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HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONL DATE FILED: ll �% pp/� n //02 -60 �5 PLAN REVIEW FEE: r ll RECEIPT NO.: / O`� / PEFMT NUMBER CONCURRENCY FE 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 � �� QV 772-462-1553 St, L-UCid (",.n jay 60 APPLICATION for BUILDING PERMIT , CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION I. LOCATION/SITE ADDRESS: Ce o/Z C. /��� /?��� Fr! 3�/9 ��S 2. PROJECT NAME:-�%Pi3�+ /I�%P'�� + SITE PLAN NAME: 3. PROPERTY TAX ID #: y0 I —e/I 2 ` a —fie — ® x 4. LEGAL DESCRIPTION (attach extra sheets if necessary): S It 5 F4 6F 44-- U4 61'1- ! A o i �� 5 3 30 N� b Fk 1 jE % d �' �4 i 1� s s +� LSF� �y i2 o Lj ash, c X5. PLAT BOOK 6. ,PAGE NO. 7. BLOCK NO. 8. LOT NO. PARCEL S12E (ACRES/SQ FT.): LOT DnvtENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: 11 12. 13. 14. SETBACKS (ACTUAL) FRONT: BACK: Z -3% RIGHT SIDE: 7%4/2- LEFT SIDE: . l TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION pJ EXPANSION/ADDITION �] RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) . n . DESCRIPTION OF PROPOSED USE: [ ] INTERIOR RENOVATION [ ] INDUSTRIAL SQ. FT OF CONSTRUCTION: S7C4-, 15. SF. FT 1st FLOOR S% 16. VALUE OF CONSTRUCTION: $ � :45 0 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 constmction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. r SLCCDV Form No.: 001-02 UPDATED 6125/09 f. t, a. OWNER INFORMATION &AME: o ADDRESS: (a r012 ffro CITY: t'c"k ., (-re, STATE: F 1-- ZIP: PHONE (DAYTRv E): (j) q(a t Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SMLE TITLEHOLDER: A, - A ADDRESS: CITY: PHONE (DAYTI1013): U CONTRACTOR INFORMATION STATE: ST. of FL REG.CERT #: ( G/G / S�D� /� ST. LUCIE COUNTY CERT #: BUSINESS NAME: /—Z 5t2 �� QUALIFIERS NAME: A7�,,5? ADDRESS: LaclL 1W1 CITY: _/Z—� STATE: rL ZIP: PHONE (DAYTRUE): 7 � L16, --? 37 9 FAX NO. Email: ARCHIT/ENGINEER � ? file-C., ADDRESS: c`7� CITY: J PHONE (DAYTmm): BONDING COMPANY: /tl ZA ADDRESS: CITY: MORTGAGE LENDER: p ADDRESS: CITY: STATE: F'C- STATE: STATE: A I' "AP ZIP: IWORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMN ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COTaffiNCEMENT 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. RA-� "�O� OWNER OR CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this —�— day of 20_q--, by c �� who is personal f"own,)t— or has produced identification. Sig aiurebf Notary OF FWRIDA NOTARY PU13L1C-9TAi'S Mark Hen en 6925a Commission No. _ ommissi6 I) 2013 `'•••,., Expires: MAR.11, BONDED TIIRU ATLANTIC BONDING CO., INC- I O. SIGNATURE STATE OF FLORID COUNTY OF -0— The foregoing ' instrument was acknowledged before me this O day of ,� 20 // . by /16, V1 IJ r<le£S TdN �- who is personally known or has produced MARGARETtA J g0ISON -Notary Public - St le of Florida My Comm. Expires Mar 21, 201! Commission N EE 60281 NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARMIh -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. 7A OFFICE• USE ONLY C� �r #: SECTION TOWNSHIP RANGE b MAP NO. ZONING 1 LAND USE p y q_ LOT CVG % TAZ NO. FLOOD ZONE j� N�� FIRM MAP # 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE (J 1 HABITABLE AREA RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD BRACT FEE CORRECTION PUB . ACT I FEE GENERAL PARKS BRACT FEE SCHOOL BRACT FEE ROAD,,---'-' OAD CT EE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS BRACT DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF ELECTRIC GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED r DATE COMPLETED INITIALS L ( 6 3 Notice of Preventative Treatments for Termites (as required by Florida Building Code (FBC)10"6) C, tDate �l l Product Used SANDPIPER PEST CONTROL. 1323 N. Central Ave. Sebastian, FL 32958 772-589-0204 A ` S %ram//GrGC..' Address of (Treatment or Let/Block of Treatment C J P ,0o , W\ r<- Time t "Applicat Chemical used Jactive ingredient) Number of gallons applied 46® Percent Concentration Area treated (square feet) Linear feet treated r -�/ccc Stage of treatment (Horizontal, Vertical, Adjoining Slab, retreat of disturbed area) As per 104.2.6 — N soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. H this notice is for the final exterior treatment, initial and date this line O Notice of Iris eon and/or seat e t. f ' i Date of Inspection Date of Treatment Pesticide Used Wood -Destroying Organism Treated Pursuant to Chapter 482, Florda Statutes, 482.226(6), this notice is required to be posted. Any licensee who performs control of I any wood -destroying organisms shall post notice of said treatment immediately adjacent to the access to the attic or crawl areas or other readily accessible areas of the property treated. Sandpiper Pest Control Lawns • Home • Termites Licensed/Insured i 1323 N. Central Ave., Sebastian, FL 3295.8 (772) 589-0204 Sebastian /Vero Beach (321) 728-2528 Melbourne / Palm Bay State law prohibits removal of this label except by porperty owner. CHANGE OF SUB -CONTRACTOR FORM DATE: MASTER PERMIT NUMBER: 1 i0l 0-6 ?5 I 4x/i l �7ir-p- , (MAIN QUALIFIER), AM REQUESTING CHANGE OF SUB -CONTRACTOR FROM C+'(#) TO Z(i/Q f�,rrin9f�✓� �r,'rw (#) FOR THE PROJECT LQCATED AT (&y 17. 0,iLrvS AjLe . (Project Street Address of Property Tax ID. #) BUSINESS QUALIFIER (Name of the individual shown on Contractor'sl icense) ORIGINAL SIGNATURES ARE REQUIRED C NTRACTOR'S SIGNATURE PRINT NAME DATE Business Name: I efts' m CbYl4'r')C '6r' �nC) Address: 2-1 '� �. oc�Sm 2-jp City/State/Lip: Phone: `�72;21�f371 emailR(v6Y)SI ,I�C� r 1I0 L--CD)5 PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION Q BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): V...C% Z (act e- y + e v rca n4-e r_. Ptlo ' ^k have agreed to be the (Company Name/Individual Name) I Coa�c sub -contractor for .�5g����ti L'e7/j�S j a -,74G (Type of Trade) (Primary Contractor) for the project located at 15"�o / A C% / ,/? r/S /;47t,/,r fir, Pp (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 TURES ARE REQUIRED S+ev2 Fo4er�, I- U IGNATURE PRINT NAME DATE Business Name: Address: PC A©-, 9 (o(0\ City/State/Zip: kz u c. e_ ICI �,3 Y i k Phone: -' � $ Z C� - email: SA-'C U C_ - 1 (%an-Vtr-- �� �' • f1� OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES DIVISION ` BUILDING & CODE REGULATIONS DIVISION • a 2300 Virginia Ave '__ .._--.'.....w_._._.. Fort Pierce, FL34992 BUILDING PERMIT SUB -CONTRACTOR SUMMARY Ln c, will be using the following sub -contractors for the -- (Companylludividual Name) _ _ _ project located at l��fy� A ✓ m it,- .... 7114ft It is understood that U there is any change of status regarding the participation of any of the sub -contractors fisted below, I will -immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of -Florida License Number Electrical Plumbing RVAC/ Mechanical Roofing C &�_01. , n 0 2 eG Z- (2 Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: St Lucie County InsL,._ rtions 2300 Virginia Avenue Ft Pierce, FL 34982 (772)462-2172 CERTIFICATE OF TERMITE TREATMENT . CONSTRUCTION SOIL TREATMENT PERMIT # O�-",I�� S JOB BUILDER ffCSkvrn_;-aSrJ� PEST CONTROL CONTRACTOR�a- PEST CONTROL LICENSE.# 6,53 5 i T-rcJ 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 of area treated: �J�J Percentage of solution: ®•� Date of treatment: Ll VI__ZQ11 i�)' Footing 10 1st Treatment ❑ Re -treat U Slab '❑ 1st Treatment ❑ Re -treat .0 Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools ❑ 1st Treatment ❑ Re -treat Chemicals used: = M 1 n 1 0r1 Total gallons used: 2.0 Time of Treatment:_J� FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. ❑ Other ❑ 1st Treatment ❑ Re -treat ❑ Perimeter for Final Inspection NOTE: Signature of exterminator There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection fee charged. Revised 6113102 dmg Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT JOB ADDRESS:. 1 s . EC So y...,-z AV BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR: AT.raY flexycc.6T ,1", c . PEST CONTROL LICENSE #: a 3 8 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: � 00-- 0 Percentage of solution: Date of Treatment: 1,0 Footing 1st Treatment Re -Treat Driveway 1st Treatment Re=Treat Other 1st Treatment Re -Treat Chemicals used: TCKM I�04 se - Total gallons used: � 0 &4 - __ 6(119 Time of Treatment: A /`" 111 Sia i 11s` Treatment Re -Treat Pools 1't Treatment Re -Treat �/ 2 eter for Fin Inspection Sig ture of Exterminato Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re inspection fee charged. FBC104.2.6 Certificate of Protective •Treatment for prevention of termites A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, -to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. Knauf Jet '-,cream° 73.3 Blowin n :Aaufanmr X Batts and Blankets When installed in accordance with the manufacturer's recommendations, Knauf batts and blankets will . provide the full R-value. R-Value* To obtain an insulation resistance (R-Value) of: Minimum Thickness Installed insulation should not be less than: R-38HD 10.25" R-38 12.00" R-30HD 8.25" R-30 10.00" R-26 9.00" R-22 6.50" R-21 HD 5.50" R-19 6.25"`* R-15HD 3.50" R-13 3.50" R-11 3.50" R-8 2.50" ..R-18 in a 5.5' cavity. Conforms to ASTM C 665 and Federal Specification HH-1-521F. Framing Adjustment To compensate for framing members, the number of bags per 1,000 sq. ft. of area to be insulated should be as shown below. R-Value Joist Dimensions Bags/MSF 16" O.C. Framing Bags/MSF 24" O.C. Framing 2x4 29.2 29.4 R-60 2x6 28.9 29.1 2x8 28.6 28.9 2x4 23.0 23.2 R-49 2x6 22.7 22.9 2x8 22.4 22.7 2x4 20.4 20.6 R-44 2x6 20.1 20.3 2x8 19.8 20.1 2x4 17.3 17A R-38 2x6 17.0 17.2 2x8 16.7 17.0 2x4 13.2 13.3 R-30 2x6 12.9 13.1 2x8 12.6 12.9 2x4 11.3 11.4 R-26 2x6 11.0 11.2 2x8 10.8 11.0 2x4 9.3 9.5 R-22 26 9.1 9.3 2x8 8.8 9.1 2x4 7.9 8.1 R-19 2x6 7.7 7.9 2x8 7.4 7.7 2x4 5.3 5.4 R-13 2x6 5.0 5.2 2x8 4.8 5.0 2x4 4.3 4.4 R-11 2x6 4.1 4.3 2x8 3.8 4.1 Equipment Required If To achieve labeled R-value, this product must be applied with a pneumatic blowing machine and a corrugated hose with a minimum .25" internal corrugation, a minimum length of 150 ft. and a diameter of at least 3". Coils in the hose should not be less than 36" in diameter. Acceptable material feed rate is 5-35 lbs./minute. Recommended feed rate is 15-25lbs./minute. Thermal Performance (Attic Application) The stated thermal resistance (R-value) is provided by installing in accordance with the manufacturer's instructions, the required number of bags per 1,000 sq. ft. of net area, at not less than the labeled minimum thickness. Failure to install both the required number of bags and at least the minimum thickness will result in lower insulation R-value. IInitial To obtain an insulation resistance (R-Value) of : Bags/ rll SF The number of bags/ 1,000 SF of net area should not be less than: Maximum Coverage Contents of this bag should not cover more than: Minimum The weight/SF of installed insulation should not be less than: Installed Installed insulation should not be less than: Minimum Settled Installed insulation should not be less than: R-60 29.7 33.6 SF .952 lbs. 19.750" 19.750" R-49 23.5 42.5 SF .753 lbs. 16.375" 16.375" R-44 20.9 47.8 SF .670 lbs. 14.875" 14.875" R-38 17.8 56.2 SF .569 lbs. 13.000" 13.000" R-30 13.6 73.3 SF .437 lbs. 10.375" 10.375" R-26 11.8 85.0 SF .377 lbs. 9.125" 9.125" R-22 9.8 102.2 SF .313 lbs. 7.750" 7.750" R-19 8.4 119.3 SF .268 lbs. 6.750" 6.750" R-13 5.7 175.3 SF .183 lbs. 4.750" 4.750" R-11 4.7 210.8 SF .152 lbs. 4.000" 4.000" Bag Net Weight -Nominal 32lbs., Minimum 31 lbs. Coverage and installation data were determined using a Volu-Matic' II blowing machine in third gear with 13" gate opening, 2.0 psi air pressure and 150' of 3" internally -corrugated hose. This product conforms to the performance requirements of ASTM C 764, Type I, and cancelled Federal Specification HH-1.1030B, Type I, Class B. R-values are determined in accordance with C 687 and C 518. "R" means resistance to heat flow. The higher the R-value, the greater the insulating power. To get the marked R-value, it is essential that this insulation be installed property. If you do it yourself, get instructions and follow them carefully. Instructions do not come with this package. "Based on Third Party 2-year settling study, the predicted settlement over a 20-year period would be 1 percent or less. This amount of settling is thermally insignificant. Therefore, the installed and settled thicknesses are effectively the same. Volu-Matic°I is a registered trademark of Unisul. Builder's Insulation Statement Batts and/or blankets have been installed in conformance with the above recommendations to provide a thermal resistance of ... R-Value Thickness Attic Area R- `� at `1'^j _ J Inches Sloped Ceilings R- at Inches Walls R- at Inches Floors (over an unheated crawl space) R- at Inches Crawl Space Perimeter R- at Inches Date installedeb- h- q Blown insulation has been installed in conformance with the above recommendations to provide an R-value of : R- using bags of this insulation to cover square feet of area at a minimum thickness of inches. lation Cont(sigate)a _ Company Date Home Builder (signature) Company Date The coverage information on this attic card applies to the entire United States (including Minnesota). Knauf Insulation GmbH One Knauf Drive, Shelbyville, IN 46176 Tel: (800) 825-4434 ext. 8300 FAX: (317) 398-3675 www. knaufinsulation. us © 2009 Knauf Insulation GmbH. u- �J L DATE SUBMITTED: ♦ r ST. LUCIE COUNTY NOTICE OF VEGETATION REMOVAL APPLICATION Please complete the requested information and submit to the St. Lucie County Environmental Resources Department or Building & Zoning Department. For additional information, please contact the St. Lucie County Environmental Resources Department at (772) 462-2526. Filing this application does not result in an authorization to commence any vegetation removal or alteration. Incomplete applications will not be accepted in accordance with section 11.05.06 (c) of the St. Lucie County Land Development Code. Within twenty (20) days after an application has been determined to be complete, the Environmental Resources Department shall review the application and approve, approve with conditions, or deny the application, based on the standards set forth in Section 6.00.05 of this Code. Per Section 11.05.06 b. 6. of the St. Lucie County Land Development Code, The filing of an application shall be deemed to extend permission to the Environmental Resources Director, or designee, to inspect the subject site for purposes of evaluating the application. Please list any specific information such as a gate code or the necessity of 24 hour notice due to cattle grazing, controlled bums, outside pets, etc. OWNERS NAME: /Coh_P,.-t a rs OWNERS ADDRESS 6 O/Z C A Xs CITY: 1'1i • Ye,-CZYe,-CZ STATE: F ZIP: 'Y'X9 S'z- CONTACT PHONE(S) #: 7 )2- 21 L'137'l PARCEL SIZE: PROPERTY TAX ID #: CONTACT PHONE NUMBER FOR PERMIT PICK UP: 17 Z -2/6 -- l3 2 c� LAND CLEARING CONTRACTOR N ,r-ZS ` r� . ; - e- ADDRESS �3 �,i �S�»,k� iZ� % re¢ PHONE NUMBER �)Z 21tG- FLORIDA REG/CERT # CQC 1,5 (Of VM ST LUCIE CO. CERT. # BUILDING CONTRACTOR ; �i - - r r� r 2 & ADDRESS:?454 % S.i���,ilc,V1,El i2�I i.'2v�?. 1='L PHONE NUMBER: 77Z-Ztrc-�3�rf 3AS f S BRIEFLY DESCRIBE THE PROPOSED DEVELOPMENT ACTIVITY TO TAKE PLACE ON THE PROPERTY:. ► � 7 i . I (- J"k UPDATED 7/16/2008 PART I -.EXEMPTION Any^person who intends to remove or cause the death of any vegetation pursuant to any of the following exemptions must first fill out Part I of this form. The burden of proving entitlement to any particular exemption shall lie, at all times, with the person or persons claiming the exemption. PLEASE CHECK ONE OF THE FOLLOWING: 1. The minimal removal of vegetation necessary for the clearing of a path not to exceed 4' in width, to provide physical access or view necessary to conduct a survey or site examination OR 10' in . width to provide vehicular access necessary to conduct soil -tests, for the preparation of bona fide site development plans, or vegetation inventories; provided such clearing or removal is conducted .under the direction of a Florida registered surveyor or engineer. Fee: $55 2. The removal of vegetation in a utility easement, drainage easement, storm water management tract or facility, or right-of-way provided such work is done by or under the control of the operating utility company and that company has obtained all necessary licenses or permits to provide utility service through the easement. Fee: $55 3. The removal of vegetation which has been determined to be a safety hazard, destroyed or damaged beyond saving by natural causes or causes not covered by other sections of this chapter, is infected with disease or is infested with insects, or which constitutes immediate peril to life property or other trees. Fee: $55 _X_4. The removal of native vegetation, upon any detached single family residential lot or parcel of land having an area of one (1) acre or less. This exemption is, however, subject to the following conditions: Fee: $55 A) Nothing in this exemption shall exempt any person from the landscaping requirements set forth in Section 7.09.00 of the St. Lucie County Land Development Code; B) This exemption shall not be construed to allow the removal or alteration of any protected vegetation without a Vegetation Removal Permit on any lot or parcel of land by its subdivider unless the subdivider intends to construct a residential unit or units upon the lot or parcel of land prior to its sale. C) No native vegetation twenty-four inches (24"), or greater, dbh shall be removed from any residential parcel (including those in the AG-5, AG-2.5, AG-1, AR-1, RE-1, and R/C zoning districts), regardless of parcel size, without an approved Vegetation Removal Permit and an approved mitigation plan. 5. The removal of any non-native vegetation. Fee: $55 which will be waived for removal of invasive exotics only for single . family homeowner or property owner's. association removing exotics in a conservation area 6. No vegetation to be removed. Fee: $55 7. The following activities do not require the application of a Notice of Vegetation, however may be required for Building Permit approval or other such authorization: Fee: None A) Preserve and Parks Management Activities. Vegetation removal activities associated with an adopted management plan for government maintained parks, recreation areas, wildlife management areas, conservation areas and preserves. The purpose of the vegetation removal activity shall be to protect and preserve the natural values and functions of the ecological communities present, such as, clearing for firebreaks, conducting prescribed burns, or construction of fences. B) Existing Agricultural Operations. Vegetation removal associated with subsequent harvesting activities, except within required preserve areas or deeded conservation easements, which are part of the on -going activities of the existing operation shall not require a permit. Initial clearing of a site is not an exempt activity. Bona fide agricultural activities include commercial nursery, tree farm, aquaculture, ranch, or similar operation. C) Routine Landscape Maintenance. Trimming or pruning of vegetation which is not intended to result in the eventual death of the vegetation, mowing of yards or lawns, or any other landscaping or gardening activity which is commonly recognized as routine maintenance, replacement or re -landscaping. 2 UPDATED 7/16/2008 PART H - VEGETATION REMOVAL PERMIT Fee Schedule: $100 per Single Family Home Lot/Building $100 per Multifamily Home Lot/Building $200 per Non -Residential Building Please complete ALL of the requested information. A Vegetation Removal Permit shall only be issued if sufficient evidence demonstrating that at least one of the following criteria has been satisfied: 1. The applicant for vegetation removal permit shall demonstrate why preservation of the existing native vegetation is not practically feasible and prevents the reasonable development of the site. 2. The removal of the native vegetation is the minimum necessary in order to implement a Final Development Order (i.e.; approved site plan or approved building permit). 3. A Final Development Order has not been issued, or is not required by this Code for the intended non-agricultural use of the land and vegetation is the minimum necessary to allow for the construction of the intended use or improvement. SUBMITTAL REQUIREMENTS FOR VEGETATION REMOVAL PERMITS: 1. Site Plan/Survey The survey must accurately depict the location of all proposed buildings, structures, driveways, septic tanks, and other improvements; and the existing vegetative conditions on the project site, including an identification of what areas will be impacted by the proposed development activity and what areas are proposed for protection/preservation. 2. Tree Survey The survey must accurately depict the individual locations, species name and common name, and sizes of all County -protected trees to be removed and, if applicable, the individual locations, species name and common name, and sizes to be preserved or relocated. 3. Improvement Agreement If required as a Condition of Approval, attach a copy of an executed improvement agreement and/or surety for landscaping and mitigation. 4. Mitigation All native vegetation shall be protected on site to the greatest extent possible. If impact is unavoidable, areas to be impacted shall be relocated on site or offsite to publicly owned land within St. Lucie County. The applicant is responsible for all costs of relocation. Alternative mitigation compliance methods will be subject to review and approval of the ERD Director. 5. Required Mitigation Calculations X 2 = Inches Required ;, . ,�,�.r3Ztt„ Y t3ut1a'ice$s�Sl, X 2 sas7 ��cs ;tree,i�n�hes�tdb� X1.5= F11f4lVrae,du esv bepl'ai is= Additional Inches of Credit Required = Inches of Mitigation Credit Inches of Mitigation Credit Inches of Mitigation Credit If required based on calculation, alternative mitigation plan shall be attached for review and approval of ERD Director. Prior to the issuance of any authorization for commencement of permitted development activity, the replacement vegetation shall be preserved, relocated or planted, or the appropriate mitigation fees shall be paid to the County. As part of the issuance of any permit requiring the mitigation of trees, the property owner shall submit to an inspection of the planted/relocated/preserved materials 18 months after the issuance of a Certificate of Occupancy or other use authorization. 3 UPDATED 7/16/2008 � J PLEASE RAVE THE FOLLOWING ACKNOWLEDGEMENTS.NOTARIZED: I CERTIFY THAT: (CHECK ONE) A. ( ) I AM THE OWNER OF RECORD OF THE ABOVE DESCRIBED PROPERTY AND WILL BE CONDUCTING THE WORK AS OWNER/BUILDER. Disclosure Statement, Slate law requires construct/on to be done by licensed contractors: You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, ons/te supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substandally improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially Improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your bWid/ng. It is your responsibility to make sure that people employed by you have licenses required by state law and.by county or munidpal licensing ordinances You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct FL CA. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations B. () I AM NOT THE OWNER OF RECORD OF THE ABOVED DESCRIBED PROPERTY; HOWEVER, I HAVE AUTHORITY TO ACT AS AGENT FOR THE OWNER OF RECORD. (St. Lucie County Code and Compiled Laws requires that this type ofwork be done by a licensed contractor. PLEASE PROVIDE DOCUMENTATION). I CERTIFY THAT ALL INFORMATION SUBMITTED TH T PLICATION IS TRUE AND CO �TE TO BEST OF MY KNOWLEDGE. ` OWNER/ ENTSIGNATURE CO TRAk�_ CT R SIGNATURE STATE OF FLORIDA, COUNTY OF ST. LUCIE The foregoing 'instrument wwp/acknowleadized befo0�p hi day oltb , 20 by who is personally 14ofto me or has produced A as identification. STATE OF FLORIDA, COUNTY OF ST. LUCIE The foregoing instrument was acknowledged befgSe me this ' day of�, 20//, by) i VnJ f-tef'4TarJE , who is Dersonallv know to me or has Droduced gignatuYe of No NpY pUgLIC-STATE OF F,ORIDA Si tore Notary77 Mark Henriksen Ssi on #DD869253 Type or Print - vf�}{pbsi MAR. , Type or Print MJIMARETTA J. GARRISON I30NUEU Tfl[iU AT(,(�TPIC $CN�INa (.0., Notary public - Stals 01 Florida My Comm. Expires Mar 21. 201; Notary Public Title Notary Public ,d'itle EE 80281 Commission Number (oa ber (SEAL): (SEAL): FOR OFFICE USE ONLY CONTRACTORS LICENSE DOCUMENTATION VERIFIED _ N/A _ YES NO MITIGATION PLAN REQUIRED —YES NO IMPROVEMENT AGREEMENT REQUIRED AND ATTACHED YES _NO ALTERNATIVE MITIGATION PLAN REVIEWED & APPROVED YES NO APPROVED _ DENIED REVIEWED/ APPROVED BY: ENVIRONMENTAL RESOURCES DEPARTMENT / DATE UPDATED 7/16/2008 �J PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY 1' �i�Cort2 �$LY�e,1;�0y� J 1 will be using the following sub -contractors for the (Company/Individual Name) project located at (Street address or Property Tag 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 Connpany/Contractor - " St. Lucie County/ -- "Stateof�lorida -- License Number Electrical 4, Plumbing HVAC/ Mechanical I Roofing �a /r AC lYI ' f /Y L�CCo3�s13 6 -v� Gas 4, DFFICE'USE ONLY: PERMIT ISSUE DATE: NUMBER: PLANNING & DEVELOPMENT SERVICES DEPARTMENT ' ^ BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT IF L • R I SUB -CONTRACTOR AGREEMENT _ St. Lucie County.Contractor Certification Number:: o'% State ofFlorida Certification Number (Ifapplicable): 0 cc d a% t�fl �(C St��!d'N have agreed to be the pany.. ame/Indiam_ _...._.. - sub -contractor foriicste (lYpe of Trade) (Primary Contractor) for the projiEiTocated at � e12 (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) GIN SIGNA S ARE REQUIRED . SIGNATURE / PRINT NAME DATE Business Name: Address: CitylState/Zip: --WT S.i LU(SC F-6 Z35�5�' Phone: 17-2- 3email: l7U '1ff �'OfIRl12YU9C�a�FinTG o ( ( OFFICE USE ONLY: J' �,, JOSEPH E. SMITH, CLERK .^- THE CIRCUIT COURT - SAINT LUCIE COUy FILE # 3560371 OR BOC•' 67 PAGE 1700, Recorded 02/08/2011 f1:50 AM AFTER RECORDING-RECURN'1'O: The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER:;z"0r/— `t 12—iDofl 5,ti /&`; A- o-9• 41,Szy I0 eC H_ <J 330 eF �k A J y cF fk lI e y OM Sc�/eJ 2. GENERAL DESCRIPTION OF IMPROVEMENT: Ac , :»7 Git•�L'. ;a�F[, 5 3.OWNER INFORMATION: a. Name b. Address G 017 C, rr r2 f rat 3591E c. interest in propertya+!&— d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Frc4o e C,onsih,c- rr, ?n(. ILC�^ rsl 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: T/,14 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: AI /A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: PI i 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 I year from the date of recording unless a different date is specified) , _. 20_. Signature of Owner or Owner's Authorized OMcer/Director/Partner/Manager Print Name and Provide Signatory's Title/Office State of Flo(ri�d� County of tL v C� The oin tns e t was acknowledged before me this day of sy� t ti^ as (Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) (Name of party on behalf of whom instrument was (Printed Name of Notary Public) Personally Known _,ror produced the following type of ID: .,..—v vttnr.tfIATAT11 op FORMA _ :W�ua.s•• of Notary Public c) '•o F Expires:Expires:e: MAR. 11,2013 BONDED TItaU ATIAjmc BONDING Co. INC. Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (section 92.525, Florida Statutes). Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above: Rev. a&MON(R—din) STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS TRUE AND CORRECT COPY Of THE ORIGINAL E SMITH,CLERK t �h By. Deputy For Date ell T. L_W C LE tc, F `L�5O R I D A L 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: CA s AAen tt 2'4,4z FL 3` Wz (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 //®Z adi5 , 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. VtJW'r t4OL6(&95014_ "i 4�� )'-9- I/_ Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF ,,A LC—,(!29, AC O GED BE RE ME THIS DAY OF 20' BY'J!6�g_Y Suti- WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATIIOON. SIGNA OF NOTARY TYPE OR PRINT NAME OF NOTARY GS NOTARY PUBLIC TITLE Off ?5 OMMISSION NUMBER (SEAL)_ NOTAXY aPir 110-STATS OF PLORMA Mark Henriksen Commission #DD869258 Expires: MAR.11, 2013 BONDED TIIRU ATLANTIC BONDING CO.. INC.