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HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed E�rDemolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: r� ✓�5 — ����1 L� 2. Parcel ID Number: s C41 " -S" 00 a 187cc t%Se Only .Section] Township Range Map Page Zoning Ian Use Initials 3. Complete Description of Project or Work: �J 4. Owners Information 77 / 5. Contractors Information Name: l Ili l c c' U A, 7`!� FL Reg/Cert #: Address: J _ /�/ - � � a 1 Z 6t9-7 County Cert#: 6 j .� City: CST % State: Business Name:' ��,� , �j 11ityAy1`low Zip: Phone: �` '� Phone:, Fax:3 o3 6. Value of Construction: $ e I OWNER'S AF IDAT rti tt of the information contained in this application is correct at ork will be done in e O Dance a licable laws regul g nstru oning. PRINT CONTRACTOR NAME SIGNAT WNER OR CONTRA STATE OF FLORIDA, COUNTY OF G� 1 ` I — r ACKNOWLEDGED BEFORE ME THIS � J DAY OF 20 't �. BJY 1�� � �[ WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED 1 L I .L e AS ID IFICATION. OF NOTARY COMMISSION NUMBER TYPE OR PRINT NAME OF NOTARY pAYI(N MILONE MY CO ION # DD 852587 EXPIRES: March 22, 2013 Bonded Thru Notary Public Underw cars 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. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 NOTICE TO OWNER: F) .E TO RECORD A NOTICE OF COMMENCEM rIAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INIEND TO OBTAIN 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 primary 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 ❑ IHVAC 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 34982. 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. i�LVLi v- - .U1 U`1. 1 / ! r r LL 7JU 1.)0 t Cn L -MULL I lUIY 12/09/2010 16:44 7724622094 ST LUCIE COUNTY PAGE 08/08 ST LUCIE COUNTY HOUSING DIVISION 437 N. 71h Street Fort Pierce, FL. 34950 REQUEST FOR QUOTEIPROPOSAL DICE DATE: Wednesday December 15, 2010 at 12.00 p.m. CONTRACTOR INFORMATION: COUNTY CONTACT INFORMATION: Com an Name: L. E. B.DEMOLITION LNC. Please complete and return this form to: Address: 12805 SOUTH INDIAN RIVER DR. 9 Glty/state/Zip: JENSEN BEACH, FL Contact Person: LEE BECKFORD Phone: 772 216-1284 Fax: 772 229-3036 Signature: Title: PRES. Date of Quote: 12 / 15 / 2010 Diana Wesloski, Program Specialist 437 N. 71n Street 34957 Fort Pierce, FL 34950 P: (772) 462-1290 F: (772) 452-2855 wesloskid@stlucieco.org THIS IS NOT AN ORDER Quote prices shall be stated in units requested and shall remain firm for ninety (90) calendar days. The County Is exempt from Federal Excise (059-6000835) and Sales Tax (#86-02-017739-53C) Permits are to be applied for within 2 days of the notice to proceed. Work is to be completed within 2 weeks from the date the ermit Is Issued. Price must include all permits and fees associated with com ietin the scope of work. PROJECT LOCATION; St. Lucie County Neighborhood Stabilization Program (NSP) Property 5715 Cassia Drive, Fort Pierce, Florida Description: Single family home demolition and safe, legal, disposal of all materials and clean up of job site. Demolition includes abandonment of the septic tank and removal of all foreign matter, contaminated soil and debris. Total Price $ 4 , 218.00 I- - to Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 ASBESTOS NOTICE Asbestos Notice To Contractor 01/18/2011 L E B DEMOLITION & CONSULTING CO BECKFORD LEROY EDWIN 12805 S INDIAN RIVER DR JENSEN BEACH, FL 34957 RE: Building Permit Numbe 1101-0120 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of any intentions to remove asbestos, when applicable, in accordance with state and federal law. Signature Date t'(tl:t1Vt1) 01/1t7/Lb11 2b:4/ /1122'JJ03b 01/11/2011 TUE 9:22 FAX 77246130 LEB DEMOLITION 2001/001 STATE OF FLORIDA �} DEPARTMENT OF HEALTH tONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (LEB Demolition) PROPERTY ADDRESS: 5715 Cassia Dr Fort Pierce, FL 34982 LOT: 30 BLOCK: 78 SUBDIVISION: Indian River Estates PERMIT #: 56-S F-1294554 APPLICATION #:AP989335 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR831290 PROPERTY ID #; 340261002550008 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER) [OR TAX ID NUMBER) SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD A ( J GALLONS / GPD N [ J GALLONS GREASE INTERCEPTOR CAPACITY K [ ] GALLONS DOSING TANK CAPACITY [ D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ J STANDARD I CONFIGURATION: [ ) TRENCH N F LOCATION OF BENCHMARK: N/A I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D F - 0 T H E R CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] )GALLONS @( )DOSES PER 24 HRS #Pumps SYSTEM SYSTEM [ ] FILLED ( ) MOUND [ ] BED [ j )[ABOVE/BELOW] BENCHMARK/REFERENCE POINT )[ABOVE/BELOW) BENCHMARK/REFERENCE POINT 1 n Wuln v; t u.uu J INI:HY:J EXUAVATIVN REQUIRED: [ ) INCHES Have the tank abandoned in accordance with the following procedures. (a) The tank shall be pumped out. (b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with id and covered and The tank shall be filled with clean sand or other suitable material, and completely covered with soil. SPECIFICATIONS BY: James C Duncan TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD James C Duncan DATE ISSUED: 01/10/2011 EXPIRATION DATE: 04/10/2011 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 A2989335 SE-1 KRK Enterprises, Inc. P.O. Box 135�1 Fort Pierce, FL 34979.3571 GREEN PUMPMG B PWMONG'ft'll % SR 093-1151 • CFC 1426828 -W • "Committed to Exceeding Your Expectations with Service" ❑ C.O.D. XBILLING ❑ CASH ❑ CHECK ❑ Amount Paid ❑ Credit Card # Expiration Date Zip Code �Scurity Code Auth. # 1 4�Q RR� 1 if �!•�. = -.1 , , :') I -K St. Lucie County 772.595.6254 Marlin County 772.287.5453 Indian River County 772.567.8721 Okeechobee County 863.467.2640 Highlands County 863.655.1414 Southeast U.S. 800.330.7686 Fax 772.461.3077 www.krkservices.com I he urid ersigne:;VACLIUM TRUCK SERVICES right) from Chew na i �.�,,.. •i tin -.�� .. - . c �. _ . � Houuy S or H hours TRK # -ij Septagt - J Undercover 2.ro L;d gallons I • -- r ---J9allons ' j Dump Fees ❑ Sand Removal - S U Screen Cleaning • — -- —) ❑ OSTDS Certification - S ❑ Other - S ❑ OSTDS Inspection ❑ • e e ❑ Repau - 1 Ll Instaliation - N ❑ Reiuv - T gli-Septic Tank ❑ Grease Trap b`@ Normal Level ❑ Additional Loads Of Septic Sand 1 Loads ❑ Outlet Screen p Septic Tank ❑ Grease Trap ❑ Level Above Normal ❑ Electrical Repairs - Subcontracted ❑ Septic Tank Lid ❑ RTA/Riser/Lid (s) ❑ Septic Tank structurally sound ❑ Deflection device installed ❑ Grease Trap Installation ❑ Septic Tank Installation Cl Dosing Tank ❑ Drainfield showing signs of FAILURE!! in outlet of tank ❑ Sod Installation ❑ Septic Hole Excavation ❑ Skid Loader ❑ Customer requested a Drainfield Estimate ❑ Potential plumbing problem ❑ Backhoe Services ❑ Mini -Excavator ❑ Permit Fee ❑ Outlet screen installed in deflection device ❑ PTI Multi -Pipe Installation ❑ Labor ❑ Contractor Fee (] Excessive: ❑ Grease ❑ Waste R IN TANK ❑ Other ❑ ❑ � gRoots ❑ Sand ❑ IN LINES 0! UTILITY SERVICES ❑ Client requested a POMS agreement ❑ POMS Client ❑ Flat Rate Job - U ❑ Flat Rate Job - L ❑ Client requested a proposal for additional work ❑ Labor - U ❑ Labor - L ❑ ON -CALL After Hours Emergency Service I ❑ Labor - 2nd Tech - U ❑ Labor - 2nd Tech Tech recohimends the following - ❑ Utility Parts - U ❑ Lift Station Parts - L ❑ OSTDS Maintenance ❑ New Drainfield ❑ Other - U ❑ Lift Station Maintenance - I ❑ Need New Septic Lid Installed ❑ New Tank ❑ Subcontractor ❑ Other - L hours ❑ Installing Outlet Baffle ❑ Hydro Jetting ❑ Vactor Services - V hours ❑ Intalling Outlet Filler Device ❑ Video Camera ❑ ❑ • ❑ Biological Treatment El Vactor (Vac -Con) Services ❑ POMS Upgrade ❑ Root Treatment ❑Flat Rate Job P El Flat Rate Job - B ❑ "Priority -One" Maintenance fl See Comments Below ❑ Additional Repairs ❑ ❑ Labor - P ❑ Labor - 2nd Tech - P El Labor - B ❑ Labor - 2nd Tech - B ❑ Plumbing Parts - P ❑ Rental Equipment - P ❑ Backflow Parts - B WARRANTY From • ' Services Provided ❑ Does Not Apply/No Guarantee ❑ 90 Days ❑ Service Charge - P ❑ Initial Investment ❑ 24 Hours ❑ 1 Year ❑ Estimatefrroubleshoot Only - P ❑ Plumbing Inspection ❑ 30 Days ❑ 5 Year ❑ Video Camera - C - Inspection ❑ Video Tape/DVD _ „ „ _ , _ • • ❑ Underground Location - u ❑ Leak Detection y❑ Sewer Main - m ❑ Floor Drain - f ❑ Dishwasher ❑ Commode - a ❑ Kitchen Sink - k ❑ Tub ❑ Urinal IIBIRSiok - - -❑Shower • �- " . ,. ❑ 2nd Line Cleaned - d ❑ 3rd Line Cleaned - d ❑ Laundry ❑ Whole Building Special - D ❑ Other ❑ Roof Drain ❑ Hydro Jetting Services - J ❑ Performed Treatment ❑ Storm Drain n Thank you for ahllrays calling III "Commit to the Lord whatever you do, and your plans will succeed " Proverbs 16:3 I authorize KIRK ENTERPRISES, INC. to perform the described services and I agree to pay the amounts indicated above. X Client's Authorization Signature Authorizing Agent's Printed Name ❑ Drain Maintainer - Gals ❑ 12 - Pack SIT Treatment ❑ Root Destroyer ❑ Floatinq Degreaser gallons 1 12-paks 3 2-lb containers 5 5-gallons 7 $35.00 or 5% (whichever is greater) Service Charge for all Returned Checks NET 10 DAYS from date on invoice. 1.5% late fee/month + legal collection "A good name is more desirable than great riches". - Proverbs 22:1 a I concur that the above referenced services . . • . were perfomed to my complete satisfaction. X Client / Generator's Satlisfaction Signature Transporter KIRK Service Techls}r - -� 0 0 Gn"N pumpwc s P.O. BOX 13571 Fort Pierce, FL 34979-3571 800-330-7686 LEB DEMOLITION ATTN: LEE BECKFORD 12805 S. INDIAN RIVER DR JENSEN BEACH FL 34957 INVOICE 01/06/11 46131K Note: Called in by LEE Description Cost 1000 GALLONS TRK# 92 CLEANED SEPTIC TANK 215.00 " Commit to the Lord whatever you do, and your plans will succeed " - Proverbs 16:3 SubTotal Total Received Job Site LEE BEDFORD Balance Due 5715 CASSIA DR FP r p■ '' IaL R' g4RGC �EM. TERMS Payment Due Upon Service Date BALANCES OVER 10 DAYS ARE SUBJECT OT A 1.5% CHARGE Please detach and return with your payment f KRK LEB DEMOLITION ATTN: LEE BECKFORD 12805 S. INDIAN RIVER DR JENSEN BEACH FL 34957 215.00 0.00 215.00 PAYMENT DUE 01/16/11 Invoice #: 46131 K Date: 01 /06/11 Balance Due: 215.00 Remitto: KRK Enterprises, Inc. P.O. BOX 13571 Fort Pierce, FL 34979-3571 800-330-7686 Property Appraiser - St.Lucie Count) __ Page 1 of I St Lucie County Record: 1 of 1 Property Identification Site Address: 5715 Cassia Dr Sec/Town/Range: 12 :36S :40E Map ID. 34/12N Zoning: RS-4 Ownership and Mailing Owner: St Lucie County Address 437 N 7th St Fort Pierce FL 34950 PROPERTY RECORD CARD «Prey Next >> Spec.Assmnt Taxes Exemptions Permits Home Print ��CIE CO ParcellD: 3402-610-0255-000-8 N Gy Account #: 38394 I ff Land Use: SF Res City/Cnty St Lucie County �'• Legal Description INDIAN RIVER ESTATES-UNIT-09- BLK 78 LOT 30 (MAP 34/12N) (OR 3229-994) Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 51300 Land Value 10400 Acres: 0.23 8/10/2010 57900 0112 SP 3229 / 0994 Assessed 51300 Building Value. 40900 5/12/2010 100 0112 CT 3200 / 2117 Ag.Credit 0 Finished Area: 1980 SgFt 2/17/2000 55000 01 DE 1287 / 2603 Exempt: 26300 12/17/1999 0 01 WD 1270 / 1494 Taxable 25000 12/3/1999 100 01 CT 1266 / 0633 Taxes 530.25 5/27/1993 70000 00 WD 0843 / 2191 2/2/1993 100 01 WD 0828 / 2279 11/14/1990 68000 00 WD 0716 / 0758 11/1/1987 64500 00 CV 0566 / 1017 4/1/1987 55000 00 CV 0541 / 0958 BUILDING INFORMATION Exterior Features View RoofCover SM - Sheet Metal RoofStruct: GA - Gable ExtType HD+ - HD+ YearBlt: 1982 Frame: Grade: D+ - D+ EffYrBlt: 1982 PrimeWall: WS - Wood/Sheath StoryHght. 0020 - 2 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: STD 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled. 0 Special Features and Yard Items Land Information Type YS Qty Units Qual Cond YrBlt No Land Use Type 3CFT -3CFT S 1 1 AV AV 1982 1 0100-SF Res 215 -Front Ft 80 125 3CFT -3CFT S 1 1 AV AV 1982 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 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=340261002550008 1/5/201 1