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HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE INFO MUST BE COMPM,__''FOR APPLICATION TO BE ACCEPTED Date: SCanIfV�® Permit Number: ,�C�q �-- Ua�� BY a ♦ St. �Uci@ County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: a PR+OP®SED hN jF&7 MENT L®CATI®N:. Address: 5A017 dlA�/- -i Le Ili" �Q��-r" ► • / Fl. 0'e(\cc. 3H98� Legal Description: iy\ i"Gw C-,y-2c- eb+g+e5 uy%,,;+- -7 (3W, `f 8 ©i 37 Property Tax ID #: 3 - - O - d� r D 00 Lot No. Site Plan Name: Block No. Project Name: q VVPX/ �o e Setbacks Front %�', i6 Back: ? . �? Right Side: I I' Left Side: (0, DET9 RfIP I'®N ®f WC1R++ c�1(iPl.Jailt '�-1c3yt1 {Ca-�a�a C®NSTRllCTION iNF®RMATION: Additional wor to be perrormed under this permit- checK all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing °°�Sprinklers _ Generator. _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor-:_: Cost of Construction: $ ) 50p Utilities: —Sewer —Septic Building Height: ®UI/NY, Efts/4LE�SSEE: CONTRACi®R: m Name • J;a)_cAwvy Name: ✓l% a 1 dt�/::. Company:` e-'k' Address:' 5-.-Z'C)9' r City: State: F` Address: 1233 City: EdfT U CAO State: Zip Code: �� `� �� Fax: Phone No. 772- yV7-- fSZS Zip Code: 3i-ig5P, Fax: 77--l- 39o-7301f E-Mail: Phone No. 7 7a' 34 U- Z Z 7-3 E-Mail: 41V (2y 6, 2000 i4o ►bi C5 , Cm vvl Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: 5+c+.-(-'e f' L' GI3G- C) ss� Lvalue of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUP'PLEM �NTAL CflNST'Ru�.l"IC7N LIEN 1�4 I`N'FORMAi'iON; DESIGNER/ENGINEER: _ Not Applicable Name: Address: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: City: Address: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association ru'les, bylaws -or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING 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 lender or an attorney before commencinia work or recordin>? vGuf-Nance of Commencement. STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this/ day of % 20& by Axft�t, low (Name person ac nowledging ) (Signature of Notary Public- State of FIKKida ) Personally Known _V�7011 Produced I Type of Identification Pro c• ;;,,, Commission No. REVIEWS I FRONT COUNTER DATE RECEIVED DATE COMPLETED Sign atu re—OT-Co ntra ctor/Licensg Holder STATE OF FLORIDA COUNTY OF The for oing instrument was acknowledged before me this / day of 20 /' by Y D q - in Za�4i11/ (Name of Verson acknowledging ) (Signature of Notary Public- State of F. j da ) onally Known OR Produced Identification of Identification Prod e_ ,,�::,,. A■AAA11%A MYOISSI01� # F - t'c3 �'= MY�IISSION # EE848239 E S October 31. 2016 ommission No.� 8�8 sS ,, r PIRE October 31, 2016 '00. FlorideNots ervlce.wm 'SO' 9-0153 (401) 388-0163 _ FlmldallomryServke.00m ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW i n•� "'Planning & Development Services . �Building & Code Requjauon Division 2300 Virginia Ave Fort Wcrce, FL 34982 772-462-2172 Fax 77a-462.6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: ��r��i�OZ'4t 30B ADDRESS: Z,o-�-le, , — r •elr,e, BUILDEWCONTRACTOR: S . tnit' ro w GaAc!rt'�'e- Z zoo c PEST CONTROL CONTRACTOR: Viona - ,e . PEST CONTROL LICENSE #: el 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: S�F Chemicals used: f i 1"1� Percentage of solution: cy, '" d Total gallons used: Date of Treatment: Z 2- i Footing 15� Treatment Re -Treat Driveway 1 Treatment Re -Treat of Other 1�41A_ +- Lr► }c-v kklq 1 Treatment Re -Treat Time of Treatment: 9e#y5 Slab 1 Treatment Re -Treat Pools 15t Treatment Re -Treat Perimeter for final Inspection Signature of Exterminator Note: There must be a completed form for each required treatment or re -treatment and this form mwtbe on the job site to be picked up by the Inspector at time of each inspection or the scheduled Inspecdon will fall and a -re -inspection fee charged. FECI(D4.2.6 Cert#ficate ofprotective Treatmentforprevention. oftermites A weatherreslsiantjob�site posting board shall be provided to recelve dupllcate Treatment Cerdficates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the bullding permit files The.Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site /or tion, 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 Lurie County requires for the final inspection for CO, a permanent Sticker to be placed on the electrical panel box caVer, listing all the (treatments and dates of applicatlons. TM `�.SUPERMIX p "The On Time Concrete Company" ° �- CENTRAL CONCRETE SUPERMIX, INC. CONCRETE DISPATCHERS: MIAMI-DADE: (305) 264-7101 DEERFIELD: (954) 480-9333 BLOCK PLANT: (305) 805-3226 WWW.SUPERMIX.COM MAIN OFFICE: 4300 S.W. 74th Ave: • Miami, FL 33155 PHONE: (305) 262-3250 • FAX: (305) 267-0698 CUSTOMER NO. DELIVERY TICKET DATE SERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN & ST. LUCIE COUNTIES SOLD TO C' D T) �'SE.;II.)I V L 1.ZRf71 FLEAS' ORDE_ R+* 1 IQ? ADDRESS j3ROTl-1ER'-, C��YzIC.,RE I C' I:NC l �C 44• 0 11' 1 [)El. 1-11IN JECT Ilvi 1 E!6- 3 QUANTITY DESCRIPTIONPRICE UNIT EXTENSION :a I'.Iltli.tLII`.?ill1, v��tilrj.af!►f;l!�i i.l:�:t��i dlI ��:. IIQ�i'y 1� IGllf� 12110 F':�:'►_v1_`L'. 41_.. F' 1.I_ r-,,E'ti''-3 1 1: 1_L�,/C''�' :tr. if'I/I I b �: 1�j N�t,� f' LIL.L. 5►-1It I..I�It1 i=1'I.' �.- OCT2 7 20141.1: c� P Iolic Works St. Lu ie County, FL. MINUTES ALLOWABLE TIME` PER MINUTE EXTRA UNLOADING TIME CHARGE _ o X $1.00 = *6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE Ile ;:. THIS DELIVERY TOTAL CU. YDS. AMOUNT .Ii 1fr„ 00 7G, OF YOUR ORDER FOR CU. YDS. TAX CUSTOMER OR HIS AGENT ASSUMES FULje RESPONSIBILITY FOR STRENGTH AND/OR PERFORMANCE OF ANY CONCRETE' PLACED ABOVE DESIGN SLUMP OR WHEN • WATER IS ADDED. WATER ADDED t6 YES ❑ NO GLS. + .Nk ,' "x �! � r Via'? TIME ARRIVED ON JO-BB STARTED UNLOADING FINISHED UNLOADING LEA/V�ING`THIS J,.IOB TOTAL TIME SUBJECT TO THE TERMS, CONDITIONS AND' CAUTION" WARNING LISTED ON BOTH THE FRONT AND BACK OF THIS TICKET. TRUCK DRIVER I acknowledge that I have received and accepted the materials listed on this ticket Ev M1.i-. understand and agree to the terms on both the front and back of this ticket. RECEIVED BY: CONTROL 20 LOADING POINTS AT 16.E-0'CATIONS TO SERVE YOU BETTER n oo-�oa coH,f. MIAMI • DOWNTOWN MIAMI • WEST MIAMI • AIRPORT - OPA-LOCKA - MEDLEY • PERRINE • PEMBR��=-: 14' '� i) DEERFIELD • BOCA RATON • RIVIERA BEACH • STUART • W. BROWARD • FT. PIERCE • E. BROWARD, PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE\ esso� DELIVERY COPY \ CAUTION!! FRESHLY MIXED CEMENT, MORTAR, CONCRETE OR GROUT MAY CAUSE SKIN INJURY. AVOID CONTACT WITH EYES WHERE POSSIBLE AND WASH EXPOSED SKIN AREAS PROMPTLY -I WATER. IF ANY CEMENT MIXTURES GET INTO EYES, RINSE -IMMED'�'% ELY AND REPEATEDLY WITH WATER AND GET PROMPT MEDICAL TREATMENT. SAWING, OR GRINDING OF CONCRETE MASONRY UNITSMAY RESULT IN THE RELEASE OF DUST PARTICLES WHICH, WITHOU'l' T HE USE OF PROPER EYE OR RESPIRATORY PROTECTION, COULD CAUSE EYE OR NOSE IRRITATION. THE MATERIAL SAFETY DATA SHEETS FOR THE PRODUCTS SOLD BY CENTRAL CONCRETE SUPERMIX, INC. ARE AVAILABLE UPON REQUEST. CONCRETE. EXCEPT UNDER THE TRUCK'S OWN POWER, AND .''HE'RE SITE CONDITIONS PERMIT THE SAFE AND PROPER OPERATION ('►F-HIS EQUIPMENT. DRIVERS ARE NOT.PERMITTED TO ADD WATER TO THE MIX NOR TO GU BEYOND THE CURB LINE, EXCEPT UPON TH-E AUTHORIZATION OF THE PURCHASER/PURCHASER'S AGENT AND HIS ACCEPTANCE OF RISK FOR ANY LOSS OR DAMAGE. BUYER, OR HIS AGENT, AGREES TO ASSUME RESPONSIBILITY FOR CONCRETE, AND ANY PROPERTY DAMAGE RESULTING FROM TRUCK MAKING DELIVERY BEYOND CURB LINE. ALL CLAIMS MUS°7RE MADE AT TIME OF DELIVERY. IF IT BECOMES NECESSARY TO BRING ANY ACTION TO COLLECT AMOUNTS DUE ON THIS INVOICE, PURCHASER SHALL BE RESPONSIBLE FOR REASONABLE ATTORNEYS FEES AND COURT COSTS INCURRED BY VENDOR IN SECURING COLLECTIONS. INTEREST SHALL ACCRUE AT 1 1/2% PER MONTH ON OUTSTANDING BALANCES. SUPERM p TM "The On Time Concrete Company" ° CENTRAL CONCRETE SUPERMIX, INC. CONCRETE DISPATCHERS: I9 I i 9 it I MIAMI-DAbE: (305) 264-7101 DEERFIELD: (954) 480-9333 BLOCK PLANT: (305) 805-3226 WWW.SUPERMIX.COM CUSTOMER NO. DELIVERY TICKET DATE C Off} 14 99 1785 10/t, y � 3/ .I C4 MAIN OFFICE: 4300 S.W. 74th Ave. • Miami, FL 33155 Yf LJlIAIC. /nnC\ nGn nncn _ f-'-nv. /nnr\ nn-7 kovJ) GVG'JGJV " r-m^. kJVJ) cv1'vvV0 SERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN & ST. LUCIE COUNTIES SOLD TO DELIVERY ADDRESS L; L-I Q L `a l ? i I V t:_ L_ Qt,, i I P 1 L. ti l_• P_. fY`OD/CSL?l.iIVEL BROTHERS CONC'RCII:: IINIC iji f AI'tI'f v F I_ 3 .7 f. 53, POD C, d F L DEL C.?F L11: R# i 9.0 I IRO SEC'[ 11c 112,C:,23 MAP PAGE.- C',8631 LOT/ t' LOCK O • I ^�t QUANTITY; DESCRIPTION PRICE UNIT EXTENSION 1,0. till-) t T0ER 23f;l_ 3_ 4 I..F /cy 5, 00; b (i FE5 E EIV ,y-F0 �. OCT 2 7 2014`; : P biic 0, i' St. Lucie C : _ , r!_ - f9 MINUTES - ALLOWABLE TIME' % % PER MINUTE EXTRA UNLOADING TIME CHARGE A= X $1.00 ir% l i ,- f_,,V v *6 MINUTES PER CU. YD. ALLOWED SHOT/LOAD CIH�ARGE i .5,„.�y lt� I !"rj y IY10'Li�l a PiEld SLUMP/'+' THIS DELIVERY TOTAL o NJ] CU /YDSAMOUNT� OF YOUR ORDER FOR , 'r G: _PYDS. TAX rJ?sC CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBJ'LFq`OF}FSTRENGTH AND/OR PERFORMANCE OF ANY CONCRETE PLACED'ABd�/ DES16 SLUMP OR WHEN • WATER IS ADDED. WATER ADDED El YES tNO GLS. TIME ARRIVED ON JOB STARTED�,I6IyLOADING FINISHEDUN LOADING LEAVING THIS JOB TOTAL TIME SUBJECT TO SHE TERMS, CONDITIONS AND "CAUTION" WARNING LISTED ON BOTH THE FRONT AND BACK OF THIS TICKET. TRUCK DRIVER; I acknowledge that I have received and accepted the materials listed on this ticket L�cI�I►�„ p �£ 1 i7il understand and agree to the t rms on both the front and back of this ticket. RECEIVED BY: X CONTROL 20 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER jf %} ( oQ�DA CUN,9 MIAMI • DOWNTOWN MIAMI • WEST MIAMI • AIRPORT • OPA-LOCKA`• MEDLEY • PERRINE • IPEMBROKE PINES 14- c ; �' OO C% DEERFIELD • BOC9RATON • RIVIERA BEACH • STUART • W. BROWAFiD_ E__f_1I?j6CE • E. BR.+OWARD • D L-RQY n,ssa PRODUCERS AND SUPPLIERS OF 61UAUTY READY MIXED CiOTICRETE AND CNCREIE B�ocic� NRMCA?` DELIVERY COPYw� CAUTION H FRESHLY MIXED CEMENT, MORTAR, CONCRETE OR GROUT MAY CAUSE SKIN INJURY. AVOID CONTACT WITH EYES WHERE POSSIBLE AND WASH EXPOSED SKIN AREAS PROMPTLY WITH WATER. IF ANY CEMENT MIXTURES GET INTO EYES, RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET PROMPT MEDICAL TREATMENT SAWING, OR GRINDING OF CONCRETE MASONRY UNITS MAY RESULT IN THE RELEASE OF DUST PARTICLES WHICH, WITHOUT THE USE OF PROPER EYE OR RESPIRATORY PROTECTION, COULD CAUSE EYE OR NOSE IRRITATION. THE MATERIAL SAFETY DATA SHEETS FOR THE PRODUCTS SOLD BY CENTRAL CONCRETE SUPERMIX, INC. ARE AVAILABLE UPON REQUEST. UNLOADING DRIVERS ARE PROHIBITED FROM DELIVERING CONCRETE EXCEPT UNDER THE TRUCK'S OWN POWER, AND WHERE SITE CONDITIONS PERMIT THE SAFE AND PROPER OPERATION OF HIS EQUIPMENT. DRIVERS ARE NOT PERMITTED TO ADD WATER TO THE MIX NOR TO GO BEYOND THE CURB LINE, EXCEPT UPON THE AUTHORIZATION OF THE PURCHASER/PURCHASER'S AGENT AND HIS ACCEPTANCE OF RISK FOR ANY LOSS OR DAMAGE. 41 BUYER, OR HIS AGENT, AGREES TO ASSUME RESPONSIBILITY FOR CONCRETE, AND ANY PROPERTY DAMAGE RESULTING FROM TRUCK MAKING DELIVERY BEYOND CURB LINE. ALL CLAIMS MUST BE MADE AT TIME OF DELIVERY: IF IT BECOMES NECESSARY TO BRING ANY ACTION TO COLLECT AMOUNTS DUE ON THIS INVOICE, PURCHASER SHALL BE RESPONSIBLE FOR REASONABLE ATTORNEYS FEES AND COURT COSTS INCURRED BY VENDOR IN SECURING COLLECTIONS. INTEREST SHALLACCRUE AT 1 1/2% PER MONTH ON OUTSTANDING BALANCES. LOT 14, BLOCK 48 INDIAN RIVER ESTATES UNIT SEVEN ASSUMED NORTH lr N O . z 1-M H w t7 O H 9 x u r o o � � EAST LINE OF BLOCK 48 (BASIS OF BEARINGS)