 111 Yetled 1011 G101 Rex 3/6 02 Rex 1114104 Ran. 211110 NOTES "'l LE C PY MA111MUM PIER HEIGHT w MAX. SIWNALL KICIR 95' MAX. 9EAM SPACING 99,V MAX ROOK LOO IOn Im 1/Y ®Obis ARE GRADE 5 ZNO PIER N oTM6 �NORAC06 OF THE 1IOM9 My 99 USED TO MAkE ROOM MR GRACE WOES. to 09lUCT10MQ ANCHORS D092A em 4 i have been covered. Now the soirs holding capacity and its effect Soil and the soil bearing eapac tY on the anchorage of a home will be covered. Florida has some of the poorest soil in the nation and we commonly refer to it as sand homes in Florida is governed by Rule 15C-1 for all new and Note: Anchoring mobile/manufxhn'ed used homes. Florida has several overrides and each will be covered. All anchors and tie down components shall be tested and listed and marked with identification. 70 1 , All=W ara�stbemu* dsada"Glis-�amd" •;►';1{ �ed�li'K '��' � 3�39i arrrl aerie be n� ehs � � b� rl QUAD • HICK LVAAHZM♦ PRI see" FUN f s c A lop r_ �gEsaaa r ti 4�D.tsCOR- w r• ar r ! ' � ; F d �i 1 { IL iiitii a�t�bbo& to 4' * in .1.iswi �'� e aitsn�► EsZia ap�Oc�e # bdL °i�t ' ! drap0 2 x-ink room avadabb d ssa! *R p�/� T7a�ed�Mt: i #: 3. L'sieg EY16' assac'h cxr mot. c%%n%ptdrst :a 0?60- 1 mwa" , "m tlib e4iL mod- am : V sat v tam da sne.ems �acsaee sufft minimum toga the �zm sQ , p z�ed� ! strap i s a:e�T the -A SCAM ss tralsiaOOL td1 ;3 i 1? i LATERAL. Ma FLEX TUBES FOR CONCRETE •---- ----- - - ------ ------------------ -----------. upp pSecnON ,•------------------- p O ----------------------------------------- 10YdER 5!1[TtON LONMDINAL GRACE FLEX TUBES FOR CONCRETE TOP VIEW Length Varies w th Pled we90 tA1ERAL BRACE ®ETA L SCRcwa — .—wl AMR M 1NSE AM ALL GOLM ARE 1ATERAL TUBE cup 0 CARRIAGE BOIL SIDEVIEW LAASCLAMP ASSEMBLY in r, 2• GRACE r. CAFMAGE W. NUT AND wMHEEp ►lout WAM I -w 41 TUBE W FOR 139V IA IC. SPAN FOR 99 Sp MAX. SPIN MAX ts MIN 10- .1/2r HEAVr OiAY WASHER W/ 1l'xi-llr CAMIACE BOLT Q P k I TYPI GAL 0