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HomeMy WebLinkAboutSUBMITTED PAPERSermit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC 13"Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 4��r4A ,� a�zjaJ1 A A 2. Parcel IDNumber: / J r . � `� ,1 D �� ��) NsonV I' _ low 61, `1+m 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Name: CRIB t lA -� Y \ ► r1y� \ .cam fL Reg/Cert #: Address: 1 C1 L.,akA 0 ay 12 J City: Gt �ti :� ° �o State: 1J Zip: l� �7 La . Phone: 6. Value of Construction: S County Cert#: i513 12 Business Name: Phone: 4(aS Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating construction and zoning. PRINT Ow IE OR CONTRACTOR NAIL AT F OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF \_) t.t VA X ACKNOWL ED BEFORE ME S DAY OF WHO TOP NALLY KNOWN TO NE OR WHO HAS U COMMISSION NUMBER Mc 20_J,�__, BY CA�— KI E Y S. CONLEr MY COMMISSION M EE 004556 EXPIRES( s110, 2014 Bonded ThnJ Notary bid 0 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EWPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIIIENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. NOTICE TO OWNER: FAILURE TO 1 RD A NOTICE OF COMMENCEMENT MAY F LT IN YOUR PAYING TWICE FOR IMPROVEMEN _ _ _ 0 YOUR PROPERTY. IF YOU INTEND TO 4IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a prnnary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Fully describe the activity to take place. Indicate the name and address of the owner of the property on which activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all current retail material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. 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. ❑ Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications ❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34981 All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE: Emergency electric service change out inspections will not be performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. PARK SION FTyI TNOkiH ul0. OME RNYENT lo/ i I Y gs' \ "PIPE: "P` N89'19'28E,286.61'(s.B.) \ \ OWE \ l �o L-1 \tea N18'25"6"W `E'• 10.96' �J C-1 R=2914.93' \ L=288.29' \ ..D=288.tT ri1T CB=M21 15'46'Wg \ L-2 t N24'05'16'W \ 20.04' a -TININ,TENT LOT2 NEXT- LINE ,Y ,W7-- IR LOT 3 — — ,F>*N 1 \ \ \ I ONR 6 .+�RVFY ABBRFVIATION� \ � �-A » rt POiER ARE IB' NAND RS \ PLBAR VITH PSN VEH 4416 AND THE NORTH 1,040 FEET FEET ATE OAD A1AND1l�BYINBG \ \\ \ \\ RAN 40 UGE TCpINN�FiOR10 1H• I.M PEON v�FP.E NOT ABSTRACTED FOR \ RI�GIITSI: Npt3. THISNAMED \ \ \ 4. ELEVATIONS (F SHoPI) HEREON ARE BASED (,N (8. S OTHERPISE NOTED. SCRFTIp1 SUPPUED BY CLIENT.SE NO STP. RESY CLIENT OltUTIL171IF ES THATSUPPAPE LIED BBENEATH THE URFACE 1 BEEN LOCATED. fiEAR A5E ON NORTH LINE OF PARCEL FND. psc. —iNo. ML 3)P \ S89'19'28"W 290.48' E �ii"B"' \ GIYHURST LAND SURVEYING INC. C -CATE V A"—E R%i MAW (LB. ns4) A SVRVSYINO 41e 1dAPPINO COA[pACTy q.sa oTx sT. �.w, vnse—�r VE:RO NEACH. F'L. 3290R: PHONE No. (772) 569-6680 FAX No. (772) 770-3446 REN4M,3 CEf<TEFIED TO: FARROW PATE.L O W IRE. OU44, CA):DIER k CASALINO. LVARIEREO ^LD P.EPUBLI: NARONAL TITLE INSURANIZ ;FWPAHI 12/19/2011 15:06 tWW8jr4_3V1RjE1TAuMNIM PAGE 03/03 100 Loren Ct. Sanford, FL 32771 MASONRYAND SPRAY FOAM INSULATION CERTIFICATION OF INSULATION INSTALLATION JOB: Venegas Residence 3023 Dame Road Fort fierce, FL INSTALLATION DATE: August 2011 STATEMENT OF COMPLIANCE: 110087 Permit #: 10110108 Phone: 407-936-0333 Fax: 407-585-3079 We, the undersigned, hereby certify that the foamed -in -place thermal insulation has been installed in the above referenced building in accordance with the project plans and specifications, and in accordance witli the manufacturers recommendations. The material furnished and installed is of the type indicated below: MASONRY WALL INSULATION: Manufacturer: Tailored Chemical Products, Inc Insuladon Value Parallel Heat Flow Foam Density: .8 lb/cu.fr. Construction 8" b10ck/60 lbs. density 8" block/ I 00lbs. density 12"block/60 lbs. density 12"block/ 100lbs Aens ity Material: CORE -FILL 500 'U' Value 'R' Value 0.07 14.2 0.10 9.1 0.05 20.0 0.08 12.5 The Fire Wall Rating for 8" and 12" CMU is 4 hours in two hour block. WARRANTED FOR ONE (1) YEAR FROM DATE OF OWNER'S ACCEPTANCE, Steven 7' ident �L1t.6Z, Darla Evans, Notary Public No y pumc swta Ot plonds ',k •°�' Dana L Evane D My CammlaSkHl EE147713 �osnn� Expkes i2115JZ015 2011 public Works St. Lucie county, FL 12/19/2011 15:06 4078309"' TAILORED FOAM Oc- m- Loren Ct. Sanford, TAILORED Sanford, FL 32771 FOAIVI NE'N� OF FLORIDA, INC. COMMERCIAL & RESIDENTIAL Fsw MASONRYAND SPRAY FOAM INSULATION t"y w� Icynene TM Insulation Certificate Job \arne: Venegas Residence, 3023 Dame Road Fort ,Pierce, Florida Date Installation Completed: August, 2011 Application Contractor: Tailored Foam of Florida Address: City/State/,Zip: Phone/Fax: Indicate Areas Insulated Exterior Stud Wall: Ceiling Insulation: Roof Deck Insulation: Seal off Walls Special Area Insulated: 3900 St. Johns Pkwy Sanford, FL 32771, 407-332-0333 / 407-830-9174 Average Thickness Average Thickness Average Thickness 5.5" Average Thickness 3.5 PAGE 02/03 Phone: 407-936-0333 Fax: 407-585-3079 Job �: 110087 Per udt #: 10110108 R-Value R-Value R-Value 20R R-Value 13R Tailored Foam of Florida, Inc as an independent Contractor, Certify that the Icynene Insulation System installed on this project was applied in accordance with The Icynene, Inc, recommendations and specifications as stated on the product data sheet and the Icynene Application Specifications in the Steven Fries VP Product Development Tailored Foam of Florida, Inc a6z' i P0a'X'C'- Darla Evans Notary Public Notary .Public State of Flor da Darla L Eva. My Commission D072A582 Olt Icynene Insulation System R-Value Chart Thickness R-Value Thickness R-Value 1.. 3,7 2" 7 5.5" 20 3" 1 1 6" 22 3.51, 13 8" 29 4" 14 10" 36 /U/I- Goo?' SERVICE CHECKLIST AMERICHEM LAWN & PEST CONTROL Setter Products ... Better Service... (772) 562-4144 DATE _lam ;Ff �(NSPECTION PREVENTNF CONTROLLED TREATMENT TREATMENT ONLY INSECTS (TYPE). _ FUNGUS JDISEASES __ WEEDS ( TYPE ) _ { } {) { ) FERTILIZER APPLICATION ( ) GRANULAR FERTILIZER ( ) LIQUID FERTILIZER ( j MICROhIUTRIENTS EF;7REE;ARt In �= 2 - _..0 ( ) SWUB INSPECTION ( i TREE SPRAY FOR INSECTS { ) SFFUB CARE FOR INSECTS & DISEASES { ) TREE FERTILAR { )SHRUB FERTILIZER ( ) TREE INJECTION: 00 NOT REMOVE CAPSULES ( j OTHER—________ s. 'a 'lb1fEIIIC�11 NS FOR. HIS TREATMENT:= { } WATER SOON AS POSSIBLE i crav nu kinr. — (J DELAY WATERING 2.24 HOURS, THEN WATER ^••• --••-•• ."...... .. N rv,—,-1Lm,4,5UIVIILArfCRIVMVKMUYYA.M. COMMENTS AS INDICATED, YOUR LAMPROPERTY WAS TREATED WITH CHEMICAL{S}, ALL PERSONS AND PETS SHOULD STAY OFF THIS PROPERTY UNTIL IT IS THOROUGHLY WATERED IN OR DRY. WE WERE UNABLE TO SERVICE YOUR LAWN TOOAY BECAUSE: ( ) CLOTHES CN LINE ( } DOG IN YARD ( ) GATE LOCKED ( ) LAWN BEING MOWED PLEASE CALL OUR OFF ICE AS SOON AS POSSIBLE SO WE CAN ARRANGE TO TREAT AT A CONVENIENT TIME FOR YOU. St Uis;. - -- Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD - Idlewild Hutchinson Island LLC Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification IE CO Site Address: A1A ParcellD 1414-310-0005-000-1 oy� Sec/Town/Range: 14 :34S :40E Account #: 7170 .- Map ID 14/14S HIRD Land Use: Vac Res City/Cnty St Lucie County '• Zoning. '� Ownership and Mailing Legal Description Owner Idlewild Hutchinson Island LLC 14 34 40 GOVT LOT 2-LESS N 1040 FT -AND GOVT LOT 3-LESS S Address 19 Readington Rd 1300 FT LYG E OF A1A- (1.88 AC) (OR 3236-21 Somerville NJ 08876 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Cocie Deed Book/Page 2010 Final: 1391200 Land Value: 1391200 Acres 1.12 10/7/2010 1310000 0001 WD 3236 / 2127 Assessed: 1391200 Building Value: 0 5/11/2004 2260000 00 WD 1967 / 0542 Ag.Credit: 0 Finished Area: 0 SgFt 8/30/2001 100 04 WD 1435 / 0707 Exempt 8/30/2001 300000 01 WD 1431 / 0519 Taxable 8/30/2001 300000 01 WD 1431 / 0518 Taxes 28914.98 11/1/1981 0 01 CV 0368 / 0750 BUILDING INFORMATION No Sketch Available t-,terior eatureS View - RoofCover RoofStruct ExtType. - YearBlt. Frame - Grade - EffYrBlt: PrimeWall: - StoryHght: - No.Units. SecWall: - Interior Features BedRooms Electric. - PrmintWall: - FullBath. HeatType: - AvgHt/FI: 1/2Bath HeatFuel Prm.Flors, - %A/C: %Heated %Sprinkled Special Features and Yard Items Land Information Type Y/S Qty Units Qual Cond YrBlt No Land Use Type Measure Depth 1 0000-Vac Res 280 -Front Ft 325 272 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/prc.asp?prclid=141431000050001 1 / 13/201 1