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