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OFFICE USE ONLY: DATEFILED: � d ' � 0 �1 PLAN REVIEW FEE: RECEIPT NO.: �Vv� PERMIT NUMBER: f I CONCURRENCY FEE: _ n^ I-0 RECEIPT NO.: CERT. CAP. NO.: 4. 2. 3. 4. 5 9 ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue Az _ �,1 ^ � cc. Ft. Pierce, FL 34982-5652 � 772462-1553 Ub >qz4 el - 10 �t a 1 01 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANQE PROJECT INFORMATION ✓ B YNE® LOCATION/SITE ADDRESS: 1,ie* Ji es St. Lucie County � � � `� PROJECT NAME: `SITE PLAN NAME: l�I\ol ��'�� o PROPERTY TAX ID #: LEGAL DESCRIPTION (attach extra sheets if necessary)nc- a M" b ' —C- . PLAT BOOK--,4)1 Z)Z 6. PAGE NOl3 7. BLOCK NO. 8. LOT NO. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: �`"� X 6a- 10. COIVPLETE DESCRIPTION OF Cp�STRUCTION PROJECT OR WORK ACTIVITY: 11. SETBACKS (ACTUAL) FRONT: /0 BACK: RIGHT SIDE LEFT SIDE: {p 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) ' NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION . RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: � 14. SQ. FT OF CONSTRUCTION: tt` 15. SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ dl 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: Din� �^ ADDRESS: �L CITY: STATE: 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: ZIP: PHONE (DAYTIME): ( ) CONTRACTOR INFORMATION ST. of FL REG.CERT #:�� BUSINESS NAME: C QUALIFIERS NAME: � o� e CITY: L PHONE (DAYTIME): ARCHIT/ENGINEER: STATE: _ FAX NO. til ST. LUCIE COUNTY CERT #: 1 I L ZIP: may[`-'1 GZj i Email: bra CITY: � � (�( STATE: ZIP: PHONE (DAYTIME): (9 M �( qq1 - - BONDING COMPANY: ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDER: ADDRESS: CITY: STATE: ZIP: IMPORTANT NOTICE: When a permit is issued and it isfnot picked up within 60 days after notification it will be voided and returned to you by mail. OFFICE USE ONLY BP #: l I n % O SECTION OZ TOWNSHIP RANGE 4 l MAP NO. L4,=M ZONING LAND USE LOT CVG % LtL— �7 TAZ NO. \ FLOOD ZONE v FIRM MAP # 1 1ST FLR ELV (5 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 l 0 1 AREA FEE FEE (RADON) LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE FEE GE 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 SEATURTLE MANGROVE COUNTS REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE S COMPLETED �, iNrr LS � 1 ` 1 II ev\ao"Y fL , ecG Lv Y(� cL V'Adtic aAk oL-0an.c e 5 X W4-L-A x Colo 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 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. OWNER OR CONAACTOR SIGNATURE STATE OF FL , - COUNTY OF w The foregoing instrument was acknowledged before ni me this ZT day of <� V LJ 20—ft--, by G ()9,-M N C�Vv M 1""J who is personally known `�or has produced as identification. 4- SiJkature oiNedry CPINTRACTOR SIGNATURE STATE OF FLORIDA l CA le COUNTY OF �— (� The foregoing instrument was acknowledged before me this day of V , 20JL by �AU1n� S ��J� YY1Cti1(V who is personally known %\ or has produced as identification. S i g n alt Uru ml IVo—tary Commission No. TA-11' �HRISTINA KELLY Commission No. 1�q'p (SMOTINAKELLY Commission # DD 959417 Commission # DD 959417 Expires February 14, 2014 f Ex iros February 14, 2014 BVMTMnTmyFbKw 08M7019 , Bp�dadTlwTmyFaMhsur�ce6003851019 NOTE: TWO (2) SIGNATURES 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. I�l 1�1���'��cmCx Plant: Begin Loading:! To. Job: Arrive Job: Start Unload: Finish Unload:, Leave Job: Return Plant: Il fit- -Y, Customer Code: Customer Name:(( 1 Customer Job Number: Order Code I Date: "- 0 DO%'LE ASGNRY ",fhlC 87 9 1 1 roject Code: Project Name: Project P.O. Number: Order P.O. Number: 'Ticket Date: Delivery Address: Map Page: Map/Row/Column: - 1 Lo F 5 Nr Delivery Instructions: Dispa pber- Ticket Numbet } Due-OqJob�- Slump: p: 0, Truck Number:, Qji�argum e,�, Driver ) _, e, , P�q Y IWILSON �7,qe: T11-D11,16- SLAB tj J "., k A_, LOAD QUANTITY I CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION Uom UNIT. PRICE AMOUNT 41 J 3.13 -1 7 FLIT-1- SI..;RCHR ENVIKIONIIVIENTAGE VIL k Cash Check # Auth Code: Signature of Driver Receiving Cash: Cash Receivled: Total COD Order Amount to Collect Check Without Standby Charges: 71Charge Comments: WATER ADDED: GAL ,WHEN YARDSIN DRUM: 41 ADDED. ti SIGNATURE )CURB �LINI�,CROSSEDATO R'S GENTSREQUEST: \YN E SIGNATURE A 13 LOAD WAS' TESTED .'.`-6y: Notice: Our drivers will make every effort to place materials where the customer desigpates,'.butAhe SPECIAL TERMS; yAny water adde J is:at customers own risk. If water is added on job, concrete strengthC t6 the i' Company assumes no responsibility for damages inside curb or property line. Customer agrees ispo longer guaranteed WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due. to Important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for importa6t control after delivery, this Company will not accept any responsibility for the finished results. Nocredit for safety handling information, Eand. tl�l;ematerial safety Vata sheets for additional Information. ,Jo returned concrete. Buyers exceptions and claims shall be deemed waived,unless made to us in writing AUTHORIZED SIGN;TUR• within one business day after the receipt of materials. 0 X /-4— R 1. V 'TRK 68UNIVERSAL 1-GAD CUSTOMER This Delivery Ticket .incorporates hPrPin by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quot i, if any, and Seller's Order Confirmation uding limitations of warranties), as if fully set forth on this Delivery Ticket ("Alyucinent"). Seller will provide the Standard Te____: and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials .including limestone, dolomite, granite, volcanic rock., sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline si-lica. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions. Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling, crushing, grinding, cutting acid/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level. of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 1.5 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, .rinse thoroughly with water. Get proper medical attention if irritation persists. CEML+ X 920 Memorial City Way, Ste. 100 V5 combined Houston, Texas 77024 06/10 For further information, please visit www.cemexusa.com. Este ticket de entrega incluye comp referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los y condic iow�s detal- i.ados en caso de asi ser requeridos._Con este dircurxrento, el compractor z?ve;,t{r lc�s ill �-. toy; ya d:ntes mencionad.os y que las canti.dades y materiales fueron enu .i-. } ; wO'ex n cl misr ). i--epta pagan el monto de acuerdo al contrato; al. menos que se identi- fique con una ri,lta al frente de e,.. , Et,)gum. 'c . AG REGADOS / C i' 'PQ . Los productos do agregados materiales silicios. Los produc,, azotea y estuco. Los produc los �. granito, coca volcdnica, arena, gra contener mds c't° 0.025% de silicio °RODUCTOS DE CONCRETO / CE.,NIZ S ` OLANTES terialc:,y riUmiales como piedra caliza, dolomita, granito, roca volcdnica, arena, grava y otros 'i. cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de • ricireto incluyen cemento Por•thind y productc, & agrregados como piedra caliza, dollomita, y otros materiales silicios. ES tos productos incluyen cenizas volantes (fly :,,.lt) la cual puede cristalno, Pellgros: Mezela de cemento fresco y/o. r4zas t ohmtcs pueden causar irritati6n en los ojos, quemaduras en piel y ojos, y reacciones alergicas en la piel. i 'oncrc: �o seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del iwmejo en ei tri':urarriento, pulido, colic y/o perforacion puede contener materiales silicos, .los cuales pueden cafbsar silicosis pui,i:onar y s.;dncer si son infialados. En caso de ser ingeridosy mantenerse en temperature cdlida, reposar y t:omar grandes caritic�; es de agua.. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci.6n del amoniaco 'La inhalaci6n del amoniaco puede causar toner, initaci6n o quernad.uras en la nariz, g-argai to y pulm.ones. Acudir pnmed:iatamente al medido. El riesl o en la salud.depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Ldvese las n-tatios con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos rods de los limites recomendados, use protecci6n respiratoria. A Primeros auxilios: En caso de contacto en los ojos, i.nmediatamente fluya agua en la parte afectada por .15 minutos. Si se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6n medica inmedi ,,tarnente si la irfitaci6n continua. CEMEX 920 Memorial City Way, Ste. 100 V5 combinad.o Houston, Texas 77024 06/10 Para inforlaac,r6n vi,.Jta www.cemexusa.com. 3UN-1.-}-2002 12: 0;4P FPON: T0: 33rl7338 J 1 L.LI V J.1..W UI Y 1 St LuvW County Inspections 2300 Virginia Avenue Ft Pierce, FL 34983 (772) 442-2172 P:2/2 14uc CI1/ U1 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOM TREATMENT FEFU,UT #1&7 — JOB IP-eTT !e S U [ 11d1 i fi! 2, 1?0qc6 FC PEST CONTROL CONTRAC'1'OR__ -KC-)( 111,01.:ID S T CONTROL LICU-N�, we, the tmdersingnted, heroby celWy that we have prtiotmted the abov"oncHb cd soxistmci1prt ;for enbterrane= terwfta W accordwace vrith t#e sttaJgdards of the Nattionul Pest Control( At;sw:J* aflon. Square fitet ofare t uvl: VIl. �, c�AexxAtc�al Y?tf TjC Percentage of solutlon: _ ?, "� - _ Total gallons limed; ]date of treatment• ` 4 D I �— Time of TA•eab m nt: ❑ Motincr ❑ 1st ;treatment ❑ Rv tumat ❑ Stab ❑ ISE Treatment ❑ Zee -treat ❑ Dxi•vfr way © Ist Treatment ❑ ate -treat ❑ Fools ❑ Ist Tmapmxtt ❑ Re-txrmx VOC104.2.6 CerttJiaate of Frwvcare a#nrQnns fvrF,eevention:q/ter itea. A we�arl:ter re�e rra„: lobsttrz paycing board' shad be prautded to rereiit�e dupik4u 2`rearrnenr CaMflcares as each required PrOWGdVCfrffaWWW is s-aMplere4 providing a onpy, for tine person dm pemtnc is issue za and mrathar aop.Yfnr the build* perH)#JUas 7AftTYP4 Arent Cdr! ,-atet shall pnavide the p—dsact Kser/, iderUUY Of the applicaror, rinse and darn zitthe troalimm, ,Rite locarton, area trewcA chemiOW us#d, p rraemt concWdMdon anti n4mOer Qfsallrms rued, ki aviablah a vwvabie record a pramcrive irlaahn=t. Ifrhd 6'Oil chendcal bayTiermda*vdfortermite prcveution is rae4 ftnal exterior try mr shalt be -vv pletad prior to ti rant &&ding approvat. vst Judd- COU* Awdra9 for the luaw inspecdon for Co, a FdarmustAg of ISWW to be piaCed 01, ttite Ol{7dd d1 PWW bQx COVCRi YxibIg a� Me treatments mud dattz of Appi effoon%- ❑ (ether Ut Treatment /791 Rrtmw Perimeter for Final inspection _ NDt'E 1 I�)ig�Dl xe q� a taDr 'fac mu,�t be ,a completed' form; fvr earth reguira&ea ppent orre-Ovartmant and thta Qz*M must be on ahc j,�b site to be pkkad .b the riot' at le J •� ' � , � +on or irhe scheduled hasp ecdon wdi' •�*��.r� ft�iX.rd � ��ispee�ian,�e I��at. JIJN-141-2002 FRI 11: S,AM IC?: Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant. 01'7i:)r1t) " CustoweryCodea) Cu`sfd0brrName;ilASC)NRY INC Project Code: Project Name:, Ticke�Aate,7; j '; pelT�eryAdd�ess: NETTLES I SLj jjMD Delivery Instructions: LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE Customer Job Number: OS ier ode / Date:1 0 t o �7 / I [ Project P.O. Number. �det P:OJ LIUmbar. Map Page: Map/Row/Column: DispafcTier Yi tl it ! Ticket Number: Due'OnJob:" Slump: Trrcl�•NLmb�ri+lam) DlivewNumtiefr: tciAv'e�Namel tJtU t—t- End Use: l-L'!!{�; t=}L I .�f"OL.i.. PRODUCTION DESCRIPTION v'.)7.'ra .r Itic)Isrl r h'L'., r, Ian UOM I UNIT PRICE I AMOUNT Cash Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge nr Comments: n WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. �tGG pubtijC°rk� SIGNATURE St Lucie County FL / CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE l�/✓gyp ❑LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the 'is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as isr Due to important factors which are out of our may be hazardous to your safes� antl ealt . p�jeasetefer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling Information, anrt th m8a erial safety data sheets four additfohal information. returned concrete. Buyers exceptions and claims shall' be deemed waived unless made to us in writing. AUTHORIZED�URE`w within one business day after the receipt of materials. O r RE... a RR a e L_i.iA .? Il.)1' o 68UNIVERSAL ' INVOIOr---� This Delivery Ticket incorporate< '-'rein by reference Buyer's previously exeWd Credit Application, if any, Seller's Standard g'perms and Conditions, Seller's V inn if any, and Seller's Order Confirmation (=- iding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agi nt"). Seller will provide the Standard Tei nd Conditions upon request. Buyer agrees that, unless otherwise noted on the frc___ _:roof, all quantities and items weretdelivemLl as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONC IETE PRODUCTS /'FLY ASH Aggregate products are naturrl11 occurflag materials including lir..,;stone, dolomite, granite, volcanic rock ,sand, gravel, and Other siliceous materials. Cement products include Portland cerner-r, masonry, pozzolan (Type IP), roof te, and stucco. Concrete products include Portland cement anr!, aggregate products including lirneslonq,, dolomite, granite, volcanic-rdek, Zand, gravel, and other siliceous materials. These pro0acts, including fly a0l., niay,c9ritain trio e than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or fly ash can. ause� ye jrrjtation, skin and eye burns apd allergic sk;n reactions. Dry concrete and aggregate dust may cause irritation to-efes, skin, and/or respiratory tr ct. Dint frovi handling, crushing, grinding, cutting and/or drilling may contains li.ca, which may cause silicosis and cans r _V inhaled. If ingested, keep warm, at rest, and drink large amounts r'if water. Fly ?:sip may contain trace amounts of ai,-no- nia. Moisture can cause the ammonia to be released. hihalation of aiirrrionia can cause coughing and irrir...ioti or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exnc.s}+r ' Safety: Avoid contact with eyes and. prolonged contact with skin. Wear gloves, eye protection; and appropriate r:,, otective clothing. Wash hands thoroughly with mild soap and water after handlinL. Avoid breathing dust. If exposed to dust above recommended lim i-.. (see MSDS), wear suitable NIOSI-I-approved respiratory protection. " First Aid: In case of eye contact, immediately fa, ash eyes with flowing water for' _, minutes. If dust is inhaled, move to frk3;h .air. If wet cement contacts sk,n, rinse thoroughly with water. Get prop s medical attention if irritation persists., C'EMrX 920 Mery dial City Way, ' cc. 100 V5 combined l h,uston Texas 77024 06/10 Fc - f .,r'.her inforination, please v sit www.c_emexusa.com. Este ticket de` entrega .inelui ti-� 1,onio re'er,.ncia at comprador (ya p •ev.i- it ew- .'ocutada en su aplicaci611 de crddito); cualquier termino est6molar, condicione, cl v..idedor, propuestas del vendedor y orderi . confirmaci6n (`el vendedoc (con lim.itaciones y garantfas), Como acuerdo total dc-I icket de entrega ("Contrato"). El vc.ndedor 1� • eery los terminos estandares y condiciones decal- lados en caso de asf ser requeridos. (..on este docume;rto, el coimprador acepta lo!, mismos ya antes i-.encionados y que his cantidades y materiales fuel -on entregados Como se exp.resa en el mismo. Acepta pagar dbnonto de acuerdo al Contrato; al rnenos clue se identi- fique,con una nota al frente de esteidocumento.- . AGREGADOS / CEMENTO / P ODUCTOS DE CONCRETO / CENIZA9 VOLANTES Los &oductos de agregados son materiales naturale . c-omo'Piedra cal.iza, do.omi.ta, gr anito, coca volednica, arena, grava y otros materiales silicios. Los productos de cemento inclui-cilCemento de tipo Portland, de albanilerfa„pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyei, cemento Portland y productos de agregados Como piedra caliza, dolomita, g.ranito, roca vol.canica, arena, grava, y otros materiales sil-rcios. Estos productos incluyen cenizas volantes (fly ash) la cual. puede contener mas de 0.025% de silicio cristalino. Peligras: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritatoion en to ojos, quemaduras en pie] y ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, cortey/o perforaci6n puede contener materiales sil..icos, Jos cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposary tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaciA o quemaduras en .la nariz, garganta y pulmones. Acudir inmediatamente al. medico. El. riesgo en .la salud depende en la duraci6n y el nivel. d.e .la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y agua despues do]. manejo d.e materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limiter recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en Jos ojos, inmediatamente fluya agua en :la paste afectada por 1.5 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco ti.ene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritatoi6n continua. CEMEX 920 Memorial City Way;,Ste. 100 V5 combinad.o :Houston, Texas 77024 06/10 Para mas informaci6n visita www.cernexusa.com. COO,? 2-300VIrglibbAve Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: V 109-/)003 JOB ,ADDRESS: 5 BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR: PEST CONTROL; LICENSE #: L � 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: 5 Chemicals used;�,R<s-atoLkir Percentage of solution: 0 Date of Treatment;. ,. � .,�Foodng .41' eatmenx Re -Treat ,_____Driveway e Treatment Re -Treat Other 1fit Treatment Re -Treat Total gallons used: ^ / 0 5 Tirane of'rreatment:- jab Treatment Re Treat Pools 11� Treatment -,nL_-Re Treat of Exterminator (Vote: There must be a completed fam) fareach required Vestment r(re treatment and this form mastbe on tfle job site to be picked up by the hupector at time of each Inspection or the scheduled inspection wi//fall and a r&InVectfon fee drarged. FK104.2.6 Certiflcate of PrnteWW TtWOWnt for pleventl n of termites. A weather resistant fo1w& gosling boerd Shall be provided to rwAue dupllcate TasbMt a, t/licates as eadr required pmMefte treatment is ravmpieted, prav/d/ng a copy for the person the pe1n7it is issued to and another c»pyfor the building permit flies; The Treatment celtJ&ate shall pmWe the product used, Ideni ty of the appilcator, time and date of the treatment, site location, area G7�sGslO; chemka/ 0; percent aonw>nvatfon and number ofgallons used, A? establlsh a verifiable record of pmtect/ve treatment. If the so// drem/0/1=10r method for termite prevention is used, t7nal exterior treatment shall De Camp/-- tesd prior to flriar oullafag appr+ af. St Lucie County requires for the final inspection for CO, a Permanent Stk*er to be plated on 53624293 ta aw, Plant: Begin Loading:' To Job: Arrive Job:,,. Start Unload: Finish Unload: Leave Job: Return Plant: ; $Customer ,.&iomer Code: V Name'r Customer Job Number: P Order Code I Date: Cl 13 1-10 Doyl E. MA, 0 N P, V �qc 9 E., e, I i Project Code: Project Name: P rcjeGt P.O: Number: Order P.`O. Number: I 'I Pick Nia f Ticket Date: Delivery Address:. Map Page: Map/Row/Column. 55 NETTI_17�,. 111 T�) Delivery Instructions: Dispatcher: Is, Ticket Number: J,J Due On Job: • Slump: Truck Number: Driver Number,:., Priver.Name: .5 ( T, * t, 60AD CUMULATIVE ORDERED M - ATERIAL CODE N CRIPT P ION d , Nir'PRICE UANTITY �CIUANYTY QUANTITY P�06uc�lo DES' U�7 AMOUNT 7 3 0 �J%ADE.-'Party 11. Y, .3 i C)o I 7kit' F Cash Check #/ Auth Code: Signature of Driver Receiving Cash, Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Commer�tk,- ADDED: GA; WATER AD L YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE -CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE Ll LOAD WAS -'TESTED BY. Notice: Our drivers will make every effort to place materials where the customer mer-Pesignatqs,'bu I I " Ike SPECIAL TERMS: Any %�ateradded is at customers own risk. If -water is added on job, concrete strength u Company assumes no responsibility for ' damages inside curb or property line. , Customer agrees -to thp is. 661orig& guaranteed. WARNING: Product may cause skin 5ndlor eye irritation. CAUTION: Material terms of, sale and delivery and accepts concrete as is.. Due to important factors which are out' of�our 'may be hazardo6s to'yourpafety and health. Please refer to the backside of this ticket for important credit additional .control after delivery, this Company will,not:acc.ept any responsibility for the finished results. No for, safety hangjing-tin"frormatiqt-,Iqndto the material safety data sheets for add nal information. returned concrete. Buyers'exceptions and'claims* shall be deemed waived unless made to us inwriting ,,APTI40 IZEDS113NATURE within one business day. after the receipt . of materials, 47 % 6,8UNIVERSAL Pt E V T�i'- 10 0 2 r.7, 4 0 �'3, CUSTO , / / This Delivery Ticket incorporates herein by reference Buyer's fjrevioplisly executed C—dit Application., if any, Seller's Standard Terms and Conditions, Seller's Quotati.4 any., and Seller's Order C.6ifirmation (in, �ing limitations of warranties), as if fully set forth on this Delivery Ticket ("AgreL_____it"). Seller will provl'l,,,, ie"th,je' &andard Term.- Conditions upon request. Buyer agrees that, unless otherwise noted oil the front hereof, all quantities anditeill . s"were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock., sand, gravel, and other siliceous materials. Ceilientproducts include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materhil.s. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract, Dust from handling, crushing, -,finding, cutting and/of drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or bums of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective bz clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended firnits (see MSDS), wear suitable NJOSH-approved respiratory protection. .FirstAid : t,-�-:;,hi easgc-oaf ,fyecontact, inii-nedi�it� f,,r,A'qgi..eyes with flowing wpor for 1.5 minutes. If dust is inhaled, move fresh '7 cement contacts skin; &�-oughly with. water.�:Get proper medical attention ifjf%git�iq, Aa A C]EMEX N'Ile j te., �100 Texas'77C W 920 Memorial City Way V5 combined �i��Houston 06/10 P,. 0 vist ww % 14 further information, p ea5 t w.cemexusa.com. gp nfc jecutada en. su aplicaci6n,'N ito); cualquier-, -E&te ticket de entrega incluye comoreferencia,,41i c0mPra,(VbrA pj ,51,,!" Wd _s , � � -de -eonfirmaci(5n del vende, bi (con' limitacioi7e;, �ji6rffi;inb estdndar, cobdiciones del veridedor, propue 0""1 -Veil I 'O�")'nitias) conio acuerdo total. de-1 tAet de entrap- TO 7ato"). El' ,.iie`1,_:Aof--prov6erd los t6m�kfqs 6stdnd, s'' y condiciones detal- a antes menci�,(,),naoos y que las,Oq&!pdj&.sv� leste d* 4T.jfb�e.. compradi,t:icepta los; mismos y, -id6 en c�so de,gm ,.requet t,5& 'X, i, - V, 'c&,O "6, expres;i�Z'j �,04n. ismo. Acepu. pagar e 7� n teriales fuef6fiknii`(-.I monto de acuerdo al contr4to;'al menos que'se identi.- hque. �.con una nota al front e"ie do(Abent b AGRECT'ADOS PRDILI' T 0 S LSE CONCRETO 1 CENIZASNOLANTES., 'S. I �s S, a, gra, Los productos de agregados soiVillim'i liatur,al o piedra (,.aliza, dolornita, granito- roca volcdnica, arena; Va y otros ffiateriales silicios. Los productos de"6e wnto inchiyerii�_' emento &,Opo Portland, de albanilerfa; pozzolan (tipo IP)j.'a'Z'61ejo de azotea y estuco. Los productos de cofiqr6fo co incl iyen cerneilto Parband'y ductos de agregadsComo piedra caliza, dolomita, m, 44- -Pro o is e - granito, roca volcdnica, arena, grava, y�otrog t riales sfli'cios. Estps productos incluyen cenizi ��olant s (.fly ash) la cual puede contener mds de 0.025 % de silicio cristalino. 0M Peligros: Mezc1a de cemento fresco y/o cenizas volantes pLi6do 4 en los ojos, delijadurifs-en.,-piel. y ojos, y - "pueden causar"iffiiaciOtp -y/o en reacciones al6rgicas en la piel. Concreto seco y polvo Abs t-; los 0, i os. �.i 61 1_1 " les d %, i pue -,,r.ma. fia la zona respiratoria. Polvo del manejo en el tritiiramilt i;giido, cortey/o perfo'rac'6ft, e te siticos, Jos cuales puedell causar sil icosis pulm6har y,ocei-si 'Son Aalados. En, caso de § i c6lstvidr amomil'Co. eh temperatura c6lida, reposar y tomar grandes cantid.ades'de aqua Las ceui 4, i!vtq N-POCOCI --- La humedad puede causar la liberaci6n del amoniacb. La inhah ,�sonar toner, irritaci&,o`.:,� ici6n Seguridad: ud p quemad-uras en.la nariz, garganta y pulmones. Acudir inmedia 1a-sal e nd- een la duraci6n y el nivel de ]a exposici6n. Seguridad: Evite el contacto coil (jos y C t li.41)t'l�e,.,�,��O Coll la guantes, protw.� 0,� [b6g . I Z I ) 1,j6*n en los -ojps y ropa adecuada para. protection: Uivese h I VOC �n yag0a - pues del manejo de ir�ateriales. Evii�inhalar Primeros �1, � , jabot 1 . 's auxilios: polvos. Si se expone a polvo's7mds de Jos RAAftefeco respiratona.. Primeros auxilios: Ell caso, d& conta.cto err .16s_ojos "inn, i, .i,-v'ntc h,uya agua enl�a,,,aj(4� Mtectada por 1`5 t W -a to on resco Si.el cc 11 s -o tione cbritacto c hk , Si se inhala polvo, exp6ngase a sire f .16s; ldvelos', ndd c J, agua. Acuda,a_4�?nci& m, 6dica inmediatamente si la irritationcontinua;, CEMEX Ilk 920 Memorial City Way, Ste. 100 'Houston, Te'xas'77024 V5 conibinado ,,,06/10 Para mds informaci6n visita yy` ,cenjexasa.com. :a. ell pZZCGMC-X ri1 '1 Plant: Begin'Loading: To Job: Arrive Job- Start Unload: Finish Unload: leave Job: < Return Plant: y, Customer Code: Customer Name: Project Code: Project Name: Ticket Date: Delivery Address: pptt'' r i t :i"' t �.J ! .i ;. j�.•0"I �„' l4E r+4 F.,.�"- f J' Delivery Instructions: Customer Job Number: . 4 Project P.O. Number: Order Code / Date: r9ram: t_16/.5 11 P Order P.O. Number:. Map Page: Map/Row/Column: Dispatcher: A f.` a;r n i ri g Ticket Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: 1 s. A " i-141 r'f II 71 T S§ €"/KTr' r.. w T -:tS i 4 LOAD CUMULATIVE QUA TI p MATERIAL CODE a1PRODUCTION DESCRIPTION UOM UNIT;PRICE AMOUNT QUANTITY QUANTITY QUANTITY i p f1 � 1i'd l4 ;ta , � 0 C I j 9,"31' t 3; t' 001 B 1, Et 1DEEDPr- f t,*I `t' Ls )• 4.N 4y}!,' 'l a»r,•n•j-t....�4`.,.. ."1{.1��'i../C'if•�ir�.;i~'. 1. t)/;a t o i:5u'"sus ENV"' x OINMENTAL., d,:,11FIRGE Cash Check # / Auth Code:' Signature of Driver Receiving Cash: Cash Received. W ✓ Total COD Order Amount to Collect Without Standby Charges: Check r t Charge Comments: WATER ADDED: {`J GAL YARDS IN DRUM: 1 WHEN ADDED. IF SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE ' ❑ LOAD WAS TESTED BY: ' Notice: Our drivers will make every effort to place materials whtre the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength Company assumes no responsibility for damages inside curb or propertyine. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health: Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling inforrmationj'and to the material safety data sheets for additional information. returned concrete. Buyers exceptions and claims: shall be deemed waived unless made to uus in writing AUTHORIZED S f URE: within one business day after the receipt of materials, O 68UNIVERSAL PREV 'j'1-ay•t o CUSTOMER LOAD KIM n .1• This Delivery Ticket incorporates herein- reference Buyer's previously executed Credit. Application; if any, Seller's Standard Terms and Conditions, Seller's Quotatio any, and Seller's Order Confirmation (in ing limitatibt s of warranties), as if fully set forth on this Delivery Ticket ("Agreeii,v_i,t"). Seller will provide the Standard Term_ ____f Conditions u' pon request:. Buyer agrees* that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. u — • H'b' � � ti � �v AGGREGATE / CEMENT / CONCRETE PRODi�CTS / FLY AST Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type I.P), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed'wet cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling, crushing, grinding, cutting and/or d.ri.11ing may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink l,qrge amounts of water.:F.ly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia fo be released.' Inhalation of ammonia can cause coughing and irritation or bums of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact -with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash lian.ds thoroughly with mild soap and. water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye; contact, immediately flush eyes with flowing water for 1.5 minutes. li" dust is inhaled, move to fresh. air. If wet cement contacts skin, .rinse thoroughly with water. Get proper medical. aw,rition .if irritation persists. CEMEX 920 Memorial City Way, Ste. 100 V5 combined Houston, Texas 77024 06/10 For further information, please visit wwv.cemexusa.com. Este ticket de entrega incluye Como .referenda al. compradot{.yt l� 4via �L�eutacs=.<.I.l'�.�..i;i. de e� lido); cuaiyuier tetmi.no-estduidar; condiciones del vendeclo.r, p opuestas del vendedor' y Orden de im-firmacnGn del veridedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los f6rminos estandares y condiciones detal- lados en caso de asf ser reyueritlos. Con este documento, el comprador acepta los mismos ya antes mencionados y yu,e las cantidades y materiales fueron entregados conio se expresa en el mismct. Acepta pagar el nonto de acuerdo al contacto; al mends que se identi- F-.jue con una nota: altfrente de este documento. " _ .AGREGAD►OS / CEMENTO / PRODUCTOS DE CONCRETE `_ CENI AS VOLANTES I c, ptciductos de agregados son materiales natura.C- " .Omo piedra cal.iza, dolornita, gra; � •, roca ��c=�i�imica, arena,-grava y otros maicr' tides. silicios. Los productos de cemento incluyen ,Cemento de tipo Portland, de ai;).�iiilerfa, poz7,cilan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y produx tos de agrega.do:. .( 7T1Q piedra caliza,,dolomita, granito, coca volcanica, arena, Brava, y otros materiales silic.ios. Estos productos mcluyen cenizas vulatztes (fly ash) la cual puede I contene.r mas de 0.025% de silicio cristalino. Peligres: Mezcla de cemento fresco y/o.conizas vola)Ites.pueden, causar initaci6n en los Ojos, c, �CR1hd h14'dn viol: y Ojos, y low reacciones alerg cas cn, Cc� crc to sccb y. po lvo cle agregaclos, lat cclen caul ti in, avtip ow•c�jos, pie] y/o en la zona respiratoria. Po1vo a t ,artuonto, pulido, coite y/o peito+aciu.i puede ^ntt T P ateriale2n sil_icos, los cuales pueden eiO ai silicosis pu ion r:y cancer si son inhalados. En caso de se a, tn> �r si.crse en temperatura cali.da, repositr y tnM; it glandes ciintidades de agua. Las cenizas volantes pueder,._:r, _tt�. ", iorwico. Seguridacl: La humedad puede causar la liberacil6n del amoniaco. La inhalaci6n del amoniaco puede causar to -.; iiritacion o quemadu.ras en .la nari.z, garganta y pulmones. Acudir inmediatamente al. medico. El ri.esgo en la ss Add depende en. la duraci6n y el n vel. de la exptls c 6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Priimeros adecuada para protecci6n. lAvese ]as manos con jab& suave y agua despu6s del. manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polVga rnas delos limites recomendados, use protecci6n respiratoria. Primeros aux-ilios: En caso de contacto en-los ojos, inmed.iatamt:i ite fluya agua en la parte afectada par 15 rninutos. Si se inhala polvo, exp6ngase a aire -fesco. Si. el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n contimia. CEMEX 920 Memorial City Way, Ste. 100 V5 combinado Houston, Texas 77024 06/10 Para mds informaci6n visita www.cerhexusa.coni. U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance, Program ELVAMO . �ER-n ' bfl+1l l r 1ss0-0008 l`3 ai 'r 6 March 31, 2012 'I "pq important: Read the instructions on des 1-3. A SECTION sA -PROPERTY INFO AWN 3» as ..... )K .. Al. Cafldin v''svneis i�a:re - - aitcq crssrr -rsz : :>---------------r _ g la s Fes( sz s. e:K 5 dyt fitatM..M11D.f.iHdt9111 lilCAf.,{iLY M�1. A2. Building Street Address (inc)uding Apt., Unit, Suite; andlor Bldg: No.) or P.O. Route and Box No. �+y � member . � SS ✓L.rs City State ZIP Code A3. Property Description (Lot and Block Numbers, Tax Parcel Nu' IbarLegal Description, etc.) L a r S S, KI I r' -'_ ems. s S t...Q av 4� r 11� ri L A4. Building Use (e-g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Laftu?e/Lonclt,a+de: Lat. Lo:nm H9lizontal Datum: C] HAD 1927 M NAD 1983 A6. Attach at least 2 photographs of the building if the'Certificate isbemg used to obtain flood insurance. AT Building Diagram Number A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enciosure(s) sq ft. a) Square footage of attached garage 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 k�L � within 1.0 foot above adjacent grade i A 1, . : s in c Total .et alga of flood open ngs in A9.b sq in c) Total net area o, flood openings in A.'3.b q ) d; idr�uxeE3a� in3d i3- mya? Yas ��O :J i�syu.za��-vu' v}.,..�iri.:y'S? C] cry �'s'ir SECTIONS -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ' 61. NFIP Community Name & ommunity Number B2. CountyName 133.•State I U"A r nrGo,Zp % 1 zo ze s I --- Sr. ue-t 1=� B4. Map/Panel Number B5. Suffix B6. FIRM Index B7_ FIRM Panel B8. Flood B9. Base Flood Elevations) (Zone Date Effective/Revised Date j Zone(s) AO, use base Hood depth) 1 Z (t is ll fo jo °! & 3o Arc 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered to item its. FIS Profile ✓ FIRM Community Del rmined ❑ Other (Describe) B11. Indicate elevation datum used for'BFE in Item B9: ff NGVD 1929 Q NAVD:1988 �OOther (Describe) B12. Is the building located in a Coastal Barrier Resources System, (CBRS).area or Otherwise :Protected Area (OPA)? Yes _ Na Designation Date J'CBRS nOPA SECTION C -. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construch-on Drawings' �1Ruilding•Under Construction' Q Finished Construction A now Elevation Certificate will.be required when construction of the building is complete. C2. Elevations -Zones Ai-A30, AE, AH, A (with. BFE), VE, V1430, V (v ttr BFE), AR, ARIA, ARIAE, AR/AI-AZO, ARIAH, ARIAO. Complete Items C2.a-h below according to the building diagram specified in item A7. Use the same datum as the {BFE. ` Benchmark Utilized �1(s s 9 41 '1 A O y F.t_ o -r 1/erticaf D.W. 1 �t 1• V. 0. r g Z q Cdnverston/Comments is iL✓ 3 (o 0 .4 AV In' 8 S t- aV 5•c 0 V0iq ZS Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) _ feet meters (Puerto Rico only) b) Top of the next higher floor foot meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (NZones only) M _� feet [)'meters (Puerto fbw only) d) Attached garage (top of slab) ❑ feet =[] meters (Puerto Rip only) e) Lowest elevation of machinery or equipment servicing the building 7,,15�_- n feet ❑ meters (Puerto Rice only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) �2feet Elmeters (Puerto Rico only) g) Highest adjacent.(finished) grade next to building (HAG) �_ $ [✓Tieet meters {Puerto Rico only) h) tormst adjat~nt grade at lowest elevafion of dedt or stairs, including ��: —� feet metem('Puerto Pic only) structural su2port ' SECTION D -SURREYCDR, ENGINEER, OR ARCHitECT CERTJRCA l ION This certification is to be signed and sealed by a land surveyor, engineer, or.archrled.authorized. by law.to certify elevatioT`' information. l cerffyfhat the info nnation on this Certificate represents myboeeftrts to mterpretthe data avariabie. *I 1("s - Z.Z 1 t understand that any Jalso statement may be punishable try fine or imprisonment rrnrler f g 'i� 5. Code, section 1ti3f = . Check here if comments are provided on back of form. Were ]atitude:and longitude in Section A provided by a PLLACE licensed land surveyor? LJYes No Certiiier's Name License Number 67C� EARL--_ �, .STD! R.1� E Title Company dame�y PRo . L AAA 5UR Va /-ye_e_y •I LvHT- LAiuo SuizyiLYt,�� y-- D A State FL_ ZIP 3L/997 ( o L 1 afore Da Telephone PLS *,qqS G� / /,T-cIt _772-ZSlo-7 `lH - FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT, sidg. v � sate' ftir SwXon A. e ari3 Box �Ho. IF Code 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 Signature Date ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE). I 'For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LO.MR-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 showwhetherthe elevation is above or belowthe highest adjacent grade (HAG) and the lowest adjacent grade (LAG). A) Top of bottom floor (including basement, craw lspace, or enclosure) is _ ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is _ �eet. ❑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 a es 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . _ ❑feet ❑.meters ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ 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 bottomfloor elevated in accordance with the community's ffoodplain management ordinance? ❑ Yes ' ❑j No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNEWS. REPRESENTATIVE) CERTIFICATION] The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FENIA issued or cornownity-issued BFE) or Zone AO must sign here. The siafements in Sec&ons A, 8, and E are correct to the best *Fmy ,knowJ&dga. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature - Date . Telephone Comments ❑ Check her. if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized bylaw or ordinanceto administertha community's floodplain management ordinance can complete Sections A B, C (or E), and G of this Elevation Certificate. Complete the applicable ftem(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The inforfrstion in Sermon Gums taken from other dociinmer on !bat 3e?s been sigped and seaied by a Luk;erasect san-myor, erg oe-T or ara isfi wiio is authorized bylaw 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 community4ssued SFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of CompliancaJOcarpancr issued 1 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) c epth of flooding at the building site [] feet ❑ meters (PR) Datum G10. ConmiuniWb'design,flood on ❑ feet .❑ meters (PR) Datum Local Official's Name Tilde Community dame - Telephone Signature Date Comments ❑ Check hen if attachments FEMA form 81-31, Mar 09 Replaces all previous editions i `r COASTAL TESTING LABO2A'WIRY, L.L.C. PO BOX 2023 PALM CITY, FLORIDA 34991-2023 772-220-6688 DATE September 02, 2011 JOB NUMBER 11-0902 PfRMIr NUMBER : =-o 3 , CLIENr JW N C& tr►,i c tbty CONrRAC'rOR JWN Construed vil JOB LEGAL Lat 55, J03 A�DR�SS .55 Nettle*Isla*i& Tevsevv8ead , FL SOIL CLASSIFICATION Er REMARKS A Firmv I-rraww sa-Ldy soil wttly a m o deratPi amwU4W Of crue&.Ul TESr SAMPLE LOCATION : Slab- 1) 102.0 102.8 99.2 2) 101.4 102.8 98.6 3) 102.4 102.8 99.6 RESRECT'FULLY SUBMIT -MD: ERNESTO VELASCO, P.E. COASTAL TESTING LA3ORA7'ORY3 L.L.C. PO BOX 2023 PALM CITY, FLORIDA 34991-2023 772-220-6688 - MOISTURE DENSITY RELA-r[ONSHIP ASrM D 1557-09 DATE COWIRACWIZ JOB NUMBER PERMIT NUMBER 112 c 11� u_ V � 19� 7 U a tel3 194 Lq 102 v O !;- 10- M sa September 02, 2011 W N Comtrrac uYn/ 11-0902 1107 -0003 Moisture — Percent of Dry �icight ISMi6p:�f- 53623907 102 - 000,3 - Plant: begin Loading;, To Job: Arrive Job:. Start„Unload; Finish Unload: Leave Job: Return Piant Customer Code: Customer Name: p : ". .�" " ���(��•l�,s�iiK�a� �8 ' . T (, Project Code;- Project�I�ame: Ticket Date: Delivery Address: t'`raa 'ice; i' t i "� " ° E "- t� m S J Delivery(nstmctions:• �" S"' a Customer Job Number: Project P.O. Number; Order Code / Date: Wd` rderPO.Number: tJv'r�w»"' "..i w [ r' of Map Patgeo- Map/Row/Column: Dispatcher: Tickgt°uinbUPII i rig 31. 1.�4333 re ORJOb: Slump: Truck Number: Driver Number: Driver Name: - ` TEndse: ')4 C- 4'^ 4 • t' • •.'9' c"'t'? ref^b r—rro• i t'i 73 c.... i"'} } bRr 1"'.[ Ii"'. ., fn: I'!79 LOAD QUANTITY LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT �.}� tttoi ;`xw� n fa E aiyr',3 0r.;�ya'E �3I2t`°il T; I r,.N V I QNMEC TRI,,;.. CHPRG Cash Check # 1 Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. Y SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE ❑ LOAD WAS TESTED BY: 2 Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job,concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the, is no longer guaranteed. WARNING: Product may cause -skin and/or eye irritation. CAUTION: Material terns of sale and delivery and accepts concrete as is. 'blue to important factors' which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to the material safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHOED SIGNATURE: within one business day after the receipt of materials. 68UNIVERSAL j�."RFTV 5 RK a �,�:�s: 0'(:,Z', ,; CUSTOMER f—OAD Cat! tl d 2 Terms and Conditions, Seller's Quotation, if any, and Seller's Order Confirmation (including limitations of warranties), as if fully set forth on this Delivery Ticket ("Aal ent"). Seller will provide the Standard Tc Zand Conditions upon request; Buyer agrees C� that, unless otherwise noted on the froj,,_:reof, all quantities and items were delivc , as indicated and further expressly agrees to pay in accordance with. the Agreement. , 0 AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement. and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. Dry y concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. We ' ar gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: fr .In case of eye contact, immediately flush eyes with flowing water for 15 minutes. Ifdust is inhaled, move td- esh .;air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical, attention if irritation persists. CEMEX 920 Memorial City Way, Ste. 100 V5 combined Houston, exas 77024 06/10 For further information, please visit www.cemexusa.com. Este ticket de entrega i.n.c.luye como referencia a]. comprador (ya previamerite ejecutada en su aplicaci6n de cr6dito); cualquier t6rmino est6ndar, condiciones del vendedor, propuestas del vendedor y orden de conlirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6nninos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este docurnento, el compradoracepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados comp se expresa en el mismo. Acepta pagar el monto de acuerdo al contacto; al menos que se identi- fique con una nota al frente de este documento. A(I-'rREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos (le ragregados son materiales naturales coma piedra caliza, dolomita, granito, rota volcdnica, arena, grava y otros materiales siliclos. Los productos de cemento incluyen Cemento de tipo Portland, de albaffilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cernento Portland y productos de agregados como pi.edra caliza, dolomita, granito,.roca volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la coal puede contener mds de 0.025% de silicio cristalino. Peligros: Mezcla de cernento fresco y/o cenizas volantes pueden causar initaci6n en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar iffitaci6n en los ojos, piel y/o en C la zona respiratoria. Polvo del manejo en el. trituramiento, pulido, corte y/o perforaci6n puede contener materiales I silicon, los cuales pueden causar silicos - is_pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura. c6lida, reposar y tomar grandes'cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La h.umedad puede causar la liberaci6n del amoniaco. La inhalaci.6n del an-ioniaco puede causar toser, irritaci6n o quernaduras en .la nariz, garganta y pulmones. Acudir inmediatamente al. rnedico. El ries-o en la salud depende en la duraci6n y el nivel. de ]a exposici6n. Seguridad: Evite el, contacto con Ojos y contacto prolongado con ]a piel. Use guantes, protecci6n en los Ojos y ropa primeros adecuada para protecci6n. Lilv " ese las manor conjab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone apolvos mds de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en ]a parte afectada por .1.5 minutos. 1Y Si se inhala polvo, exp6ngase a wire fTesco. Si el cemento fresco time contacto con sus ojos, lAvelos a fondo con agua.'Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua. CEMEX 920 Memorial City Way, Ste. 1:00 V5 conabinado Houston, Texas 77024 06/10 Para mds informaci6n visita www.cemexusa.com. COASrA L -rESTI NCB LABORATORY, L.L.C. PO BOX 2023 PALM CITY, FLORIDA 34991-2023 772-220-6688 CAu Malt 000► "k. ASTM 6938-10 DATE Au#u6t25, 2011 JOB NUMBER 11-0825 PERMIT NUMBER : 1107 -0003 CLIENT JwN Con4atrua aw CONTRACTOR JWN C&nsVru ctLow JOB LECIAL Lot 55, Nettl e*IsZ wt& JOB ADDRESS 55 Neta4e4-Sou&vard1 Je t6evvBe wJ , FL SOIL CLASSIFICATION &, REMARKS : A3 Frtadrle, browns sandy soa w%t)v a, mod eratel mnowit of crwhedl shPZL TEST SAMPLE LOCATION : 10' IS LIZ Corner - Center of Pact - 10' IS RF Corner It PLA DRY D-MSmMAXIMUM I= I COMPACTION 1) 101.4 102.6 98.8 2) 102.0 102.6 99.4 3) 101.0 102.6 98.4 IZESPEC77:ULLY SUBMFMD: ERNESTO VELASCO, P.E. COASrAL M7INQ LABOIZArORY, L.L.C. PO BOX 2023 PALM CITY, FLORIDA 34991-2023 772-220-6688 M ors MIZE DENSM RELA rrO NSf(IP CONPRACTOR JOa NUMBER PERMIT NUMBER : 112 98 AST"M D 1557-09 Augu4t25, 2011 JW N COm&ucUOvv 11-0825 1107 -0003 1. 12 14 Moisture — Percent of Dry Weight Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 08/09/2011 Review Comments for Contractor Page -1 18415 JWN CONSTRUCTION INC NEWMAN JAMES W 1701 SE CARVALDO ST PORT ST LUCIE, FL 34983 Permit Number: 1107-0003 As of today's date the owner listed on your application is being notified along with yourself that the referenced building permit has some issues listed in the comments below. Please address these issues as quickly as possible so that we are able to continue to process this permit in a timely manner. If you have any questions regarding the comments below, please call our office. - PROPERTY INFORMATION 55 NETTLES JENSEN BEACH 34957 APPLICATION INFORMATION Permit Number: 1107--0003 Activity Type: New Permit Type: Building Residential (SFR) REVIEWS AND COMMENTS Review.Tvpe Status Documents Missing Pending 07/01/2011 1 Comment NEEDS NOC OWNERS INFORMATION BLVD NORMAN R.JACKSON 243,0 NE 197TH ST MIAMI, FL 33180 Application Type: Master Permit w/subs Other Activity: Stories 2 Reviewed By Date Started, Date Complete Data Released Audrey Humphrey 07/14/2011 3 Comment VEG. PERMIT IN DRAWER UNDER J. FEES ARE LOADED 07/18/2011 4 Comment NEED TO SIGN FLOOD NOTICE IN FILEAT TIME OF PICKUP Front Counter Review Complete Audrey Humphrey 07/01/2011 07/01/2011 Plans Examiner Review Pending Dave Johnson 08/08/2011 08/09/2011 1 Comment. PROVIDE EXTERIOR LANDING & STAIR DETAILS 08/09/2011 2 Comment 5/8" TYPE X FIRESHEILD DRYWALL REQUIRED BELOW HABITIBLE ROOM ABOVE. GARAGE Review Comments for Planning & Development Services Contractor Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Page 2 Phone: (772) 462-1553 Fax: (772) 462-1578 nR/n9/9n11 R CnmmPnt DETAIL 13-A5 ON SHEET A-5 FOR GIRDER TRUSS DONOT MATCH WITH WALL LAYOUT THERE IS NO DETAIL.14-A5 ON FRAMING PLAN To Be Reviewed by Zoning Complete 07/18/2011 To Be Review,by Plans Exan Complete 08/08/2011 Zoning Review Complete Lydia Galbraith 07/18/2011 07/18/2011 -z- rO er" NOTE:Entries to this Pian Review Record that re _: , field check or inspection of the installation must be coordinated ~')e inspection phase (R109) of the p J BUILDING PLANNING (Chapter 3) LOCAL DESIGN CRITERIA (Table R301.2(1) unless noted otherwise) Floor live load (Table R301.5) ,_3 �psf Roof live load (Table R301.6) 226 psf Ground snow load A'fA psf Basic wind speed / c'-® mph Wind exposure category (R301.2.1.4) High wind design criteria applicable (R301.2.1.1) e Seismic design category (SD ) �� [Figure R301.2(2)] SDC C&D provisions (R301.2.2) 1/!A_ ROOM PLANNING REQUIREMtIV I s rcau� uttuu Area Average Use ft2 Width ceilin Living 120 7'-0" T-0'` Dining 70 7'-0" T-0" Kitchen N.A. N.A. 7'-0" Bedroom 70 7'-0" T-0" Bathroom N.A. N.A 7'-0" Weathering area l�k6Qra 113L6 Frost line depth /111 — Termite area Decay area /V64 Winter design temperature r/ 2 Ice barrier underlayment required Flood hazards EXTERIO WALL LOCATION (R302) 71-hour rating for exterior walls located less an 5 feet from lot line (R302.1, Table R302.1) ject Exterior (R302pn1,Tabns and pro 16 R302.1) Minimum Naturav ceilin li ht Natural ventilation' 5'-0" 8% floor area 4%floor area 5'-0" 8% floor area 4% floor area 5'-0" 8% floor area 4% floor area 5'-0" 8% floor area 4% floor area 514"t 3 square feet 1'/o square feet See Sections R303.1 & R303,3 for mechanical ventilation and artificial light 1 6'-8" min. er plumbing fixtures. Required heating (R303.8) SANITATION (R306 and R307) i " Water closet �jLavatory �� Tub or shower Kitchen area with sink Sanitary sewer (Chapter 30) Private disposal (Appendix 1) GLAZING (R308) P A,f t Identification (R308.1) Louvered windows or jalousies (R308.2) Human impact loads/hazardous locations (R308.31R308.4) �r19 Skylights and sloped glazing (R308.6) GARAGES AND CARPORTS (R309) V No opening between garage and sleeping room (R309.1) Opening protection (garage to residence); 13/8" solid wood doors, 20-minute fire -rated doors (R309.1) Penetrations (R309.1.1, R309.1.2) Garage -dwelling separation;'12" gypsum X re - board on garage side, except 5/B° Type quired below habitable rooms (R309.2) -3- Floor surface noncombustible; sloped floor (R309.3) Carport: open two sides; noncombustible floors; sloped floor (R309.4) EGRE R310 - R312) Basement and sleeping room window for emergency escape: opening 5.7 square feet (grade floor, 5 square feet), 24" net clear height, 20" net clear width; maximum sill height = 44" (R310.1- R310.1.4) Window wells (R310.2) AI(A Exit balconies (R311.2.1) Exit access or hallway >— 3' (R311.3) One exit from each dwelling unit (R311.4.1) Exit door_ (3'0" x 6'8".) (R311.4.2) �L'andings for doors (R311.4.3) Stairways; minimum width = 3'0"; maximum stair rise = 73/4'; minimum tread =10" with 3/411-11/41' nosing; minimum headroom = 6'8" (R311.5) _ Landings for stairways; minimum dimension _1Z36" (R311.5.4) Special stairways (R311.5.8) Ramp slope (1:12 maximum) (R311,6) _Al� Ramp landing, minimum Tx 3' (R311.6.2) Ramp handrails; one required if slope > 1:12 (R311.6.3) 11UILDING PLANNING (dont'd.) EGRES (cont'd:) Under stair protection (R311.2.2) Handrails; required on one side of stair, hand- rail height = 34" to 38"; Type I or Type II grip /(R311.5.6 - R311.5.6.3) V Stairway illumination (R303.6, R311.5.7) Guards: required for porches, balconies, ramps, open sides of stairs, or raised floor urfaces > 30" above floor; 34"-36" minimum guard height (R312.1) Opening limitations (R312.2) SMOKE ALARMS (R313) Location and interconnection (R313.2) Power source (R313.3) FOAM PLASTIC (R314) v & Labeling (R314.2) Surface burning, thermal barrier, specific ap- proval (R314.3 - R314.6) WALL AND CEILING FINISH (R315) ;j Flame spread (R315.1) 6�Smoke-developed index (R315.2) INSUL TION (R316) Flame spread (R316.1) Smoke -developed index (R316.1) Attic (R316.4) MATERIALS (R402) DWELLING UNIT SEPA.:.. ION (R317) Two-family dwellings: 1-hour fire -resistance rating (R317.1) Supporting construction (R317.1.1) Townhouse: 2 hour exception (R317.2) Ark.Continuity (R317.2.1) Townhouse parapet (R317.2.2) Townhouse structural independence (R317.2.4) Rated penetrations (R317.3) MOISTURE VAPOR RETARDERS (R318) & M' Required (R318:1) DECAY . ND TERMITE AREAS (R319 and R320) Protection required (Table R301.2(1), R319.1, R320.1) t- lyfl Quality mark (R319.2 and R320.1.1) SITE ADDRESS (R321) J/15P Premises identification (R321.1) ACCES IBILITY (R322) Accessible dwelling units applicable (R322.1) ELEVATORS/PLATFORM LIFTS (R323) �✓l%)- Referenced standards FLOOD SISTANT CONSTRUCTION (R324) FLOOD (R324.1) Hazard area and elevation requirements (R324.2 and R324.3) Design professional (R324.3.6) FOUNDATIONS (Chapter 4) Ifi (P Wood foundations, (R402.1) ::7- Concrete, compressive strength (R402.2) FOOTIN S (R403) f7 Soil bearing value (R401.4, R403.1) Footing width (see page 5) Footing edge thickness = 6" minimum; footing projection = 2" minimum, but <_ footing thick- ness (R403.1.1) 41611 Footings in SDC C or D (R403.1.2, R403.1.3 and R403.1.6.1) Depth below (outside) grade = 12" minimum; but below frost line except for frost protected footings.(R403.1.4, R403.1.4.1 and R403.1.4.2) -4- Sill plate bolting in concrete/masonry = %." di- ameter bolts or as required for unbalanced fill within 12" but not less than 7 bolt diameters from corner, 7" embedment (R403.1.6, Table R404.1(2)) Nri Footings adjacent to slopes (R403.1.7) . y►i (A Frost protected shallow foundations (R403.3) FO�U/NDA N WALLS (R404 - R406) /f✓ Top reactions, support, anchor bolt spacing / [Tables R404.1(1) and R404.1(2)] Masonry and concrete foundation walls (R404.1.1, R404.1.2) A111A SDC D provisions (R404.1.4) Maximum wall height (Tables R404.1(1) - R404.1(3) and Tables R404.1.1(1) - R404.1.1(5)] _ FOUNDATIONS (cont'd.) - TABLE R403.1 -a MINIMUM WIDTH OF CONCRETE OR MASONRY FOU I IWO inches LOAD -BEARING VALUE OF SOIL (psf 1,500 2,000 I 3,000 1 >_ 4,000 Conventional li ht-frame construction _ 1-storL-__. __ 12 _ - 2-story 15 3-story23 12 12 17 12 ---- 12 12 12 12 12 4-inch brick veneer over li hl frame or 8-inch hallow _ 12 21 concrete mason 12 16 24 12 12 16 12 12 12 1-story 2-story 3-story32 8-Inch solid or f 1-story16 Illy grouted masonry 12 I 12 12 2-story29 21 14 12 42 32 21 16 3-story For SI: 1 inch = 25.4 mm. 1 pound per square fool = 0.0479 kPa Where minimum fooling width is 12 inches, a single wythe of solid or fully grouted 12-inch nominal concrete masonry units is permitted. a. - N WALLS (cont'd.) COLUMNS (R407) MFOUNDA aximum unbalanced fill height (Tables Protection from decay or corrosion (R407.1 and R404.1(1) - R404.1(3) and Tables R404.1.1(1) - R40T2 Structural requirements (R407.3) �404.1.1(5)] inimum nominal.wall thickness (Table 1 1 1 - - R404.1(3) and Tables R40 () Anchorage (R407.3) /404.1(1) 404.1.1(5)] Wood columns (minimum 4" square) (R407.3) Reinforcement size and spacing (Tables Steel columns (minimum 3" diameter, standard R404.1.1(2) - R404.1.1(5)] weight) (R407.3) Height above finished grade (R404.1.6) UNDER -FLOOR SPACE (R408) LI (A Sill plate size (R404.3) Ventilation (R408.1 and R408.2) Al % Insulating concrete forms (ICF) (R404.4) Unvented crawl space (R408.3) /v ,D Drains required if habitable or usable spaces /are below grade* (R405) �oil class (Table R405.1) ampproofing if basements are below grade" (R406.1) Waterproofing if high water table" (R406.2) Access (R408.4) Removal of debris (R408.5) Finished grade (R408.6) Flood resistance (R408.7) 'GIf uninhabitable, see under -floor space (R408) FLOORS (Chapter 5) WOOD JOISTS AND GIRDERS (R502) Bearing (1.5" minimum on wood or metal; 3" on masonry or concrete) and lapped joists (3") d ode (R502 1) (R502.6, R502.6.1) Species an gr / Joists - Sleepingg areas, LL = 30 psf L Lateral restraint and bridging (R502.7, (fable R502.3.1(1)] R502.7.1) Joists - Nonsleeping areas, LL = 40 psf [fable R502.3.10] Cantilevered joists (Tables R502.3.3(1) and R502.3.3(2)] Girder spans and header spans for exterior bearing walls [Table R502.5(1)] Girder spans and header spans for interior bearing walls [Table R502.5(2)] Joists under bearing partitions (R502.4) jwS -,* Drilling and notching (R502.8) Fastening (R502.9) T f�' Framing of openings (R502.10) V' Wood trusses (R502.11) t 44" Draftstopping (R502.12) -5- FLOORS (cont'd.) LUMBER FLOOR SHEATHING (R503.1) Allowable span (Table R503.1) / " `I End joints (R503.1.1) WOOD STRUCTURAL PANEL SHEATHING (R503.2) t,/— Grade (R503.2.1) 7-ZThickness (R503.2.1) —Allowable spans (Tables R503.2.1.1(1) and R503.2.1.1(2)] Installation [Table 602.3(1)1 PARTICLEBOARD UNDERLAYMENT (R503.3) Grade (R503.3.1) Thickness (R503.3.2) Installation [Table R602.3(1)] TREATED -WOOD FLOORS (ON GROUND) (R504) Base course: 4" thick with maximum 3/4" gravel or'/2" crushed stone (R504.2.1) Moisture barrier: placed over base course (R504.2.2) STEEL FLOOR FRAMING (R505) Cold -formed steel; applicability limits; in -line framing (R505.1) Structural framing (R505.2) Material (R505.2.1) Identification (R505.2.2) Corrosion protection (R505.2.3) Fastening (R505.2.4) Floor construction (R505.3) CONCR TE FLOORS (ON GROUND) (R506) Thickness: 31/2" minimum; Concrete strength (R506.1) Support: prepared subgrade; maximum earth fill = 8"; maximum sand or gravel fill = 24" �R506.2.1) llr/// se course: 4" graded with 2" maximum aggregate (R506.2.2) Vapor retarder (R506.2.3) Materials (R504.3) WALL CONSTRUCTION (Chapter 6) VGENERAL R601) sign (R601.2) `✓ Component and cladding wind loads [Table �4inclows 301.2(2)] in windborne debris regions (R301.2.1.2) WOOD STRUCTION (R602) Construction (Figures R602.3(1) and R602.3(2)J LW'lid d grade (R602:2) xterior walls (R602.3) /Stud spacing (R602.3.1) -— Interior load -bearing walls (R602.4) Interior nonbearing walls: 2" x 3" at 24" o.c. or 2" x 4" flat at 16" o.c. (R602.5) Drilling and notching — studs (R602.6) / ti67/ Drilling and notching —top plate (R602.6.1) t'ry f J Headers (Tables R502.5(1), R502.5(2), R602.7.2 and Figure R602.7.21 Fireblocking (R602.8) Ir ti Lf ripple walls (R602.9) Wall bracing method (R602.10.1 and 02.10.3) all bracing amount and location (Table 602.10.1) d — Wall bracing length (R602.10.4) SDC D (R602.10.9, R602.10.11 and R602.11) STEEL WALL FRAMING (R603) General (R603.1) Structural framing (R603.2) Material (R603.2.1) dentification (R603.2.2) Corrosion protection (R603.2.3) Fastening (R603.2.4) Wall construction (R603.3) Headers (R603.6) Structural sheathing (R603.7) -6- WALL CONSTRUCTION (cont'd.) SHEATHING (R604 and R605) INSULATING CONCRETE FORM WALL CONSTRUCTION (R611) Wood structural panels (R604) /✓t,#" Particleboard (R605) MASONRY ONSTRUCTION (R606 - R610) General design (R606) n/ ✓4� SDC C and D (R606.12) Unit masonry (R607) Multiple wythe masonry (R608) General design (R611.1 and R611.2) / Type of ICF wall design (R611.3 - R611.5) Construction requirements (R611.7 - R611.9) CONVENTIONAL CONCRETE WALL CONSTRUCTION (R612) _A Design basis (R612.1) WINDOWS & DOORS (R613) Grouted masonry (R609) General; window sills; performance; testing A 0- Glass unit masonry (R610) and labeling (R613.1- R613.4) WALL COVERING (Chapter 7) ERIOR WALL COVERING (R702) dk"�A Wood shakes and shingles (R703.5) INT Plaster material (R702.2) N (64�- Plaster support (R702.2.1) ypsum board material (R702.3.1) Gypsum board support, application and fas- tening .(R702.3.2 - R702.3.8) Ceramic tile (R702.4) Other finishes (R702.5 and R702.6) EXTERIOR WALL COVERING (R703) Water -resistive barrier (R703.2) Wood siding (R703.3) Attachment and minimum thickness (Table Q7na of Exterior plaster (R703.6) Stone & masonry veneer (R703.7 & Figure R703.7); Steel angle lintels-4" minimum bear- ing each end (R703.7.3) Veneer ties: #9 U.S. gage wire or #22 U.S. gage by'la' corrugated metal; 24" o.c. maxi- mum horizontal spacing; 2.67 square feet maximum area supported (wind > 30 psf and SDC C or D, maximum area = 2 square feet) (R703.7.4.1) Flashing (R703.7.5 and R703.8) Gy /� Exterior insulation finish systems (R703.9) Fiber cement siding (R703.10) ROOF -CEILING CONSTRUCTI N (Chapter 8) GENERAL (R801)_jY Lateral support and bridging (R802.8) Dw l taming of openings (R802.9) Design (R801.2 and R801.3) ood trusses (R802. l...6. Component and cladding wind loads [Table R301.2(2)] Roof tie -down (R802.- 2. `I ROOF FRAMING (R802) CEILING JOISTS [Tables R802.4(1), R802.4(2)] Fire -retardant -treated wood (R802.1, ti Without attic storage; LL = 1 opsf Framing details (R802.',4.1 With attic storage LL = 20psf Rafter tie (4' o.c.) (R802.3.1) Spacing Collar ties (4' o.c., in upper third of attic) Species A4 (R802.3.1) Grade Purlins R' x 4" at 4' o.c. minimum) 401.2.11 Span (Figure g p �, 3,1 Size Bearing (R802.- Cutting and notching (R802'. Z. Engineered wood products (R802.' j. b .� -7- ,q 1(17.. V - If ROOF -CEILING CONSTRUCTION (cont'd,'_ RAFTERS [Tables R802.5.1(1) - R802.5.1(8)] Ground snow load/LL = 20psf N /4 Controlling design (LL or snow) Ceiling attached/ceiling not attached � Spacing r/1 Species 7 Grade Span Size He/HR; Adjustment factor ROOFS EATHING (R803.. �. rade Thickness FRTW allowable stresses/grading Allowable spans [Table R503.2.1.1(1)) Installation (R803.2.3) STEEL ROOF FRAMING (R804) General (R804.1) Structural framing (R804.2) Material (R804.2.1) Identification (R804.2.2) Corrosion protection (R804.2.3) Fastening (R804.2.4) Roof construction (R804.3) Roof tie -down (R804.4) ROO7VTILATION (R806) Ventilation requirements (R806.1, R806.2, R806.4) ATTIC A SS (11807) Access requirements (807.1) 903.1.2 INSULATION CLEARANCE (R808) i tiS'" Insulation requirements (R806.3, R808.1) ROOF ASSEMBLIES (Chapter 9) ROOF C SSIFICATION (R902) Roof covering materials (R902.1) WEATHER PROTECTION (R903) ILL/ Flashing (R903.2) AIM Coping (R903.3) A-' (A Roof drainage (R903.4) MATERIA (R904) Compatibility; specifications; physical characteristics; identification (R904.2 - R904.4) REQUIREMENTS FOR ROOF COVERINGS (R905) Asphalt shingles (R905.2) Clay and concrete tile (R905.3) Metal roof shingles (R905.4) _ Mineral -surfaced roll roofing (R905.5) Slate and slate -type shingles (R905.6) -8- 11-147 Wood shingles (R905.7) 111g Wood shakes (R905.8) A Built-up roofs (R905.9) Metal roof panels (R905.10) /1. Modified bitumen roofing (R905.11) /v 4 Thermoset single -ply roofing (R905.12) L6 Thermoplastic single -ply roofing (R905.13) 6l/ A Sprayed polyurethane foam roofing (R905.14) Liquid -applied coatings (R905.15) ROOF INSULATION (R906) A/ 2 General (R906.1) REROOFING (R907) Materials and methods (R907.1) Structural support (R907.2) Recover vs replace (R907.3) CHIMNEYS AND FIREPLACES (Chapter MASONRY FIREPLACES (111001) _ Construction (Figure R1001.1 and Table R1001.1) SDC D reinforcing/anchorage (R1001.3 and R1001.4) Spark arrestors (R1003.9.1) Wall thickness; >_ 4" (R1003.10) Flue lining - materiallinstallation (R1003.11 and R1003.12) Multiple flues (R1003.13) Firebox walls and dimensions (131001.5 and Flue area (appliance) (R1003.14) R1001.6) Flue area (masonry fireplace) (R1003.15) Steel fireplace units (R1001.5.1) Lintel (noncombustible) (R1001.7) earth extension material (R1001.9) Hearth extension (R1001.10) Fireplace clearance (R1001.11) Mantel and trim (R1001.11) Fireblocking (R1001.12) MASONRY CHIMNEYS (R1003) Construction (Table R1001.1, R1003.2, R1003.3, and Figure R1001.1) orbeling (R1003.5) /V/Changes in dimension (R1003.6) Inlet (R1003.16) Cleanout opening (R1003.17) Chimney clearance (R1003.16) Fireblocking (R1003.19) Chimney crickets (R1003.20) FACTORY -BUILT FIREPLACES (R1004) Labeled and listed (R1004.1) Installation (R1004.2) FACTORY -BUILT CHIMNEYS (R1005) Listed and labeled (R1005.1) Installation (R1005.3 and R1005.4) _ Additional load (R1003.8) TERIOR AIR SUPPLY (R1006) Ter mination R1003.9) XF Intake size (R1006.2) ENERGY EFFICIENCY* (Chapter 11) Compliance; material and equipment N1101.2, N1101.3) Climate zone (Table N1101.2) v Building envelope (N1102) Mechanical s ( N1103) systems "See energy conservation plan review record MECHANICAL (Chapters 12' 3) Appliance labeling (M1302, M1303) fks r Appliance access (M1305, M1401) �t, S / Appliance installation (M1307) _ He ing and cooling equipment; heating nd cooling load calculations (Chap ) -- gust systems (Chapter 15) Duct systems (Chapter 16) /1-49 Combustion air (Chapter 17) 0 Chimney and vent location and terminations (Chapter 10 and Chapter 18) ter "Special fuel -burning equipment (Chapter 19) Boilerslwater heaters (Chapter 20) L/(/1- Hydronic piping (Chapter21) &-t-t Special piping and storage systems (Chapter 22) 1144 Solar systems (Chapter 23) Penetrations of fire -resistance rated assem- blies (R317.3) FUEL GAS (Chapter 24) Application (G2401.1) General regulations (G2404) Appliance location (G2406) gtlar�on ts(G2407) (G2408) Clearances (G2409) Electrical and electrical bonding (G2410, G2411) Pipe sizing (G2413) Piping materials (G2414) Piping installation (G2415 and G2419) V iping support (G2418 and G2424) alves, controls, connections (G2420, G2421 and G2422) Venting (G2425 - G2428) Misc appliances (G2423, G2429 - G2453) Water supply and distribution system design Water service location and depth (P2603, nd calculations (Chapter 29) P2604) Drain, waste and vent pipe sizing and riser di - Sanitary and storm sewer location and depth agram (P3004, P3005, Chapter 31) (P2603, P2604) Piping support (Table P2605.1) �61 Sumps and ejectors (P3007) J����i� Backwater valves (P3008) Listed plastic materials (P2608) /1✓5 � Plumbing fixtures (Chapfer27) ��''�� Fixture traps (P3201J WPenetrations of fire -resistance rated assem- ater heater size and location (Chapter 28) blies (R317.3) ELECTRICAL (Chapters 33-42) ('¢ Penetrations of fire -resistance rated assem- blies (E3302.2) / , i e** . Listed and labeled materials (E3303) 417— Service equipment and location (E3501, E3506) Service size and load calculations (E3502) Available fault current (E3506) Feeder requirements and load calculations (E3604) f 'Wiring methods (Chapter 37) ;// Required lighting and receptacle outlets (E3801, E3803) i IV S, Devices and lighting fixtures (Chapter 39) t� Appliance installation (Chapter40) System grounding (E3507) . N l.4 Swimming pools (Chapter. 41) (/ Required branch circuits (E3603) Class 2 remote -control, signaling and power -lim- ited circuits (Chapter 42) MANUFACTURED HOUSING USED AS DWELLINGS (Appendix E) /'�4�*- Compliance with Appendix E verified Provisions adopted (R102.5) RADON CONTROL MEASURES (Appendix F) / r 4Provisions adopted (R102.5) / 4A_ Compliance with Appendix F verified -10- SWIMMING POOLS, SPAS.AND NOT TUBS. (Appe��_. G) Provisions adopted (R102.5) Compliance with Appendix G verified PATIO COVERS (Appendix H) Provisions adopted (R102.5) PRIVATE%SEWAGE DISPO§XL Provisions adopted (R102.5 EXISTIN UILDINGS Provisions adopted SOUND TRANSMI Provisions adopted (R102.5) STRUCT RE piance with Appendix H verified ------------- ndix 1) ix I verified e ix J) with Appendix J verified qN (Appendix K) Compliance with Appendix K verified NOTES -11- 0 NOTES (cont'd.) Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6443 PERMIT NUMBER: LOCATION: CONTRACTOR: D BA: OWNER: FLOOD HAZARD NOTICE 1107-0003 55 NETTLES BLVD JENSEN BEACH NEWMAN JAMES W JWN CONSTRUCTION INC FRANCES D JACKSON NOTICE 11Y1113 41y`1 FILE COPY This Notice is to inform you that your property is in a Flood Hazard Zone. This means that the elevation of the first floor must be set at 8 feet; NGVD ( mean sea level ), or 18" above the crown of the road, whichever is greater. NO CONSTRUCTION is to proceed beyond the 1 st floor / slab inspection, or just prior to the second floor pour of a multi -story structure, until the required elevation certification has been completed by a registered surveyor, and received and approved by the Building Division of the St. Lucie County Community Development Department. Violation of the requirement will result in the scheduling of a public hearing before the St. Lucie County Code Enforcement Board. The Board is empowered to levy a fine not to exceed $250.00 per day for each day the violation continues. A fine not to exceed $500.00 per day may be levied for a repeat violation. The fine may become a lien upon the real or personal property of the violator. The elevation certification may be submitted .any time within 21 calendar days from the above; however, no further construction should take place, r will any inspections be made until the required certification has been received and approv�. nature Date PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY (� Lo v umqly l) C-L lx) will be using the following sub -contractors for the (Company/Individual Name) project located at (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 listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical LUZ 5 Uf dT C Plumbing HVAC/ Mechanical CA q nn Roofing � CCC � Gas OMCF. ITSF, ONLY: PERMIT ISSUE DATE: NUMBER: I I O " EO GO 3 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) have agreed to be the (Company Name/Individual Name) sub -contractor for Own P 90M)CV). (Type of Trade) (Primary ontractor) for the project located at 450a. - 1551 - (_3 V_� I - OLD (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 SXNATURE ] C,PRINT1 NAME `� f DATE �/�/� Business Name: Law ✓ J c "15:1 ��1J V � cc ) 1 ►l_. Address: City/State/Zip: Phone: OFFICE USE ONLY: email: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT J ' c BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT idl e - SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: n Olr�—f State of Florida Certification Number (If applicable): PC �' col 3 %oZ iraten hcadp P iur ))ow a be, have agreed to be the (Company Name/Individual Name) PlIA,IYIhoQ sub -contractor for JON] l o6b-IACh( n (Type of Trad (Primary Contractor) for the project locaied.at �--S©p- �c)) _���' T. (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 SIGNATURE +REQUIRED I r�r�rli� �� alY�e�r•��r� SIGNA PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT# ISSUE DATE fth •fit+ PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: Q 5 f)O State of Florida Certification Number (If applicable): C 1'n C I Z. `'1 9 q r s Dc)od have agreed to be the (Company Name/Individual N e) +�Va C, sub -contractor for N �� f �l� ( CN (Type of Trade) Primary Contractor) for the project located at WD-0 o;DQ l - PDO ` c_;� (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 ( � 6 & IJA,,%&A � . Co,26w I SIGNATURE PRINTr NAME DATE Business Name: Address: l Z 9 6 S City/State/Zip: E l • Phone: email: LicJ �b OFFTC'F ITSE ONLY: PERMIT # ISSUE DATE 4)Q8a ,Cow ST. LUCIE COUNTY PUBLIC WORKS - - BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: % ! i) dJ State of Florida Certification Number (If applicable): CC-0058241 Roof Concepts (Company Name/Individual Name) roofing (Type of Trade) have agreed to be the sub -contractor for J" Construction (Primary Contractor) for the project located at `-� tua • �l " r_�'_) lJ (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) INAL SIGNATU /ARE REQUIRED t /� -e✓z2�`c SIGNAT PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: Roof Concepts 2121 SW Conant Avenue Port St. Lucie, FL 34953 772-344-3717 email: n] FTC1V TTGF. nNT .V PERMIT # ISSUE DATE 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, (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. 1*t10X1'zr' /bv x" r*�'a 00 Prope Owner Name ( ease Print) Property Owner ature Dat STATE OF FLORIDA, COUNTY OF � ACKNO LEDGED BEFORE ME THIS DAY OF <. o1 Ili , 20__U_, BY ,0 1?eYMN A)61�HO IS PERSONALLY KNOWN TO ME '�< OR WHO HAS NUMBER AS IDENTIFICATION. TYPE R PRINT NOTARY J ' f KELLY Commission # DD 959417 NPExpires February 14, 2014 3bh Bonded Tlw Troy Flo losuraoce890 3&i•7019 SLCPDSD Revised 08/24/2010 Date: Property Address: St. Lucie County µ Building & Zoning Department 2300 Virginia Avenue Fort Pierce, FL 34982 561462 2165 Fax 561-462-1148 Request for 30-Day Temporary Power Release Permit Number: I lol-OD0 3 THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is requested for the above stated purpose only, and there will be no occupancy of any type, other than that permitted by construction during this time period. 2.. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including Building Division Policy, which is incorporated herein by reference. 3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day Power for Testing" have been fulfilled and the premise is ready for compliance inspection. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH AMY BE NCURRE DUE TO THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. OWNER SICriY/ATURE SIGNATURE DATE DATE CONTRACTOR SIGNATURE DATE Property Appraiser - St.Lucie County, F.- Norman R Jackson Record: 1 of 1 Property Identification Site Address: 55 NETTLES BV See/Town/Range: 02 :37S :41 E Map ID: 45/02G Zoning: HIRD Page 1 of 1 i PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print C ParcellD: 4502-501-0241-000-2 Account #: 119829 y� ` Land Use: Vac Res City/Cnty: St Lucie County,r Ownership and Mailing Legal Description Owner: Norman R Jackson Frances D Jackson NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 55N AND PRO - Address: 2430 NE 197th St RATA SHARE IN COMMON ELEMENTS (OR 3188-231 Miami FL 33180 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 175000 Land Value: 175000 Acres: 0.04 4/8/2010 169900 0001 WD 3188 / 2313 Assessed: 175000 Building Value: 0 4/17/2006 100 01 PR 2541 / 2051 Ag.Credit: 0 Finished Area: 0 SgFt 4/1/1984 70000 00 CV 0430 / 0807 Exempt: 12/1/1977 18000 01 CV 0279 / 0294 Taxable: 11/1/1972 8500 00 CV 0209 / 2488 Taxes: 3637.25 BUILDING INFORMATION No Sketch Available Exterior Features View: RoofCover: RoofStruct: - ExtType: YearBlt: Frame: - Grade: - EffYrBlt: PrimeWall: - StoryHght: No.Units: SecWall: - Interior Features BedRooms: Electric: PrmintWall: Ful[Bath: HeatType: AvgHUFI: 1/213ath: HeatFuel: Prm.Flors: %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qua]. Cond. YrBlt. No. Land Use Type Measure Depth 1 0000-Vac Res IFWW-Unit 1 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=450250102410002 6/20/2011 Planning & Development Services Department Building & Code Regulations Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-1553 Design Certification for Wind Load Compliance This Certification must be completed by the project design architect or engineer. This Certification must be submitted in duplicate with all applications for building permits involving the construction of new residence (single or multi- family), residential addition, any accessory structure requiring a building permit, and any nonresidential structure. This Certification shall not apply to interior renovations (provided that no exterior structural walls, columns or other components are being affected) and certain other minor building permits. For further assistance, please contact the Building Inspection Office at (772)462-1553 Project Name Street Address Permit Number L < ! Occupancy Type L c c C Construction Type Certification Statement: I certify that, to the best of my knowledge and belief, these plans and specifications have been designed to R comply with the applicable structural portion. of the Building Codes currently adopted and enforced by St. Lucie County. I also certify that structural elements depicted on these plans provide adequate resistance to the wind loads and forces specified by current code provisions. Design 011rameters and Assumptions Used: (Please check or complete the appropriate box.) 1 Florida Building Code 20_Q3 Edition with 20 O�_ Supplements and ASCE 7 OS 2. Building Design is: Enclosed: ✓ Partially Enclosed: Open Building: 3. Mean Roof Height: ZZ-,O" Roof Pitch: -?I 12 Internal Pressure Coefficient: -} D, 'a 4. Width of End Zone: 3. 0 o Wind Speed: i E(C (3 sec. gust) 5. Building Classification Table 1-1. ASCE 7 FBC Table 1604.5 .?L 6. Wind Exposure Classification: — Adjustment Factor for Exposure & Height: i , 337- 7. Components & Cladding Wind Pressure on Roof Zone 1 42, to 299,5 _3�PSF 8. Components & Cladding Wind Pressure on Wall Zone 4 5e5,Ll 5 (02.3 PSF 9. Components & Cladding wind Pressure on Overhead Garage Door '4 9 4 3q j PSF 10. Loads: Floor 5.5 PSF Roof/dead, 2 S PSF Roof/live Zo PSF 11. Shear Walls Considered for Structure? Yes 'X No (if No, attach explanation) 12. Continuous Load Path provided? Yes X No (if No, attach explanation) 13. Are Component and Cladding Details Provided? Yes _X_ No _ (if No, attach explanation) 14. Minimum Soil Bearing Pressure: '256o Presumptive: 25p o By Test: PSF As witnessed by my seal, I hereby certify that the information included with this certification is true and correct, to the best of my knowledge and belief. Name: 51&t--A 56% eve L o K c IN Cert #: Ep i flsv Design Firm: PEA . C . Date: !f SLCCDV Form # 020-00 SEAL Revised 2/27/09 (CL) Revised 6/11/2010 (IS) 1-4 Building Permit # Planning & Development Services Department Building & Regulations Division Product Review Affidavit Owners Name plicant: Product Opening Design Pressures Product Rated Design Pressure Manufacturer Model Number Product Approval Number Glass Tvoe Method of Attachment Windows Ij, -70d0 1- i f i''��✓°k' i { }� IM1 ���(10itX`i �t 'itit 1`,b(1W,i MICIO-,51'� a Mullions Fixed Glass Block Glass Skylights Sliding Glass Doors ' I I GL"J v n, v, 0 f 0 �/ V W �z,0 0 (AV ' � ( WO r27 0V e Swing Type Doors 0/ - �' TI�t J91� S �1I,tQ"7tt,4'S1 ��� o French Doors G�%�is " 6� tr Garage Doors GJF�� GwV 9�Q-12� 11� a G !]��� �� �O�r7 Hurricane Protection Roof Ventilation Roofing Material VG%Y S, W% WTt/ I have reviewed the above components or cladding and I have approved their use in this structure. These products provide adequate resistance to the wind loads and forces specified by current code provisions. Name: S�g v... 5h a�^ y Signature: seal Design Prof: Cert. No. So (1?5-4 Date: ��l u rG, ST.LUCIE COUNTY BOARD OF COUNTY COMMISSIONERS .2300,VIRGINIA AVE FT. PIERCE, FL 34982-5652 ATTN: JESSE BAXLEY, RECORDS MANAGEMENT 'PHONE: (772)462-6493- FAX: (772)462-6494 RECORDS RETRIEVAL REQUEST .REQUESTED I DATE: r DIVISION/DEPT: PHONE: *hz -ftECORDS REQUESTED: BIN/BOX # GS# DESCRIPTION ITEM# DATE(S). DATA TRANSMITTED BY: PHONE: 0 FAX: 0' MAIL/COURIER: 0 IN PERSON: RECORD(S) RECEIVED BY: DATE: RECORDS) RETURNED BY: DATE: RECORD(S) RECEIVED AT FACILITY BY: DATE: COMMENTS: /77ALC!, RETURN SIGNED COPY WHEN RETURNING REQUESTING RECORDS -SLCC/IS: 9/24/09