HomeMy WebLinkAboutSUBMITTED PAPERSAPPLICABLE 114C f! • •• •
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PermitAll
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• Date:,
SCANNED
St. Lucie
•
Building Permit Application
Planning and Development
Building and CodeRegulation Division
II VirginiaAvenue,I
Residential
PERMIT APPLICATION
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Address: ♦ r ,/,
Description:Legal
PropertyD•: '5C9Z
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nal work to be pe orme under this permit - check all that apply:
— Gas Tank Gas Piping • • • . •
Plumbing Sprinklers' • •
—Electric —
Total Sq. Ft of Construction: �'z 74( Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic, Building Height:
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Name
I
Address:
Zip . I -
•
Phone No. .1111177-
E-Mail:.•-
'
HolderFill in fee simple Title ..
• ...
�i
if value. of C:o'nstruction is 00 or more, a RECORDED
ct y y-. c• .7 � prtf � Y be. iyatj e. al Ci �4 r'�
r -of V11- }� ,rib si ls•1 �£ �r� ikd �.P
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ER/ENGI NEER: Not Applicable
-MORTGAGE COMPANY: Not Applicable
Name-
Name:
Address!DESIGN
State:
City: State:
Zip: Phone:
Zip: Phone:
HOLDER:City:
FEE SIMPLE TITLE
BONDING COMPANY:0 F pplicable
Name:
Address:
Name:
Address:
City:
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 rules, bylaws or and covenants that may restrict br 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
comm"cin>;.Vork or recording vour Notice of Commencement. i•
Signature of Owner/ Agent/ Lessee
Sig ature of Contra ctor/Eicense Holder
3 1,
STATE OF FLORID r
STATE OF FLORID
COUNTY OF _��
COUNTY OF L
The forgoing instrum t was -acknowledged fore me
this day of 20 �`�v
The f r oing instrument was acknowledge before me
this ��lay of 20y
(Name of person acknowledging)
(Name of person acknowledging)
S
OtgKature of tary Public- to of Florida)
(Signature of Notary Pu i ate of Florida )
Personall X.6 AAOful ced ientification
*'
on,iced)N#
Type I
Personally Kn ynd �- d roduced Identification
Type of Iden`ifcatt'b °Pro '
of tiff ,anion F
IRES.
yp rt �} ucr\
pFy� Bonded 7h April 12r 2015
Commission 'O NH°tarypnb{icUnderwriigS I)
ktiPh;:2° F eM1 yU�
F
Commission No $'°z ,on�e�rhlq`c •. ;����FF0835 Sea
-
1
REVIEWS
FRONT
ZONING.
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE.
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
..•.
COMPLETED.
Rev. //LU14
Property Appraiser - St.Lucie Cfk�mty, FL Page 1 of 1
PROPERTY RECORD CARD
/Gregory C Smith Record: 1 of «Prev Next Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address: 10725 S OCEAN DR 40
ParcellD:
4511-501-0211-000-1
Sec/Town/Range:11 :37S :41 E
Account*
123366
y� _
Map ID: 45/11 G
Use Type:
Vac Res
Zoning: HIRD
City/Cnty:
Saint Lucie County
Ownership and Mailing Legal Description
Owner: Gregory C Smith HOLIDAY OUT AT ST LUCIE BLK G LOT 1 AND
Address: 10725 S Ocean Dr Lot 138 EQUAL PRO-RATA INTEREST IN COMMON
Jensen Beach FL 34957-7604 ELEMENTS (OR 284-1479: 103
More...
Sales Information
Assessment 2014
Total Land and Building
Date
Price
Code
Deed
Book/Page 2014 TRIM: 34200
Land Value: 34200 Acres: 0.04
7/23/1996
3/1/1978
100
11000
01
00
QC
CV
1032 / 0425 Assessed: 34200
0284 / 1479
Building 0
Value:
1/1/1973
4000
00
CV
0210 / 7260 Ag.Credit: 0
Finished 0 SgFt
Area:
Exempt:
Taxable:
Taxes: 692.63
BUILDING INFORMATION
No Sketch
Available
Exterior Features
View: -
RoofCover:
ExtType: -
YearBlt:
Grade: -
EffYrBlt:
StoryHght: -
No.Units:
Interior Features
BedRooms:
Electric:
FullBath:
HeatType:
1/213ath:
HeatFuel:
%A/C:
%Heated:
Special Features and Yard Items
Type Y/S Qty. Units Qual.
Cond. YrBlt.
- RoofStruct: -
Frame: -
PrimeWall: -
SecWall: -
PrmintWall: -
- Avg Ht/Fl:
Prm.Flors: -
%Sprinkled:
Land Information
No. Use Type Type Measure Depth
1 0000-Vac Res BI -Site 1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE
AND IS NOT WARRANTED.
http://www.paslc.org/paslc/prc.asp?prclid=451150102110001 9/17/2014
7
PLANNIKG &
MMMIDIMMMIff -
BUILDINCY&CE)DEIMULAHOMDIVINON
230OVIRGMAAMME ' -
FOXT PIERCE, IFL 34982-SM.
.)462-LIM
L the undersigned, am the owner ofti,* mowing dwmar �d PrDpext3r,
.(Parcel Idt%_egqd descrIPHOWAddrcis)
Un-I
for -which I have applied 10 St. 'Lucie
-plied . COUmty'for. a Final Develo� Permit Ju
accep. fti this Front Development P=ft 13P Number
that as owner - of the above desenibed - pwperty, and in accordance with Section
7.04.01(D), St. Lucie COUnly Land Dmlopmerl Code, I AAR be responsible fof awm-ing
adequate drainage so that the immediate co WILL NOT be advermly a#6chxL'
I farther acknowledge that in granting - Mis permit for the developmbnt of this pzopertN
St Lucie COUrItY is neither obliged not liable -to ovide- or, '
Pr for maintain in any form,
adequate dramage- off imy property
which WAI; notadversely- affect -the immediate
COMMnky-
7.v'h"ff 7 1 M M M
STATE OFFLOMA. COUNTYor -Yr- 4 &-P e
A -MOWUMMBUOn mum_ P �e_ 1��. &FIZ
By jCza
14
A&ME-NMCA riot
MOFNGrARYPUBUC
ORPPJNfNOrAkY.
aoraut FICO
Alt at flodda,
NotatV '2- 2017
Comm. Expifes NO r
22"'.
SLCPDSD RaWd OWA17010' commission # "01 ASM,
801404 htq
St Llide County Inspect —,is
2300 Virginia Avenue .
Ft Pierce; FL 34982
(772)462-2172
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT -/yo9 - Q21Q-2, JOB
PEST CONTROL CONTRACTOR
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 of area treated: S-00
Percentage of solution: % S
Date of treatment:
0 Footing
❑ 1st Treatment
❑ Re -treat
❑ Slab�
1lJ st Treatment
❑ Re -treat
❑ I iveway
❑ 1st Treatment
❑ Re -treat
❑ Pools
❑ 1st Treatment
❑ Re_ treat
❑ Other
❑ 1st Treatment
❑ Re -treat
Chemicals used: -7 p�i -�/
Total gallons used: :CO—
Time of Treatment- �9 , od -An
:BC104.2.6 Cerbjk&e of?rotective Treatmentforprevention of termites_
A weather neslamr jobsite posting board shall be provided to receive
duplicate Treaunent Certz)Tcates as each required proremive treatment is
completed. providing a copy for the person the permit is issued to and
another copy for the building permit, files. The Treatment Ceniftcate shall
Provide the product users, identity of the applicator, time and date of the
trearmenr, site location, area treated chemical used; percent concentration
and number of gallons used to establish a verffable record ofprotecave
treatmetu If the soil chemical barrier method for termite prevention is used.
'final a acriar treatment shoe be completed prior to fbzal building approvah
St Lucie County requires for the ring inspection for CO, a Perumnetnt
Sticker to be placed on the electrical panel box cover, listing all the
treatments and dates of appli—dons. .
❑ Perimeter for Final Inspection
NOTE:
Signature of exterminator
There must be a completed form for each required treatment or re -treatment and this form must be on
the job sire to be picked up by the inspector at time of each inspection or the scheduled inspection vill
fail and a re -inspection fee charged
Reriwd W3/03 dmg
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SUPERMI
a The On Time Concrete Company
CENTRAL CONCRETE SUPERMIX, INC:
CONCRETE DISPATCHERS:
, MIAMI-DADE: (305) 264-7101 I I�nlln Inlnl In+u nnfiln IIIIwI ni;uc I'rno Vn91
DEERFIELD: (954) 480-9333 CUSTOMERTN;09 ;DELiVERYTICKET DATE
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
SERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN & ST. LUCIE COUNTIES
SOLD -TO `
DELIVERY ADDRESS
IC ..•..-:�11_.==.1!
)':4''Llii�` ''1.I'!� ..._
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l.. 1'. ,�l�i i(JL� `r.-I.�irj__'.i -il. h, ti
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QUANTITY DESeRIPTION PRICE UNIT EXTENSION
t7l,, fli?'n
MINUTES — ALLOWABLE TIME` _ PER MINUTE —
EXTRA UNLOADING TIME CHARGE X $1.00
*6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE y
SLUMP AMOUNT
THIS DELIVERY TOTAL CU. YDS.
ORDER FOR _ CU. YDS. TAX
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR d `'
PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN $L-UMP OR WHEN
WATER IS ADDED. WATER ADDED 0 YES ❑ NO p GLS. -- -
TIME ARRIVED ON JOB
STARTED UNLOADING
FINISHED UNLOADING
LEAVING THIS JOB
TOTAL TIME
f
f
SUBJECT TO THE TERMS, CONDITIONS AND "CAUTI
FRONT AND BACK OATH
TRUCK DRIVER I acknowledge that I tiaverece
understand and agree to the to
`i 4�l!iatI '4.11'•", 1 ! 1, fk ?',' I RECEIVED BY:
ON" WARNING LISTED ON BOTH THE
IS3167- CET.
ved and accepted materials -listed on this,'6ket
rms.on both th ,ff n- and back of th ick t
CONTROL 20 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU*BETTER
o0.�on co%q. MIAMI • DOWNTOWN MIAMI • WEST MIAMI • AIRPORT • OPA-LOCKA • MEDLEY `PERRINE • PEMBROKE PINES
DEERFIELD • BOCA RATON • RIVIERA BEACH • STUART • W. BROWARD • FT. PIERCE • E. BROWARD • DELRAY
-22
' PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK
,�.,• ��=sso�,I � NRMCA Y, \ DELIVERY COPY --
CAUT UA i f FRESHLY MIXE -) CEMENT, MORTAR; CONCRETE OFF
GROUT MANY CAUSE SKIN INJURY. AVOID CONTACT WITH EYES WHERE
POSSIBLE AND WASH EXPOSED SKIN AREAS PROMP"rLY WITH WATER.
IF ANY CEMENT MIXTURES GET INTO EYES, RINSE IMMEDIATELY AND
`=ATEDLY WITH WATER AND GET PROMPT MEDICAL TREATMENT.
�R. CR,NDIIo,1G OF 0r_ - ICRETE MASONRY UNITS MAY RESULT
_1001 ~ARTICL,,ES WHICH, WITHOUT THE USE OF
I YF OR.RESPIRATCHY PROTECTION, COULDCAUSE, EYE OR
:, .. IT TIC, 'THE Mel: 'TRIAL SAFETY DATA. EETS FOR THE
SOLD BY CENTRAL, CONCRETE SUPERMIX, INC. ARE
_ra' A-)PON REQUEST
DRIVEF ARE PRaMIBITED FROM DELIVERING
#;
L.XCEPT LINDE[i THE TRUCK'S OWN .POWER' AND WHERE
SI :, a �I ERMIT 'HE SAFE AND PROPER OPERATION OF HIS
Y_�_°_�..:j.. _ RS , P� NOT PERMITTED TO ADD WATER TC THE
MIX 01� ""0 G0 BEYOND THE CURB LINE, -EXCEPT
AUTHORI'ZATION OF THE PURCHASER/PURCHASER'S AGENT j
ACCEPTANCE OF RISK FOR ANY LOSS OR DAMAGE.
BUYER, OR HIS AGENT, AGREES TO ASSUME RESPONSIB
CONCRE fE, AND.-ANYPROPERTY DAMAGE RESULTING FROM riUCK;
MAKING DELIVERY BEYOND CURB LINE. ALL CLAIMS MUST 3E lAi)r, .
AT TIME OF DELIVERY.
IF IT BECOMES NECESSARY TO BRING -ANY ACTic)N TO C
AMGIUNTS DUE ON THIS INVOICE, PURCHASER SHALL BE RESPONSIBL
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.