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HomeMy WebLinkAboutSUBMITTED PAPERS6 DATEFILED,: PLAN REVIEW FEE: CT RECEIPTNO.: CONCURRENCY FEE: RECEIPTNO.: PERMITNUMBER: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPT-ED PLANNING & DEVELOPMENT- SERVICES DEPARTMENT I BUILDING & CODE REGULATIONS D110 S11PN 2300"VirgiAa 4,�enue Ft. Pierce, FI; 34982�5652 772462-1553 4- PAVMC APAICATION for BUILDING PERMIT "Aze'e-6 -Po CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 162ar- -f /J,- If-,- XL .0- 2. PROJECT NAME: .414,,' SITE PLAN NAME: 3. PROPERTY TAX ID #: 2- -IJI - 00f>1-60'r- -r- 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 13. 8. LOTNO. PARCEL SIZE (ACRES/SQ FT.): LOTDIN[ENSIONS: -noto COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: AvA,.4 4.r A TYPE OF CONSTRUCTION (Check -all dopropriate boxes) lvf NEW CONSTRUCTION EXPANSIONIADDITION RESIDENTIAL COMWRCIAL OTBER(SPECIFY) I DESCRIPTION OF PROPOSED USE: re..74dj 4�- INTERIOR RENOVATION INDUSTRIAL 14. SQ. FT OF CONSTRUCTION: 72 Y / &,wtp, " 15. SF. FT Ist FLO'OPI. SCANNSD 16. VALUE OF CONSTRUCTION: $ 0 By Lucie cou.t y 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/& 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 ofCommencement must be submitted vd& this application. SLCCDV Form No.: 001-02 M� UPDATM 6125109 OWNER INFORMATION NAME: &� &4a-- A 0 "0' ADDRESS: !2TO-S.'- -'C—Aaiew% CITY: STATE: ZIP: PHONE (DAYTIME): QjM Email: .41,Q4 64,1, (9 4-1-- C614 IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) ISPIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): CONTRACTOR INFORMATION ST. of' VL k9G.`CER"T'-- V QUALIFIERS NAMIE:- ADDRESS: CITY: STATE: I PHONE (DAYTRijE).-- AX NO. ARCIHTr/F-N R- ADDRESS: CITY: STATE: z PHONE (DAYTIME): C__) BONDING COMPANY: ADDRESS., CITY: �4-- � T� MORTGAGE LENDER: ADDRESS: rTTVG qTATFP ST. LUCIE COUNTY CERT —0 ZIP: Email: VA I - ZIP: T IMPORTANT NOTICE: When a permit is issued and it is'not picked up within 60 days after notification it wiff be voided and returned to you by maiL CERTMCATION:`---,� 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 int ' his jurisdiction. I understand that.. separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS,FURNACES,,BOI]LERS, 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 fliat 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 COMAIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMAENCEMENT 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 COMAIENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS P,ERAHT, YOU PRONUSE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. -ai OWNER OR ONTMACTO11 SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrun me this W day of by acknowledged before /,/A- 20 11 . who is persodally known or has produced CQ Q Q as identification. Signatuie d Nqhry PAW Commission No. (Seal) CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTYOF The foregoing instrument wa"iknowledged before me this -day of by who is personally known or has produced as identifilcation. P� 9 P ignature of Notary ommission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUI]LDING 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 OWNERIBUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY 0 0/ Ok/1" SECTION TOWNSHM 56 RANGE MAPNO. 12- Xj ZONING LAM USE `:KS LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # ISTFLRELV MAXHGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKI-ERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 111990 After 111990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA (RADON FEE FEE LIBRARY PUBLIC BID :d B PUB PARKS IMPACT IMPACT FEE ACT MACT FEE CORRECTION FEE FEE GENERAL SCHOOL ROAD CREDIT Y N LAWENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS ELECTRIC GAS LOT OF, RECORD FEES ,SUBS REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOM kANS VEGETATION SEATURTILE MANGROVE COUNTER REVIEW lwmw :REVIEW REV11FW REVIEW REVIEW DATE RECEIVED DATE COMPLETED INITIALS Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself You may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all al Initial 111%le "W1 ordinances, building codes, and zoning regulations. 11 I understand that the building official and inspectors are not there to design or give advice on the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled C in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. _20ak Initial I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and<� W1uh cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and ral dICI cost, which could include loss of wages during recovery from their injury. Initial� To u �al i IITothis �Ompfilonn EM2 =Osu F0Rp%rQt.W- tiQ=04igitialt _ L q�,,e,aboye I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be, reported by the Building and �r�epa rida State Department of Professional Regulation. Signed and acknowledged on this d y 0 of 204J­ 6" ff/guflY S ign-auCej STATE OF FLO COUNTY OF The foregoing instrument was acknowled by M-A 6�� 0 6(1CVA_( Si&ature Title: Not ed before me this -k-lday f. t�20 1) who is persona ly kl�o, 9 to me, or who has _/_ /, 0- as idilentification. Typ"r Print Name of No�/ary (Seal)�� Commission Number',� SLCPDSD Revised 07/22/20 10 AUDREYS-HUMPHREY yJ- MMISSION # EE 061159 -7 o u) n myco EXPIRES: March 6,2015 Irva J 6 Bonded Thru NolarY Public Under0ters ow do "L !It viiie �6 ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 772-462-1553 FILLED LANIIA AFFIDAVIT I, the undersigned, am the owner of the following describ ed property: v-62, 0-41A,7 (Tax 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 o wner of the above described property, and in accordance with Section 1.04.01(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. Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OqiCZ I ACKNOWLEDGED BEFORE ME TMS DAY OF BY", P6a1)P,-t t1ne&A,—wHo is PER?ALLY KNOWN TO ME OR WHO HAS PRODUi;ED -,'770 � (Fr AS IDENTIFICATION. 0 ", SIGNATURE OF TARY TYPE OR PR�YTME OF NOTARY (SEAL) NOTARY PUELIC TITLE COMMISSION NUMBER AUDREY 1B IiumpliREY MY COM MISSION# EE 06,11, E ES March 6 2015 ')(PIR : 'Inder0ters f-'w'd-0 ijbilict Property Appraiser - St.Lucie FL Page I of 1 Margaret A O'Neal Record: 1 of 1 Property Identification Site Address: 6205 S INDIAN RIVER DR Sec/Town/Range: 12:36S:40E Map ID: 34/12N Zoning: RE-2 Ownership and Mailing Owner: Margaret A O'Neal Address: 241 Hollow Tree Ridge Rd Darien CT 06820 Sales Information Date Price Code Deed 3/25/2010 420000 0001 WD 7/7/1995 137500 00 WD 2/1/1976 72000 00 Cv Exterior Features PROPERTY RECORD CARD "Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print \%IE 00 ParcelID: 3412-112-0001-000-5 COT Account#: Land Use: 406TO SF Res City/Cnty: St Lucie County Legal Description _,OzE R/W FEC RR, 1,206A0,FROWN&C, W',GbV-L:oT-`f-RUN4W�T T,jHr8ti:� 2MAIN T�� a � G R f W"I'. F* F 6R'.' -CONTSE'----�ft More... Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 368000 Land Value: 280500 Acres: 0.82 3184/0367 Assessed: 368000 Building Value: 87500 0964/1374 Ag.Credit: 0 Finished Area: 2126 SqFt 0248/2016 Exempt: Taxable: Taxes: 7648.58 BUILDING INFORMATION View: RoofCover: ExtType: HC+ - HC+ YearBlt: Grade: C+ - C+ EffYrB1t: StoryHght: 0010 - 1 Story No.Units: Interior Features SD - Dim Shingle RoofStruct: 1965 Frame: 1985 PrimeWall: 1 SecWall: GA - Gable BS - CB Stucco BeclRooms: 2 Electric: MX - MAXIMUM PrmlntWall: DW - Drywall FullBath: 3 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/2Bath: 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 Qua]. Cond. YrBlt. No. Land Use Type Measure Depth 1 0 1 00-SF Res 205 -Front Ft 152 500 2 0 1 00-SF Res 520 -Acres 0.82 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/prc.asp?prclid=341211200010005 7/8/2011 Delivery Ticket(s) 5rDeLer leauest: 80497403�, Zzr.r..Mc-x ' I]. I . VpMY-W Mor. 3005715 -RUSTY.-NOPUELL CONCRETE'- F,;MQxo, to*Lwk; 05/24/11 6205 IS ENDIAN RIYER DR A*ft QAW�wMwvntar. ".;fP4NvTQtr- .W� .-P. &;L Page 1 of I 53799544 QrdW 03dS I MW 617 05/24/11 r,VMrFAhjj;.jM, NO PID 272 LY7218017 Wp.k*-: TicbkhL.h.. SiS70819 EMU= S. 001 "loo2r.40al 10921 JEltr 2r SLIMS: %-AD 0 ;1Tr=R mA-rEFuPLW0E PRODUMOM C890FTION UOM UMPME AMUO GUMM 5. W- 1:509995 3000 BLEND EDPflPM yaa 1.01) IP4781-A FUEL SURE41ARSP 1.00 1POP749 EWRIONMENTAL CHARGE CP.cck*i AM cam: Sigm6m c?Ef%K RmmMrq Gmh RMQiAW: Tmh = &&,A...a &.&46a *caz� ICBM rw Cuminh: WATERADDED: G& Ymos IN DRUM: WHEN ADDED. Did yw do y&X dqgb of CURB LINE CMMED AT OWNERVAGENTS REQUIMP ow VW ifti4ft huw*? Did yau Ulm yow g000n WhM 51 p1wf"P.? 4 WNRIURE QLOADWASTESTED BY: Nwg& ow 6A h SPECIALrEMS: b."11 "AW d." ..I _Pb' IRM tarkol WK dOwr. th W CurpAry wN W �.� .'V .'p—hi Isr , '� t�� 16 m bW Mwar&W. WARNtma. & RoPp. CAUTM: WMM -.y b. h.—d— h� L:ygdh7� W I =��Kp 11 I'D -oMMI WhIp dd3 dim& ra afflWrol kMaNxiom HOLVIVERSAL PKY TRK; ORIGNAe LOAD NUM I � You are viewing ticket #1 of I ticket(s) on-line. If you require further delivery information, please contact your CEMEX representative. http://prdmycustomers/cgibin/hsrun.hse/PRD LOCAL/DisplayDelTickets/DisplayDelTick... 9/19/2011 Delivery Ticket(s) Page I of I Defiverv'.Ficket.Reauest: 8049843871 Zzaa-MEX 53799690 . 1010hunlem: .,,7,, NOWELL =NMETE 201-6014 4A 06/03/11 ph*d IZ941P 1PnjWt?"_: diA.FA N-a— �ERBAL-RUSTY Mo PAW W%%VUNxWWffi! 06 3111 6205 S INDIAN RIVER DR -272 27218017 kmh Ivhw r3?4W i I � i'a M'5 Uri 5. 00� 70'0'253.321 11DAVE SIEMS UNASSIONED RKMFoAL =E MODUMON DMCNFnN um umumicE 106-00 40.,00 -"11-10. 0 141-50`5985 3000 13LENDEDPRPM YD3 1. 00 1'247811�B FLIEL-EURCHRRGE 1. 00 .3..IB02749 ENVFRONMEWAL CHARSE 02sh C"XiN SomUred Cdor Rw!fiing Caaft CHhR 0`7 bimft Chb:4 awo� --Mffy(Pki LN ym kbnWy hwurdo? WATRR ADDED: -GAL YAADS IN DRUM: Old you L" your goggles vd" at WHEN ADDED. Did YW LIM Your $MY Wo? 51G4-%TUF1E IDid ym emmunfooli) iunaoS Vol 110 CURB LINE CROSSED AT OWNEFUSIAGENT'S REQUEST: BUNATuM Q LOAD WAS TOTIED OY; Nrii$w Our drWmiiill mzbm cwry "Ibplwo xiMrkh wilm ftzm*nrad "Unws, biz Wa BPULALTEREM AnyyAraraddcd1szLea&&nwaameiW. ff-nmriL&d&Wwjeb,db...4. Coffgwe avarm nD ruve-siNty lx Moro= lmkb mirb or prop" Im. Qehow, agzim m ft broolarguguammW. WANIM& CALM= L..b r2AW "im dif." mia wWta 03031M as EL DW 13 �ffii*danl Wffla hkh wg = new FHU ba hazwows ia yimi saUV amd tikgi. nifw % 4m bodmido al um hdmi h3r Lmpmtard Unrtrd MAW di&nry� 1r11(hrpRnyVA1.=d moo ire rmq=.bJt0 fi.- ih. iWd mmkk Nau&ffiftr 2dac� NiOng irkunwim And ic ihR mmimol zzhtydRm XhF"LicrAdd&p* 0 i;n. 11�m wimsdmunts. Bu"3 liiimWona aril cbkm 00 W ftp "im wilm milt, It- k' -fthp AmmyAqU M1* cne busheim dzq a1kr?ittrawti1i)rmpwPd& -BOUNWFISAL PREQ TRKi-..-' LOAD NUMi I You are viewing ticket #1 of I ticket(s) on-line. If you require further delivery information, please contact your CEMEX representative. http://Prdmycustomerslegibinlhsrun.hselPRD—LOCALIDisplayDelTicketsIDisplayDelTick... 9/19/2011 Delivery Ticket(s) Page I of 1 VelivervTicketRequest: 3114992IU43 Zzccmex 53799761 7- JW Ahi-SJ*b: SMrt Unload: FM]Bh Urflcad:_ Lam.WD, MWMplont M'k_'0'ft: N_ 8Q0$7t5 MSTY MRVELL C:D�CRETE PrIpt Mft piid*A�k 7,dw. nw& Dc1wyAak= 06110/11 6E105 8 INDIAN RIVER DRIVE CvTy1nMudb= MILE SOUTH OF MIDWAY HORI) CjftFnerX6W~. 0"- CcdK CL%ft: iss 06110 11 pro%l P.C. WNW. No PC Ruo P.�A: M401mma": aLpadw. BCMurgan 31691001 lvw*vb�,) .1 51wW. 5, 001 TntM,,,.,.l EndUm �GH E 'rINN.4 I'Ift SIEMS BLnNs: : PIbMLIkU7MI0E6CFWrIU; ago iffirrmic -=—n QYANTFry 10.00 10.00 10.0t 15099S5 3000 BLENDEDPRPM', YD13 1.00 1.00 - 1:.; C4"§jAVhCWq. la47819 FUEL SURGHRRGE 1'20274S ENVIRONMENTAL C;HARIEC Ckarg odirmwympostaw . ­4 toRdentft husAft? GWhFeWM3d WATER ADDED: _0AL YAMM IN Mum: WHEN &DIDED. BlWh%nJRE CURB LINE MMEDAT OWNEITSIMIENT'SAEOUEBT! Jr. 9WR*TJRE DWyMi*eya"G0GgWWh"d9UW rud 'im UND vour "kft ow"? C1 LOAD WAS TESTED BY! Nabu Our drhmmr Nil r'l APIMLALLTERM& AirpwmraaUdI%,uoAwmaANifi%k ccffwy M—A ft (k3p JW L"r lim Mmmtr agam Io KhD Is. m luger gjaraODd. WARNING: ProWrt tlwj mm Mn awx MiD kpwhn CAUMN: K411pird borm or M. .d dW—V &VA P-0,0M 40tv. �".h .. d C'r.. _.V I. ]-do.. Pd. Fwr Idav am %Faam. Pkift MW M lie builmM of th 5J& 'br bputsq .�T" aftulmrY.P110 -Al rd wmo izrjy roBpDmUff) ftr Ito rnktitd ruwk& iridmdbr; wd Io N mUMW safttyd3b dmis traMmA IrftmaM W... I W.- � , F ffed oawft. Dipm mrq;fIvfvF and 66- Lhal ba dKMO allm RI] -MMME YOki um Nikip" dEy HkN1 LhQ (Adapt UI rrdkflQk. \01A SOMWERSA? PREV THKI '. . - I L13AD RUM! I - You are viewing ticket #1 of I ticket(s) on-line. If you require further delivery information, please contact your CEMEX representative. http://Prdmycustomerslcgibinlhsrun.hselPRD—LOCALIDisplayDelTicketsIDisplayDelTick... 9/19/2011 Delivery Ticket(s) Page 1 of I i icket.Keguest: ZM14YW5.5473 Zzr.r..Mc-x 53799829 plwd: SWOR Laaftg.- TO Job: Ante job- Sk.'I U-Iwd; finish Unlmd. iAM JCb; CLabairoddk CuMmrkWnw. &20;nwjrAKwt13r, OrderGmbiDiiR 3005715 AUSTY NORVELL-CONCRETE a0l-6014 '254 06/16/11 PwHucoda. Fn4mNarffl: P(4_kFz% Kwd—. [).WP4 mmtxr. NO PU 'nammw bNOPOP! Mp%­tkt—: 06/16111 MOS S INDIAN RIVER DRI�VE CbPhkhQr. SMwilliamson TidmMwbw ZIE98378 I0WCMj& "Obmbm- 06 tz 7_141; Efid 11w a 1 5.001 1 __Vzs� I oijeog ELDNG-. r=X L= OUIMLILTWE I IMBUED MURMUC9K FRUMMONEERCRIF-nox UM MWIMM MMMTy I CUMTWV QUAmnoy I I 1 1 4. 00 14. 00 q 14. 00 150!�935 3000 BLENDEDPRPM VD3 1.00 1247818 FUEL SURMqARGE ... 1.00 120a749 MtRONMENTRL CHAA6E 1 C4* Cheqk A) �:Wr. brp'"Or Pdm PA"Mro cadl� Cash KwdrW: T4fi.14MbbrdwMrrmntjp 0MM Ohm& I yDu kWdNy hazords? WATEKAIMEM— 10 GAL YARCISINDRuFA:— WHEN ADDM_ Old ym use yuur m" CuAft? Ckld you carnmunlvft M CURB LINF GRUSSED AT OWNERVAGENT'S R5QUE6r 44"TWRE 0 LOAD WAS TIESTED MY: I Ow cklmys w1l ffdLn umV abd to p1me rl MEML �,o�.ddd6m­b_—Ak Cu=mwio�%amlxm' 1.= kbJ& Phduei n-,pre.,um Win m" or i mhpu. MTIM: hWWW 1b -W 01— -*, I- U. 4MAMF 01 ft b*ft W rhP&W1 f 1!4�- bd &krdh..hmb I- �dMUMJ klbffWJNL vim 0MbMh3M Uyffllpr [he np�W cd—hpink. PREV TRFA 10025S32 LOAD NUML 2 You are viewing ticket #1 of I ticket(s) on-line. If you require further delivery information, please contact your CEMEX representative. http://Prdmycustomerslcgibinlhsrun.hselPRD—LOCALIDisplayDelTicketsIDisplayDelTick... 9/19/2011 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COU-,77 FILE # 3616350 OR BOC,,,� -al3l PAGE 2933, Recorded 08/08/2011 0:22 AM AFTFR RKOHOING-RE1 URN TO, PERMIT NUNIBE',ll, 11 ��- 0I C' Y NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property. and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice tirconimencenient. 1. DESCRIPTION OF PROPERTY (Legal description and.Ntrect address) TAX FOLIO NUMBER3 � I I -,)- oa) SUBDIVIPRON BL0CK—TRAcT�--LoT--L—BLDG_UNIT I 2. GENERAL DESCRIPTION OF IMPROVEMITNT: 1,-:2 &1 6("I-� I- 3. OWNER IN.FORMATION: b. AddresO Z Q 5- 5 -7-4 interest in propertaw �4FiT-NZI+- D —1% d. Name and address OffeC simple titleholder (ifolher [ban owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7.. Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: R. In addition to himself or herself. Owner designates [lie following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b). Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date or notice of commencement (the expiration date is I year from the date of recording unless u different date is specified) —.20—. /V Signature or 0 w nelor Owner's Authorized Officer/Director/Partner/Manager Print Name and Provide Signatory's Title/Office Stale of Florida County- �,, The foregoing instrument was acknowledged before me this dayof 20 (Type of authority ... e.g. Owner. officer. trustee, attorney in fact) (Nairc of persoof V . j?z or '4,-V f . - I -el !� I 112, A py, �Namc of �PartY on lichall'of whom instromerawas executed) Personally Known— or produced the rollowing type ofID: N a Name 0 p p e a. C e , i N nled Name �&olary Public) (Sip4ature of Notary Publi�/ Itic' ,t der pcnaltics of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and lie ,f -,ioa 92 og lief (section 92.525. Florida Sialutes). Sign T-uture(s) or Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above: ,3,�DJJJ� J Joily &kIZ' � By STATE OF FLORIDA ST. LUCIE COUNTY THI TRL ORI By: Dal CENITinenT. Continental Florida Materials Inc. 13450 W. Sunrise Blvd., Suite 430 7 Sunrise, FIL 33323 HEIDELBERGCEMENTGroup Tel: (954) 858-0780 CAUTIONH Freshly mixed cement, mortar, concrete or may cause skin injury. Avoid UNLOADING Drivers are prohibited from delivering iiji grout concrete except under the contact with eyes where possible and wash truck's own power, and where site conditions exposed skin areas promptly with water. If any permit the safe and proper operation of his cement mixtures get into eyes, rinse immediately equipment. Drivers are not permitted to and repeatedly with water and get prompt medical add water to the mix nor to go beyond the treatment. Sawing, or grinding of concrete curb line, except upon the authorization of masonry units may result in the release of dust the Purchaser/Purchaser's Agent and his particles which, without the use of proper eye or acceptance of risk for any loss or damage. respiratory protection, could cause eye or nose I acknowledge that I have received and ",;A irritation. The Material Safety Data Sheets for accepted the malefials listed on this ficket the products sold by Continental *Florida / understand and agree to the tenns on Curb line crossed at Purchaser/Purchaser's Agent request. Initials of Purchaser/Purchaser's. Materials Inc. are available upon request. both the front and back of this ticket Agent TOTAL WATER Initials of Purchaser/Purchaser's Agent acknowledging addition of water at Purchaser/Purchaser's YARDS ON TRUCK/ GALS OF WATER ADDED ADDED Agent request. 10 9 1 13 1 7 1 6 1 15 1 4 1 3 1 2 1 1 ARRIVAL TIME START POUR TIME FINISH POUR TIME LEAVE JOB TIME, PURCHASER/PURCHASER S AGENT P.O. NUMBER/ ORDERED BY S OLD TO i RUS'l V QUANTITY QUANTITY QUANTITY THIS LOAD ORDERED DELIVERED ki, voi Truck # Plant # Slump Calcium Air Entrain Super Pik PRODUCT CODE Due at Job PURCHASER/ PURCHASER'S AGENT ZONE I JOB NUMBER I TIME-ncKETED DELIVER To 6;�,05 '000-,M UID1041 RZIV PRODUCT DESCRIPTION R !)4�/-, "%j"' Concrete Disposai: yds UNIT OF UNIT DaNDED MEASURE PRICE PRICE �1 20-JYWC3� PFIPW A Use of Concrete Drivers Name U CONCRETE TESTED SUBTOTAL TAX TOTAL Penvery insiruciaoins , —;.1 CUSTOMEF wi�.',`IANTY. 'r ile materials sold by Cont3nental Flof aterials Inc. (hereinafter 'Contlner�;�.!�" 11:1 J "a.- y to be f,,-, mvier,31 I iiis %varranty is exclusive and is in lieu of aii oiner warranties (whether written. c, ,r ia,pi,col Dy l=:'i pur-ase Com,nental's liability tinder any Circumstances will not be greater than the pUrchaso p h:- the n, j 0,; arid bEfOrt) in,;11311aflon to discover am, defects. latent or oth��iwise, and Continental will - , -�� whil) for �w i [taf-I-iji t, r q�. L;- not te(. to i consc,qu-r-lual, special or delay damages, loss of profi*,s, or any other datnages arising out lh�, 0!1.' 0 'r, no may be filed under this warranty unless arid until any indebtedness to Continenl:,i f.,i lol, 2, EXCL��31k`E REMEDY: Purchaser further agrees that its exclusive remedy against Continc -itm :r! iw SLIpJA;C,') by Continental are alleged to be defective and/or are alleged to have caused purc:i�isei k, i ol&-- 1�,;- result Of breach by Continental of any and all of the foregoing express or implied wariant!E , or �-- t' rr'�!!lj Ct .I:, t' E­ —V U zjil -oduct Gr 'I, L;" violation by Continental, shall be limitedle, and shall not exceed the purchase priceofthe j.;ads. C� agr2es - that Continental shall not be liable to purchaserior any other damages including, but oot fi.wtod to, lort iv!!, �p�acial, delay, punitive or any other damages. including damages for pain and suffering, ri) .�,uat cvt;ease, rnto<,,,� at,, -ittcn le� fees or costs incurred by the purchaser in connection with pursuing any claim, demand or ��ausc of act,cri aoa,: :I` i", agipu ,11� breach of the express or implied warranties delineated above. negliDence, strict liabilit� �-,r ofiler to, 001,15 C-! C f. tlie purchaser's use of goods, materials or services sold by Continental, 3. DUE DATE: Payment for all credit sales is due by the 1 Oth of the month following the purchase date. Trin Puic" il, it 1.51- per month. 4, COLLE Q1I0N (�Q Lirmd by Continental pri,'). pl, y STS: Purchaser agrees to pay attorneys' fees arid costs of collection bIr and for post -judgment collection procedures. Venue of any action between the Purch2fj arid Continei ital sha!l B, C(, 5. NL1)K_QOI:iE OCATIQ 1-s1-.--iis�,,1;Iii,,,1 1, LU_ - . N$.: The puichaser agrees to order the mix needed by product qpde and accepts full I, 6. DE LIVE Y �51T -_Qa IONS: Continental reserves the right to determine whether JI-P site, for difivefy reqlested by the Pur(;� _-� __B_ _ E _RQHIT-_ may refuse to deliver to a site if Continental is of the opinion that delivery would be It pitable or unsafe. Ttie �Iurchasei shall t, �1, -o,t- a. 1 0 where adequate access for delivery cannot be obtained. 1� 7. UNATTENDED DELIVERY SITE: Where delivery of products is to be to an Linattended1kite. Continental will not be liable f,)r lny',�- jj_ 1, 1! pi. It_, or 1,)r,_ - j; t�d delivery tickets. 8. DELAYS: Continental shall not be liable for any delay in delivery or nan-dielivery resuit,f:g fruin any Cause beyond its Conrur,)I,nclud �jul on! t - r-;­ breakdowns, industrial stoppages or shortages of raw materials. If Continental is unable to complete delivery, of any part of an c. 'Asc: order as Continental is able to deliver arid the Purchaser shall pay for the par t deliveri,,d pro rate at th crdi�i j:); 1 f!" 0 same rates as the whu'E-. of Dayment. 1) UANTFL,�'S- Thl.�, r,loe and cuarifity of products delivered arid detailed on the delive�y ticket must be checked by the biiye, %ri�c, a' -Ai lh( P�rc­�B--Sw�s oocier. dofiver,�d arid those shown,r- `)n deliv,,,y ticket must be noted on all c( P;� no i Invoice charges wffi be bast t -,n If Vquintities of products shown to be supplied as per the delivery tICKet. Any clairn for. o writing within seven f7) di,is )i oo�i_ , iermse it will be accepted by. Purchaser and in the absence of any claim the Purchaser shaft be liable t6 pay for the lud 3. P7 listed on thA CID 10. All price. quoted are based on loads of not less than five yards. There will be a short load charge at) each delivery, lbss than five yards. One call back without charge will be allowed on potirs exceeding ten yards. 11 NVAKINQ —TIME-. A maximum of �ixty minutes per 10 yard load will be allowed at no charge. After sixty minutes there will be a charge of $1.50 per min. 12.E-N\L1—BONN!E!�!A-LQHARGE: A $5.00 per load environmental charge will be assessed. 13.SPECIFICAT - ION: Unless specially ordered. Continental concrete is manufactured according to the provisions of ASTM C-94. Specifications for Ready Mixed Concrete, and block is manufactured according to the provisions of ASTM C-90, Specifications for ConcreLe Masonry. Continental is not responsible for concrete to which the Purchaser (without the approval ofan authorized agent of Continental) has added or requested Continental to add any water. admixture or additive or where the Purchaser has mishandled the concrete after delivery. 114JECHNICAL ASSISTANCE: Continental accepts no responsibility for claims arising from technical advice or assistance provided to the Purchaser. Advice and assistance provided by Cbritinental is for Purchasers guidance only and Purchaser agrees to rely solely on its own architects, engineers or other technical experts. 15.�3AEEDL D : The Material Safety Data Sheets for the products sold lay Continental are available upon request. 1 6VQI2I Fl CATION 0—FTEBMS: No employee or agent of Continental has the authority, in the absence of an express writing, to make any statement, including restricting tn� m6d(fYing or otherwise concerning the existence or effect of any of these terms and conditions or of any warranty or guarantee and no such employee or agent making any such statements shall be acting on behalf of or with the consent or agreement of Continental, These conditions may only be altered at- varied to writing signed by an Officer of the Compar,�v and no other employee nor any other person has authority to alter or vary any or all of these terms and conditions. Some of Continental Divisions' terms may vary due to industry standards but all changes must be approved by an Officer of the Company. 17.TERMS: The Purchaser as indicated in this quotation. agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the tr-1,n of this quotation, agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation expires. These terms contained herein supersede any and all ternis previously given to Purchaser that conflict with the terms herein, If. at the requl�st of the Purchaser, Continental Florida Materials Inc. enters into a written agreement or purchase order with the Purchaser to furnish materials to or on behalf of the Purchaser for a specific project or job, all of the terms set forth herein shall be deemed to be a part of and incorporated by reference into such written agreement or purchase - a conflict with terms and/or provisions of the written cantr4r, order notwithstanding any term or provision in the written contract or purchase order to the contrary and, if there is or purchase order, the terms herein'shall prevail and be determinative, MW 4'Xf pow. ymmg NORTH LINE OFGOVERNMENT LOT I �_,P--POINT OF COMMENCEMENT �W_ /_1UNT OF BEGINNING U\ A r5 00 RM 100 1H CAP/r-Qr Fam MWOW N895.1'33*E It'SUEVEYORS NOTES1 I. Unless otherwise noted only platted easements are shown hereon. 2. No underground utilities or improvements were located unless otherwise shown. 3. This site lies wiihirf-FIood,..Insurance Rate'Map Zone X. 4. Flood Zone shown hereon is an iriter"pretati n 10 by the surveyor and is provided as a courtesy. The flood zone should be verified by a det-ermination agency. 5. Bearings shown hereon are.bosed on the North line of Government Lot 2 as being N81*53'33"E and is assumed for computational purposes ' 6. P.U.D.E. denotes Public Utilities and Drainage Easement. 7. All Lot dimensions shown are per plat unless otherwise shown. I N 89051'33" E TAX PARCEL 3412-112-0 —010-8 StJBJECT PARCEL TOTAL AREA = 2.69 ACRES (LESS ROAD RIGHT OF WAY = 0.10 Ac.) 760.00 9 SET PWIT Of UK ZE WOW SHM ON car_ am FM 4"X4! CONM 11101111111W Ct &I L ka MR. SIVES CURS REAR. ZNG., TECH. MMI/t I= WE Is WMWW 90'± T:5 do. I \N_ '80'± N89*51-933"E 760.41 9 FWIQ Iff-R& FSM SIAM CAP\ LOT 2 LOT 1 y 15! somilm SILVA RIVER5 i — PLAT BOOK 49 PAGE 36 C Py K:4 V) I n'� ILEGAL DESCRI�TIW Z That part of Government Lot lof Section 12, Township 36 South, Range 40 D_Uri K'N East described as: ST. 1,UCTE C &UN Ty 1,3131 A, I RE �UNNrED FOR COW I From the piont where the east fight of way line of the Florida East Coast REVIEW I B 1ABBREVIATIONSA Railway intersects the North line of said Lot 1. run Southeastedy along said TYRUTST -JOB right of way line 120.4 feet to the point of beginning; torn said point of ____.SqA3NDP ITIU11T IN[UST BRE K7TEPT 1XN SET = Set 5/8" iron rebar with beginning continue along the railroad right of way 152 feet, thence east OR NO 01 SIFE CTION NVILL BE Nl;!,DF-. yellow cap marked "PSM 5543" parallel with the north line of Government Lot I to the shore of the Indian LAST F I ELD DATE: 3/23/10 MS=Value as measured in field River, thence run northwestedy meandedng along said river a distance of 152 OH--OH--OH— Over Head Wires feet, thence run west to the point of beginning, excepting theretorn right of S B U I L 7 S U FR V E `7 X—X—X— Chain Link Fence way for Indian River Drive. Certified to: Margaret A. O'Neal FD--Found 5/8" Iron Rebar Christopher J. Twohey, P.A. R.O.W. = ffight of Way 6205 South' Indian River Drive Old Republic National Title Insurance Company 0--0--0-- Wood Fence K= FPL Transformer Pad SCAL A t lantic La*nd Desii gns .1n1d ar:by certify that the survey shown hereon is true and correct PL=Value as platted I based on actual nwaseurernnts taken in the field. This of the Treasure Coast survey meets the Minimum Technical Standards of Chapter 61G17 MEAS. = Measured DATE: 3/23/10 754 NE Jensen Beach Blvd. Jensen Beach, FL 34957 Florida administrative coda. C S.F.=Square Foot DRAWN: JC Mailing Address: IFICA CONC. = Concrete — P.O. Box 1421 Jensen Beach, FL 34958 N..550 C.P.= Concrete Pad 2010-0168 (772) 398-4290 ALD5543@grnail.com Water Meter DATE: REVISIONS Power Pole — SUTEOF FOR Bell South TIM Wel I Entm James A. Ces1ro DATED: 3123flO NOT VAUD VVITHOUr AN AUTHENTICATED ELECTRONIC SIGNATURE