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Home My WebLink AboutSUBMITTED PAPERS�) ,� ��%ai1111�•��,1 �� I COUNTY LORIA__`' Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ RVAC ❑ Fence ❑ Shed 0 Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: 3 % /9 - 1 Jam' 0 / 9% - 000' 3 SCq ey/,vFO couotk >>(,hcc (is,? Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: !u uC 4. Owners Information �� 5. Contractors Information // Name: mil'• LGtCI ('04 A. -/ FL Reg/Cert #: C e,i Jr/ y5 9 S Address: r2300 Ya5iyiA County Cert#: 02 f a City: F4- i State: ' Business! Name: Zip 3 7 7 �'2 Phone: '�%�'��% 77 Phone: / /�l (c- y9'1b'Faz: / / - z/ (0 7 - 35 D 6. Value of Construction: $ OWNERS AFFIDAVIT: I certify that all of the information contained inAs application is co t and that all work will be done in ,LL�J ,/compliance With all applicable laws regulat' co structio zo g. �Z7 CONTRACTOR PRINT R R CO OR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS I _ DAY 017CU13uMIOL BY 1 WHO IS PERSONALLY KNOWN TO ME VIR WHO HAS PRODUCED — M T%EOR �eaIO N TAR \/JJ l�J\ NAME OFNOTARYIIIN� /I�, t`jota� Puoiic State of Florida * BROOKE ZAMBUTO COMMISSION NUMBERD Of4j :1M�d My Commission DD761722 Expires 02/24[2012 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: FAILURE T CORD A NOTICE OF COMMENCEMENT MAY ULT IN YOUR PAYING TWICE FOR WROVEM-v,ry i S TO YOUR PROPERTY. IF YOU INTEND TC, ..,LTAIN FINANCING, CONSULT Willi 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 ❑ 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 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. STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (St. Lucie County Housing Authority) PROPERTY ADDRESS: 708 NE Camino St Port Saint Lucie, FL 34983 LOT: 10 BLOCK: 27 SUBDIVISION: River Park PROPERTY ID # : 3419-515-0186-000-3 PERMIT #:56-SF-1295232 APPLICATION # : AP989783 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR831936 [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 [ A [ N [ K [ 900 ] GALLONS / GPD ] GALLONS / GPD ] GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY [ D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] 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 E O T H E R CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ SYSTEM SYSTEM [ ] FILLED [ ] MOUND [ ] BED [ ] ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT ILL REQUIRED: [ U.UU ] INCHES EXCAVATIVN REUult(Eu: t j INS-nna 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 (c) Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered and (d) The tank shall be filled with clean sand or other suitable material, and completely covered with soil. SPECIFICATIONS BY: James C Duncan i TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II `Faes —Dllkn DATE ISSUED: 01/18/ 11 EXPIRATION DATE DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHD 04/ 18/2011 Page 1 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System ( ] Existing System [ ] Repair D Abandonment APPLICANT: ` L/U C.1 Y 00Lry1 ! f(lV S J PERMIT NO.`, 5X- DATE PAID: ) FEE PAID: RECEIPT #: [ ] Holding Tank [ ] Innovative [ ] Temporary [ ] AGENT: tj �/n �Q OTC —F ks h TELEPHONE : 1 1 2 -ZI4 -�q MAILING ADDRESS: �cloye- D f-IVe r- T • PI z- TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: O BLOCK: Z� SUBDIVISION: IZ1V-eY '1 k;-7 vnJ -3 PLATTED: PROPERTY ID #: 3J )9 -'_515 - o I&P -000 �� ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: 0,2 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]<-2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER381.0065, FS? [ Y / N ] DISTANCE TO SEWER: FT Rj PROPERTY ADDRESS: 10 (7 r%/�ci no DIRECTIONS TO PROPERTY: U ' " Wes J (/yj Q['� � s3 � � �� jyj j (C /r+- Oh N L od n1gL-) ST BUILDING INFORMATION ><�RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC AST 1 61-t� 3 4 [ ] Floor/Equipment Drains[ ] Other (Specify) SIGNATURE: DATE: DH 4015, 08/ 9 (Obsoletes previous editions which may not be used) Incorporat 64E-6.001, FAC Page 1 of 4 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue ASBESTOS NOTICE Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Asbestos Notice To Contractor 01 /19/2011 DJP GENERAL CONTRACTING SERVICES INC DWAYNE J PHILLIPS 331 EMERALD AVE FORT PIERCE, FL 34945 RE: Building Permit Numbe 1101-0134 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 1 1g / / Date Property Appraiser - St.Lucie County, FL . L PROPERTY RECORD CARD St Lucie County Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 6,v\3CIE CO ParcellD 3419-515-0186-000-3 Account #: 42254 Land Use SF Res City/Cnty: St Lucie County '•�\/AQ' Legal Description RIVER PARK -UNIT 3- BLK 27 LOT 10(MAP 34/22S) (OR 3171-1866) Site Address: 708 NE Camino St Sec/Town/Range: 22 :36S :40E Map ID. 34/22S Zoning: RS-4 Ownership and Mailing Owner: St Lucie County Address 2300 Virginia Ave Fort Pierce FL 34982-5632 Sales Information Date Price Code Deed 12/29/2009 32200 0112 SP 5/12/2009 100 0112 CT 4/21/2005 180000 00 WD 9/5/2003 118000 00 WD 2/28/1992 46000 00 WD 7/1/1976 21000 00 CV Exterior Features Page 1 of 1 Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 31500 Land Value: 11600 Acres. 0.26 3171 / 1866 Assessed: 31500 Building Value 19900 3100 / 1658 Ag.Credit 0 Finished Area 1323 SgFt 2235 / 1070 Exempt: 31500 1814 / 0945 Taxable 0 0779 / 0293 Taxes 0 0260 / 0857 BUILDING INFORMATION View: RoofCover SA - Asph Shingle RoofStruct: GA - Gable ExtType HD+ - HD+ YearBlt. 1965 Frame. Grade D+ - D+ EffYrBlt: 1965 PrimeWall BP - Conc Block StoryHght. 0010 - 1 Story No. Units: 1 SecWall. Interior Features BedRooms: 2 Electric MX - MAXIMUM PrmintWall. DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: STD 1/213ath: 0 HeatFuel ELEC - Electric Prm.Flors CU - Carpet %A/C: 100 %Heated 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt No. Land Use Type Measure Depth 1 0100-SF Res 215 -Front Ft 104 108 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=341951501860003 1 / 11 /2011