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Home My WebLink AboutSUBMITTED PAPERSOFFICE USE ON Y: a DATE FILED: �0�11'1 PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: PERMIT NUMBER: �b (P, I �� CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue , a - s Ft. Pierce. FL 34982-5632 SC /VED 772462-1553 St Lu By cie Coun ty APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 8242 Sand Pine Circle 2. PROJECT NAME: Daniel Patio Slab SITE PLAN NAME: 3. PROPERTY TAX ID #: 3426-703-0026-00013 4. LEGAL DESCRIPTION (attach extra sheets if necessary): Lake Lucie Estates Plat No. One Lot 12 ( or 2321-2120; 24040-484;2557-2876 ) 5. PLAT BOOK 34 6. PAGE NO. 1 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): 9687 SO FT. LOT DIMENSIONS: 67.10 Front 130.00 Right side 81.67 Back 130.46 Left 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: Pour 20 foot by 40 foot patio slab with 3000 p.s.i. fibermesh concrete 4 inches thick Light broom finish 11. SETBACKS (ACTUAL) FRONT: BACK: 3 S . RIGHT SIDE: % LEFT SIDE: :2-5" 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) 13. 14. 16. [I NEW CONSTRUCTION [Y RESIDENTIAL [ OTHER (SPECIFY) DESCRIPTION OF PROP( [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] COMMERCIAL [ ] INDUSTRIAL SQ. FT OF CONSTRUCTION: 848 SF. VALUE OF CONSTRUCTION: S $1,800.00 15. SF. FT 1st FLOOR: 2377 Total 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 ofconstruction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. if the value is S25W or more. a RECORDED Notice ofCommencement must be submitted with this application, SLCCDV Form No.: 001-02 MATED 6/25M OWNER INFORMATION , NAME: Luther Morris Daniel n ADDRESS: 8242 Sand Pine Circle Ili CITY: Port St. Lucie STATE: Florida ZIP: 34952 PHONE (DAYTIME): !t 721828-0868 Email: Morris.Daniel@hotmail.com IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE. PLEASE FILL 1N NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER. NIA ADDRESS: CITY: PHONE (DAYTIME): (_,r) CONTRACTOR INFORMATION ST. of FL REG.CERT #: Owner Builder BUSINESS NAME: QUALIFIERS NAME: STATE: ST. LUCIE COUNTY CERT #: ZIP: ADDRESS: CITY: STATE: ZIP: PHONE.(DAYTIME): (_) FAX NO, Email: ARCHI T/ENGINEER: Owner ADDRESS: CITY: PHONE (DAYTIME): (_) BONDING COMPANY: None ADDRESS: STATE: CITY: STATE: MORTGAGE LENDER: None ZIP: Zl P: 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 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 1S 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 1S SUBJECT TO ATTACHMENT. OW ER OR CONTRACTOR SIGNATURE STATE -OF FLORIDA COUNTY OF St. Lucie The foregoing instrument was acknowledged before me this day of 20�, by CXZ who is personally known or has produced of Notary Commission identification. DAWN MILONE MY COMMISSION # DO 852587 arch 22,2013 BdeA�ry onpublic Underwriters CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF St. Lucie The foregoing instrument was acknowledged before me this day of by who is, personally known or has produced as identification. Signature of Notary Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDEK 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. OFFICE USE ONLY -nP #: D 1(� SECTION rJ� TOWNSHIP %, RANGE MAP NO. ZONING n h LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP 0 1"T FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP N OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 111990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT HABITABLE RADON PERMIT CODE �5 AREA FEE FEE r (RADON) LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE FEE GENERAL SCHOOL ROAD CREDIT Y N LAW ENF IMPACT IMPACT _ _ IMPACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NUN -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING _ FEES DATE SENT TO ADDRESSING: I_ f REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED - I� INITIALS 10' REAR 40';;.� New 4" thick 3000 PSI Fiber Mesh Concrete Patio slab 848 Square Feet 28' Lake Lucie Estates Plat No. One Lot 12 ( 2321-2120; 24040-484;2667-2876 ) 1 ENCLOSED PORCH At EXISTING HOUSE �y MORRIS DANIEL 8242 SAND PINE CIRCLE PORT ST. LUCIE, FL 20' 55' Page 1 PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, ,��n 1-1-2 (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in 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 which will not adversely affect the immediate community. G c,176449nT / l®/Z/Z I s Property Owner Name (Please Print) Property Owner Signature Date STATE OF FLORIDA, COUNTY OF —) 1 BEFORE ME THIS I B ODUCED ::�� SIGNATURE OF NOTARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 08/24/2010 DAY OF 2 �� Is PERSONALLY KNOWN TO ME OR WHO HAS AS IDENTIFICATION. C� tylE (VIA -e TYPE OR PRINT NOTARY N MILONE * r_ MY COMMISSION # DD 852587 ;: EXPIRES: March 22, 2013 Bonded Thru Notary Public Underwriters Property Appraiser - St.Lucie :aity, FL Page 1 of 1 PROPERTY RECORD CARD L Morris Daniel Record: 1 of 1 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 0,9G2 Site Address: 8242 SANDPINE CIR ParcellD: 3426-703-0026-000-3 �� y Sec/Town/Range: 26 :36S :40E Account #: 135632 Map ID: 34/26S Land Use: SF Res City/Cnty: St Lucie County Zoning: PUD Ownership and Mailing Legal Description Owner: L Morris Daniel Marcy Daniel LAKE LUCIE ESTATES PLAT NO. ONE LOT 12 (OR 2321-2120; 2404- Address: 8242 Sandpine Cir 484; 2557-2876) Port St Lucie FL 34952-2615 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 97000 Land Value: 20000 Acres: 0.23 7/27/2005 264000 00 WD 2321 / 2120 Assessed: 97000 Building Value: 77000 5/20/2004 100 01 WD 1975 / 0814 Ag.Credit: 0 Finished Area: 1529 SgFt 8/5/1998 28000 00 WD 1165 / 0987 Exempt: 50000 Taxable: 47000 Taxes: 1153.2 BUILDING INFORMATION Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: HP - Hip ExtType: HC - HC YearBlt: 1998 Frame: - Grade: C - C EffYrBlt: 1998 PrimeWall: BS - CB Stucco StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FuliBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: STD 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure 3CNT - 3CNT S 1 1 AV AV 1998 1 0100-SF Res 115 -Flat 1 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED Depth http://www.paslc.org/paslc/prc.asp?prclid=342670300260003 6/11/2012 667543 1142 Wa.+er*Tower Road, Lake Park FL 33403 Administration Office: 1-877-484-9994 / Fax: 561-848-1501 8 3 e -South East Florida Division Dispatch: 5.61-844-9994 / Central Florida Division Dispatch: 407-3 +6 Concrete Tested Fj Yes El No LOT # Water Added at Customer's Cylinders Taken - Fl Yes ❑ No Request Comments gals. to full load gals. to 2/3 load go gals. to 1/3 load Customer's Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL, REDUCE ITS STRENGTH mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME medical attention. Keep children away from cement powder and all freshly mixed cement products. AT CUSTOMER'S OWN RISK. Load To Job Begin our Begin Wa;sh 3K6 PLANT � TICKET# ORDER # TRUCK # LOAD SIZE MIX SLUMP DATE 103 833260 � G 17 30C10 Pippm l G 24--Ji.t1--12 CUSTOMER # SOLDTO P.O. # PROJECT# 3 0 COD/ Met --is Danical 1111 6250 DELIVERY ADDRESS ZONE# USE DRIVER 8242 S,4.nd Pine CirL-le PERMIM2 �- STLUCIE PATIO d Denriis Walsh INSTRUCTIONS TIME DUE PSL / PE. RMITRI206-01,ire 1 1206-01 4 G o8.- 4C, LOAD CUMULATIVE ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT QUANTITY QUANTITY 10.00 20.0-) 20.01 30540000 3000 PRPM CYD 87.00 870.00 1.00 FIBERR FIBERR 6.00 G-0.00 1.01-) ENV IRO ENYIRO DISPOSAL 10.00 10.00 1.00 2 FUEL SURCHARGE 24.25 24.25 SIGNATURE OR RECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING • eq"uiprrient<dam go four any dell e—es beyond the curb line. SUB -TOTAL 964.25 TAX 62.68 AUTHORIZED BY It SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL 102 G_ CL %_J -.J . Li wF 1142 Wa.+er*Tower Road, Lake Park FL 33403 Administration Office: 1-877-484-9994 / Fax: 561-848-1501 8 3 e -South East Florida Division Dispatch: 5.61-844-9994 / Central Florida Division Dispatch: 407-3 +6 Concrete Tested Fj Yes El No LOT # Water Added at Customer's Cylinders Taken - Fl Yes ❑ No Request Comments gals. to full load gals. to 2/3 load go gals. to 1/3 load Customer's Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL, REDUCE ITS STRENGTH mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME medical attention. Keep children away from cement powder and all freshly mixed cement products. AT CUSTOMER'S OWN RISK. Load To Job Begin our Begin Wa;sh 3K6 PLANT � TICKET# ORDER # TRUCK # LOAD SIZE MIX SLUMP DATE 103 833260 � G 17 30C10 Pippm l G 24--Ji.t1--12 CUSTOMER # SOLDTO P.O. # PROJECT# 3 0 COD/ Met --is Danical 1111 6250 DELIVERY ADDRESS ZONE# USE DRIVER 8242 S,4.nd Pine CirL-le PERMIM2 �- STLUCIE PATIO d Denriis Walsh INSTRUCTIONS TIME DUE PSL / PE. RMITRI206-01,ire 1 1206-01 4 G o8.- 4C, LOAD CUMULATIVE ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT QUANTITY QUANTITY 10.00 20.0-) 20.01 30540000 3000 PRPM CYD 87.00 870.00 1.00 FIBERR FIBERR 6.00 G-0.00 1.01-) ENV IRO ENYIRO DISPOSAL 10.00 10.00 1.00 2 FUEL SURCHARGE 24.25 24.25 SIGNATURE OR RECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING • eq"uiprrient<dam go four any dell e—es beyond the curb line. SUB -TOTAL 964.25 TAX 62.68 AUTHORIZED BY It SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL 102 G_ CL %_J -.J . Li wF CL %_J -.J . Li wF 1 . Customer agrees to provide a suitable roadway for our trucks from the street pavement to the place of deliv6ry o ' t material. If such suitable roadways are not provided, we reserve the right to stop deliveries until conditions are remedied and, in such event, customer will beheld respon8ible for any loss caused thereby, 2. When delivery is made beyond the curb line at the customer or customer representative's request, any damages including, but not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the drain field, are at the owner's risk. 3. The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnify and save harmless said Company from any and all claims, demands and suits for or on account of or in any manner caused by or arising from private driveway delivery. 4. Customer acknowledges that all material and services shown have been received, that truck times shown are correct, and that the amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces concrete strength and durability, 5. We are not responsible for finished results obtained from this load of concrete; many important factors affecting the ultimate quality of the completed job are beyond our scope of responsibility and control. 6. A charge of $1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. 7. The customer agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery of material. 8. The customer hereby Agrees to pay all costs and expenses of collection, including a reasonable attorney's fee, if he shall fail to pay for the merchandise reflected in this invoice, when due: Past due accounts are subject to a 1-1/2% service charge on the unpaid past due balance. The customer hereby acknowledges receipt of the complete copy of this contract. 1142 WaterTower Road, Lake Park FL 33403 Administration Office: 1-877-484-9994 / Fax: 561-84&-1501 S.outq EastfFlorida Division Dispatch: 551--844-9994 / Central Florida Division Dispatch: 407-339-5311 12.0 r Co crete;Tested ❑ Yes [&NoLOT # Water Added at Customer's Cyl nders Taken ❑ Yes tO j�Jo� Request Ilomme gals. to full load to 2/3 load i' �,s gals. to 1/3 load gals. Go tomer's Rep - Water Added u NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR SURFACE DISCOLORATION Cement polymer or freshly mixed conctete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed' AND DURABILITY. ANY WATER ADDED IS AT"CUSTOMER'S OWN RISK. BATCFI TIME h cement products.} e,e • •• -s '• - e UB 39 PLANT TICKET# ORDER # TRUCK # LOAD SIZE MIX SLUMP DATE 1. Ct;3 cl�r� f=. 1 r'.' 1. C> t'It r 3t"i00 PRPM � f; � �r.._.i I_t 1. — 121. CUSTOMER # SOLDTO P.O. # v _P.AOJECT# :'-.Q(7) rnr) . I' r�r - i Ti,;n 4 'I - T.T,T DELIVERY ADDRESS ZONE# USE DRIVER R;'-14F-' S ara Pine _I -, PERf1UIP (�;l_..I-lr F P TICY -rkmn1._aRI.rc; c;. INSTRUCTIONS TIME DUE C='SL... ./ PERM I T-*r` 1206,..,-0132 r 12_:06_.i f 9 46 07 u 59 CODE PRODUCT DESCRIPTION U. o. Ila UNIT PRICE AMOUNT • • • 10. (.Dies 10. C)D d 0., t_y.'• 'a�F��,t;l[�D00 �:at. 00 l�-��?PM CYD 87.00 8�i 0 00 1e (D°: FIRERR FIFERR use 00 G_0. 00 -10 0 ? ENV I Red E:NV I RCS DISPOSAL 1 o, c:: 0 1 o. 00 SIGNATURE OR RECEIPT- CONCRETEjAND ACKNOWLEDGEMENT OF HAZARD WARNING • asc meyer Concrete ompany, willnot assumeliability or any property damage or any SUB -TOTAL t equipment damage f r deliveries beyond the curb line. Ae 9,. 5 + 16 / TAX 62.68 11 ' l I t AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS OWREVERSE SIDE. TOTAL 1026. 93 ir,-.,, n-s Customer agrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of material. If such suitable roadways are not provided, we reserve the right to stop deliveries until conditions are remedied and, ifl such event, customer will be held responsible for any loss caused thereby. 2. When delivery is made beyond the curb line at the customer or customer representative's request, any damages including, but not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the drain field, are at the owner's risk. 3. The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnify and save harmless said Company from any and all. claims, demands and suits for or on account of or in any manner caused by or arising from private driveway delivery, 4. Customer acknowledges that all material and services shown have been received, that truck times shown are correct, and that the amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces concrete strength and durability, 5. We are not responsible for finished results obtained from this load of concrete; many important factors affecting the ultimate quality of the completed job are beyond our scope of responsibility and control. 6. A charge of $1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. 7. The customer agrees to provide a suitable wash, down facility for our trucks and tools at the place of delivery of material. S. The customer hereby agrees to pay all costs and expenses of collection, including a reasonable attorney's fee, if he shall fail to pay for the merchandise reflected in this invoice, when due. Past due accounts are subject to a 1 -1 /2% service charge on the unpaid past due balance. The customer hereby acknowledges receipt of the complete copy of this contract, 2300 Virginia Ave - Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: 12 o(o - 0 ) � (Q JOB ADDRESS: 8Ugg :f_n ND P; Nf- C,-n. r`9L. BUILDER/CONTRACTOR: A4.9rnrz ow�E2 PEST CONTROL CONTRACTOR: ��--a`��li �x�-� Rw► i vcv PEST CONTROL LICENSE #: y 8(oq 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: T C00 Percentage of solution: a5 a Date of Treatment: -7 —) -1—) 9 Footing 1st Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 15t Treatment Re -Treat Chemicals used: `, 'Mo'\j M�+k 1 L Total gallons used: Time of Treatment: a 6o _�LSla . b, 15t Treatment Re -Treat Pools 1't Treatment Re -Treat Perimeter for Final Inspection — Y,�,�W-147- . 7� Signature of Exterminator 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 prevention oftermites A weather resistant jobsite posting board shall 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 building permit files The Treatment Certificate shallprovIde 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 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 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. w Dawn Milone From: Barbara Humer Sent: Wednesday, April 25, 2012 3:07 PM To: Dawn Milone; Audrey Humphrey; Angela Huff Cc: Amy Griffin; Jennifer L. Evans; Benjamin Balcer Subject: Concrete slabs As long as the slab qualifies for an 'over the counter' building permit, then there is no vegetation permit required. If footers are being dug, for any future construction, then a permit will be required. Barb Humer Senior staff Assistant Environmental Resources 23oo Virginia Avenue Fort pierce, FL 34982 772.462.2526 phone 772-462.1684 fax 0 Please Note: Florida has very broad public records lawns. Most written communications to or from County officials regarding County business are public records available to the public and media upon request. It is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and 1 or copying. Your e-mail communications will be subject to public disclosure unless an exemption applies to the communication. If you received this email in error, please notify the sender by reply e-mail and delete all materials from all computers. 1