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HomeMy WebLinkAboutSUBMITTED PAPERS1-' 1 OFFICB'USE�O , Y: DATE FILED: 3 -0 PLAN REVIEW 3 O RECEIPT NO.: 118 CONCURRENCY FEE: RECEIPT NO.: le PERMIT NUMBER: CERT. CAP, NO.: i3o�-0`lOJ 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 SC 772462-1553 ' AIA, St 4 B� Fp C/C�� APPLICATION for BUILDING PERMIT .,t CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: S4g ID L0.NDe-11 A. C4. P 5 L 2. PROJECT NAME: SITE PLAN NAME: S 0.V Oran inA, G b 0 3. PROPERTY TAX ID 9: 3 g 2 5- -i 0%— 0 0-11- 0 0 0' 0 4. LEGAL DESCRIPTION (attach .extra sheets if necessary): S 0.V 0, hrn D► CI u �nPia+ Th rg e- 5. PLAT BOOK _ &PAGENO-U-181dill, 7. 'BLOCKNO. Z l 8. LOT NO. Z S 9. PARCEL SIZE (ACRES/SQ FT-): . 1'j, LL14S LOT DIMENSIONS: 10 k $ 2 ,S$x Sl .l4 X 30. Si,c BOO � 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Ex�e14c'1 �a� to / c-ovket vie 3 voo os� h�Z`J�Q� r m- es v, 'ft V VYr: � �? -1-Y LG`!•YVi�.�r-�'� �%� �v .-v 2� �C ..� 11. SETBACKS (ACTUAL) FRONT: 15. 14 BACK: RIGHT SIDE:. S _ LEFT SIDE: S • S 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [�c] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13, DESCRIPTION OF PROPOSED USE: A+ t 1.4. SQ. FT OF CONSTRUCTION: ON 15. SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ ! 1 ZO 0 . © a 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 G25/09 d OWNER INFORMATION NAME: Q I+*— RLsul o ADDRESS: 8 g 8 6 L CA k t 06 C+ CITY:_Porl St. L'i Ci4. STATE: F L ZIP: PHONE (DAYTIME): (_) 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: STATE: PHONE (DAYTIME): L--) CONTRACTOR INFORMATION ZIP: ST. of FL REG.CERT #: InI o+• ST. LUCIE COUNTY CERT #: BUSINESS NAME: I)C % Co "c/+,� r F V LL C QUALIFIERS NAME: ^,1� Wok ADDRESS: 141 �ME 13 QLLk & e-5L" -'2 1' CITY: Cp0 A S �` • Lo LA 9, STATE: j� V PHONE (DAYTIME): C1yJ ; S ' 10I 15 FAX NO. ARCHITBNGINEER: ADDRESS: CITY: PHONE (DAYTIME): (� STATE: ZIP: 34582, Email: ILe_%AK @ de5iAV%COlocYtk, 0.hrl V'ri "SOv vy . God ZIP: BONDING COMPANY:in I - ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDER: w I &' ADDRESS: CITY: STATE: 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.pentnit to-do the work-md 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 thepermit 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. ,L,- /r a",/ O R CONTRACTOR SIGNATURE OF FJ.O A , COUNTY OF • 1-00 c t The foregoing instrument was acknowledged before me this -day day of 201 �3 , by a d K who is personally known or has produced 1— G aaG —Oas identification. Signature of No DEANNA GIVENS •� .110$� Publif� S to of Florida Commission * My omm. EXPI " ec 16, 2016 J;• •o` Commission # EE 858761 Bonded Through National Notary Assn. CO TOR SIGNATURE STATE OF FILORIDA COUNTY -OF S, . 1_1J C\,R The foregoing instrument was acknowledged before .me this, 3b day of, .�0 IJ , .by v,, L O o who is personally -known -lbl-a Signature �of Commission No. -or has produced a as identification. DEANNA GIVPS otary��ubl' - State of Rorida y Co ues Dec 15 2016 Commission # EE 850 7 b 1 Bonded Through National Not:, , 4,sn. NOTE: TWO M STUWATRES 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. 0 M ST. ]LUCIE.COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL-34982-5652 772-462-1553 FILLET) LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: (Tax ID/Legal description/Address) for which I have applied to St. Lucie Clonube= for a Final Development wledgPermit. that as owner of this Final Development Permit, BP Nu St. Lucie County the above described property, and in accordance with Section 7.04.01(D), Land Development Code, I shall be responsib5e1 � ffected.g I adequate acknowledge that tin immediate community WIL__L NO—T be adver y a 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 will not adversely affect the immediate community. Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY Ur 2OL ACKNOWLEDGED BEFORE ME THIS G DAY OF ' BY �/ / /� S u L G WHO IS -PERSON To ME OR tiVHO HAS PRODUCED AS IDENTIFICATION. ze — Y SIGNATURE OF NOTARY NOTARY PUBLIC TITLE TYPE OR PRINT NAME OF NOTAR (SEAL) gZ- 0lCOMWSSIONNUMBER ELLEN L. BOULETTE �;<<'; Notary Public - State of Florida . -_ My Comm. Expires Sep 25, 2015 s.• "o`? Commission # EE 101180 Bonded Through National Notary Assn. L T LO MODEL c CARPET N A. J;Z- p/'o FASCIA SALESPURSON ARP-TVAL %' R u Tr D R T7 01#,aolk�a"1- 4 FILE COPY 02*20'21" W 70,00' -3,n o LT 02% N 0 OLiVd LlYd IL tin X C3 =,Sz ro or b. ssylo LLJ '09'a 0 ell "3 n SQL pe) MIN. SETBACK IFIE0. to nr F FRONT RONT SIDES _ . C N R 6 S El I R REAR Z iL:RD TECH TECH: Volumetric Concr � " — 0 ' D Dispenser Mix esign'211orksheet OWNER Mobil Crete Technologies Unit Serial # N91-84R YOUR MIX DESIGN (This sheet must be filled out for each mix design) MIX DESIGN 3000 psi PM Date 4/25/2013 (max 8 characters) Materials of one cubic yard: Cement 600 LBS. Cement 6.4 BAGS Aggregate Name 1 Pea Rock 100% Cement Discharge Speed 49 ( In Percent) 1.84 Cubic Yard Discharge Time (Minute) Aggregate Counts per Bag of Cement # Desired Aggregate Name (enter 1, 2, 3, or4) Aggregate 1 1 Pea Rock 2 Ortona Sand Aggregate 2 2 Ortona Sand 3 Rock #67 4 0 Color OUNCES Fiber Chopper Pounds per Yard Low, Mid, or High Sys Dilution Oz/bag Admix # 1 Admix # 2 Admix # 3 l (Mid Range available on 130, 150, & 200 Series units only) 1: Detergn)<b+E: - count per cubic_yard.. -6�4",bags/cubic yard x 49 counts per bag = 313 count per cubic yard. 2. AGGREGATE 1: Divide the lbs. of fine aggregate per cubic yard by the count per cubic yard. 950 lbs. fine aggregate divided by 313 counts per cu. yd = 3.03 lbs. per count. GATE SETTING (from graph) 2.4 3. AGGREGATE 2: Divide the lbs. of coarse aggregate per cubic yard by the count per cubic yard. 1903 lbs. coarse aggregate divided by 313 counts per cu. yd = 6.07 lbs. per count. GATE SETTING (from graph) 4.6 Description 3000 psi PM Total 313 Counts / Cubic Yard Cement 1.91 lbs./ Count Dial Aggregate 1 3.03 IbsJ Count Setting Oz/Min Aggregate 2 6.07 IbsJ Count Admix # 1 ERROR 0.0 *Water 2.06 IbsJ Count Admix # 2 ERROR 0.0 Aggregate 1 Gate 2.4 Admix # 3 ERROR 0.0 Aggregate 2 Gate 4.5 Color #DIV/0! 0.0 Water Meter 42 Fiber Chopper #DIV/0! 0.0 At this point we recommend that you run a 1/4 yard yield test. You must have a box that is 1/4 cubic yard. You can build one with internal dimensions of 36" x 36" x 9". You start the unit producing concrete. Stop both the conveyor and mixer at the same instant. Set the 1/4 cubic yard yield box under the discharge. Start the mixer and conveyor at the same time. Run the unit to the amount indicated for 1/4 cubic yard (1/4th of the meter count per cubic yard from step 1). Shut off the mixer and conveyor at the same instant. The box should be full. It may be necessary to adjust the aggregate gates slightly to adjust the yield. 1/4 Yard Count 78 * If you have a water recording meter your lbs./Count will be approximately 1.0425. M Pounds of Aggregate 950 1903 SRM 08-10 f 230O.Virginia Ave Fort Pierce, FL 34982 ` 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: /3y 8 - 6yo / JOB ADDRESS: M(o C,96e/1,a CT. P5Z BUILDER/CONTRACTOR: `'OES r AIX Qxrc\ Uek PEST: ' CONTROL CONTRACTOR: P ri k Ex rmi n i ng PEST CONTROL "LICENSE #: 4864 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: -79 Chemicals used: CA, i (fit -TC> Percentage of solution: ° o 'Date of Treatment: 5en , a013 Footing 1st Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 1st Treatment Re -Treat Total gallons used: ,Time of Treatment:. / / ' 50' - V Slab✓ 1st Treatment Re -Treat Pools 1't Treatment Re -Treat Perimeter for FinallIInspection Signature of Exterm-Tinzffor Note. ' There must be a completed form for each required treatment or -re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection fee charged. FBC104.2.6 Certificate of .Protective Treatment for prevent/on of termites A weather resistant jobsite posting board shal%be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the build/ng permit files. The Treatment Certificate sha//provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, -to establish a verfable 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 Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of.applications. Sep 05 2013 10:30AM HP LASERJET FAX p.l f e- U. zm� ME 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 fax 772-462-6443 CERTIFICATE OF. -TERMITE TREATMENT CONSTRUCTION SOIL TREAjMENT PERMIT #: 3� as-0/0 JOB ADDRESS: 8446 LAB•ELIA COURT PORT ST LUCIE BUILDER/CONTRACTOR: DESIGN CONCRETE PEST CONTROL CONTRACTOR: PATRIC•K EXTERMINATING INC PEST CONTROL LICENSE #: 4864 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: 72 I. Percentage of solution: .25Z Date of Treatment: _ 0 9 / 0 4/ 13 Footing 11tTreatment Re -Treat Driveway 1-t Treatment Re Treat . Other �ggTT Q I't Treatment Re -Treat Chemicals used: CYDER TC Total gallons used: 7 Time of Treatment:. 11 --50 Slab 1"t Treatment Re -Treat - Pools - 1'tTreatment Re -Treat Perimeter for Final Inspection ignatire o Extermina or Note. • There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled Inspection will fail and a re -inspection fee charged, FBC104.2.6 Certificate of Protective Treafinent for prevention of termr%s A weather resistant jobs% posting board shall be provided to receive duolkare Treatment Certificates as each required protective treabnent is completed, pro viding a copy for the person the permit is issued to and another copy for the building permit files The Treatment Certificate sha!/provide the. pmduct used, IdentRy of the applicator, time and date of the treatment, site location, 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 tenn/te prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on RECEIVED SEP• 0 5 2013