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Home My WebLink AboutSUBMITTED PAPERS_1DATE FILED �j PLAN REVIEW FEE: QO RECEIPT NO.: 7 % I -3 PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 1. 2. 3. 4. ALL INFO MUST BE COMPLETE & FILLED IN TO BE AC QFPTED . .. St. Lucie County Building and Zoning va�Kel,F t: `��A�� 2300 Virginia Avenue �OR14Q • �Y E� Ft. Pierce, FL 34982-5652 /.. - 772-462-1553 <PerSt. Lucie Cqu'nty %7i / APPLICATION for BUILDING PERMIT -W DG CERTIFICATE of CAPACITY/ZONING COMPLIANCE - PROJECT INFORMATION LOCATION/SITE ADE PROJECT NAME. PROPERTY TAX ID #: LEGAL DESCRIPTION (attach extra sheets if necessary): U t-i b r 5,1 0 t� C�y 5 Ljob 5. PLAT BOOK (P 6. PAGE NO. 7. BLOCK NO. 8. L•OT NO. - L/0 r 9. PARCEL SIZE (ACRES/SQ FT.): q 3 LOT DIMENSIONS:(3 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: 11. SETBACKS (ACTUAL) FRONT 1A![Tr—BACK: '16 RIGHT SIDE: /5 LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [,KNEW CONSTRUCTION [ ] EXPANSION/ADDITION [I INTERIOR RENOVATION [Z RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE:, 14. SQ. FT OF CONSTRUCTION: / 15. SR Fr 1st FLOOR: 16. VALUE OF CONSTRUCTION: $� The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 4'• OWNER INFORMATION NAME: �- �� 1� e, � � q�� D " l' �� Lj t ADDRESS: CITY: ` i't STATE: -11"f ZIP: -3 L4 IT yoxl ---- - .. NE- A-YTIIv1E)::_ (�Y, PHO (D Email: ro b i N - - — c� —549 _ . IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. 44 FEE SIMPLE TITLEHOLDER: (J�" ADDRESS- CITY: STATE: ZIP: PHONE (DAYTIME): ) LAO CONTRACTOR INFORMATION ST. of FL REG.CERT #:(7POP G2 BUSINESS NAME: QUALIFIERS NAME: '� r ADDRESS ^_ ST. LUCIE COUNTY CERT �r CITY: f��i ,Ifth a STATE: ZIP: — : — -'/1�"�% y� FAX NO. '�Y �-(' l� Email: PHONE (DAYTIME): , (o �3 ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): (_a BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: ZIP: ZIP: ZIP: MffORTANT NOTICE:. When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned tb you by mail. 1• ' 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, 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: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT TITLE AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and at all w rk will be done in compliance with 0 applicable laws regulating constn� anoni rk SIGNATURE STAT OF FLORIDA COUNTY OF �-- The foregoing instrument was acknowledged before Mel d�ayof 20�, v�W by who is personally known or has produced SIGNATURE STATE OF FLORIDA � ` COUNTY OF The foregoing instrument was acknowledged before met day of , 20/ Q by who is personally known !/ or has produced as identification. as identification. Signature of Notary Signature of Notary - Commission No. ��Y'� - l ({/SpgINDE6ERRY Commission No. (Seal) �� * MY COMMISSION # DD 941405 �P'kb ROBINDEBM s EXPIRES: December 9,2013 * MY COMMISSION # DD 941405 . : _ l9rFOF F�o��O! Bored Thor Notary k tces NOTE: TWO (2) SIGNATU mb SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERM��'AS, AN 0 � ER, 'THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERBUILDER APPLICANTS. % ROBIN DEBERRY For specific instructions see appropriate permit checklist. * MY COMMISSION#DD941405 EXPIRES: December 9, 2013 Nf9�OF Fl°FOF Bonded Tteu Budget Notary services OFFICE USE ONLY BP SECTION TOWNSHIP RANGE MAP NO. ZONING Y w J LAND USE / LOT CVG % � �� / TAZ NO. FLOOD ZONE FIRM MAP # 1T FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS f STORMWATER LOT OF REC LOT OF REC Before 1/1990 After 1/1990 LOT SPLIT REQUIRED --------------------- l / LOT SPLIT APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE (RADON) LIBRARY PUBLIC BLD PUBIC BLD IMPACT PARKS FEE IMPACT FEE IMPACT IMPACT CORRECTION FEE FEE GENERAL T LAW ENF SCHOOL ROAD CREDIT Y IMPACT N IMPACT IMPACT FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY IMPACT ADMINISTRATIVE _ m- - - - . _.. ............. _ ... .... _REQUIRED ...... _ ............. ..._ , _. FEE ..... ... ... ..... VARIANCE FEE. _...... _. SPECIFY MECHANIC ROOF NON -CONFORMING SUBS MISCELLANEOUS ' ELECTRIC REQUIRED PLUMBING GAS LOT OF RECORD FEES FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR COUNTER PLANS VEGETATION SEA TURTLE : _ MANGROVE. REVIEW REVIEW DATE REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED INITIALS t 9 r ~b Port St. Lude Buildinig DePil tment r � , 'itlis form is to Ws flNed ae+x Iby Pest corKrai Compe�Y Certificate of �Cormpt not a a�lance 6 Permit Number.,° lacatioq of Property: � � I � � ., ____ �' a! �; q d. Block legal pescriptlon; Section Pest C OVI company Soil Tmonent CotMp►ttly inforinetlaft Soil Add �T6 Soil TreatmenVDACS 1. MOO The buflding has received a bamplete treatment for the prevention of subterranean termites. TraNtment is in accorhaance with the rules and laws asoblished by the Floods. Departrnent Of Agriculture and Consumpr Services. A second treatment ups done 01) (date) AP Ias per manufacturer's Spec" cation. if the seco+ad treatment is not mquired, a copy of Oe product label shall be included with thisiceMficate. Tim: rre a ment ft Iormaadan Dote of Treed rent` .. Chemical use I 1 i100 Concenti' Oor Gallons Used McMod of Ap a1M.odDn (Soil mix+ard, etc.) linear Footal a of Area T11! aped Semna I . I eew IIle r it TnafbrmWon Date of Treat rnent Chemical Us1 hd ---- ... Concenbado r Gallons Uses Method of IAA catioan ............ I ... Linear Foota le of Anew 1 i'!eated pkgm Notfe. The City of Pbrt St. Lucie does not guaiiarantee , w vl 8went+ ► -the preiconstruc Lion s.s to show that to oli treatment atttasted to exit°s knowledge, the fwl has is docuffnOnt the best of this departm es tlsled the itulMrnents of the Florida Building Code for prion against termites. e This fbrrn iMUST BE RETURNED to the Bulls lho De+p>ea11 PlOnt Wm your Onal InwecOw Is a t kiluledl m • Termite' InSp@Cti0C3 ��p�"��ri Termite Pretreatment 1 g for 772-340.5098 ° Pegt Control �"e�anrte E Tail: Evictabug@gmailxom ,0 d S & past o eat Ul V %ov Conxrof ° Fire Ant Lawn Service Inc. 265 ;; IW Part St. Lucie Blvd. #323, ° Licensed & Insured U0. J8175775 F ::irt St. Lucie, Florida 34984 Notice of Preventative Treatment fc r Termites (are raquirad by Florida Building Code (PSC)104.26 and Sfavvarc County Chapt r- FBC 105.2.2) PESTPREVENTION 1 'F'IREANTSERVICE I TERMITE5ERVICF I ROpENTE;'i-, U ION&REMOVAL DATF, OF SERVICE D1 VCLOPM£IYT NAME (PROJECT) .j CONTRACTOR' NAME 00NTACI PERSON 5 1 a STRUCTURE ADDRM (LOTJBLOCK) CITY, STATE, ZIP CO IE ) COUNTY / CONTACT PHONE NUMBER NOTES y ^ 2R. -lT. nff-TYPQLR A L] FLOATING 13 MONOLITHIC U PATIO 13 GARAGE U DRIVEWAY L3 ADDITION Q CUTOUTS L] FOOTER Ct FRONT ENTRY a EXTERIOR PERIMETER FOR RENEI IAL PkOTHEF ... U TAMP A TREAT "TREAT ONLY U FINAL ❑ R[TRCAT O som CARE TREATMENT 1'RQP�?. C:<6ASEI.INE u PROBVILDrTO to DRAGNET 0 DEMON TC tJ TERMIDOR TC U SORACAI !E 0 OTHER _ ACTIVE INGREDIENTif.� .-�`1%L r - . _.� - •�—�--•- - - — .. � — - _" CONE Nt; TRATfbN 6°J� C1.12^/0 13.25% 06% 0.23% Ll OTHER GALLONS AP'1 JED � � �• .... ,��, 60lEAf3 FOOTAt3t_,., ,,,r� 3,�R;,FOOT�OE V�RIi�R a l F.9 U NO r NEAP S� OR VERIFIED PER PLANS v JQgi3E/IpY_C�.tN_D,IiLON_$ NLES �L.t7E5 ll NO DETAILS As per 104.28 FRC - If sail chamlcal barncr mtdhod for lermh Pmvcniten is urnd, Flnnl r_xredortmatment shall be comp[ ded pdor to final A ill frog flppmval. _t ojCamp1lanrp: The building hen received 1 pampleta frAatnlenl far 1ha preunnllon of Aubterrawn forMiles. treatment is in acc )i lance with rules rind taw; MIM1lshed by Iho Flnrlda Deparlment ofAgribulluro and Consumnr 9elviaes, (Pbr fhb Florida Building Code) If thtr. notlum is for the flnar'axtbrlor IMA(mant, 611111 and QAts mlr, Illle f�l�1l ST�Cj�iF U ELECTRICAL PANEL 3 WATER HEATER 1 1ER__._._.__.....• •• -. •• • • ••-• •-••--_- --- — -• •--- hy r<nZerms: Paymsni due At timA of servire. Dale Louden Dols . 430I6 •S. US MUG VA.Y I: FT.- AERCE, FLORIDA- 34.982 • 772-465�2700 FAX 772:r.4657 A'063 E- L0Un•ENPOOLSz Ao .:r�, ► +1 CONSTRUCTION -OFFICE.... DA.TE:, ATTN: / L k ��)xq FROM: ; RE: - # OF PAGES INCLUDING COVER NOTI US'AT THE A.EOVI� LISTED NUMBEER COASTAL TESTING LABORATORY, L. L.C. PO 'BOX 2023 PALM CITY, FLORIDA 34991-2023 772-220-6688 COM ACTroN TEST REPo�T ASTM D 6 93 8 -10 DATE Mcwclv02, 2011 JOB NUMBER 11-0302 PERMIT NUMBER : 1101-0038 CLi£Nr LotcdP.w Pool* CONTRAcrOR LaudP,vv�oo JOB L£GA L NIA JOB ADMESS 3807 Pr Wary fort Pierm FL SOIL CLASSIFICATION Fr REMARKS A F%rr►v browvv ba -tdy so%L wMl v a mod wabe,awror,,ntof day T` P' SAMPL£ LOCATION : 10' IS LR Corner - Ceviter of Pad, - 10' IS RF Corner IN PLA DRY U£NSMMAXIMUM DRY c7£NSITY 101.8 103.8 102.4 103.8 100.6 RESPECTFULLY SUBMITTED: £RN£STO VELASCO, P.E. 103.8 26COMPACr1ON 98.0 98.6 96.9 RECEIVED MAR 0 4 2011 ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 A 561-462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described o61 K-)dcIk � --_�*-0=c,co (Tax ID/Legal d scription/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. 2)0�6'w_ q-012_W_x1_e_r / (' G'�'4� C /-� /- // Property Owner Name Property Owner Signature Date r STATE OF FLORIDA, COUNTY OF l/' ACKNOWLEDGED BEFORE ME THIS n DAY OF 20� BY l/ �(i C /-F1� �/] WHO IS PERS ALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. � �i � T 1 w '✓ �/ /v SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY NOTARY PUBLIC TITLE Q ��((��-Q I �,T �) � COMMISSION NUMBER (SEAL) t�RY PG ROBIN DEBERRY * MY COMMISSION # DD 941405 EXPIRES: December 9, 2013 A1,40"ov' Bonded Thor Budget Notary Services JOSEPH E. SMITH, CLERK OF THE FILE # 3558533 OR F3" K 3266 AFMRRRCORDMI- EMIRMTQ- CIRCUIT COURT — SAINT LUCIE COUNTY PAGE 157, Recorded 0:? `' 2/2011 at 08:48 AM i i i NOTICE OF COMi!1�NCEN�iEN� j The undersigned'heneby given notice that Improvement will be male to certain real pFoperty, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice Qf commencemew I. DESCRDMON OF PROP ITY (Legal description and attea'odcrs8)1'AX F&JO NUMER: 33; S6 ;L ODq O 6,0 0 Ci WOO d—. 3 -1 ` vV w►a= 2.GENERAL DESCRIPTION OF neROVEMENT, ' D L (- ' � r 3. OWNER FNFORMATI;ON.. a Nara (— _ �/ 1 b r J i✓ i ' / (� b. Address D 'Ck la i = W E.✓ i-. inoeravt is d. Name and address of fee simple titleholder (if other than dwnec) 4. CO CTOR'S NA1414 ADDRFSts AND PHONE NUISO Lo LA_!^ l+/ 0 h� t 5. SURF'TX'S NAME, ADDRESS AND PHO NUMBER ; BOND AMOUNT: . 7. Persons withid the State of Florida designated by Owner upon wljom aotices or other documents may be served as provided- by: Section 713.19 (1)(A) 7. Florida Statutes: 1 NAME, ADDRESS AND PHONE NUMBE L 8. In additiodto himself or herself, Owner designates the following to receive a copy of the I• ienoes Notice as provided in'Section (' 713.13 (1)(b);.Florida Statutes: I NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration dM is 1 year from the date of recording unless a different date is �• specified)20 Sigoa�Auth rrPdlnt Name and Ii ovlde Signatory's Tide/Otfice. !Owa • td Officer rtor/Psrtaer/Manager State of Florida: Couatyof The foagOing.iastnrment w acknow�lcd�pd before me this _day of �L bra V29 2OZ ny—� V! ( rJ I .r 1� I 1) r:- as 1 ; (Name of person) ETypb of authodty..:eg.Owner. officer, trustee, attorney in fact) For �� (Name of patty on Behalf of whom instrument was executed) Personally Kn,m—�or produced the following type of M: (Printed Name of Notary Public) (Slgnatnre ofNa Under penalties of perjury,.I declare that I base read the feie$oir SATE OF F L O R i D A belief (section '92.525, Florida Statutes). f. LllC1E COURTY 11S Ic TO CERTIFY TH RUE Aa1) WAAEC116 RIGINAIA Authorized and that the facts in it•sre true to the beat of my knowledge sad �fficer/Dlrector/Partner/Manager who signed above: ' By "W ro¢, ROBIN DEiem . 1 MY COMMISSION i OD 941405 ' * EXPIRES: December9, 2013 �r'tFovne°�R~ l Ttw Budget W Secu = i MEN St. Lucie County Building & Zoning 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY Louden Bonded Pools, Inc will be using the following sub -contractors for the (Company/individual Name) r n v project located at � W O AJ � �✓ LIB (Street address or Property Tau ID #� 0��33 t� �.'Q�t f 0 6 0, 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 �ICh 1(i 176 Plumbin g; . Louden Bonded Pools,Inc RPO'oo66790 Robert & Bruhn HVAC/ Mechanical Roofing Gas Y PERMIT ( — I ISSUE DATE: I NUMBER: ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): ( �� c- ( Lw have agreed to be the (Company Name/Individual Name) -Roo �,C ,� L � sub -contractor for �� FJ U d —e,-n t� 6"' (Type of Trade) (Primary Contractor) for the project located at d 7 (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 SIGNATURE PRINT NAME I / DATE Business Name: 01701 d Address:.� City/State/Zip: El_p ' Phone: 4/ G OFFICE USE ONLY: V -p u3r -6 C email: S---D f'/ �0 % /'1 C • C�vv''1 ISSUE DATE ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. RPO 0066790 State of Florida Certification Number (if appficab]e): 5041 Louden Bonded Pools Inc. have agreed to be the (Company Name/Individual Name) Plumbing sub -contractor for Louden Bonded Pools (Type of Trade) (Primary Contractor) for the project located at i,Y►'1 ' AAc L ) (Project Street Adress 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 personalty filing a Chenge of Con -0c SI:CCDV�- No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) 0RyqAL 81 ATURE ARE REQUIRED Robert S. Bruhn / GNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: Louden Bonded Pools, Inc. 4306 S US 1 Fort Pierce, FL 772-465-2700 email: OFFICIE USE ONLY: PERMITS I I O I ! �� O� ISSUE DATE • ST. LUCiE COTJ : i i BOARD of coUNTY COMMSSIoNgRS ?300 VMTNU AM' UE, FT. PIERCE, F'L34932 Residential Swimming Pools, Spa, and ]Slot Tub Safety Act AFFIDAVIT OF REQUIRE3UNT COMPLIANCE I Me) acknowledge that a new swimming pool, sp$, cr hat tub will be constructed or installed at--,w &2n ` kcc t?j 3 Yam— . and hereby atikm that one of the following methods will be (Plum P int Stm Addfiss) used to meet the requirements of Chapter 5 15, Florida Statutes. {please initial the methods? used for year pool The poc 1 will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515M; - ---- The pc)l will be equipped with an approved safari pool cover chat compiles with ASTM F1346-91 (Standard Performance Specifications for Safety Covers for Swimming Pools, Spas, and Hot Tubs); All doers and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a ,r inimum sound pressure rating of 35 decibels at 10 feet, All do» providing direct access from the home to the pool will be equipped with lair -closing. self latching devices with release mechanisms place no lower than 54" above the floor or deck. i understand that n•)t having. one of the above installed at the time of final inspection, or when tine Pool is completed for coaract purposes, will constitute a violation of Chapter 515, ES., and will be consid- ered as committing a misdemeanor of the second degree, punishable by fines up to 5500.00 andkar up to 60 days In jail as established in chapter 775,F.S. I understand that the St Lucie County Building Inspections Department assumes no liability For the final inspection of one of the above protective devices, or the lark of maintenance, or the removal of such after the swimming pool has been finalized. I, th5,c-9)2trap)dr, ajre� to Instruct the owner of the proper use and maintenance of such safety d4 Mce. CON : ACTOR'S SkONATURtE DATE 0 A DA • �SpRY P4�i ROBIN RRY * * MY COMMISSION # DD 941405 �EXPIRES: Number 9 2013 OFF Bonded Th BU* floteigSe, = NO ARY PUBLIC, VATOW FL. NOTART PUBLIC, STAT9 OF FL. AS TO CONTRACTOR PERSONALLY KNOVA PRODUCED ID TYPE AS TO OVftM PERSONALLY KNOWN PRODUCED ID TYPE TiIISFORMNVSTBestJe immnWITH ALL POOLwAfii0TTUB PEOUTAPPLICATIO,�, ROBIN DEEM * MY COMMISSION t DO 941405 * EXPIRES:nDecedm,Wpe�ru9�,20�13,w_ _� .__ �.•.. .. .__�_____. _ _. ___'`^r•��OFP•OQ\o� BandedThN twuy.. tw..r.�.1•�° Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-1563 Fax: (772) 462-1578 Permit 1 • f� Address 3807 PROMENADE WAY Owner(s) Kevin Hoeffner FORT PIERCE 34982 Historic No Jurisdiction St. Lucie County Parcel # 2433-502-0040-000/9 S/D Estates of Longwood Block Lot # 40 FLU RU Zoning IRS-3 Flood MaK 188E Flood Elevation 10 Flood Zone AE Job Address 3807 PROMENADE WAY Date Voided Please explain in Additional Comme. 4CONTACT INFORMATION Add Application Contact >> Category Type O C tractor Property Owner Property Owner Property Owner Contractor Contractor Name Business Address Email KEVIN HOEFFNER 3807 PROMENADE WAY FT. PIERCE FL 34982 pen on . Registration Phone (772) 460-6344 ext Fax ( ) - Mobile ( ) Pager . Permit - ,.SUB TRADE PERMITS Attach Sub Sub -Trade Permit Permit Type Sub Trade Status Contractor Taken By Company Date Applied Phon( ( ) _ Issued - Owner / Buildier Issued By •Sub -Trade Job Description Expiration Finaled Finaled By �CONSTRUCTION INFORMATION Units 1:00 Floors = Buildings # Bedrooms #.Bathrooms FI Total Sq. Ft. 0.00 Min Flood Elevation 10 Flood Map 188E Flood Zone AE FCC 905 Fence 1 NOC Required ❑ NOC Receivec ❑ NOC Expiration Setbacks Front Back Left Side Right Side iJob Description Additional Info 185' LF OF 5' CHAIN LINK FENCE. RIGHT SIDE OF HOME 15' OF FENCE WITH 5' GATE, LEFT SIDE OF HOME 12' OF FENCE WITH 5' GATE AND REAR OF HOME 90' OF FENCE WITH 5' GATE. NO FENCING WILL BE PLACED IN EASEMENTS. FENCING IN FRONT OF HOME WILL START AT FRONT CORNERS OF HOUSE. Please include the date and your name when adding information. Manufacture Spec's Load test Results The sample below * as tested by pull testing horizontally 36":from base with accu-force 250 force gauges, sIn 62988075:X-pole 64.4 with .063 aluminum extrusion. pole. Baby Guard mesh tested tensile strength ASTM D GRAB METHOD @ 157LBS. BUR.MNG STRENGT�l MULL TESTER ASTM D 5034 D, 3786 ,3787and g 53 C 257 LBS. . Co xnpleted pool fence is assembled witb x-pole and Baby ijruard mesh tensioned between x-poles.,- comprising. of 5 poles per IQ foot or 12 foot section. Poles inserted,with plastic composite sleeves into pool decking f Le.: Sand Set Pavers, concw% wood) and sections connected with safety connectors. The product completely assembled and installed will withstand 321.4 lbs burst. All mesh has a minimum of 90% transparency testing results provided by: American test Labs of South Florida and Nutting engineers of Florida Testing and consulting services. Testing report ATL report # 0805.03-03 in conjunction -with Baby Guard Inc. * in complian a with ASTM standard F-2286--05 **In compliance witli Building code #424.2.17 pool barrier 2004 ** In Compliance with California code 1159920-115929 **In, compliance with R-4101.17.1.15fbc-04 **Minimum fence height is 48". **Fence will be W'stalled a mlinimum of 20" off pool"s edge. **Fence will be permanently attached in one area (a tool must be used to remove fence). ***see attached exhibit COPY'. �.�] 7C1HJ r)MT (rAtl ri ACUO TCGGTFil+.CC 1C'L1T Gfafa7 /C7lfaT Oct 16 09 03:01a Jean SaIntard 772-224-8877 P.1 pen-nanent mount diagram for Pool Safety Fez= in Compliance with building code #424.2.17 -and R-4101.17.1.15-04 L - BRACKET ATrACM TO POLE AND DEC3C F Hex screw to be fasten L- bracket to pole and da* nNT ax6nq Aptm T4F;9Ttpjj7qA /q:AT FbPA7/qT/R1