Loading...
HomeMy WebLinkAboutSUBMITTED PAPERS.,r OFFICE USE ONLY: DATE FILED: PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: _ ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUII.DING,.&;CODE REGULATIONS DIVISION- " ' 2300 Virginia Avenue SCANiV8b . __ . . Ft. Pierce, FL 34982-5652 . Y 772-462-1553 fit. Lucie Counrt, APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATIONfSITE ADDRESS: / 7eR OC67A M EE5T,�j�rr-s C>R1 d� 2. PROJECT NAME: SITE PLAN.NAME: 3. PROPERTY TAX ID #: 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. ° 7. BLOCK NO. a. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: CC9N19�C� T� M� i/�/tl l 4- S Y P Cmi ,, 4T/VC—: t!51.A/%SrS/L 11. SETBACKS (ACTUAL) FRONT: DO BACK: !`l, 5S RIGHT SIDE: 0 0 LEFT SIDE: 06) 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [X] NEW CONSTRUCTION [ ] EXPANSIONIADDITION [ ] INTERIOR RENOVATION fA RESIDENTIAL .• j ] COMMERCIAL [ ] INDUSTRIAL [] OTHER (SPECIFY) = 13. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: 15'. SF. FT 1st FLOOR:; 16. VALUE OF CONSTRUCTION: 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 OWNER INFORMATION NAME: UT�7' v �►LD� ADDRESS: tlb I I STATE: ZIP: 4D4 $ CITY: PHONE (DAYTIME): ( 3 6S — 3 SS S Email: e- IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: Same & ,h ADDRESS: CITY: PHONE (DAYTIME): (___) STATE: ZIP: CONTRACTOR INFORMATION ST. of FL REG.CERT #: C G C ST. LUCIE COUNTY CERT BUSINESS NAME: Sco7�C�/s CDAlS� �v�Tl� L /IC QUALIFIERS NAME: _ l / 0 %/ ADDRESS. A CITY: �XAH8-rCf[E� STATE: �1Q5R1 %/9 ZIP: 3_ H %O PHONE (DAYTIME): �ZZ2- 2g A0 FAX NO 6%333"799;, Email: SCor-4rc)r5coNs KOKU � @ 6YO 411., copfl ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): U BONDING COMPANY: ADDRESS: CITY: STATE: STATE: MORTGAGE LENDER: I O 11 O �TCo P� Ca ADDRESS: CITY STATE: M Ur 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 CONMIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR ROPROVEMENTS 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. STATE OF �g�AK-er)+uCtu( COUNTY OF L.m C The foregoing instrument was acknowledged before me this L(9 L: ayof-M2011 by who is personally knownyGr has produced as identification.. Commission No. . NOTE: TWO (2) SIGNATURES ARE THIS BUILDING PERMIT AS THIS APPLICATION IN THE. OWNER BUILDER AFFIDAV r � A/ " e, e ONTRACTOR SIGNAT URE STATE OFFLORID COUNTY OF L1A-1(-4 The foregoing instrument was acknowledged before me this 1 day of 20 by 1 V e-1 I who is personally known or has produced Signature of Commission No. as ►UDR����EY1�1lWILLMOT COJ'496 # DD973168 EXPIRES March 21, 2014 .TURF MUST BE NOTARIZED. IF APPLYING FOR IE OWNER MUST PERSONALLY APPEAR TO SIGN RONT OF THIS APPLICATION. !R ALL OWNER/BUILDER APPLICANTS. checklist. For specific instructions see OFFICE USE ONLY BP #: SECTION TOWNSHIP RANGE MAP NO. ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # I IT FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC . LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE (RADON) LIBRARY PUBLIC BID PUBIC BID 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 NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED- PLUMBING FEES DATE SENT TO ADDRESSING: ! / REVIEWS FRONT. ; ,, ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE CbUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW +; RECEIVED DATE , COMPLETED • 77N1TTTriLJ .... •_ .. .. ! 1 •• i . . f . •ik JOSEPH E. SMITH, CLE7" :,F THE CIRCUIT COURT'_ 'SAINT LUCIE Corru7y FILE # 3595829 OR BG ,3296 PAGE 2029, Recorded 05/26/201]( (,09:50 AM ARt'ER RE O IN .•R [RN TOe SCOT �tCi✓i5 LON57'iQUGtir{B1J go. Box 23N6 P kM )3r-4CH, F�. 334 Sa PERMIT NUMBER: 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 of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: A/0 3 - 500-0030 -009 SUBDIVISIONA%!P 3 ACNBLOCK A TRACT J LOT�BLDG UNIT 17a Occ-AA1 am/47y--S DAIV6 2. GENERAL DESCRIPTION OF LvIPROVEMENT:CMPt572i /NEgif,a/4tGS 9 IJP1a2Aa7✓tr riAllS", �rTsir�:N�K 3. OWNER INFORMATION: a. Name U TG AVAI-OIJ LL C b.Address 991AA1e'A5T1=,R, s7A-n1fiRD,KY. -1/0 FY C.interest inproperry d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Scorr I-rgw!S 6000 ga-fiON, LLG /6609 l,7TA cr. Al. 4ox/4&L4 -zlg-r , cz . 3?y7o 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 NUNIDER: SLOiT,L s codlS%, ?, R Eezo-% t 2bo 044 /Q, 33YF10 8. In addition to himself or herself, Owner designates the 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: 4r&7T 4ELy15 COkST. 5,40%-- AS i4&VE 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) . 20_ 11� . �/► r!� 0 ' 1 Owner's Authorized Officer/Director/Partner/Manager State of Flerlda Y-eq WC E 4 County of L-1 t1CD ^ _ � The fo egoing instrument was aclm wledged before me this I -(Pt day of 1' Y/� LI fa' , 20�. By ��14' as�lilllrw�tQn (Name of pees )� (Type of authority... e.g. Owner, officer, trustee, For ( _I { CS l.t- a 0 14WC- (Name of party on behalf of whom instrument was executed) Personally Known or produced the following (Printed Name of Notary Public) (Signature MNotary Public) Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of belief (section 92.525, Florida Statutes). Signature(s) of Owner(s) or Ownneerm(ss)' Authorized Officer/Director/Partner/Manager who sign By:,V / 'l�Q�[ By Re,. OE/ =W7(R=ftg) STATE OF FLORIDA CT. L►LICIE COU14TY TIIISTRUEANDCORRECT COPY OF THE ORIGINAL, JUSE'Hi E5� .ITHxPVP K By: NO' ST. LUCIE COUNTY BUILDING & ZONING 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: !J�? Oca6ly r:sr1gri55 j7/�►dr,- (Tax 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. I/IT(v /-\v ALD J U Z, Property Owner Name Property Owner Signature Date kAfu(0 LPnCa� Y� STATE OF FI AR�'A, COUNTY OF ACKAOWLEDGED BEFORE ME TTHI`S I L I� DAY OF , 201 1, B� �XGD LIM) WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED SIGNATURE OF NOTARY NOTARY PUBLIC TrrLE IDENTIFICATION. ;z ; q . G ( I l i OHL TYPE OR PRINT NAME OF NOTARY AikCOMMISSION NUMBER 111.4 c.t� PLANNING &,DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DNLSION COUN Y 2300 Virginia Ave -_ :_....__.._. _....D _.._. _.... _ Fort Pierce, FL 34982, BUILDING PERMIT _. L)C ft� -1-L C. will=be.using the.following sub -contractors for the _ (Company/IndividualName) " project located at J Z2- eq -,4 1 Q7,-4Ttv.s PRWE . {Street address or'Property Tax ID It is understood that if there is any change of status regarding the participation of any of the sub -contractors fisted below, I will. immediately advise the Building and Zoning Department of St. Lucie -County. Trade l�ame`of Company/Confracfor' St. Lucie County/ License Number Electrical /P1F,_ �O Plumbing i'%��l�x �J PLvrv► l� fitl(� e�G D� y5 3 �� HVAC/ 'Mechanical i Y J Ale-, Roofing Gas /�ddL OA A0.4 AFSM I OMCE' JSE'ONLY: PFIEWT ISSUE DATE: NUMBER: - - . PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): D 14 S 3 QLl1l Vh �t. Y�o \ `r1 c-) have agreed to be the (Company Name/Individual Name) �l sub -contractor for$'Co7-r�CFc�iS CoAlsi. G[ L (Type of Trade) U (Primary Contractor) for the project located at % 7a2 0CEWAI L67747IE5 P.8 (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) QUALIFIER (Name of the Individual shown on the Contractor's License) SIGNATURES ARE RE D cc 1 mks 27 ) PRINT NAME DATE Business Name: �C/� .S M 1 Address: City/State/Zip: i52 ac"K Phone: C`�17 Z� SiP q email: OFFTC'E USE ONLY: t, CJENI� PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number gfapplicable): �lv►n wt�) �S �,G ��i d lq� , Z /� have agreed to be the (Co pany Naine/Individual Name) (i14 fs _ sub -contractor for Sco-r/_Euxs callsxe�eW (Type of Trade) (Primary Contractor) for the project located at / 7.2 OG�4itlSJi S Dr2 (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED S NATURE PRINTNAME DATE Business Name: Address: City/State/Zip: Phone: nFFTrT. TTCT. (WEV! email: PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING &CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): C Duo ` , P �JiA �et—c v 91C-�i J.-G have agreed to be the (Company Name/Individual Name) t lie c . c c4 t sub -contractor for g5aAf6 ax, IM I (Type of Trade) (Primary Contractor) for the project located at 7,2 ©GgAl 7 7A7ES DR - (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) OIDG SJGNATURES ARE REQUIERED OMA v ��,Va OR SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: 27f--07713V email: 94A0./�.fkkeebtu )^,,. n1 Ti YrF. TTRF, ON EV! I167- 0005--.n U.S. DEPARTMENT>OF HOMELAND SECURITY _ _)ELEVATr0-N,CERTIFICATE " Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name UTG AVALON, LLC. Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 172 OCEAN ESTATES DRIVE Company NAIC Number City FORT PIERCE State FL ZIP Code 34949 F �• '• ti A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 14, BLOCK 2, AVALON BEACH PUD afi A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 27 33 04.1 Long. W 80 19 24.6 Horizontal Datum: ❑ NAD 1927°jrNAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number l B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage 580 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings?, ❑ Yes ® No _d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State UNINCORPORATED AREAS-120285 SAINT LUCIE FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevations) (Zone 12111C0087 G Date Effective/Revised Date Zone(s) AO, use base flood depth) JUNE.30, 1990 NOVEMBER 4, 1992 AE 5.0 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ® Yes ❑ 'No Designation Date OCTOBER 1, 1983 ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized LOCALVertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.91 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 19.41 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 7.27 ® feet Q meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6.66 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) i Lowest adjacent (finished) grade next to building (LAG) 7.11 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.41 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including fj&0 ® feet (] meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be si ned and sealed b a land surve or an ineer or architect authorized b law to certify elevation g y y, g I y information. I certify that the information on this Certificate represents my best efforts to interpret the data available.! understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.® Check here if comments are provided on back of form. Were latitude.and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name CHARLES ARNOLD License Number PSM 4971 FL Title PROF SURVEYOR & MAPPER Company Name ARNOLD SURVEYING, INC. Address 4888 N KINGS HIGHWAY #425 City FORT PIERCE State FL ZIP Code 34951 PLACE �E I'•° nature Date 10/22/2011 Telephone 772-460-8211 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the responding information from -Section A. For Insurance Company Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P�P: Route and Box No. T Policy Number 172 OCEAN ESTATES DRIVE City FORT PIERCEState FL ZIP Code 34949 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments THE ELEVATION OF THE.A/C.,PAD WAS USED FOR THE LOWEST ELEVATION OF MACHINERY LATTITUDE /"LONGITUDE WAS OBTAINED-dJSING A HAND HELD GPS UNIT Signature Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, 'enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8• and/or 9 (see.pages 8-9'of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet El meters El above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the. community's floodplain management ordinance? E] Yes E] No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items. G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official, completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet [].meters (PR).Datum Local Official's Name Title Community. Name Telephone Signature = Date Comments ❑ Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions o C CONSERVATION o TRACT SET IR & C PSM # 4971 rF�i s 8sft- RETAINING WALL I N 89' 20' 13" E I O O W O v m Cn O O O N 89"20' 13" E 5' WALL MAINTANCE EASEMENT 1 UU.UU r--I----------------------I tS� it I LOT 13 I \\<01� BLOCK 2 j i I VACANT I I I I 0.62ft N 89'20' 13" E- A/C I I A/C 36.82 0 0 W0X U'�N LOT 14 n= O�3 STORY CBS 0 w cD ° iv RESIDENCE T N 9.kft 17.92' SET IR & C PSM # 4971 CERTIFIED TO: UTG Avalon, LLC.; Its Successors and/or Its Assigns; 30.03' N 89°20 13" E LOT 15 BLOCK 2 VACANT / �1, 0.65ft I / •�o �O 120.98 I /(D J 24.62' L-1 NI paver brick drive N O -P existing veered entry I / aN 30.75' 2ND ALCON paver brick I 9 ?ft S.00 ft paver brick I / POOL I / I 100.00' SET NAIL & PISC PSM # 4971ffig W N J W I I I 1 � R.�ES ARNOLD fn eNED PROFESSIONAL SURVEYOR & MAPPER FLORIDA CERTIFICATE NO. 4971 SET NAIL DISCO PSM # 4 1 Boundary Survey For: UTG Avalon, LLC. M STREET ADDRE55: 1w E 172 OCEAN ESTATES DRIVE, FORT PIERCE, 34949 LEGAL DESCRIPTION: BEING ALL OF LOT 14 BLOCK 2, ACCORDING TO THE PLAT OF AVALON BEACH PUD, AS RECORDED IN PLAT BOOK 55, PAGE 19,A—C, OF THE PUBLIC RECORDS OF SAINT LUCIE COUNTY, FLORIDA. 0' 20' 40' LEGEND * ABBREVATION5 • GRAPHIC SCALE IN FEET CONC. DENOTES CONCRETE P,C,p, DENOTES PERMANENT CONTROL POINT P.B. DENOTES PLAT BOOK DENOTES PLAT DATA C.M. DENOTES CONCRETE MONUMENT �Cp; DENOTES CALCULATED FROM FIELD MEASUREMENTS O.R. DENOTES OFFICIAL RECORDS BOOK DENOTES PROPERTY LINE IR & C DENOTES IRON ROD & CAP M) DENOTES MEASURED DATA PG. DENOTES PAGE ID DENOTES IDENTIFICATION NUMBER COR. DENOTES CORNER � DENOTES FLOW LINE P.0.8. DENOTES POINT OF BEGINNING TOti DENOTES TOP OF BANK P.O.C. DENOTES POINT OF COMMENCEMENT TYP, DENOTES TYPICAL I.P. DENOTES IRON PIPE FND, DENOTES FOUND I.R. DENOTES IRON ROD L.B. DENOTES LICENSED BUSINESS U.E. DENOTES UTILITY EASEMENT O.H.U. DENOTES OVERHEAD UTILITIES P.I. DENOTES POINT OF INTERSECTION OR DENOTES WATER METER P. S. DENOTES PROFESSIONAL LAND SURVEYOR BSL DENOTES BUILDING SETBACK LINE DENOTES ELEVATION (TYPICAL) D&UE DENOTES DRAINAGE AND UTILITY EASMENT CA DENOTES CENTER LINE NAIL & DISC GENERAL NOTES: If 4971 1. THE BEARINGS SHOWN HEREON ARE REFERENCED TO THE CENTERLINE OF OCEAN ESTATES DRIVE, HAVING A BEARING OF S89-20'13"W, ACCORDING TO THE PLAT OF AVALON BEACH PUD, AS RECORDED IN PLAT BOOK 55, PAGE 19, PUBLIC RECORDS, SAINT LUCIE COUNTY, FLORIDA. 2. ALL ABOVE GROUND FIXED IMPROVEMENTS, IF ANY, HAVE BEEN LOCATED AND SHOWN HEREON. 3. UNDERGROUND UTILITIES AND UTILITY SERVICES HAVE NOT BEEN LOCATED ON THIS SURVEY. ' 4. FLOOD NOTE: BY GRAPHIC PLOTTING ONLY, THIS PROPERTY IS IN ZONE "AE,5", ACCORDING TO THE FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO. 12111CO087 G, EFFECTIVE DATE NOVEMBER 04, 1992. THE EXACT DESIGNATION CAN ONLY BE DETERMINED BY AN SET NAIL & DISC ELEVATION CERTIFICATE. PSM # 4971 5. REPRODUCTIONS OF THIS MAP ARE NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL WATER RAISED SEAL OF A FLORIDA LICENSED SURVEYOR & MAPPER. MANAGEMENT 6. LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THIS OFFICE FOR RIGHTS —OF —WAY, TRACT-1 EASEMENTS OF RECORD, OWNERSHIP, ABANDONMENT'S DEED RESTRICTIONS, OR MURPHY ACT DEEDS. 7, THE LAST DATE OF FIELD WORK WAS AUGUST 05, 2011, 8. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. © COPYRIGHT CHARLES ARNOLD, PSM 2011 ALL DRAWINGS OR DOCUMENTS AND COPIES THEREOF ARE INSTRUCTIONS OF SERVICE AND REMAIN THE PROPERTY OF CHARLES ARNOLD, PSM. THE REPRODUCTION OR UNAUTHORIZED USE OF THESE DRAWINGS OR ANY OTHER PROJECT DOCUMENTS WITHOUT WRITTEN PERMISSION PROM CHARLES ARNOLD, IS STRICTLY PROHIBITED. THIS DRAWING OR DOCUMENT 15 PROTECTED BY FEDERAL COPYRIGHT LAWS. JOB NO. 11-126 DESC: AVALON DATE: 08/07/11 SCALE: 1 "= 20' DRAWN BY: LCA CHAWLES ARNOLD PROFESSIONAL SURVEYOR AND MAPPER 4888 N. KINGS HWY #425, FORT PIERCE, FLORIDA 34951 24 VERDE VISTA, FORT PIERCE, FLORIDA 34951 PHONE: (772) 460-8211 FAX: (772) 460-8210