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HomeMy WebLinkAboutSUBMITTED PAPERSResidential/ Commercial Building per nu t Cheeld .st CA T,6"O N NUMA 4.1 EiEg SCANNS �e ex�a o BY St. Luci ,�4pplieation completely filled out with Notarized Sx�na sY........................ Yes ❑ No ❑ N/A Sub Summary list with contractors' names & county & state certification numbers.. 1�D Yes ❑ No ❑ N/A Sub Agreements with Original Signatures ....................................... --..... " Yes ❑ No ❑ N/A Owner / Builder Affidavit ................................................................. ❑Yes NoEl 3/ Owner / wilder Electric Affidavit ......................................................... ❑ Yes ® No ❑ N/A Filled Land Affidavit ....... .....................:.............................. ... . ......... ❑ Yes Pn No. © NIA GEO . or Recorded warranty Deed ...... ..:.... ..,...... Yes ❑ ,No N/A Recorded Notice of Commencement .......................................... ..... ❑des ; i�j � � ❑ ;NIA Utility Agreement or Payment Receipt ................................................... ❑ Yes Q . No ❑ N/A Vegetaficnx Removal. Permit— ... . .............................. I...................... . . Yes ❑ No ❑ N/A Non Conforming Lot of R.ecozd _............................... ......................... [] Yes Q N® N/A phfa& Ca Ac®tcsn_Commercial 2 copies residefa t) " Pomplete set of plans with Engineer / Architect Msed Seal ................... A . �( • Yes ❑ No ® NIA Truss Plans Reviewed and Approved by Engineer I .Architect ...................... Yes ❑ No ❑ N/A. Landscaping and JParl ing Plans.....................:...................................... ❑•Yes ❑ No ❑ NIA, Three(3) copies of Approved Site PIM............................................. Yes ❑ No ❑ NIA Two (2) Sealed Surveys or ]Plot Plans with .Dimiensioixs, Finished Floor ........ 91 Yes ❑ No ❑ N/A Elevation and Setbacks:.................................................................... 0 Yes ❑ No [] NIA Health Department Approval Stamped on Survey and Floor Plan ................ ❑ Yes Q No ❑ NIA Health Department Food Establishment Permit Stamp on Floor Plan ............ ❑ yes ❑ No ❑ PUA Manual "J" or ].Manual `2T ' Calculations ............................................. (� 'des ❑ No ❑ NIA Signed ]Energy Calculations................................................................ yes ❑ No ❑ N/e Sealed Wind Load Compliance Certification ........................................... yes ❑ No ❑ N/A Product Review Affidavit ............ , .............................................I...... M Yes ❑ No ❑ Fd/�? 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Mrkl^,�YI Cash Cheek#tAuth Coda: ' Slggrytiirg of 15�+vscRscsivtng C� h: ,- CaslvRecel4ed: 7bt9!'COO Ord@r,Ainountto'Collvd _ WitffoiitCHSCR StandC+YGF1�9aS:: Charae Comments: WATERAbDED: DAL YARDS IN DRUM! WHEN.ADD,InD. SIGNATURE . • , GURS L'INE'C;ROSSED AT O1fVNERSIfkGENT'S REQ111=5T: . F SIGNATURN'• r O.LOAD WAS TESTED -By! Notice:'out•drivers will mtakeevery effort to'place'material, were the cum farrierdecipnatas,bulthe SPECIALTERMS: Anywdteraddedisatcu=tomer%ownrisk.Ifwaterleaddedonjob,concretesVength- ComDany'assunlas•no re5bonsiblity for damages Inside curb or prolierty line. Customer, agrees to -the i3 no longsr'gyamnteed., WARNING. 'Productmay'cau,'ee skin andloreye irritation, CAUTION: Material terms of sele'end dcliveryorid aceipts concrete as is. Due to important factors whlch' are 'oyt• of our moy b= ha2io dour to your•safety and health. ' Please refer to the backside of -this tick¢I kr important control after delivery, this Company mill not accept any =pon''ibillty for Ilia tiniehed results. ' No cr$dlt for safety handlin4•infQiTn%ion,;and to the material safety data sheata for abdltlontll Information. •taturned concrota. 6.yera eaceptlona end plp)ms thrall be deemed waived unitiea made to.ua inwrifinp AUTHORi4E�$I tAATUR#`: wRhlri ones business day after the receipt of materials. �, •: 68UiViVERSAL .'1•J "f . ;I, t.; .%:,. I.., P( �rl 1'•t :i°. -INVOICE -GuxiaP?erCdC9"'••::•-;,'•-.CtYtOtner,NrY,ine:::.::- _ ',t:ua£omb�dob'N6mboi:.• :'0rder'CaidAl0at6>: ' _ _ - {,•.: :r _➢' 1^J •: �4'v:'-r{�'4: ..11,ti' y ,+� y� /�.� . �'� L,nL�`', - y+y •L. p='�.��i. �', I I k. 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I��fN &YYHJ F1b Y$. •.I10 BWRdI'' t, �x ^rM .irY. �J/u -'YY % V htl`rw w0➢ .11yy x«w . tr�. kl • Yea A► . rNYVLa� rr'f W eW►, MV a.,' Jltw W w➢� , w 5.; •. ,.: ,.:.. ,Vny mwr eFPw► ,:. "'^ ',._ Mwu.e,lh NYxu.ryw, .. .. ,nwNl"ryr4wr, .., Ne IW++,, Tye,• • 74tw,. M4wx{ •", IYw:a r�R»i/ •0• "'�'r � •NY! 1➢Pwwxrwr � Y •, , Y. e[ 9i4.rorYI •�f^s,.. ._: ,.wW,r�w' "' r'tll4wax`n •„ea'Y. - - ^ Yi%yu _ fx»eW ioaw q yTN w w'P YY •• _ PPT■' ail � • 9 1M} IIMWw• aY,aa rY/w ... _ xxY caw ,.aYa 4rw, PP1%A •R» a'wa1. - �y,Ix�wM'4'.wrv�,Pw+4:M.vw .,` wvww ,"'tr- , `• ... ndY cash Check#iAulhCotle: SignSlurg.qt'Dllver•'RgCeivinyCash:•'','"•:' CabhReC tl , 7r}tgI�ODOrdd�Arrtou11t9of'.4Uget- Without:5t9rldby Cffarg'as: rpheck Charge Comments:. WATERADDEb:�,,/_ GAL YARDS -IN DRUM; WHEN ADDED, SIGNATURE CURB LINE OROSSEOAT OWNER'b/�ICENT'GREQUEST: 'SIGNANRE • .. El LOAD WAS TESTED BY; . Notice. Our drivers will make every effort tq place materials when the customer desi9netes, but the SpECIA4•TERMS: Any water added is of wslome s own risk. It water is adds n fob, eonCrete Strength . Company neauenee no respons0lityfor damagea Inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Pact ma ceule skin'and/or eye irritation. CAUTION:. Mate�ol terms of sale and delivery and actuate concrete as Is. Due to Important factors Willch are out of our may i m huzardoua w yvef Sara .pa [h. •pl Rise refer to tho•bQoitslde of thin tlokot for imyottant control alter acttvary, this Company will not accept orry'responaibility for the finished results. No credit for' edfely handling ihf0rrn4tlon, a as data sheets for additional information. returned concrete. Guyon: oxceptiorl6 and elaim4 shall ba dcem¢d waived unleas made to ua In writing AUTHD• SIGNA7 ; within one business day after the receipt of materials, 53UNIVERSAL CUSTOMER. 02/27/14 03:38AI-I HP LASERJET FAX I I P.01 0 Job Truss Truss S641 --EJB4 rmast Coast Truss, Fort Pierce, Fl-. 34946� Qty Pl��ai,' 1 11 snC: Problem; Top chord of truss trimmed 1" at joint 4 to.0" at joint 2 as shown in the diagram above. Solution: Scab a +/- 4' - 6" long 2x4 SP 42 or better to top chord of turns using one row of 10d nails at 4" spacing. `- • �lll�liit.l%lilff tly 9an gnod q Maud Marsinu F <`Y_l ON; c=1J5. o--Jde6lnm ACES E-amen Man ASSOCIATES PA,.n-Mcnjal Martine;. FFB �L Marti : i2Z ' OOOI20 7WUC3190000Aet7 A01 096900 2 ?014 Date: 2014A2.1916:20:32.05'00' Job I Iuss Tru.- Pe 25641 1 -EJS-4 ' Jac], ,,in East Coast Truss, Fort Pierce, FL. 34946 11 �1 7Uat Va �Ul.'Mi ieh' ntlw-tries, Inc. "A'�'�w6ZTf a n5,, Problem: Top chord of truss trimmed 1" at joint 4 to 0" at joint 2 as shown In the diagram above. Solution: Scab a +/- 4' - 6" long 2x4 SP #2 or better to top chord of tors$ using one row of 10d nails at 4" spacing. y Manual ........... .runw •ro0 AAe-«el": prcenT4VQ. ss owm AND e gyp `y 'ASSDCIAUS PA., do M...el Ma4lrta, M fAI ��.����L 0:9,2342j9200$00.100.i,�=AoiOW900 000130479MIN000AW Date 2014.02.191 &2M.0T90' �Wm D9 C�) CEmcx 559 6476 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plants Q13 / 14 )r344? Customer Code: Customer Name: Customer Job Number: Order Code / Dater . Project Code: Project Name: 7 Project PO. Number, Order P.O. Number: 140 Ttcl.el D ^ : Delivery Address: Map Page: Map/Row/Column: 3 Delivery Instructions Dispatcher a r•r. + rj Ticket Number: Dr30n�JJob. Slump:o t){,� fii�Nu�nle'.,�_!� D9i�erNyrtnper FD,jGCriime�.Irli..t._F._ End Use: ZE��:'?4").�t1!`!!:e. LOAD l QUA TITY CQUANTITY E I ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION n {:;t; + ' . : 9 ENV -11fl�4�!T�ti Cash Check # / Auth Code: Signature of Driver Receiving Cash: ] Check Charge Comments: WATER UOM UNIT PRICE AMOUNT Y Cash Received: Total COD Order Amount to Collect Without Standby Charges: GAL YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ..»- SIGNATURE �~ ElLOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, ,but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and ototh material safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE: tr Within one business day after thereceipt of materials. 0 'F�EV TR!: c 10022:3 8 ``—!k ?�tiJ NUM. sBUNIVERSAL CUSTOMER This Delivery Ticket incorporates herein by .reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Qui on, if any, and Seller's Order Confirmati ncluding limitations of warranties), as if fully set forth on this Delivery Ticket (" i �ment"). Seller will provide the Standard ns and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay,in accordance with the Agreement. �w AGGREGATE / CEMENT / CICRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions. Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the anunonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health .risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate- protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If `ekposed (d dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information Please visit www.cemexusa.com. Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito): cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantias), Como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos_estAndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados Como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrcto; al menos que se identi- fique con una nota al frente de este documento. AGREGADUS / ULIVIENTO / YKUllUI TOS DE UUNUKETO / UEINIGAS VULAN•1•ES Los productos do agregados son materiales naturales coma piedra caliza, dolomita, granito, roca volcanica, arena, Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, .roca volcanica, arena, grava, y otros materiales silicios. Estos�productos incluyen cenizas volantes (fly ash) la coal puede contener mas de 0.025% de silicio cristalino. Peligros: Mezc:la de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en piel y ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en Jos ojos, pie] y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales silicon, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura caliza, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La bumedad puede causar la liberaci6n del amoniaco. La in.halaci6n del amoniaco puede causar toner, in•itaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la sal.ud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en Jos ojos y ropa Primeros adecuada paraprotecci6n. Ldvese las m.anos con jab6n suave y agua despu6s del manejo de materiales. Ev.ite inhalar auxilios: polvos. Si se expone a polvos mas do los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la pate afectada por 1.5 minutos. Si se inhala polvo, expolngase a wire fresco. Si el cemento fresco t.iene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1.900 V7 combinado Houston, Texas 77024 02/1.2 Para mds informacion visita www.cemexusa.com. I. II. . St. Lucie County 'SEP Building and Zoning Department Requirements for 30 Day Power for Testing �gl' 0l �3 Form entitled "Request for 30-Day Temporary Power Release" must be fully executed and posted in the Building Department record files prior to inspection. Inspection Requirements: 1. Address numbers shall be posted per county Ord. No. 7.05.09. 2. All entrances, exits, windows and garage doors must be lockable. 3. All circuits on exterior shall be terminated in a box with weatherproof cover. The same applies to a disconnect. If circuits are at or above 7'6" from grade they may be capped with wire nuts and taped. 4. All breakers must be installed. Any blank space must be closed by a breaker or approved filler plates. 5. Interior Wiring: All receptacles, light fixtures and fans must be trimmed. Any fixture below 7'6" from the floor or mezzanine that is not available at the time of inspection must have an Inviso plate installed. Fixtures at or above that height may be capped with wire nuts and taped. 6. All smoke detectors must be installed. 7. Kitchen cabinets must be installed; any exception for special conditions or circumstances must have an approval prior to scheduled inspection. 8. Sewer and water connections must be complete. Only well pumps are excluded from this requirement. 9. Exterior construction must be complete and weather tight, including stucco, siding, roof and soffit. 10. Permit work shall be substantially completed except for back orders, paint on exterior, carpet and/or floor covering, pumps, air conditioners and driveway. ( Scci - oocl3 Date: Project Address: Planning & Development Services wu'par/i �ment Building & Code Regulations Div F/ �c ` 2300 Virginia Avenue � SFP Ft Pierce, F L 34982 1?01J Phone: 772- 462-2165 Fax: 772-462-2522 Request for 30-Day Temporary Power Release Permit Number:, THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is requested for the above stated purpose only, and there will be no occupancy of any type, other than that permitted by construction during this time period. 2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including Building Division Policy, which is incorporated herein by reference. 3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day Power for 4. Testing" have been fulfilled and the premise is ready for compliance inspection. 5. All requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection has not been approved within 30 days. A fee of 8100.00 will be required to lift the Stop, Work Order. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. OWNER'SIGN TUBE DATE ENERAL CONTRACTOR SIGNATURE DATE ELECTRICAL CONTRACTOR SIGNATURE DATE SLCPDSD Revised 06/14/2010