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HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY: DA E FILED: PLAN REVIEW FEE: RECEIPT NO. CONCURRENCY FEE: RECEIPT NO. PERMIT NUMBER: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION SCANNED 2300 Virginia Avenue j t BY Ft. Pierce, FL 34982-5652 b St. Lucie County 772 462-1553 � ,^ APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE Q PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: (pb t SE NlDD8�1 iZ1gr.9 I)fl..- L 3g9i33 2. PROJECT NAME: Awa-a 'V-g SITE PLAN NAME: 3. PROPERTY TAX ID #: M7,1-- 70 l - 0003 _ 06y 3 4. LEGAL DESCRIPTION (attach extra sheets if necessary): i{1bD6 N •Zi�6rL�5 Y�AT�S ��<-�-1 �'f 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. _ 9. PARCEL S12E (ACRES/SQ FT.): •72 � AZS LOT DIMENSIONS: 119 PAC. % 80 ' X 17S +�` 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: -Nrmi OYL 26Mab6; 1, ap V-1,rt,11Eg ^ ry fl �oz�1Yt� �s i?,n � Wiz-• oa 6� l� b►Movv�l Mw r-k &,4 a Y+'1 o ST YIJa� b'n 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: 12, TYPE OF CONSTRUCTION (Check all appropriate boxes) [I NEW CONSTRUCTION [jCQSIODITION '�U �NOVATION [RESIDENTIAL oRC�, � ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: S i j GtS ass r D 6n1 CC 14. SQ. FT OF CONSTRUCTION: 15. * SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: tnK�000-to- The value of construction is used to determine the amount of permit fees to be assessed. St. Lucid 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 $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 W UPDATED 6/25/09 OWNER INFORMATION NAME: 6'-Rw ar10 A""103z ADDRESS: 7,14 SW F69-^1LGV'F TY- CITY: 'Po'c S'c -t-J `�'6 STATE: PHONE (DAYTRv]E): 'tTZ b�'$g3a f L ZIP: 3kg%3 Email: G.1on2o 1c,uJcices�bealSoy-l-h•n�e,-� IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY PHONE (DAYT ME): (---) CONTRACTOR INFORMATION STATE: ZIP: ST. of FL REG.CERT #: CCI C 1 S'0 51 'L" l STT.. LUCIE COUNTY CERT #: Z 3.755 BUSINESS NAME: C�2Aalab C�•JSTIWC.'C�O�yi TLOYLAD-0 QUALIFIERS NAME: Ge g L, 0 lAAYAW WILA ADDRESS: 'p.d $mac. 5911 b5-- - CITY: 1�ov�-t S-'� • \AJ U' W STATE: FL' ZIP: 3 y 9 8 8 PHONE (DAYTIME): MV 33 b- 7 M 0 FAX NO. DI 7 - f8 K ( Email: (5zg y (P G r-ft W n G F L. co WL ARCHIT/ENGINEER '*J DO W GMV H uT (.111 •-JS #4 ADDRESS: ?`ioS NoQ.TA 1wD%>A..1 R1Jbyt-�lL. CITY: FT. Pt6Y1 L6 STATE: ZIP: 3 cK410 PHONE (DAYTIlVIE): -11T28-• 007 b BONDING COMPANY: W I ADDRESS: CITY: STATE: MORTGAGE LENDER: fJ I A ADDRESS: CITY: STATE: au ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. OFFICE. USE ONLY ^ .' #: �0. SECTION c� q� TOWNSHIP (� f' RANGE V MAP NO. mZ q0q �J ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # �� ! IT FLR ELV MAX HGT CONST TYPE OCCUP TYPE /� MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOTSPLIT Before 111990 After 1/1990 REQUIRED ROVID REPORT HABITABLE RADON PERMIT CODE (�'� `� AREA FEE FEE LIBRARY PUBLICBID — IC BLD BRACT PARKS IMPACT IMPACT IMPACT FEE FEE FEE CORRECTION FEE GENERAL SCHOOL ROAD CREDIT Y N LAW ENF IMPACT IMP IMPACT 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 FEES REQUIRED PLUMBING DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE Zi! RECEIVED DATE / COMPLETED ` INITIALS CERTWICATION: ` 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 COMIZENCEMENT. 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. om o CAit- ' OR CONTRACTOR SI�ATUIRIE r OO _ N O CTOR SIGNATURE STATE OF FLORIDA z o STATE OF FLORIDA COUNTY OF S r. Li u b g w COUNTY OF The foregoing instrument was acknowledged before ozaFE <�Wm > = The foregoing instrument was acknowledged before `7' me this ° day of 20 % . me this day of who is rsonally kn wn or has produced .10 is ssonally own or has produced as identification.as TPI identification. gal ZZ Signature o otary ignature of ry T��� Commission No. (Seal) T — (Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EtiMWTURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERIBUILDER APPLICANTS. For specific instructions see appropriate permit checklist. St. Lucie County PUBLIC WORKS DEPARTMENT CODE COMPLIANCE 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)462-2172. Project Name ALON20RESIDENCE a �;c. ae .n µ sry,�,�",, a �e�+, `,��j Street Address 609 HIDDEN RIVER DRIVE Permit Number PORT ST. LUCIE, FLORIDA OccupancyType Construction T e Certification Statement: I certify that, to the best of my knowledge and belief, these plans and specifications have been designed to 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 Parameters and Assumptions Used: (Please check or complete the appropriate box.) 1 Florida Building Code 20 07 Edition with 20 09 Supplements and ASCE 7 2. Building Design is: Enclosed: X Partially Enclosed: Open Building: 3. Mean Roof Height: "25' Roof Pitch: 6/12 Internal Pressure Coefficient: -29 PSF 4. Width of End Zone: 45' Wind Speed:140 (3 sec. gust) 5. Building Classification Table 1-1. ASCE 7 FBC Table 1604.5 1 6. Wind Exposure Classification: C Adjustment Factor for Exposure & Height:1.21 7. Components & Cladding Wind Pressure on Roof Zone 117'3i-35.45 2 n.a/sr.t t 3 21.se1-8240 PSF 8. Components & Cladding Wind Pressure on Wall Zone 4 36.3144.4 5 40-T7P53.24 PSF 9. Components & Cladding wind Pressure on Overhead Garage Door 29.7/-33.1 pSF 10. Loads: Floor NA PSF Roof/dead 17 PSF Roof/live 30 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: na Presumptive: 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: BOWDOIN G. HUTCHINSON Cert#: PE# 70878 Design Firm: Date: 3/3/2011 A\® RCN! - V I°�"C�i -Q91, - ; SEA 7()878 THESE PLAN ARE D V�/Q - — A.RE SUBJECT TO ANY C R�ECTIONS 0 OV. RFQt.I!RED BY FIELD INSPECTORS TH T MAY BE NECESSARY IN ORDER TO >i®O� • ��.-c��� COMPLY WITH ALL APPLICABLE CODES. Product Review Affidavit St Lucie County, Public Works Department Code Compliance Division The following products will be installed in the structure located at !609 SE HIDDEN RIVER DR., PSL Building Permit # '1102-0037 - - Owners Name IED & KATHARINE ALONZO Owner's Address' SUN FERNLEAF 7R., PSL, FL 34953 Contractor 1GRANDE CONSTR. OF FL., INC. !Contractor's Address ! PO BOX 881765 PORT ST LUCIE, FL 34988 Product *Product Rated Design Pressures Manufacturer Model Number Method of Attachment Windows * Fill in the rated wind design pressures listed by the manufacturer for each product listed 1 st Choice 64/-80 PGT FL 07-0322.06 #10 x SCREWS 1-3/8" EMB. MAX 12" O.c. Mullions N/A Fixed Glass 1 st Choice N/A Skylights Glass (other) Butt Glass N/A Glass Block Sliding Glass Doors 1st Choice N/A 2nd Choice cif wi-mo> Swing Type Doors 1st Choice 55/-60 BLDRS. HARDWARE, INC FL 8390.1 1/4" TAPCON 1-1/2" EMB. 12" O.C. 6" FROM END 2nd Choice 50/-50 BLDRS. HARDWARE, iNc. FL 11321.1 1/4" TAPCON 1-1/2" EMB. 12" O.C. 6" FROM END Overhead Garage Doors 1st Choice 38/-42 ICLOPAY FL 73-W6 SEE MFGR. INSTALLATION INSTRUCTIONS 2nd Choice Roofing Material Asphalt/Fiberglass N/A THESE PLANS A D ALL PROPOSED WORK Metal ARE SU jEC1 I C ANY CORRECTIONS Other MAY BE NECES Shutters N/A COMPLY WITH ALL APPLICABLE CODES, Choice I have reviewed the above components and cladding, and have approved their use in the structure to provide adequate resistance to the wind loads and forces specified by currentAg4M tw4fi,S3ons. Name: !BOWDOIN G. HUTCHINSON Signature I- ------------ -- � -- Design Firm, Cert. No. PE: 70878FILE CO O • Wv% irate: _ LU�. STgrE OF fit 0%��%FCOR��Pa�Ja`�`` /11191� 05/04/2011 .14:33 772460f. •GRANDE CONSTR Q.'&.FLA PAGE 02/02 • Termite Inspection 772=323'7921 • Termite Pretreatment FIX: 772-349-5990 • Pest Control Termite Email, Evictabug@gmall.com • Rodent Service & Pest Control • Fire Ant Lawn Service Inc. 265 SIN Port St. Lucie Blvd, #323, • Licensed & Insured !J31757715; Port St. Lucie, Florida 34984 Notice of Preventative Treatment for Termites (as required by Florida Building Code (FBC)104.26 and Broward County Chapter FOC 105.2.2) PEST PREVENTION I FIRE ANT SERVICE 1 TERMrrE SERVICE I RODENT EXCLUSION & REMOVAL f GATE OF SERVICE �' � �"� �� TIME 1A, DEV OPMENT AME (P OJECP CONTRACTOR'S NAME CONTACT PE; SON STRUCTURE ADDRESS (LOTIBLOCK) ,,��• ( C , STATE, ZIP CODE COUNTY P-5L.CONTACT PHONE NUMBER TES ct -I M N i I TrtrAKL8 Q FLOATING ❑ MONOLITHIC © PATIO dGARAGE ❑ DRIVEWAY ❑ STEM WALL 1D ADDITION *QUTOUTS ❑ FOOTER ❑ FRONT ENTRY M EXTERIOR PERIMETER FOR RENEWAL © OTHER ___ __ t] TAMP & TREAT Q,TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT P Y&TA . "ELINE ❑ PROSUILD[`TC ❑ 0RAGNNET ❑ DEMON TC ❑ TERMIDOR TC M BORACARE ❑ OTHER ACTIVE INGREDIENT CONCENTRATION 4% 13,12% C 1,25% Q .5% Q .23% Q OTHER GALLONS APPLIED SQUARE FOOTAGE _____ .. ____ LINEAR Tt7(iWE q� 'ES ❑ NO 'T 4EASURED OR VERIFIED PER PLANS JOB READY CONDITIONS Mk? YE$ ❑ NO DETAILS As per 104,2.E F6C - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval. Certificate of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.) If this notice is for the final exterior treatment, initial and date this line FINAL STICAEF ❑ ELECTRICAL PANEL ❑ WATER HEATER Payment Terms: Payment due at time of service. Datc - ❑ OTHER MAY 201 Dale 05/ 04/ 2011 14: 33 77246 V GRANDE CONSTR kA PAGE 01 / 02 Fort Plem, FL 34992 772-4 62-2172 Fax 772 462-6.443 CEW111FICATIE OF TERMITE TREATMENT 11''ONSTR UCTION SOIL TRiATM ENT PERMIT .f:jj 03 aC B ADDRESS; (,CA ' CAI t\ BUILDER/COINTRACTOiF I.. T PEST CONTROL CONTI-1ACTOR; I lav4e k Qroc PEST CONTROL UCEN'; E #: w We, the undersigned, hereby , certify that Are have pretreated the above described eonstructlon for subterranean termites in acciv dance with the sWndards of the National Pest Control Association. square feet if area treated: _ „Z O _ Percentage of solution: j42.�7 Daft of Treatment. —.footing __jst Treatment Re -Treat Driveway _ _ -- . I'll Treatment e-Trqpt Treatment Pe -Treat Chemicals used; 6•uf Total gallons used: • 0 Time of Treatment: Cif r ,Slab 1� Treatm�rt -Re-Treat � Treatment . r fa al Inspwdon of Exterminator Male: 7b&e mwbe a Mtjp& R ifa m lbr ei dr rWu1ted trdWMt or r aiment and this form =zrbe on the,fob s& to be pk*ed w by the fnsp� Wat drlte c remYi fnspect w or the.sMedulgd & WacMn whYAa f anda m,#L9 m=n Me d*rged i�BC104,�.6Cl�lcateafPmCe;.'tiveTh�tme�lfcrrprev�ntivnr�fllwmA'�s: �gwe�tiarnast�rrr,ltepa�ng,boavz� shah Lie p deed to MCWVe &Vd A ate Tr tme 7t• Certfliwtes as each regj*W pinta rit is =MP&W, prorklrrg a COPY for the permn i l a permit' & i wjw to and anatfier copy ft+rW bulldfag permit The Treatment CertirAcate ~ prrxwde the prmr4 i� ct umd, idiot lrW of fire 4ppfttor tfine and daM of the l>eatyrrerrtr Ae Axatkn are$ basted; c% emksl used, pwrrt , :. WwntratiOn and numbor ofgallbm used, b esbbldsh a ved&bk remd of Amt trwtr wt .ifthe soil C hemimfAw er metfrod for retwmv pimenbbI7,ts used, f9 &eWMentSAWI Le comp d p�to fkafbuft .; 7 gPPVmi. �EC Lt:IVEC) St Lude County rquiirae fn i) • the final Inspection for CO, a Permanent 5iticlaer 08d on the !! � all the "a�� and delm of anolie if z ;:(: ;" .'Q,ks _c; art Y, FL JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCTV COUNTY FILE # 3559078 OR BOOK +6 PAGE 1386, Recorded 02/03�, .1 at 09:08 AM i NOTICE OF COMNEENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues the following information is provided in the Notice of Commencement. I. DESCRIPTION OF PROPERTY (Legal description and street address, if available) TAX FOLIO NUMBER: 3427-701-0003-00013 SUBDIVISION Hidden River Estates BLOCK 1 TRACT' TAT 2 BLDG UNIT See complete legal description - Physical Address: SM SE Hidden River Dr. Pon St. Lurie, FL 34983 2. GENERAL DESCRIPTION OFIMPROVEMENT: Ituedor Remodel 3. OWNER INFORMATION: a. Nome Edmond Alonzo III and Katherine Alonzo b. Address 224 SW Femleal Tr., Port St Lucie. FL 34953 e. Interest in property Fee Slmple d. Name and addressoffssimpledriehoider rotherthanOwner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: 'Grande Construction of Florida Inc. PO BOX 881765 Pon St Lurie FL 34988 P- 772-336-7240 F - 772-785.8851 S. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7I3.13 (1) (a) 7., Florida Statutes: CC NAME, ADDRESSAND PHONE NUMBER: CQ J S. 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: cL NAME, ADDRESS AND PRONE NUMBER: CIS 1— C5 � G7 h-- ter. cLa «mac 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date+ I-- 20_ �+ specified): . MC - -- - - ---r-r-- C!7 `r ARE CONSIDERED IMPROPER PAYMbTI_TS UNDER H I M.13. FLORIDA STAMTES. AND C — RESULT M YOUR PAV MC' TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST SE' cl*j fit: R RDED D E t RE T FIR IF YOU rNTEND TO OBTAIN FIN �5� lows Itzf -cc W ce � C.D O x _ o f Print Name and Provide Signatory's Title/Office Owner's Authorized Officer/Director/Partner/Manager State of Florida / County ofileltodilweh �/ I !r. Lvc t >• The foregoing instrument was acknowledged before me this day of 3 /t'� 0 t . By C�isW M A -IA A 7,0 =j-�� (nameofppdrson) (type of authority.... e.g. o t , ee, attomey in fact) £79M r'ublic State of FloridaT Simmons ission EE026901 Notary signature serial1/26/2014 Under Penalties of perjury, i declarethat I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (Section 92.525, Florida Statutes). �� . l� Rev.eb.t4-07(S.Reeording) (Si a igningAbove) Feb 03 11 01:54p �' ;r �' p.1 CUSTOMER'S DEPOSIT RECEIPT & SERVICE AGREEMENT . -. ( 3 , ram.• { mot; ;> Locatii�on_# _ W.O. # Previous Customer # New Customer # i W.O. # + Own �r Rent: Schedule Date: Received From: i'1 �' :�� _; 1 `i� -i�� r�•-,`n ; �? Date: Street Address: Mail Address:=':=-�-s `► a_ ..tom jl, ..J,� ; -�'�. D. L. #: 21 ! C); :�- ' Phone #: BK & PG #:—;.Z� -�L i Work/Cell #: —? Same Day Turn on Fee: $ Water Deposit: $ EJ `1 l eck #. Added to First Bill: 0 (initials) Sewer Deposit: $ ❑ Cash Paid: (initials) Total Deposit: S �'J _ ❑ Credit Card Customer requests water be left on and understands the release of liability to the City initials agreed refused S.T.E.PIGRINDER system brochure Use of City water for irrigation will result in high usage costsinitials i s . This payment is to guarantee any and all indebtedness for water and/or sewer service which maybe or become due to the City of Port St. Lucie Utilities Systems Department, it's agents or employees (hereinafter called "Utility"), and b j the Customer. Customer agrees that this Deposit., or any portion thereof, may be applied in discharge of any indebtedness of Customer to Utility. The Customer herein agrees that it is responsible for all service charges tothe service address, until a request in writing for termination of service is provided to the City. Upon discontinuance of service covered by this Deposit and the presentation of this Receipt and proper identification, Utility agrees to refund to Customer the Deposit, less any amounts due Utility. Prior to the transfer of any service account to a new owner -of the (serviced) property, the Customer agrees to provide Utility a copy of the Closing Statement. This Deposit shall not preclude Utility from discontinuing for nonpayment, the service covered by this Deposit, regardless of the sufficiency of said Deposit to cover any indebtedness for such service. Customer agrees to abide by all existing rules and regulations of the Utility and any amendments thereto. Copies of the rules and regulations and amendments are available for inspection at the City Clerk's Office. Customer agrees that Utility shall, at all times, have access to Utility's lines, meters, and Suburbanaer (pressure sewer system), and the areas where such facilities are located will be kept free of shrubbery, trees, fences, interference from any pets and other obstructions. Customer agreesthat it shall hold Utility harmless, and Utility shall not be liable for any damage or injury alleged to have occurred to real property, persons, or pets by the Utility conducting inspections and repairs to Utility lines, meters, and Suburbanaer (pressure sewer systern). Customer agrees that all bills for water and/or sewage charges will be paid within twenty (20) days of mailing. After five (5) days written notice if not so paid, Utility will have the right to disconnect service and charge a reasonable fee for reconnecting. It is further understood and agreed that the sale of water to Customer occurs at the meter, and Utility has no responsibility relative to service or supplying water after the .water passes through the meter. It is the Customer's responsibility to insure tliat all plumbing past the meter is shut off priorto the water service being activated. Utility's responsibility to gravity sewer service ceases at Customer's property line, and Utility's responsibility relative to Suburbanaer (pressure sewer system) ceases at the point at"which the house lateral enters the Suburbanaer unit. The Terms and Conditions Regarding Water and Wastewater service, adopted by the City Council of the City Of Port St. Lucie, are listed on back of this service agreement. I have read and acknowledge receipt of this service Agreement by signature below. CITY OF PORT ST. LUCIE UTILITY X By Customer - - - r Rev. 1 J97 PLANNING &.DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION • 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT _ _SUB -CONTRACTOR Si1MMARY . ,_ w611,ize using the followi ng ft - ,a o►�,e�- TillyL'[.l.btJ �F - - - - gsub-contractorsorhe - - - - _ or the -. ---- — 'project located at (fl09 SG 11�O��u 12idbd �°�"C T• v�ls --- — - —T-- --(Street address -or -Property Tas-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 6l w 6'ials 2 ���-< < G m p a N Z 09'c.13 00 4 i 22, Plumbing mow, l2 0rn161r1C� (( PIF l l q b`t 1 l0 3 HVAC/ Mechanical S d S FML CO"MTI60%,W �"1Zbflu�svint�a�l 19S3S- RtA 130lo'7 t 7'7 Roofing Gas T-V PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: IZ G G (A State of Florida Certification Number (Happlicable): 6-- k30d Glq (Company Name/Individual a have agreed to be the ELtC_`C2iuu sub -contractor for % Rn,-� bC coo5m oc-no-1 (Type of Trade) (Primary Contractor) for the project located at &00( SE [ALO EM IfZWSk DILIVIP, (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) IN I ATURES ARE REQUIRED CIr<T-r(LI,5S [-�)99v9-A,,' iJ 2 3 20 i SIGNATURE PRINT NAME DATE Business Name: & Luie l6gk -6L-EC=1 fl lC_ (,c)1 .P61,J j Address: ce n 5J 5ics-y nac G-ka.aj City/State/Zip: Tex r Sf Lu [-L E ,�L :34 B' -3 Phone: —)'I I Ce 2 I - Ct L19 L( email: IoAL Qr. dec--rr f c g w>Lt; I - co/ — OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT wo BUILDING& CODE REGULATIONS DIVISION WELDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: ,p ao 9 � `` State of Florida Certification Number (Ifapplicable): H I O L `7 r 43 d YY,, -Tru os) f Lu rrn b ► fl 3 have agreed to be the (Company ame/Individual Name) PLUn o � A) 9 sub -contractor for GuA04o9 (SS 4rwC-T►a" " IA. lac (Type of Trade) (Primary Contractor) for the project located at �,09 S9 H►bzV0 �'PsI,— (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 -Dj- -7nDyg5 SIGNATURE PRINT NAME DATE Business Name: 1ry� �rq 0AJ RX rA IG i ✓1 q q�71 L Address: City/State/Zip: r* P, e- rc. e— Phone: L 77 2�.�A7-,Z-0-775 email: OFFICE USE ONLY: PERMIT# ISSUE DATE .S \ f1 f3nr 18 04 1 1 s 17a t ST. LiUM CO$JNW ]PUBLIC Wo3pm BUILDING & -Z0NMG-DE PARTbWNT BUELDING 3PIMNHr SU-WNTRACTOR AGRSF.B+WNT SL Lucie Couuty Contractor Certification Number. Slate of Florida Ca tification Number ofvp k S - ' S. Z e1ra,Ghaw agreed to be the (Compmy N=udladiv &W Name) ZAIA 0-- sub -contractor for Cjz.A..(a s Co.s srrLvc s� o .J aF_ �T . (Type Of frada) (Prkony Contractor) for the project located at (0 0 9 S.6. µ o o sa ►� �., b�'D2. ) P S L (Project Shut 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 adAse the Building and Zoning. Department of St. Lucie County by personally filing. a Change of Contra.tor -notice. tTa=— =37 C No. 004-00) N4 I E-.Sy () TAT inAiY 8= 1b7.. �' L T �:-�1_-1 _i ti ,I �asTx: Esc 'a tie lil-, n.±u�r ±SV"t�FS in d1t: F2S'CEL`i 5 T J Sri-TC- :A L SYI'_NA' 'UR e BeuinessNarne S Z $ n, Coco\-K\, -., ,deir:ss: 432 Cz_`W /y IZ�. f`a;v!$tatF+/?iTn- �01tT .T[ •�•\J(-16 T'�. 3c Phone 77.z) `33(o— `f 8 q (a raa':s+ --r+vi r.arr a r :��I' JV .Lg..» Zklla Uli.ir s email- Mack3333 Q i3A iIs 2 _ 3 ( f ROSALIND MI GREEN MY COMMISSION # DD666938 EXPIRES July25. 2011