HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONL4ubo
DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
1.
2.
3.
4.
E
PERMIT NUMBER:
CERT. CAP. NO.:
N06- 00,9&
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553 S � i
st
APPLICATION for BUILDING PERMIT cQ�lnty
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
LOCATION/SITE ADE
PROJECT NAME:_&
PROPERTY TAX ID #:
LEGAL DESCRPPTIOr
PLAT BOOK
PROJECT INFORMATION
i Pellle,51 44
0l SITE PLAN NAME:
(attach extra sheets if
9. PARCEL SIZE (ACRES/SQ FT.): 0 () LOT DIMENSIONS: 3 (% D ✓r K 7�
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: �� I �L° (,/Ct L
!� ZZ)(V" mil, i erwire
'ZIA-11, IV< I Lvt4 &-?
11. SETBACKS (ACTUAL) FRONT: BACK: f RIGHT SIDE: 0 LEFT SIDE:
12.
13
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE:
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
14. SQ. FT OF CONSTRUCTION: chi 15. SF. FT 1st FLOOR:
16. VALUE OF CONSTRUCTION: $ �Oi)
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
- 7 �
OWNER INFO
NAME: rJvn al(Y &Ebo
ADDRESS: MIR
/- Pt- v < Z° Ce/
CITY: i h� 7'l'!i STATE: A / , ZIP: `
PHONE (DAYTIME): "' ° Email:
IF THE FEE SIMPLE T19401,D04OPERTANfR) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTDvIE): (__)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: R & Z/
BUSINESS NAME: N ctr 1-
QUALIFIERS NAME: MCkt4- ,lam
ADDRESS: aQ-
CITY: 'Iths PP / ) STATE:
PHONE (DAYTIME): �� �� y �ej.�`�FAX NO
ARCHIT/BNGINEER:
ADDRESS:
CITY:
PHONE (DAYTIlVIE): L_)
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
STATE:
ST. LUCIE COUNTY CERT #:
!%7 /®
Email:
/00
ZIP:
ZIP:
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.
OWNER OR CONTRACTO '`SIGNATURE
STATE OF FL A
COUNTY OF � �
The foregoing instrument was acknowledged before
met 6 6 day o 20 �`i' ,
•by
m.,v &L,6
who is personally known or has produced
�``� Ala • S 1 `pi a�0-D as identification.
of Notary
Commission Notf OAS
ONTRACTOR SIGN TURF
STATE OF FLO
COUNTY OF _
The foregoing instrument was acknowledged before
me this &_day ofzz..a , 20 N ,
by\
who is personally known or has produced
NVt�W-V ��VXD &AI' J 5'Oclo . O as identification.
LASWNA INGRAM
MY COMMISSION Al EE 050558
XPIRES: December 20, 20';4
ded Thru Notary public Undem r"ters
of Notary
Commission No.
L _1 NAINGRAM
MQS7@I t)SSION k EE 050558
FXPIRES: December 20, 2014
Sonded Thtu Notary Public Underwrders
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.
,=•tom:
a`s.3 la• J
i4w{§s vi's�x".-..':s_ic;SfZb�Cr.:'.- _
PIJANiYnYG & D ELpPMEN'T MMM DEPARTN W
BUIOLDING & CODEREGULATIONS DIVMON
23UD VRGRHAAV.II4M - -
FOtrr PTEKCF, FL 34982 SM .
MM LED LAN.DS AmoAViT
VrnL "N
L2U '5)O9V coo
L the undersigned, am the owner ofthe fol%wing d property, /
`ta'�rcei Iga1 descri�iontAddte�s �' - � , .. _ -,.
for -which I have applied to St. Lucie Couaty 'for. a Final Development Permit In
accepting this Final Development Permk BP Number _ I aclmnwledge
that as owner- of the above descrfbed -property, and in accordance w: h &=don
7.04.0I(D), St Lucie Cou®iyLand Develop=gt Coder I shall be responsible foi assuring
adequate d>raimp so That the immediate commi`u ty WILL NOT be adversely affected.
r B=ber acknowledge ila;tf 3n granting -this pert6it for the development of this property,
St Lucie Couauity, is neither obliged not liable to provide- for, or maintain in any form,
equate data. off my property which wpi ndt.--adversely affect -the immediate
Prop erN ease } F
&I-t Z 2D,/
Comer aigifiaiiii
i
STATE OFFI. MDXCOaNPYO . I
A1QKNOWLEDCxEDiwouNIE"THIS I ZU �- _
BY 1 Q bo WHOISPEUONALLYKNOWNTOW !URWHOMS
PRonucE�_ ��CV�S L�c�alS � I
AS 111)MTIIiiCATIOl
SIGNATUREOFNOTAXYFILMIC 67TYi'EORi'RII3TNOTARY
�o 5-0 co�erssroKxu�max - .
- (SAL)
^PU•... DIANE M. FRANZE
• ,��IPRV B(i�i
Notary Public - State of Florida
My Comm. Expires Aug 26, 2015
SLCPDSDRa[wdOSll�lZOiO- =;�,� 'o`c Commission # EE 114050
Bonded Through National Notary Assn.
Property Appraiser - St.Lucie County, FL Page 1 of 1
PROPERTY RECORD CARD
Donald Barbo Record: 1 of 1 <<Prev
Net Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address: 2081 NETTLES BV
Sec/Town/Range: 02 :37S :41 E
ParcellD: 4502-501-0084-000-3 \'0 CIECow ,
Account* 119684
Map ID: 45/02B
Use Type: Mob Homes
Zoning: HIRD
City/Cnty: Saint Lucie County
Ownership and Mailing
Legal Description
Owner: Donald Barbo Sally Barbo NETTLES ISLAND INC, A CONDO -SECTION I
Address: 1748 N Ridgeview Ct PARCEL 81 AND PRO-RATA SHARE IN COMMON
Ludington MI 49431 ELEMENTS (OR 3627-2783,
More...
Sales Information
Assessment 2013 Total Land and Building
Date Price Code Deed
Book/Page 2013 Final: 66900 Land Value: 50000 Acres: 0.06
3/28/2014 0 0111 QC
3627 / 2789 Assessed: 66900 Building 16900
3/28/2014 85000 0001 WD
3627 / 2783 Value:
6/23/2005 166200 00 WD
2291 / 0953 Ag.Credit: 0 Finished 828 SgFt
4/16/1990 65000 00 WD
0689 / 0583 Area:
2/1/1976 9000 01 CV
0248 / 2635 Exempt:
2/1/1976 9000 01 CV
0248 / 2635 Taxable:
Taxes: 1354.87
BUILDING INFORMATION
Exterior Features
View:
ExtType:
Grade:
StoryHght:
Interior Features
Bed Rooms:
FullBath:
1 /26ath:
%A/C:
MHH -MHH
PKMB-PKMB
0010 -1 Story
0
0
0
100
RoofCover:
YearBlt:
EffYrBlt:
No.Units:
Electric:
HeatType:
HeatFuel:
%Heated:
Special Features and Yard Items
Type Y/S Qty. Units Qual. Cond. YrBlt.
- RoofStruct:
1987 Frame:
1987 PrimeWall:
1 SecWall:
-
PrmintWall:
FHA - FrcdHotAir
AvgHt/FI:
ELEC - Electric
Prm.Flors:
100
%Sprinkled:
Land Information
No. Use Type
Type
1 0200-Mob
BI -Unit
Homes
0
Measure Depth
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=450250100840003 6/2/2014
014 0
Nettles Island 1r)ca o condominium
98.01 South Ocean pride, Jensen peach, FL 34957
(772) 229-2930
FAX (772) 229-9901
May 27, 2014
Donald & Sally Barbo
2081 Nettles Blvd.
Jensen Beach, Fl 34957
RE: 2081 Nettles Blvd
The review of your Adjacent Property Protection Plan for lot #2081 is complete. We
approve of the renovation of the existing driveway. Please comply with Nettles Island,
Procedures Governing Contractor and Building Activity on Nettles Island, and provide us
with:a copy of the permit.
RE espec lly
Fr a her
Architectural Chairperson
CC: Laura Jones, LCAM, File
FF/bh
Z . NPROVED
St Licide O®mty _bons
2300'Vir91M Avenue
Ft fierce; FL 34982
(772) 462-2I72
CERTIFiCA'TE OF WizmTE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # A 0 �Q oo )- Ce JOB
a 2lc Lo,s-t-- l
PEST CONTROL CONTRACTOR_% -I -
PEST CONTROL LICENSE q
We, the undersigned, hereby certify #hat we have pretreated tho above -described construction for
Subterranean to—WMAW fins accox-dance with the standards of the National Pest Control Association.
Square feet of area treated: 2 o v
Percentage of solution: a `�
Date of treatment:
C3 Footing
❑ 1st Treatment
❑ Re -treat
❑ Slab
U 1st Treatment
❑ Re -treat
l�rivewav
❑ Ist Treatment
❑ Re -treat
❑ Pools
❑ In Treatment
❑ Re -treat
❑ Other
LJ 1st Treatment
Re -treat
Chemicals used: c`o h u J ci i
Total gallons used: -2 p
Time of Treatment.. ; b o (--A ✓b`
"Cl'"-2-6 e;+yw'ate of i-rolecdye Treatmentforprevenfion of termites_
A Weather resistant jobsite posting board shall be provided to receive
duplicate Treatment Cenicmes as each required prorective treatment is
completed, providing a copy for the person the permit is issued to and
another copy for the building permu files The Treatment Certificate shall
Provide the product used identity of the applicator, time and date of the
treatment, site location, area treared chemical used percent concentration
and number of gallons useg to establish a verifiable record ofprotecrivg
treatment. If the soil chemical barrier method for termite prevention u used,
'final exterior treaunem shall be completed prior to ft al building approval.
St Lucie County requires for the riwal In—cp,ortinn &M. rn, a
Sticker to be placed on the electrical panel box cover, listing all the
treatments and dates orapplications.
❑ Perimeter for Final Inspection
NOTE:
v:s■'a'ali 2 vi ciiaci uuudiup
There must be a completed form for each required treatment or re-treatnfent and thisform must be on
the job site to be picked up by the inspector at time of mr_h ftepeeg&j.: or ;w iv`iii
fail and a re -inspection fee charged
Jrct*ed&VINdmg
LdZ 06 ors
SUPErMix TM A� v 0
d `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 3315E
PHONE: (305) 262-3250 - FAX: (305) 267-0698
SERVING MIAMI-DADE, BROWARD, PALM
1011[ 1L� 1i IC;i1111 g+1a�1 I�11i1� IIIli 1� I1111'!�1
CUSTOMER N . DELIVERY TICKET DATE
BEACH, MARTIN & ST. LUCIE COUNTIES
SOLD TO
DELIVERY ADDRESS
�l',
"IC, T I 1 I
. + I p /
;'jf•, S°?'-.
!Ti!";'id�•.".;%•..f',1
;.'}'
.1.,!('ll��•+.
."a ._�I`"11,�:
F �— I�'�.1'f
`�c-.. �'tt '� (
i 1 i". `yc , !
� ��.,
� {' 1f Iddj `•
I�{� id
' I'i-11 :�• �
( ;d ;. � t� f - I + 1` ,:+. �.!` i � ;��{'�! :1 f ,I +_�� I?�
1
QUANTITY DESCRIPTION PRICE UNIT EXTENSION
tw
R
MINUTES — ALLOWABLE.TIME' — PER MINUTE —
EXTRA UNLOADING TIME CHARGE X $1.00
*6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE
SLUMP
THIS DELIVERY TOTAL CU. YDS. AMOUNT
OF YOUR ORDER FOR CU. YDS. TAX
CUSTOMER OR HIS AGENTASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR
PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR WHEN • ♦ r
WATER IS ADDED. WATER ADDED ❑ YES ❑ NO GLS.
TIME ARRIVED ON JOB STARTED UNLOADING FINISHED UNLOADING LEAVING THIS JOB 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. I
understand and agree to the terms on both the front and back of this ticket.
RECEIVED BY: X
CONTROL
20 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
+
14- II Ir
o0.'OR CON,p�
�assoo*
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
PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK
DELIVERY COPY
NRMCA
Ea,
CAUTION!! 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 AGENTAND HIS
ACCEPTANCE OF RISK FOR ANY -LOSS OR DAMAGE.
BUYER, OR HIS AGENT, A6HEES.TOASSUME 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.
6
. 4
-+ k
y n'