HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY: 1
7 j V- I ,
DATE FILED: 6 ( /
PLAN REVIEW FEE: RECEIPT NO.: —; PERMIT NUMBER: 1--�
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
SCANNED Ft. Pierce, FL 34982-5652
�� By 77244 2-1553 juttc t9�
Lucie County
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION/
1. LOCATION/SITE ADDRESS:
105
2. PROJECT NAME: rl1jt� -rTVnfi SITE PLAN.NAME:
3. PROPERTY TAX ID #: 3L+a1- 111-000 a - 000 - 5
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 9-1 3 (D 440 I4 11 T h
r� S I�lUe f1vex- � L0 O1 U.S 1 Cali Go 0001-
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO:
9. PARCEL SIZE (ACRES/SQ FT.):
10. COMPLETE DESCWT�ON OF
8. LOT NO.
LOT DIMENSIONS:
PROJECT OR
_ aL- I i n
.¢
11. SETBACKS (ACT AL) FRONT: � BACK: 0 RIGHT SIDE: �1 LEFT SIDE: I
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[� NEW CONSTRUCTION [ ] EXPANSIONIADDITI.ON
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: 1
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
14. SQ. FT OF CONSTRUCTION: 1 —1 I `a 15. V. FT 1st FLOOR:
Cb
16. VALUE OF CONSTRUCTION: $'�'�
The value of construction is used to determine the amount of permit fees to be assessed St Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application. 1
SLCCDV Form No.: 001-02 J
UPDATED 6/25/09
OWNER INFORMATION
�
NAME: j , , n
1
ADDRESS: 5�
STATE: ZIP:
CITY: % � 1pl � � SO
PHONE (DAYTRAE)- ( 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:
STATE: ZIP:CITY:
PHONE (DAYTIlAE):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:
BUSINESS NAME:
QUALIFIERS N .
ADDRESS: 1
CITY: ���1 , STATE:
PHONE (DAYTRvffi) � �� ®"71-7t FAX NO.
ADDRESS: `-'1-�// V 1 + w , "
CITY: STATE:
�d T-Q PHONE (DAYTIlVIE)•4.
ST. LUCIE COUNTY CER #
Email:
lard
ZIP:
BONDING COMPANY:
ADDRESS:
CITY:
STATE: ZIP:
MORTGAGE LENDER:
ADDRESS:
STATE: ZIP:
CITY:
IMPORTANT,NOTICE: When a permit is issued and it is not picked up within 6060 day-s after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit. application.
St. Lucie County makes no representation that its granting,of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT 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. '
40WOWRCOANTiRiACTOR SIGNATURE
STATE OF FLO A
COUNTY OF T
The foregoing instrument was
acknowlledged� before
me this V day of W `� 20 t 1
by �JLA 11 e, KGi l-yC,�
who is personally known or has produced
identification.
— W"k&" I
CO CTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF C;t—• I Al C A
The foregoing instrument was acknowledged before
me this day ofiWAA, 20 < < ,
by
who is personally known or has produced
as identification.
0 a/ x�w r
Signature of Notary P Signature of No ry, PV9 Notary PubliC State of Florida
ro.►�' 4ek Notary Public:State of Florida ;� + Catherine Mazur
Cather' zur c + My COMMIA,{t $Q38385
Commission NO. �. v My Co �i �E039386
Commission No. fe8 ii1a2��i�#1
ORR. EXPIfC3 ii/o2/zotR .
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 OWNERBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY BP #: 1 10-
SECTION
Al
TOWNSHIP
RANGE
MAPNO.
ZONING
LAND USE`S
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
I� Q}��
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
�hILQ
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
a O
AREA
FEE
FEE
Q�
LIBRARY
PUBLIC BLD
WIC BLD
PARKS
IMPACT.
IMPACT FEE
IMPACT
Rv PACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
i `i
CREDIT
Y
N. ':
LAW ENE .,
'IMPACT
IMPACT
ACT
""
!
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED _
FEE
J
VARIANCE FEE
FEE
Q
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS !
ELECTRIC GAS- '
LOT OF RECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING: ! /
REVIEWS_
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
' REVIEW.
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE,
: •..,:,:.
,. ,.
.
RECEIVEDqj
DATE:
COMPLETED.
`
INITIALS
I107_ 0221
GY. LUCIE 0011NTY
BUILDING DIVIFIION
—
CE
(
REVIEWED BY
DATE
PLANS AND PERMI
MUST BE KEPT ON JOB OR
WILL BE MADE
NO INSPECTION
b0
I
Q
Q
i
7t
t
i
V
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ks
w
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0
MIN, SETBA\l('REf
? FRONT
SIDES IFSs
CNR,SIDES rC A
�. _� d _l `t REAR 1 S `
ZNG. PULD
J TECH., .
UMBER
Installer
.
Address of home
being installed
.................
?\\^�": vChV\•'� �v�, ;� �.'?:. V��` ::v}`ik �:.�'i ^:t :i•��2,�''
License # .1 I��! ✓ t ���
Manufacturer Length x width
NOTE; 'it home Is a single wide fill out one half of the blocking plan
If home Is a triple or quad wide sketch In remainder of home
I understand Lateral Arm Systems cannot be used on any home (new or us )
Mare the sldewall ties exceed 5 ft 4 in;
Installer's initials
Typical pier spacing
US 11
2' / I lateral _1155
PERMIT WORKSHEET
I page 1 of 2 I�
New Home
[]
Used Home
,
Home installed
to the Manufacturer's Installation Manual
❑
Home is Installed
in accordance with Rule 15-0
Single wide
❑
Wind Zone II Win Zone
III/II ❑
Double wide
Installation Decal #
--
lP
Triple/Quad
[]
Serial # A(10
A
PIER SPACING TABLE FOR USED HOMES
Load
F er
bearing
size
16' x 16'
18 1/2' x 18 1/2'
20' x 20'
22' x 22'
24' X 24'
26' x 26'
capacity
(sq in)
(256)
(342 )
(400)
(484)-
(576)-
(676)
1000
Dst
3
00 s
4 6
6
8
000 pst
6
8
8
2500 pst
7'6"8
8
6
'3000 s
8
8
3 0 s
8'
8
mrerPomMa corn nuie Iat:-1 pier spacing [acre.
PIER PAD SIZES
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes
(required by the mfq.)
MIDraw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foot
and.their pier pad sizes below.
Opening do�ter padzlze o�s 11'12 x22I z
W1 ' F1 %2 x 22
POPULAR PAD SIZES
ANCHOR
4 ft '5 It
FRAME TIES
within 2' of end of h0C1___'
spaced at 5' 4" oc _
TIEDOWN COMPONENTS I OTHER TIES
Number
Longitudinal a l In _ y1F�,[� ��w,, \ i II
Manufacturer
�U�Y'�' [L%11IWI, dinal
LongitudinaI Stabilizing Device w/Later Arms Marrj qe wall
Manufacturer Sheanvall
y;� j;:.:•KIV.Filt PERMIT WORKSHEET page 2 of 2
PERMIT NUMBER :;,.,... •n., r ;>>4-:--„ ..
POCKET PENETROM ETER TEST
The pocket penetrometer tests are rou own to psf
or check hereto declare 1000 lb, soil without testing.
X X X
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the.footer.
S. Using 500 lb. increments, take the lowest
reading and round down to that increment.
X X X
TORQUE PROBE TEST
The results of the torque probe test is inch pounds or check
here if you are declaring 5' anchors without testing . A test
showing 275 inch pounds or less will require 5 foot anchors,
Note: A state approved lateral arm system is being used and 4 ft.
anchors are allowed at•the sidewall locations. i understand 5 ft
anchors are required at all centerline tie pointp where the torque test
reading is 275• or less and where the bile h a manufacturer may N
requires anchors with 4 0 ,q capacity.
Installer's initials _
ALL TESTS MU T iiB�E ERnFOR ED A LIjC(ENNSS'gD INSTALLER '
Installer Name �� M, e � ° �% /_[ r ZA
Date Tested U "0 —I
Electrical /
:brinect electrical conductors between multi -wide units, but not to the main p r
ource. This'includes the bonding wire between mult-wide units. Pg.
Plumbing
Debris and organic material removed
Water drainage: Natural Swale Pad 9 Other
Floor. Type Fastener Length: %_1,Spacinq: itU I U 1
Walls: Type Fastener. I AfALength: U Spacing:1
Roof: Type Fastener. Length: LoKSpacing:
For. used homes a min. 0 gauge, a" wide, galvanized meta strip
will be centered over the peak of the -roof and fastened with gals.
roofing nails at 2" on center on both sides of the centerline.
Gasket (wmtherproofing requirement)
I understand a properly installed gasket is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a result of a poorly installed or no gasket being installed. I understand a strip
of tape will not serve as a gasket.
Installer's initials
Type gasket Installed:
Pg. Between Floors Yes
Between Walls Yes
Bottom of ridgebeam Yes
Weatherproofing
The bottomb card will be repaired and/or taped. Yes C/ Pg.
Siding on units is installed to manufacturer's specifications. Yes A ���
Fireplace chimney Installed so as not to allow intrusion of rain water, Yes NJ
11
Miscellaneous
Skirting to be installed. Yes No _�/
Dryer vent installed outside of skirting. Yes N/A
Range downf low vent installed, outside of ski ing. Yes WA
Drain lines supported at 4 foot intervals, ✓
Electrical crossovers protected. Yes
Other :
installer verifies all information given with this permit worksheet
is accurate and true based on the
flnnect all sewer drains to an existing sewer tap or s21to�er
m
k. Pg.
onnect all potable water supply piping to an exi tin eter, water tap, or other Installer Signature Date l
tdependent water supply systems, Pg.
PERMIT WORKSHEET
PERMIT NUMBER
Installer
License x
Address of home
being installed
Manufacturer Lenqth x width
NOTE; ' If home Is a single wide fill out one half of the blocking plan
If home Is a triple or quad wide sketch In remainder of home
I understand Lateral Arm Systems cannot be used on any home (new or used)
where the sidewall ties exceed 5 ft 4 in.
Installer's initials
Typical pier spacing
iaeral
2
Show locations of Longitudinal and Lateral Systems
lo4aualnal (use dark lines to show these locations)
maniapa wall pLa within V of and of home
ISO
Page 1 of 2 i
New Home ❑ Used Home ❑
Home installed to the Manufacturer's Installation Manual ❑
Home is installed in accordance with Rule 15-0 �� ❑
Single wide ❑ Wind Zone it - Wind Zone Ili ❑
Double wide Q, Installation Decal n
Triple/Quad n Serial
PIER SPACING TABLE FOR USED HOMES
[mad
bearing
capacity
F
sizeze
(sq in)
16' x 16'
(256)
181/2' X 18 1/2'
(342)
20' x20'
(400)
22' x22•
(484)'
24' X 24'
(576)`
26' x26'
(676)
1000 Dst
3'
4
1500 s
4 6'
6
8
00o s
6'
81
8
2500 s
6'
8
8
bi
8
3000 s
8'
8'
9500 ps
8"
84E
8
inisrpoia[ea lrom 1 µ 16 IoL:-i pier spacing table.
PIER PAD SIZES
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes
(required by the mfq.)
FMDraw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foot
and their pier pad sizes below
POPULAR PAD SIZES
Had Size
Sq In.
16 x 16
1 x1
1d.b x 1 .
16 x
1•x
4
1 X 4
X
x 25 Sh
1
171/2x25 I/
4X 24
x
ANCHORS
Opening Pier padisize -
4 ft -5 ft
FRAME TIES
within 2' of end of home
spaced at 5' 4" oc
TIEDOWN COMPONENTS OTHER TIES
Number
Longitudinal Stabilizing Device (LSD) Sfdewall
Manufacturer Longitudinal
Longitudinal Stabilizing Device w/Lateral Arms Marriage wall
Manufacturer Shearwall
1
y
K-4. %aw, v sew e.it+ i'ti_ Ski +.r. a ire G i
St Lucie County Building & Zoning
2300 Virginia Avenue
Ft Pierce, FL 34982
Mobile Home Inspection Report
All requests for permits to place or replace used Mobile / Manufactured homes must be accompanied by this
completed Inspection Report and copies of both sides of the Title to the home.
All used Mobile homes must be Wind Zone II certified.
Owner: M ATT W lwyc /
Date:
(Print or type)
Address:
Year / Mz
P LAKE C . C. M HP)
fLA,. ! %mil S
HUD Plate#ALA
t
Width Length Single Double Wind Zone
C = In Compliance N = Not in Compliance R= REP- imlIsL
Fire Safety / Electrical
G 1. Smoke Detector: Installed Y . Missing t9�
G 2. Electrical System Checked: Exposed Wiring _ Other F,, LE 0 Py
_C 3. Distribution Panel: Missing Loose Main Missing Breaker Missing
Unplugged Opening Other
Ci 4. Electrical Fixtures: Missing Installed Improperly
Improperly Wired Loose Wire
GFCI receptacles not where required
5. Electrical Ground: Chassis Main Panel Gas Pipe
Revised 3/9ros Page 1 of 3
Construction
1. Exit Doors Operable: Front Back Other
�i 2. Exit Door Locks: Missing Inoperable
�i 3. Egress windows: Missing Inoperable
4. Windows: Broken Glass Inoperable
C 5. Screens: Missing Damaged
_C 6. Floor System: Joist Decking Area Damaged
G 7. Interior Paneling: Missing Loose Damaged
C 8. Rodent Proofing: Bottom Board Pipe openings Other
R9. Leaks Apparent: Ceiling Doors Floor Roof
C 10. Vertical tie -down straps: Missing Short Damaged
C 11. Structural modifications since manufactured: YES_ NO_%!,"'
Ci 12. Walls: Structurally Unsound Loose Weather tight
Plumbing
C 1. Trap: Missing Not connected Other FILE COPY
2. Plumbing fixtures: Missing Not installed Not Vented
3. Relief Valve: Missing Inoperable Other
4. Drain Waste and Venting Piping: Missing Not supported
Clean outs Use of fittings Not capped
Heating and Air Conditioning
1. Heating Appliances: Missing Not Connected Other
2. Deleted Heating/AC system: Not installed Other
r 3. Thermostat: Missing Inoperable
_1� 4. Air registers: Missing Inoperable
L5. Ducts: Not sealed Missing Collapsed
Page 2 of 3
6. Gas furnace Water heater vent: Missing
7. Return Air: To Furnace To A/C
C 8. Range: Vent Hood
Loose
From rooms
is 9. Gas Valve: Accessible Installed improperly
�L 10. Gas lines: Not. capped Not supported Kinked
Not bonded
Summary
I
1. Is subject structure found to be fifty (50%) or more damaged or deteriorated? YES NO__V'O"_
2. Will a remodeling permit be required? YES NO_Aef'o'
The provisions of the repair and remodeling code shall ensure safe and livable housing and shall not be more stringent
than those standards required to be met in the manufacture of mobile homes. Such provisions shall include, but not be
limited to, standards for structural adequacy, plumbing, heating, electrical systems, and fire and life safety. FS 320.8232
IF ANY RENOVATIONS OR IMPROVEMENTS OVER AND ABOVE THE REQUIREMENTS OF FS 320.8232 ARE TO
BE PERFORMED ON ANY MOBILE HOME WHICH WILL BE PERMITTED TO BE TIED -DOWN IN ST. LUCIE COUNTY,
A SEPARATE PERMIT WITH ENGINEERING (IF APPLICABLE) WILL BE REQUIRED. ALL SEPARATE PERMITS
MUST OBTAIN A FINAL INSPECTION BEFORE A FINAL INSPECTION IS OBTAINED FOR THE TIE -DOWN PERMIT.
NO MOBILE HOME WILL BE ALLOWED TO BE MOVED TO ST. LUCIE COUNTY OR RE-
LOCATED WITHIN ST. LUCIE COUNTY UNTIL THE REQUIRED DOCUMENTS HAVE BEEN
SUBMITTED, REVIEWED, APPROVED AND THE TIE -DOWN PERMIT,HAS BEEN ISSUED.
A REGISTERED FLORIDA PROFESSIONAL ENGINEER MUST COMPLETE THIS DOCUMENT, SIGN AND AFFIX
THEIR SEAL.
Date inspected:
Inspected By: VWOODCaC., License # L J U
Sign rure required
Phone Number: ( r l Englr►eers Seal
Page 3 of 3 STEVEN G. WOOD, P.E.
FL LICENSE $4398
960 SULTAN DR
FORT ST LUCIE, FL
Lam litudinal Stabilization for,.;^'Vrida
When using Longitudinal stabilization only, side, ermreter anchors with diagonal ties and stabilizer plates
,,;very. 5'-4" must be used on the home. Ve required on homes supplied with vertical tie con-
nec ' points (per Florida egulations).
Typical
Placement
Single Sec 'on Double Section Triple Section:
Up to" 16' Nom' al Up to 32' Nomi or Double w%tag up to 48' Nominal
k
When the Xi -System is used only as tudinal sta " tion, systems must be as evenly spaced as possible, no
more than 16' from the end of the home. Maximum roof slope for single units & double section is 5/12, for
triple sections is 3.5/12, for the above number of systems.
Combining Longitudinal and Lateral Stabilization for Fiorida
• Sidewall anchors with vertical ties every 5' 4" per Florida requirements
• Roof slope of 20 degrees or less (See chart for 5/12 roof installations).
• Single and double section homes require the same number of systems
• Triple section homes and double section homes with tag units require two additional longitudinal systems
• Diagram represents single section up to 1.6' width, double section up to 32' width, and triple section homes
up to 48' width.
• NOTE: Older homes without vertical tie attachments, require diagonal frame ties/anchors/plates every 5'-4"
per Florida regulations
Xi Block System Assembly
Nut & Washer Beam Clamp
Bracket
J-Bolt 1-112" Tube
�o.
1-314" tube
4 - f/4
SelfTappine Screws
' (2 Per side) I r:
Side View
Xi -Steel Pier System
Effective: August, 2007
Installation Instructions FLORIDA ONLY
By Tie Down Engineering
Installation instructions for longitudinal and lateral stabilization of manufactured homes set to specifications of the
State 'of Florida.
• Easy installation
• 3 square foot pad and Xi -system replace standard support pier and base pad
• Screw type pier adjusters... no need to use installation jacks to adjust home to syste
Steel Pier Systems P/N's
#59321 Xi, 12" Pier
#5931.4 Xi; 25.5" Pier
#59317 Xi, 36" Pier
#59315 Xi, 5' Lateral Strut
#59318 Xi, 6' Lateral Strut
Block Pier Systems P/N's
#59319 Xi, Lateral w/5' Strut
#59320 Xi, Lateral w/6' Strut
REQUIREMENTS
• Installation can be made. in any type of soil, 4B or better
• Florida requires 5' 4" anchor spacing for vertical ties
• 4' ground anchors are used with the Xi -system in 4A and 46 soils, except at shear wall or marriage wall
locations where loads exceed 3150 pounds. Florida requires that 5' anchors be used at these locations.
• Center line or shear wall anchors, that may be required by specific manufacturers, are to be sized according
to soil torque conditions. Follow all manufacturers instructions for anchor type and placement in
addition to Florida regulations.
• Maximum sidewall height is a 96" projection. Higher walls may be used, when the design loads are
adjusted accordingly.
• Maximum roof eave is 16"
• Main rail spacing must be 99.5" or less
• Maximum pier height of the Xi -system is 48"
• Instructions are not for use on "Exposure D" homes within 1500 feet of the coastline
• Installation instructions are based on 4200# per pad longitudinal load and 6000# per pad lateral load with
one diagonal tie/stabilizer.
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacturer. These locations include shear walls, marriage line ridge beam, support posts, and rim plates.
P/N 1
Longitu NNW I and Lateral Stabilizatil _ 'for Florida
Xi Lateral Xi Longitudinal Xi Longitudinal System Stabilizer Plate & Diagonal
C1---� ID
"Only" System "Only" System with Lateral Strut Combo Frame Tie
y
Homes Up To 52'
0
J
0
�w
Single Double Section Triple Section or "Tag"
Up to 16' Width . _ ' idth Up to 48' Width
2 Combo Systems 4 Combo Sys ms 4 Combo Systems
2 Lateral only �,� 2 Additional Longitudinal Xi Piers
Homes Over 'I;\up to 80'
D a D
E> C D
E> a �D
w
11
Single Double Section Triple Section or "Tag"
Up to 16' Width Up to 32' Width Up to 48' Width
2 Combo Systems 4 Co bo Systems/,2 L al Only 6 Combo Systems/2 Lateral Only
4 Lateral Only Note: 5/12 roof pi c home requires 2 additional systems.
.,. ... _ ..., . . , r . n ... _ . �,:late�;a# sy.stPrr►s:up .to-5,2',,8..l�teral, systemsup tea:,;��� , ...s,. �a..f.. �.�:,,` _ t
w
W,
0
CAI
N
n
O
l�
InstalliaJon of Longitudinal Syst ' . I11 (Figure 1)
1. Identify the number of systems to be used on the home using the chart provided.
2. ..Identify on the location where the longitudinal systems will be installed.
3. ` Clear all organic matter and debris from the pad site.
4. Place pad centered under beam using the centering mark imprinted on the pad.
5. Press or drive pan into ground until level and flush with prepared surface.
6. Slide Xi -System pier feet into slots in pad so that the Xi -system pier is centered under the I-beam.
7. Raise telescoping extension post to contact the bottom of I-beam, secure with bolt provided, tighten
bolt nut. (Figure 1)
8. Turn hex nut on pier height adjuster until Xi -System pier is rigid between pad and I-beam.
9. Install Gator Beam clamps to I-beam on each side of the Xi -System pier. Do not tighten nuts at
this time. (Figure 2)
10. Connect struts (open side down) to each side of the Xi -System pier using the U- bolt provided. Struts are
attached to the upper hole in each pier leg and to the flanges on the beam clamps. (Figure 1)
11. Tighten all nuts and bolts on the struts and beam clamps.
Installation of Lateral System (Figure,3
FiLE r..Op.Y
1. Assemble lateral strut by sliding smaller (1-1/2") tube into the larger (1-3/4") tube. Holes should be on the
sides of the larger tube and the "flag" up on the larger tube.
2. Attach the end of the smaller tube to the inside of the pan using. u-bolts and nuts provided.
3. Attach the flag end of the larger tube to the opposite I-beam using. the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 4)
4. Install a minimum of four(1/4"04') self -tapping screws into the holes provided in the lateral strut so that the two
tubes are connected together. (Figure 1)
(Figure 2)
' Frame � g
(Figure 1)
itudinal Height Bracket
Lon
9 Adjuster 0-3"
Struts Bolt ° Pier Base o
Extension
Pier Base Post
Foundation ,r :_..,: .. .,,4 ,,;
Base Pad �-1-314 Tube
Beam Clamp
Bracket
J-Bolt
(Figu
4-#12X1"
rek Screws`
(2 per side).
Lateral Struts
1-1/2" Tube
Strut
ay
(Figure 3)
All Components Hot Oalvanized Coated N—A
W"z
De 'artment of Highway Safety and Motor' Vehicles
Division of Motor Vehicles
Bureau of', Mobile Home and .Recreational Vehicle Construction
* r"u"
FLORIDA'S
APPROVED PRODUCTS LIST
FO R T It E INSTA LLAr,ION OF
MQ BILEPWANUFACTURED FIONt'.
FS.:
(Revised 0.3/03)
j
INTRODUCTION
Florida statutes r6quire that mobile/manufactured homes are installed safely and will meet wind
loads as detennir ed by Section 3280.306 of Code of Federal Regulations (CFR), Part 3280,
Manufactured 1-ictln
ising Construction and Safety Standards established by the U.S. Department of
Housing and UrbDevelopment.
Section 320.8251
Manufacture of n
certification from
for use in the'inst
of Highway Safei
Construction is a
home component
'Phis document is
and systems that
Ifyou have any
References:
Section 320.8249
Section 320.8251
Section 320.8325.
Rule Chapter 17(C:
ttevised 03103
Florida Statutes requires that: "Each person or entity that engages in the
obile home installation components, products, or systems must obtain a
the department which affirms that -such component, product, or system is approved
illation of mobile homes in this state." The "department" refers to the Department
r and Motor Vehicles. The Bureau of Mobile Home and Recreational Vehicle
snit of this department and is the unit responsible for certifying mobile/manufactured
, products and systems for use in Florida.
official list of mobile/manufactured home installation components, products
been certified for use in Florida.
ons, you may contact me at (407) 445-7407.
Wayne Jordan
Program Manager
F.S.: Provides for the licensing and regulation of mobile/manufactured home
I installers.
F.S.: Provides for the certification of mobile/manufactured home installation
components, products and systems.
F.S.: Provides for the department to adopt rules setting forth unirorm
standards ror the installation of mobile/manufactured homes.
-1, F.A.C,'.: Provides the unitfirm mobile/manufftct6red home installation standards
t'()r Florida.
,a
I
APPROVED Pit'
ODUCTS i
IF, ort T.liE
INStALI,ATION O.F MANUFACTU.RED I=I.O.M.ES
i
MOBILE HOME SAFETY PRODUCTS continued...
Dba Oliver Technologies, Ins.
P.O, lox 58/467
Ulohenwald, Tennessee 38462
7MODEL#LDENTI)F.ICATION DESCRIPTION
Longitudinal Stabilizing System 20"
galvanized steel pad beam clip
Por longitudinal bracing system
w/square'tubing in a cross "X" pattern
All Steel Foundation System Longitudinal. Stabilizing System
All Steel Foundation System , Longitudinal and Lateral
01101 V i All Steel Foundation System Longitudinal Stabil zing & Lateral
1101CVW i Bracing System
11 OICVD Wet Bracket Concrete Full System
1 t01-W-CPCA Dry Set .Bracket Concrete Full System
Wet Set Bracket Concrete Longitudinal System
1101-D-CPCA Dry Set Bracket Concrete Longitudinal System
..1101-W-TACA Wet Set Bracket Concrete Transverse Systemi 1101-D-TACA Dry Set Bracket Concrete Transverse System
1055-14 Plastic Foundation Pad 1 G" x 16"
l U55- I O Plastic Foundation Pad 16" x 16"
1055-8 i .Plastic Foundation .Pad 16" x 18"
1.055-23 Plastic Foundation .Pad 1 G' x 18 %" (rounded)(2 sq. ft.)
055-9 Plastic Foundation Pad*18 %Z" x l8 %" x l5/16" SPA 2-1 I Plastic Foundation Pad 18 W, x 18 " x'/4"
4148-44 Pl%Plastic Foundation Pad 13 %" x 26 %a" x '/,"
1055-16 I Plastic Foundaaion Pad 17 x 22" x
1055-21 , ' 20" x 20" x 7/8"
dation Pad 17 ' z x a
10 - j Plastic Foundation Pad 17 .%z" x 25 %x" x l l/8"
1055-13 ! Plastic Foundation Pad 24" x 24"
1 U55-12 Plastic Foundation Pad 21.13" X 29.13" (rounded)
1055-20 I Plastic Foundation Pad 23 '/," x 31 '/,"
Revised 03108 10
/ /
13 , �- -1
fed r
APPROVED PRODUCTS rN? (10p
.FOR THIS,
'ALLATION OF MANUFACTURED HOMES
MOBILE HOME SAFETY PRODUCTS continued...
Dba Oliver Technologies, .Ins.
P.O. Box 58/467
Hohenwald, Tennessee 38462
MAXIMUM.UM
PIER LOADS IN POUNDS
BASED ON SOIL
VALUES
Pad Area
1,000 lb.
1,500 lb.
2,000 lb.
2,5001b.
3,000 lb.
Remarks
Conti uration
(sq. ft.
soil
soil
soil
soli
soil
Max.
I
16" x 16"
1
1.77-
1,770
2,650
3,450
4,420
5,3 l0
5,310
16" x 16"
j
1.78
1,780
2,660
3,560.
4,430
5,340
5,320
16" x 18"
2.0
2,000
3,000
4,00.0
5,000
69000.
.6,006
16" x 18 ''/a" (rounded)
2.0
2,000
3,000
4,000
5,000
6,000
6,000
18'/z" x 18 %:" x 15/16"
2.360
2,360
3,550
4,730
5,91.0
7,090
7,096
18 %" x 18 %2" x %11
2.375
2,375
3,563
4,750
5,598
5,598
5,600
13 '/4" x 26'/4"
2.4
2.375.
3,563
4,750
5,938
6;400
6,400
17" x 22"
2.5
29500
3,750
5,000
6,250
7,500
7,500
201
2.75
2,750
4,.125
5,500
6,875
8,250.
8,250
Z ' x 22 %:" (rounded)
3.0
3,000
4,500
6,000
7,500
.9,000
9,000
2
3.0
3,000
4,500
6,000.
7,500
9,000
9,000
24" x 24"
4.0
4,000
61000
8,000
8,000
8;000
8,000
21.13" x 29.13" (rounded
4.0
4,000
6,000
8,000
8,000
8,000
8,000
23 %" x 31 V
4.698
4 698
7,047
8,000
1,000
8,000
8,000
PAD CONF':IGUYtAT.IONS
Pa,
I Description
Pad Area
1,000 lb.
2,000 IN
3,000 lb.
(Pyramid Ii'ooter
Configuration)
sd. tt..
_ ,soil,
soil
soil
i
(2) 13 14" x 26 %4" a-�
a base and (1) 20" x 20" on top
4.8 -
4,800
9,600
-
N/A
'.Fhr�e
(3) 17" x 22"
5.0
.5,000
10,000
N/A
'Chree
1
3 17 '/1" x 25 '/2"
6.0 .
-
6,000
"
12,000.
N/A
I CAP BOARDS
MODEL # IDENTIFICATION' )ESCRIPTION
OT 1 C131 Plastic Cap Board I " x 8" x 16"
O'T'1CB2 Plastic Cap Board 2" x 8 x 16"
The cap boards wcfe test on CN11J pier (C90) with either a single or double stacked cap boards.
I .
Revised 03/08
\ � 1
' I
APPROVED PRODUCTS FILE
FOR THE.
MN TA ' 1L�1 TION OF MANUFACTURED HOMES'
'CIE DOWN ENGINEERING
5901 Wheaton Drive
Atlanta, Georgia 30336
Working Ultimate
NIUD TIMA'CION DESCRIPTION Class Loa
� Oa(l
I
M12H-5/8" Galvanized Auger 5/8" x 48".rod,. double head 4a
Anchor with 1 1 " 3,150 4,725
a s ng e 6 disc
Ml2FI-3/4"
Gallivanized Auger
'/►" x 48" rod, double head with
44
Anchor
a single 6"disc .
3,150
M607
Galt anized Auger
4 x 60" rod, double head with
4b 4,000
I Anchor
a single 7" disc
M IT2
GalvdInized Patio Slab
Anchor
'/a" x 10" threaded rod w/tlat
Concrete 3,150
washer and nut, double bolt
head
MIJ2
Galvanized Patio Slab
5/8" x 10" rod concrete anchor
Concrete 3, l50
Anchor-
with a double bolt head
M 1 CS2
Galvanized Patio
!nchor
%z" x 3" steel expansion bolt
Concrete 3,150
Bolt
w/"Redhead Sleeve Anchor"
double head
MIA112
Galvatnized Double
Double head tension -device
N/A 3,150
Head Device (only)
w/bolt hole in the bottom of the
yoke
M I S2
Galvanized Double
Head �wivel Adapter
Double head tension device
N/A 3,150
with swivel adapter
59285
Stabilil er plate — steel
C)<dvanized steel 17 %" (width)
lb 4,000
j
x 7" (side) x 1.3 W1 x 8 gauge
thick .105" 9010 degree top
59293
Stabi ilizer Plate/ - I 8" x 24" x 1.375" tat top
i plastic
1tevise►1 1)3/03 1 15
4,725
6,000
4,725
4,725
4,725
4,725
4,725
6,000
1
APPROVED PRODUCTS r
FOR THE
IN, TALLATION OF MANUFACTURED HO
TIE DOWN ENGINEERING continued,..
5901 Wheaton .Drive
Atlanta, Georgia 30336
1VIODEL #
IDE TTFI
N
SO1I
Working
Ultimate
ass
Load
Tie .Down
Stra
ASTM Standard Spec.
1 D3953-91
1 ''/a" x .035" galvanized steel
N/A
3,150
4,725
strapping G-� 120
MGRB
400f Bracket
i
Galvanized Roof Bracket
N/A
N/A
N/A
TD
Slotted Bolt
2'/a" V. 5/8"
N/A
3,150
4,725
TDE
Crimping Seal
1.410" x 2.250"
N/A
3,150
4,725
59010
liongitudinal
Metal pads, bracket with
N/A
7,000
10,000
Stabilization Device
hardware metal struts
L28.13
.59002
Swivel Strap
2.60" x 4.875" x '10 gauge
N/A
3,150
4,725
Connector
I
w/l ''/4" x..035"
59003
Beam!Connector for a
2.51"x 6.300" x 10 gauge beam
N/A
3,150
4,725
3" 1-beam
connector used with 59002
59004
Beam!Connector for a
2.5" x 7.300" x 10 beam
gauge
N/A
3,150
4,725
4 I-beam
connector used with 59002
59005
Adj. 1ieam Connector
2.5" x 9,850" x 10 gauge used
N/A
N/A
N/A
Corti to a 8" double.
with 59002 and grade 5 bolt and
1-beam
I
nut
59009
Lon itudinal Beam
I %" x 6 %" x %" used as pair
N/A
N/A
N/A
connector
with 59002'
59011
Longitudinal Beam
6"`x 6 3/a" x 7 gauge rrarne
N/A
N/A
N/A
'Clamp
clamp with. eight (8) grade 5
bolts and nuts
Revised 03108 1 16
j
i APPROVED PRODUCTS
L•F
FOR TFIE
INS' Au,,v tON OF MANUFACTURED RONtES
TIE DOWN ENGINEERING continued...
5901 Wheaton Drive
Atlanta, Georgia 30336
FOLLOWING ARE KIT NUMBERS
L. NIODEL # 1 ; IDENTIFICATION I DESCR.IPTiON
59006
59008
-.ral (Vector) Kit w/pads for concrete
lications — single stacked block piers
eral (Vector) Kit w/pads For concrete
lications — double stacked block piers
l 7.25" x I J." '
", 12 gauge galvanized
pad, part # 59277 w/mounting
brackets, hardware &* parts 59276
and.59282
17.25". x 18.61', 12 gauge galvanized
pad, part # 59273 w/mounting
brackets, hardware A parts 59276 and
59282
59273.
Pouble
I
block Foundations pad for concrete
Use with Vector System
59277
kingle block Foundation pad for concrete
Use with Vector System
59024
Leteral
(Vector).Hardware Kit (use w/59271)
U-bolts "U" shaped connectors 3t
Inside brackets
59026
Longitudinal
LzSD Hardware Kit (w/59271)
6"'•x 6%"".x 7 gauge beam clips, "U"
shaped•plate connector, bolts and nuts
for connections
59314
I
Vector Xi System
Longitudinal Stabilizing System
59315
i
Vector Xi System
Lateral Stabilizing System
Xi Concrete and Concrete Mock System
Longitudinal/Lateral Stabilizing
System
59361
I
Outriggers
24" Outrigger/Diagonal Strut
-q
a 362
T�
Outriggers
24 Outrigger/Diagonal Strut
Revised 03/118 i 17
ity 11" V , - vq,1L *V5041 I I t)
Olkfo
ey j,.t4
U 4
FSoom Yj
V916)
*14"r-1011"wTs"d BILL
V.LS
-4 'IA
.titib'/i. AVfy elj_qg,U Clt4. e
"'v&'cwvnE) -d D hIBOWON
kyo-L-We ONY W3srIL-1 -QVSU
\N33A'i19p vs&v Ponoidtu
I ONNI 3H.1)jj1p
nv /
A
'--H-2
,;.:. (I '.I^1%7 4
a
IS7 E(::
ti fa
.............. _ ............. I....,.--�--.....---,--,..-----. . .....
Use this ful
3811 x 38" at
-the 3B" x 4�
landing wiff
reversible r
when you p
para-11'el apr
THE SIDE APPROACH
3)
filing
refer a
roach.
Code approved in
. most areas
3811 x 3811 Pictured
with Deluxe Rails
Note: Side & Back
Rails must be
.Ordered Separately
Model#
e r
Overall
Landing
Width
Standard Deluxe
Standard
Deluxe
'Hillight
'Height
Depth
Side Rail 9ld6 Flail
Back Mill
Back Rail
017143838
'7)!�
.14"
'3811
381,
02138
0291,1.8
0238
02938
B"j.
i
38"
38"
02138
029138
0238
02938
017213838
'71'j
.:),I "
02238,
029238
0238
02938
018243838
8";'
.9810
02238
029238
0238
02938
0172133838
71
i811
02338
026308
0238
02938
i�fq
3811
.38"
02338
029338
0238
02938
"J'311
OftM
0294387
0238
0 2 93. 8
3403838
8111
"..8"
'38"
02438
029-4,18
0238
02938
�Tf 8443111 a2, 3
131611
N/A
029538
NIA
02938
48"
02138
029138
0248
02948
018243843
0 22) 3 8
01202138.
0 FA
02948
48"
02338
0 2 633 8
0248
02948
)318323848
3";
38M
41
02308
029338
0248
02948
01
025,18
02.114387
0248
029,18
08403848
024.'38
OP94,3S
0248
02.1748
. .... ... . ......
gr,[
1VJ-6VI- 10 VJO; UJ L'IMM-
I
i
Fiberglass Step �'Anchnring
Guidelines I
Concrete Installation
List of Components (Purch�sed L: oally)
2
?ulchi/4"
4c:zlrl/,4"'t�Y
l r
ca=c- I
AWW
2 eah ll l•" � SSt1FYS`
Concrete Installatioei Guidelines
1) Drill 11/4" hole through step and bracket at
desired position �hrough lower wooden
franie member.
2) InstaIl L-brackens using ''/,." x 20 x 21/4"
Bolts,.washers, and nuts.
3) Mark location a'hol.e .in I. -bracket on the
concrete. i
4) Move the step away from the house --rill
holes in concrete at the desired locations,
Tap in'/4" concrete anchors.
5) Replace step so -hat, the tops of the concrete
anchors protructe through the L-brackets.
Secure with the outs and washers.
1 -VJ1 J f YJV-L/ YJ.L.L L -U.LU
G'rourid I`nstat ation.
List of Components
(2) 484154 Anchor Assembli
Each assembly includes:'
(1) '15 inch Anchor
(1) 3/8" x I YV lag screw
(1) 7/1 C" X 1 '/4" washer
Ground Installation Guidelines
1) Set step in desired position and mark the
anchor placements on the ground. Remove
step.
2) Screw the anchors in the ground so that the
eye of the anchor will be in the -position as.
shown.
3) .Replace stop and mark the place where the
hole in the eye of the anchor meets the side
of the step at the height of the lower frame
member.
4) Fasten screw into lower frame member
though eye of the anchor and washer.
WA NIN'G: )"aiture to anchor the step properly
can result in injury. Place the step against the
house. Make sure the surface on which the step
rests is level.
Style Chest, Inc. Drawer A Fremont, Ohio 43420
AFTER RECORDING -RETURN TO:.
PERMIT NUMBER: 1'hi.�;tipacx iF r.sir cJ I'ur rer.urdi y; inl'i
r NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTIO�WF PPOPERTY
SUBDMSIOX.,-_ k 91M
description and street address) TAX FOLIO NUMBER�'1Kl
TRACT LOT
BLDG UNIT
2. GENERAL DESCRIPTION OF IMPROVEMENT:. single family residence
3. OWNER INFORMATION:'`" a. Name
b.Address 8000 S_ USl, Suite 402, PSL, FL 34952 c.interestinproperty
d. Name and address of fee simple titleholder (if other than owner) ��•
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER - �V 370^
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (I)(a) 7., Florida Statutes:
Tom Lee Spanish Lakes Blvd. Ft_ Pierce,_ FL. 201-
NAME, ADDRESS AND PHONE NUMBER: 0590
8. In addition to himself or herself; Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) 20 -
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED Qv1PROPER PAYMENTS UNDER CHAPTER 713lSECTION 713.13, mrlru-p nP rnM EONCEMENT UST BE RECO.RDEDRIDA STATUTES, AND CAT�l S
AAND
Matthew Lyle Wynne, Vice-Pr�ent
Signature of Owner or Print Name and Provide Signatory's Title/Office
Owner's Authorized Officer/Director/Partner/Manager
State of Florida
County of 9 t- Lucie
=
The foregoing instrument was acknowledged before me this 3 day of 20
By
Matthew Lyle Wynne as UrGF &C-CIt- -.,r
(Type of authority ... e.g: Owner, officer, trustee, auoiney in Fact
(Name of person)
For Wynne Building Corporation
(Name of party on behalf of whom instrument was executed) Personally Known �or p od ce the followin ty e of TD:
DOROTHY ANN HAMER
"0 ♦`� Notary Public - State of Florida
• : : • 5 My Comm. Expires Oct 2, 2012
-XI, may M� �[}��r�yL �,f Pow Commission # DO 827096
of Public ( 1 '•n°;;;°`�,
(Printed Name of Notary Public) (Signature ar ) Bonded Through National Notary Assn.
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are We to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Signature(s) of Owner(s Owner(s)' Aut Ized Officer/Dire ctor/Partner/Manager who signed above:
JOSEPH E. SMITH, CLERIC OF THE CIRCUIT COURT
By: By SAINT LUCIE COUNTY
FILE ti 3599860 06/10/2011 at 11:07 AM
R— 08130R007(Rccording) OR BOOK 3300 PAGE 524 - 524 Doc Type: NC
RECORDING: $10.00
Qa Identification Number Year
en" Q2631041A
9' Registered Omer:
WYNNE BUILDING CORPORATION
8000 S US 1 STE 402
gap , PORT ST LUCIE FL 34952
n
a
Mail To
Body T VVT-L-BHP -1 Vessel Regis. No. T Title N
IT HS 59, I 211,, 9
Date of Issu6
04/04/2011
WYNNE BUILDING CORPORATION
8000 S US 1 STE 402
PORT ST LUCIE FL 34952
gelleri�[iisfEnler PAgcli�ei':
Seller Musl Eileif Sellih�, Pr,
L�We; sfid¢Ahat diis � 5 or C
Lien Release
Interest in the described vehicle is hereby released
IMPORTANT INFORMATION
1. When ownership of the vehicle described herein is
transferred, the seller MUST complete in full the
Transfer of Title by Seller section at the bottom of
the certificate of title.
2. Upon sale of this vehicle, the seller must complete
the notice of sale on the reverse side of this form.
3. Remove your license plate from the vehicle.
4. See the web address below for more information and
the appropriate forms required for the purchaser to
title and register the vehicle, mobile home or vessel:
http://www.hsmv.state.fl.us/htmi/litlinf.htmI
I ;i .:.':j.:Q4J4541Z01':7
82
t
0)
W,
. STATE OF FLORIDA - .
^=D,ARTMENT OF HIGHWAY SAFETY AND MOTOR 1rc"'4,:,LES '
DIVISION OF MOTOR VEHICLES' I 'f
2900 Apai. - .`,-e Parkway • Nell Kirkman Building - Tallahasl5= :L 32399-0620
l Notice of Sale of Motor Vehicle, Mobile Home or Vessel .
Section 3I9.22(2), Florida Statutes, requires that the seller file a Notice of Sale with the department within 30 days after the sale or transfer of the motor vehicle, vessel or
mobile home. Filing this form removes any civil liability for the operation of the sold motor vehicle, vessel or mobile home. In addition to filing this form, we suggest you
keep a copy of your bill of sale (we suggest it be notarized), certificate of titlePr other type of transaction document showing the vehicle was sold. Complete the information
below, tear the top portion of this document at the perforation and mail to the address above or submit to your local tax collector's office or license plate agency.
I have this ., day of , ' , transferred by assignment of and delivered Florida Certificate of Title to:
Name: Purchaser(s) / Purchaser's DUID
First • MI Last .
Address - Selling Price $
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Seller's Signature Co -Seller's Signature
NOTE: THE SUBMISSION OF THIS FORM, ACCURATELY COMPLETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE
ADDRESS ABOVE WILL ALLOW THE TITLE CLERK TO UPDATE THE DMV DATABASE TO REFLECT THE TITLE RECORD AS ."SOLD". HOWEVER,
THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
■
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STATE OF FLORIDA
L � 7fgTMENT OF HIGHWAY SAFETY AND MOTOR V, LES
DIVISION OF MOTOR VEHICLES
2900 Apal`..;-�a Parkway • Neil Kirkman Building - Tallahassee; rL 32399-0620
Notice of Sale of Motor Vehicle, Mobile Home or Vessel
Section 319.22(2), Florida Statutes, requires that the seller file a Notice of Sale with the department within 30 days after the sale or transfer of the motor vehicle, vessel or
mobile home. Filing this form removes any civil liability for the operation of the sold motor vehicle, vessel or mobile home. In addition to filing this form, we suggest you
keep a copy of your bill of sale (we suggest it be notarized), certificate of title or other type of transaction document showing the vehicle was sold. Complete the information
below, tear the top portion of this document at the perforation and mail `io the address above or submit to your local tax collector's office or llcense plate agency.
I have this day of transferred by assignment of and delivered Florida Certificate of Title to:
Name: Purchaser(s) / Purchaser's DL/ID
First MI Last .
Address - Selling Price $
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TF UE.
Seller's Signature Co -Seller's Signature
NOTE: THE SUBMISSION OF THIS FORM, ACCURATELY COMPLETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE
ADDRESS ABOVE WILL ALLOW THE TIT�E CLERK TO UPDATE THE DMV DATABASE TO REFLECT THE TITLE RECORD AS "SOLD". HOWEVER,
THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUNA ARY
be using the following sub -contractors for the
project located at 0, o
- (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 willlmmediately.advise the Building and Zoning Department of St. Lucie County.
Trade
Name of CompanylConfractoc- -""-�-
St. Lucie County/
Sfate ofF 6n a - -
License Number
Electrical
V C� , Lo chi
9 MR
W IUtJ uv
LKnO faa
Plumbing
RTN ' / O 1/1 r: `l�/. r v mov
--4(
0 J
HV,AC/
Mechanical
-� . niq
r
C
Roofing
Gas
ui`11%.L` 11,7,L` viiJ,
PERMiT
i.•
ISSUE DATE:
NUMBER:
ST. LUCIE COUNTY PUBLIC WORKS
i BUILDING & ZONING DEPARTMENT
R�
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 2098
State of Florida Certification Number (if applicable): ER0000122
Laws• l;lectric, lnc_ have -agreed to he the
(Company Name/Individual Name)
electrical sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located -at /-2 o,�
(Projec eet Address or Property Tax ID #)
It is understood that, if there is any change of status regarding,bur 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
Jewte James- W. Law
IGNATURE PRINT NAME
Business Nams:
Law's -Electric i ln-c -
Address: 218 Beach Avenue
City/State/Zip: Port St- Lucie. Fl - 34952
Phone: 772-464-3969 email:
OFFICE USE ONLY:
-ao//
DATE
_ 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): 10A C75 �
lQ h s *1 have agreed to be the
(Company Name/Individual Name) 04,11 t
pP sub -contractor for G mom` e- katm
(Type of Trade) J (Primary Contractor) 11t y s'al la:HOA �C-
for the project located at 0 J Wto bu-tos
p
(Project Street Address or Property Tax ID #f
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)
OR-FGrNTAL P.- NATURES ARE REOTTIRED
I� �• 601L�_
P NAME DAT
I ATURE /j/�/�
Business Name: 1� [_[1 �-
Address:
City/State/Zip:
Phone:
OFFYrF 1PRE ONLY:
,A1
Inc.
PLANNING & DEVELOPMENT SERVICES DEPARTMENTr°
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: l
State of Florida Certification Number (if applicable): C O L ( I
La J e - idea-h n 4 0—Lr have agreed to be the
(Company Name/Individual NU)
sub -contractor for An L����5
(Type of Trade) (Primary Contractor)
for the project located at Q %J (,xk*1 C—N—kDS
(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)
O GINAL SIGNATURES ARE REQUIRED
a
&GNA4TURE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
RINT NAME DA
L7
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:\�K
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number , I acknowledge that as owner of
the above described property, and in accordance with Section 7.O4.O1(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property, St. Lucie County is neither obliged
nor liable to provide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Property Owner Name
STATE OF FLORIDA, COUNTY OF
W
�
�� i
v—
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS' DAY OF J1 , 20,
BY /l R7TJ�(Ew L y�E PY/`q'T WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICA\TION. ✓1
an:�r q� ?Ji7�2o icy �tNrj W,4F ox
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE COM SSjfujBER DOROTHY A AFNER
Notary Public - State of Florida
W. My Comm. Expires Oct 2, 2012
oc Commission # DO 827096
°„�� Bonded Through National Notary Assn.
Property Appraiser - St.Lucie r-"q,nty, FL
Page 1 of 1
f
PROPERTY RECORD CARD
Wynne Building Corp Record: 1 of 6 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
,`\AlE CO
Site Address: 157 Camino Del Rio
ParcellD: 3427-111-0002-000-5 r ti G2
Sec/Town/Range: 27 :36S :40E
Account #: 115459 y _`
Map ID: 34/27N
Land Use: PRKG/MOBILE
Zoning: AR-1
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner: Wynne Building Corp
27 36 40 ALL THAT PART LYING E ANDN OF ST LUCIE RIVER AND
Address: 8000 S US Hwy 1 Ste 402
W OF US 1 (218.217 AC) (OR 254-1990, 2013)
Port St Lucie FL 34952
Sales Information
Assessment 2010 Final Total Land and Building
Date Price Code Deed
Book/Page 2010 Final: 13009100 Land Value: 4620700 Acres: 218.22
1/1/1900 0
/ Assessed: 13009100 Building Value: 8388400
Ag.Credit: 0 Finished Area: 19828 SgFt
Exempt:
Taxable:
Taxes: 270383.72
BUILDING INFORMATION
Wrt� un�ss
Exterior Features
View:
RoofCover:
-
RoofStruct:
ExtType: MHPK- MHParks
YearBlt:
1983
Frame:
Grade: C - C
EffYrBlt:
1983
PrimeWall:
StoryHght: 0010 - 1 Story
No.Units:
610
SecWall:
Interior Features
BedRooms: 730
Electric:
-
PrmintWall:
-
FullBath: 0
HeatType:
AvgHUFI:
1/213ath: 0
HeatFuel:
-
Prm.Flors:
-
%A/C: 0
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty. Units
Qual. Cond.
YrBlt. No.
Land Use Type
Measure Depth
CURB - CEMENT CURB Y 1 650
GD AV
2001 1
2800- 130 -Site
610
PRKG/MOBILE
ASP1 - ASP1 HIGH Y 1 277848 AV AV
1983
2800-
2
530 -Acres
PRKG/MOBILE
36.5
3
2800 500 -Acres
31.6
PRKG/MOBILE
More...
THIS INFORMATION IS BELIEVED TO BE CORRECT AT
THIS TIME BUT
IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.pasle.org/pre.asp?prclid=342711100020005 7/18/2011