HomeMy WebLinkAboutSUBMITTED PAPERS,j.ffICE USE ONLY:
DATE FILED: �✓J �p
PLAN REVIEW FEE: / Oa• a0 RECEIPT NO.: / 0� PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
1.
2.
9j
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 35982-5652 SCANfv
St. Lucie C�un
county
,s PLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: �� �_ d2cz419 l� '
# PROJECT NAME: p SITE
q PROPERTY TAX ID 603 /3 1
i
4. LEGAL DESCRIPTION (attach extra sheets if necessary): J df-A
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO.
9.
10.
8. LOT NO.
PARCEL SIZE (ACRES/SQ FT.): • O LOT DIMENSIONS: / 0.5 K 1I
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: rygDA%w
11. SETBACKS (ACTUAL) FRONT:
12.
13
BACK: RIGHT SIDE
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL I ] COMMERCIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE: I M , k"e : •� L
LEFT SIDE:
INTERIOR RENOVATION
(] INDUSTRIAL
14. SQ. FT OF CONSTRUCTION: 15. SF. FT 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
UPDATED 6125/09
v'
OWNER IN
NAME: /6'
RMATION
(' P)--/ paj
,-v
CITY: _ O7 %-'.GAG � STATE: ZIP:
PHONE (DAYTIME): (7Z�) aOl - 7'O 7 % Email:
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: STATE: ZIP:
PHONE (DAYTIME): C--)
(� Loe- -:� 41-c
CONTRACTOR INFORMATION
I I
ST. of FL REG.CERT #: r. CSC t, ST. LUCIE COUNTY CERT #:
BUSINESS NAME: 5c o-f f- 50✓( 5
QUALIFIERS NAME:
ADDRESS: `7`f a-- /J ij 9 Rv-" L ue f� /
CITY: � LOU c � e�4 -C STATE: y" L ZIP: �J33 1
PHONE (DAYTIME): a2-j FAX NO. W,,� 4 --1ogq 6, Email: M 0 N'r 9 q6 0 0& bQ (56A
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): C__)
BONDING COMPANY:
ADDRESS:
CITY:
STATE:
STATE:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE:
ZIP:
ZIP:
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.
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
th-d will be using the following sub -contractors for the
(company/Individual Name) P -
I e,44 A '_'-G-J CIE -
project located at 6?
-(Street address or Property-Tax-ED 4)
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
St. Lucie County/
License Number
Electrical
mdf Q e d-6 C 13zyv; Ce
'ec-C)Ooos wig -I
10
Plumbing
HVAC/
Mechanical.
Roofing
Gas
WFICE-13WONLY:
PERMIT T,lr'.QSUE DATE:
NUMBER:
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
J C.— � -��� asa�9
State of Florida Certification Number (if applicable):
4�" 1 t �% L %P Gov � C , , L✓VI ce, / A) C have agreed to be the
(Company Name/Individual Name)
e c I C act sub -contractor for 5 ca tf 14a fff5O) 6 Vt�p ✓ise ,x.
(Type of Trade) (Primary Contractor)
for the project located at � 1 2/ i / 4l/1 /� iP,-r4 c� zEz
(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
15,0,r� Z—"��-- e,q 'k? -( __r,, . —z ? —/,/
---'SIGN?'---'SIGN?M PMT NAME DATE
Business Name: f? e n&� G e C 1 I� ) c. J? JZLI/ G
Address:
City/State/Zip:
Phone:
'I,—L 32I_r_ 1
Sc/- 23 .2— &12 /, h email.Ae—L,
OFFICE IT.qE ONLY:
PERMIT# ISSUE DATE
,tx-r' J" e V
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3531547 OR Bl '—,+3244 PAGE 294, Recorded 11/09/2010 i�)3:33 PM
PERMrr NUMBER,
NOTICE OF COMMENCEMENT
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.
I. DESCRIPTION OF PROPERTY (Legal description and street address) TAIL FOLIO NUMBER:
2. GENERAL DESCRIPTION OF imi
3. OWNER INFORMATION: a.
b.
in property IQ-o"4t
d. Name and address of fee simple titleholder (if other than owner) /
4. CONTRACTOR�STM ADDRESS AND PHONE NUMBER: _ %LIa A;'; '7 " /�V�' It /,I i., r/ -R _� 3j
5(� rAi7 /S�Yt L•'1 f�.�1:.\i'j 77.2.52-Sr I YL-/
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
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:
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_____
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCF_MENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I SECTION 713,13, FLORIDA STATUTES. AND CAN RESULT
a cf Owner or Print Name and Provide Signatory's Title/Office
Authorized Officer/Director/Partner/Manager
State of Flori a 11
),, n
The foregoing instr` a it was acknowledged before me this _day o v V .20 I.
By .!/Pel4 . 1 �l1T , as
( e of person) ` (Type of authority. Owner, officer, trustee, attorney in fact)
For Q S1 I
(Name o pony on behalf of whom instrument was execu ) Personall Known_ ar produced the following type of ID:
�'..._ _ ��;."• •°N KARENMIRET
* MY COMMISSION I�DD606M
(Pun,2011
ted Name of otary Public) (Sign re of Notary tc) �A EXPIRES: October 118
Under penalties of perjury, I declare that I have read th foregoing and that the facts in it are true to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Si natu s o caner( or Ow (s)' Authorized OfLcer/Director/Pariner/Manager who signed above:
By: By
k, as q)
STATE or FLOIjIft
ST. LH•CIE COUNTY
THIS IS TO CERTIFY THAT THIS ISA
in
TRUE-ANDA.PYQF
ORIGla1Agy C(MECTCbTHE
BY: """'"H CLERK
Date ty ►a k
T
CERTIFICATION: ti -
This application is hereby made to obtain a permit to do *a wmk and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I cea* that no work or installation bas commenced prior to the issusace 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., nouotherwise 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
struc4m Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt fmm undergoing a ;full coacorrency review: room additions, accessory
dructum (all types), swimming pools, fences, walls. signs, screen rooms, utility substations & accessory uses to anotber non-
residential use.
NOTICE TO OWNER- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYRESULT IN YOUR
PAYING TWICE FOR iT41PROVEN ENTS TO YOUR PROPEKTY. A NOTICE OF
CONAEENC,EMENT MUST BE RECORDED -AND POSTED ON THE JOBSITB BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN(j, 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
ATxA.CIIIANT: AS A CONDITION OF ISSUANCE OF TIES PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
TIIE PERSON WHOSE PROPERTY JS SUBRCT TO ATTACI MP14T,
r 012. N =y Twwm-s
. ?A_WW'A
STATE OF FLORIIJIXOI&A"
COUNTY Q>: ,IISS
The foregoing instrument was acknowledged before
me tbhls'day of Old e-C,-L20_ AD
by SC�O T i
-STATE OF FLORID* �� d
COUNTY OF
The foregoing instrument was acknowledged before
me this %J d of
by XCO7& OXA
who is personally known or has produced who is personally knowu� or has -produced
& �L �1007?8 S 6 00Qs identification. IdL G `t007` 2 rg �—`"'gg ideAatAtion.
lak (/lti� Ciao
Signature orsutary S'gnature o[Notary
/ �pBY P09 Notary Pwi,c &We ofPfodda
Commission No. �� 6�d�c`Q ° a`l) mmission No. )� �3d�g// mar ° a� Notary Public St a of
: Atena Masud
v c� o _ My Commission DD638811 Atena Masun
9'r0;f%0
Expires02/11/2011 °°° EpeesU2111/2 1D16,
Of F�
NOTE: TWO (2) SIGNATURES AM REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN O'WNERMUILIDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WELL BE IREQUiIItED FORALL OWNER/BUILDER APPLICAaV'I'S.
For specific instructie s see appropriate permit checklist.
OFFICE USE ONLY B #: I 1 • 0
.;� ... 1.
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
//
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
I ST 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
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
L113RARY
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
Q
!6/10
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
2 • '��l
DATE
COMPLETED
•?�• $O��I
INITIALS
-0
February 17, 2011
Jaime M. Plana
Architecture / Planning
St Lucie County Building Department
2300 Virginia Street
Fort Pierce, Florida
Project: Ceiling Drywall, Insulation and Kitchen Cabinet Inspection
location: 3112 Mura Drive, Unit A, Fort Pierce, Florida
Dear Building Official:
On February 14, 2011, at 2:10 pm, this office conducted an inspection of this property
and found as follows:
1. Kitchen base cabinets are installed firm to the walls and the floor, and kitchen
wall cabinets are attached to a 2x2 p.t. horizontal nailer with %4" screws at 12"
o.c., top and bottom of cabinet. The nailer is attached to the exterior CMU wall
with '/4" tapcons at 12" o.c. This is a solid installation with no evidence of
sagging or settlement.
2., Ceiling drywall is'/" thick, with knockdown finish, attached to the bottom chord
of the 2x roof trusses at 24" o.c. Drywall is attached to the trusses with 1/8" x
2" drywall screws at 6" o.c. The installation is smooth, well finished and there is
no evidence of sagging, water damage or delamination.
3. Attic insulation is R-19 fiberglass batt throughout, laying atop the bottom chord
of the trusses.
4. No electrical or mechanical work has been done, all electrical and mechanical
systems are operational.
5. Only plumbing work performed was the replacement of the two sinks at the
bathrooms (one at each bathroom) and the kitchen sink. All faucets are
operating properly, and sewer is draining without leak or backup on all fixtures.
If you have any questions, please contact me at 561 827 5841 cell, or the number
below.. ,
ana, Architect
nse AR9769
1053 S.W. 12 th Street, Boca Raton, Florida 33486 (561)447-9344/archiplan@aol.com
TRANSMISSION VERIFICATION REPORT
TIME 02/22/2011 13:43
NAME SLC CODE COMP
FAX 7724626448
TEL 7724622963
SER.# BROE5J278861
DATE,TIME
02/22 13:42
FAX NO./NAME
98734135
DURATION
00:00:25
PAGE(S)
01
RESULT
OK
MODE
STANDARD
ECM
FEB 18 toil
Jaime M. Plana
Architecture / Planning
February 17, 2011
St Lucie County Building Department
2300 Virginia Street
Fort Pierce, Florida
PrOjed: Ceiling Drywall. Insulation and Kitchen Cabinet Inspection
location: 3112 Mura Drive Unit A Fort Pierce Florida
Dear Building Official:
Can February 14, 2011, at 2:10 pm, this office conducted an inspection of this property
and found as follows:
I. Kitchen base cabinets are installed firm to the walls and the floor, and kitchen
wall cabinets are attached to a 2x2 p.t. horizontal nailer with %" screws at 12"
o.c., top and bottom of cabinet. The nailer is attached to the exterior CMU wall
with 1/" tapcons at 12" o.c. This is a solid installation with no evidence of
sagging or settlement.
2. Ceiling drywall is W thick, with knockdown finish, attached to the bottom chord
of the 2x roof trusses at 24" o.c. Drywall is attached to the trusses with 1/8" x
2" drywall screws at 6" o.c. The installation is smooth, well finished and there is
no evidence of sagging, wafter damage or delamination.
3. Attic insulation is R-1 g fiberglass Batt throughout, laying atop the bottom chord
of the trusses.
4. No electrical or mechanical work has been done, all electrical and mechanical
.DBPR - PLANA, JAIME M, Ail "``,ect 1
w � L
9:12:29 AM 211712011
Licensee Details
Licensee Information
Name: PLANA, JAIME M (Primary Name)
(DBA Name)
Main Address: 1053 SW 12 STREET
BOCA RATON Florida 33486
County: PALM BEACH
License Mailing:
LicenseLocation:
License Information
License Type:
Architect
Rank:
Architect
License Number:
AR0009769
Status:
Current,Active
Licensure Date:
06/08/1983
Expires:
02/28/2013
Special Qualifications Qualification Effective
View Related License Information
View License Complaint
. . ......... ... ............................................... . ........... ... . .... ..... .... _ ._ ........ .
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https://www.myfloridalicense.comlLicenseDetail.asp?SID=&id=EC4746D2026I E 16BOFE... 2/17/2011
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: Z 6 -77
State of Florida Certification Number ¢f applicable): & f' / % J % S /
y ir-o c ep s 10' m have agreed to be the
(Company Name Namof
U c m G sub -contractor for
(Type of e) (Primary Contractor)
for the project located at 31 12 M C; r q
(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)
(Name of the Individual shown on the Contractor's License)
ARE REQUIRED
IZ(,)6ei-1 A rv-0iJ9' 2 7-41/
PRINT NAME DATE
isiness Name: Yn Y—ro P-t / 1 u yyi-
Address: 113 R- U C
City#Statelzip: 03L -� Q 3
Phone: i 7 2 3 7 U I S Y email: l /� r r�t/� LcicAa'Y� r'ta y F? of , COO/ -
OFFICE USE ONLY:
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
S Q�t'4 4- 14(' -n rX fll� C will be using the following sub -contractors for the
(Company/Individual Name)
project located at %! Z� �� �'� �'�Z {' �� �"
(Street address or Property Tax 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.
St. Lucie County/. —
License Number
Electrical
Plumbing
,\ _
rv�0 IJ S� �% �trh �Z
2 7 03
HVAC/
Mechanical
Roofing
Gas
3,MCE `USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Scott Harrison Enterprises
4134 SW ALICE ST
4134 SW Alice St
PORT ST LUCIE, FL 34953
(772)528-0961
marrl234@bellsouth.net
BILLTO
Paul Miret
3112 Mura Drive
Fort Pierce, FL
Scott Harrison Enterprises
>4 Please detach top portion and return with your payment. �
Invoice
DATE AT �"
Q E4#'-
03/01/2011
1001
Net 30
03/31/2011
,%-,�NPLOSED,
AM(?UNTDUE.
$7,500.00
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