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HomeMy WebLinkAboutSUBMITTED PAPERSFee Due: Receipt# (e r2' Permit # Z7� v St. Lucie County Building & Zoning iV-4rl No G M. 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 ` Tel. •462-1553 C"-f• " V e wl SPECIALTY PERMIT APPLICATION Electrical Shed sc ❑ Plumbing ❑ HVAC ❑ Fence 4�,�/6y��� El Demolition El Gas ❑ Siding COO, See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: i 65� S Q�o��Sch-Al�gct� IL 3 y qsy 2. Parcel ID Number: 0 3J �- S )) " 0 C) 1 0" G 1 d" 0 Office Use Section Townshi Range Map Page I Zoning Land Use I Initials Only 3. Description of Project or Work Activity: 4. Owner$ Inform a tio>� Name: -�C 0,.n V, CL Address: \ 0 tS . '11fo'.«S'. Tv (� J City: 41. i -Cr(- t- State: L Zip: �{`I s�J Phone: 6. Value of Construction: $ ci, 4• 5. Contractors Information FL Reg/Cert #: C>y 5`��� County Cert#: Business Name: Phone Fax 5 jr7—� 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. r\c �C, PRINT QUALIFIERS/OWNERS NAME QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF )t\eA i O.N %*V.b {r ACKNOWLEDGED BEFORE ME THIS � DAY OF Sr 1 OLN .20k0 BY ^J A1, 73 ­6 c f\ OIGVWHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED (, 1 AS IDENTIFICATION. Q'JV,-C,L. �kosjt (seal) SICd4,T-URE4bF NOTARY TYPE OR PRINT 14AME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER-O-X� NOTARY MLIC-STATE OF FWRMA Nancy Hoyt €, Commission#DD836969 St. Lucie County Specialty Permit Application rev. 8/25/05 dmg zi?;.= >pIieS; DEC. 22, 2012 BONDED THRII ATLANTIC BONDING CO., INC. 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 $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 Indicate the street address or general location of the property where the building activity is taking place. 2. Parcel ID Number.. Indicate the tax identification number of the property where the building activity is taking place. 3. Description of Project or Work Activity Fully describe the activity to take'place. 4. Owner Information Indicate the name and address of the owner of the property ,• _ on which activity is taking place. 5. Contractor Information Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number, and tM,name of the'-bdsiness doing the work: 6. Value of Construction 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 deterifiine,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. St. Lucie County Specialty Permit Application rev. 8/25/05 dmg rl= Edit View Bookmarks Tools Window Help D 40 0Baserap Markers EHighlght.r 1 ": Layers Basemap Markers 1 fD R County Boundary 23 E3 OverlayZones 0, 0 Sections, 0. ❑ Historic Structures q 1305 AG-5 AG-5 E Address master • C, ❑ Mi, Addresses t7 ❑ Hydrology Names ROIA El El Road RCNV Dimensiot, IP El Lot Lines El Block Numbers Anno IV] Lot Number Anno Parcel Dimension Anr; El Managed Care Faci!it' F:2 El RCYIV Major Roads Streets OV Historic Sites 34945 34 C!, 0 Hydrology AG-5 1, Ft Pierce Z. El Annexations 1+1 W Parcels 1865 0 Flood Zones -aA; D Petitions Airport Run, y .2 CJ Parks & Pres:ves L Site Plans Fi R Future Land Use fti 21 Zoning it 0 wind2ones [I Mobile Home Parks [I Subdivisions e Service 4i El Solid West 111 AG-5 AC-5 SP R] Major Hydrology IFj EJ Utility Service Areas • iP R Zip Codes fl 0 Municipalities ,*]5 0 Aerials 2)309 ,0_171 A-vk2fIrIA 1 5,11 �010 e- ir1 f) Fndk^atures, places and addresses on the map I 1 1832-162.56 1IZ6735.28 Feet Jan 20, 2010 03:02 PM Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6443 http://www.stiucieco.orgfpublic workslpermitting.htm hftp://airs.slcfl.vetrol.com/AIRSweb.php BUILDING PERMIT Page 1 Issued: 02/05/2010 Conf #; 678 Permit #: SLC- 1001-0186 Job Location: 1865 BROCKSMITH RD City: FORT PIERCE Permit Type: Electrical Job Description: INSTALLATION OF A TRINA SOLAR ELECTRIC SYSTEM ( GRID TIE IN W/ BATTERY BACK-UP) FSEC # TS09-NT90-0298 * MODULE # TSM-230PA05 * 230 WATT Subdiv: Lot: Block: Setbacks Left: Right: Front: Number of Units: 1.00 Floors: 1 Buildings: Minimum Floor Elevation: Flood Map: 165F Parcel: 2317-311-0010-010/0 Rear: Zoning: AG-5 1 Square Footage: 0.00 Flood Zone: X Elev: Contractor JOHN J DRNDAK CLIMATIC -SOLAR CORP (772) 567-3104 650 2ND LN VERO BEACH, FL 32962 Property Owner FRANK RAZEM (772) 344-0162 1865 BROCKSMITH RD FORT PIERCE, FL 34945 Property Owner CHRISTA RAZEM ( ) - 1865 S BROOKSMITH RD FORT PIERCE, FL 34945 Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those for all electric, plumbing, mechanical, roofing and structural work. Further, he/she acknowledges responsibility to comply with all requirements of the 2007 Florida Building Code and the St Lucie County Land Development Code. Issuance of this permit may be appealed to the St Lucie County Board of Adjustment by an aggrieved party by filing a notice of appeal with the St Lucie County Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St Lucie County Land Development Code, Section 11.11.00., Appeals. Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.01 (A)(2). NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. s:553.79(10), F.S. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s:713.135 (1)(a), F.S. Christopher Lestrange Building Official Date 02/01/2010 08:04 7725674553 _ CLIMATIC SOLAR CORP r�1 d•OSEPH 8, SMITH, CLERK '\,HE CIRCUIT COURT - SAINT LUCIE COUNTI FILE 0 3435428 OR BOOKS �! & PAGE 359, Recorded O1/28/207,b at C'x;a3 VM PAGE 02 AFM nEwwwagV4 rn„ M to, I PHttMII'NtlMlllnir 1 '(Iri. cp„rn nlr..rd rarrv,;,, d:nn :pl„ NOTICE OF COMNIENCEMENT J Pft MdA thiped a mll given mom OW ubpr. MMO WHI be m.dr to =Wfi alai property, tptd in �dMloe with t�.pkr 713, m u provided is Lire Notice orcotome=mvm 1. UrSCWTION OF rROPEM (U& daaiDdan tmd Wn% a kkm) TAX FOIAO NUPl KX. 3 E 311 (kj �p _O 1b d SUBDM-40N HtAV K �.... _e _ 2.GRNERALDFSCRWUO?tOXX0jt0VFIHM.. r'2 ).OWNERWFORM nON: b. (address S K oa c [ e e a Usenet in propertySS�4'Cr d. Nano and address odes aiu4* titieholdcr g(ed u dun owner) ' DRFSSAM?R R S N,�, AD 31ey 3' SURETY'S NAINX AD)DRM AND FHONE I Rtl WXR AND BOND AMOUNTt b• LENWR'SNAMF.ADDRESSAWDPBONRNUMVIM- 7. Pusatrt witb)n the S=6 of rloridrt designated by Owner upon whom ootices a ousel' dmTncnta may be solved BB provided by Section 213.13 (1 xa) 7., Florida Stmutas: NAME, AbbltL ; AND PRONIt Kpytpltp; B, In addldm to himself or (uraat� owner desigoatea t11e lb 713.13 (i)(b), Florida Seatutes: (towing to te4ive a copy of tht Limpr's Nodae m ptovidod in Sadfon NAME, ADDRESS AND PHONE nWKSL• 9. Exp[ragm date of nauec Of -WNW (Hre ezpifatlae dale Ii I year finro the d.te Of t"mMn g r nt m a dilk.= Lime is specl9ed) . 20 ` tkAN I�+gI(�t 5• n OwNLr1Q Stuatuts Of Ow» or krl.t fine and hyslde glpprrrY r Ylt>dplDs; Owner's Atttho I Ar/Wrcctor/Partrer/Mtar..k St.re of Florida c maty of SY. I_ V G l ti The Po_rcgr q wtvme t was Bedmowle*4 bef m me Hue _ L L _ y or n &2y ARX _ 20l° (Primed rrmtic orprrsm, algtling stove) m (Type of atttbor(ty...e.g. Owner, o8icef, ttvatne4 anarney in fad) For Marne of petty m be2rilf of wbmn inatn.nma was ) Fasonal Known ✓or 1Y t�srarl lire fdlawhrg type of 1p: T� n�t,,JJ rr {,, ��� / �'J'Donof ,�/' LIIVDA SCH)NURM f(IIr6.rrSYT �rJ U'�"�'/Pr i'rc 1Ar C0AOnaBI0NY11D}g710I iPt{nOedNameofNotz<ryPubec) (SINot lit, �,,% rnea,�ts3tlU R w--r rxrtiw..»a, Under p=lcea of perjury, I dt:clam that I have teed the fpcEV ag and that the Oxts In It aft true to dv best Of my Imowledge end belief (section 92,125. Florida Stmutes). nt r OwaeM(.)•oku*whodOtflawMkvMr/Parbt.t'/M.aagerwbeBipedabovt: 9) By ��:l�ihJK 1��4 r �.oulo'rm'+t�w (Si a) (Printed Name) ;�,�; ; r1r�l;fry' (ii,•I ti' �1 f 'I�'a-5. 'it• � ri r : b 4;-_'(A.'! /L - t-,< UV(d Lu 1.1.E 0 Lu cc O LL c= U l . fL 02/01/2010 08:04 7725674553 CLIMATIC SOLAR CORP PAGE 01 { Climatic -Solar Corporation 650 2"d Lane Vero Beach, FL. 32962 Phone Number 772-567-3104 Fax Number 772-567-4553 Web Address www.climaticsolar_com Email iohn Dclimaticsolar.com or nancvnclimaticsolar.com FAX TRANSMITTAL FORM To: St. Lucie County From: Nancy Hoyt Attn: Code Compliance division Sent: 02/01/10 CC. Rhone: -.1 42 Number of Pages: 2 Fax: 772-1578 Recorded Notice of Commencement Permit # SLC-1001-0186 Razem 1865 S Brocksmith Road Ft. Pierce, FL 34954 Let me know if you need any thing else. Nancy Hoyt Climatic -Solar Corporation Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1663 Fax: (772) 462-1578 hftp://www.stiucleco.org/public—works/permifting.htm Review Comments PROPERTY INFORMATION Address: 1865 BROCKSMITH RD City / State / Zip; FORT PIERCE FL 34945 Parcel # : 2317-311-0010-010/0 Jurisdiction: St. Lucie County Zoning: AG-5 Lot # : Block: APPLICATION INFORMATION Permit Number: 1001-0186 Activity Type: Permit Type: Electrical CONTRACTOR INFORMATION Contractor Name: JOHN J DRNDAK Business Name: CLIMATIC -SOLAR CORP Business Addr: 650 2ND LN City / State / Zil VERO BEACH, FL 3296 Page 1 Owner(s): FRANK RAZEM CHRISTA RAZEM Application Type: Over the Counter Permit Other Activity: Stories: 1 Automatic Sprinkler System? Fax Number 772-567-4553 REVIEWS AND COMMENTS Review Type Status Reviewed By Date Started Date Complete Date Released Documents Missing Pending 01/20/2010 1 Comment CONT ON HOLD NEEDS TO UPDATE WITH ST. LUCIE 01/20/2010 2 Front Counter Review Comment NEEDS RECORDED NOC Complete Audrey Humphrey 01/20/2010 01/20/2010 Plans Examiner Review Incomplete Joe Cicio 01/25/2010 1 Comment PLS SUBMIT LEGIBLE PLANS FOR REVIEW 01/25/2010 2 Comment COMMENTS MAILED AND FAXED AS OF THIS DATE 01/25/2010 VA r TRANSMISSION VERIFICATION REPORT TIME 01/23/2010 13:36 NAME SLC CODE COMP FAX 7724626448 TEL 7724622963 SER.# BROE5J278861 DATE,TIME 01123 13:36 FAX NO./NAME 917725674553 DURATION 00:00:23 PAGE(S) 01 RESULT OK MODE STANDARD ECM 1 Code compliance Division 2300 Virginia Avenue j Ft. Pierce, FL 3082 {I Phone: (772) 462-1553 Fax: (772) 467-1575 htte:iiWww.stiucleco.orglpubllc_,workslpermltting.htm Review Comments PROPERTY INFORM�N Address: 186*a BROCKSMITH RD Clay 1 State 1 Zip; FORT PIERCE FL 349d5 Parcel # : 2317-311-0010-01010 duPiadlcti0n: 5t, Lucie County Zoning' AG-5 Lot # : Block: APPOCATI NtNFORNIATION Permit Number: 1001-D1 B5 Activity Type: Permit Type: Electrical GONrR4GTOR INFORMA7I0N Contractor Name: JOHN J DRNDAK Business Name: CLIMATIC -SOLAR CORP Business Addr: 650 2ND LN city I state I Zil VERO BEACH, FL S296 Page I Owner(s): _ IFfANK RAZEM CHRISTA RAZEM II` Application Type: Over the Counter Permit Other Activity: Storlew 1 Automatic Sprinkler System? Fax Number T72-557-4553 REVl AND coMMEN�s_ REMLIM S• tatus Re_ i�ewad$X Pete staff Qete eta Re sed Dcauments Missing Pending 01/2012010 1 Comment CONT ON HOLD NF-F-08 TO UPDATE WITH ST. LUCIE Nr;r-nG RECORDED NOC Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 hftp://www.stiucieco.org/pubiic—works/permiffing.htm PROPERTY INFORMATION Address: 1865 BROCKSMITH RD City/State/Zip: FORT PIERCE Parcel#: 2317-311-0010-010/0 Zoning: AG-5 APPLICATION INFORMATION Permit Number: 1-00101 -86 Activity Type: Permit Type: Electrical Review Comments FL 34945 Jurisdiction: St. Lucie County Lot # : Block: CONTRACTOR INFORMATION Contractor Name; JOHN J DRNDAK Business Name: CLIMATIC -SOLAR CORP Business Addr: 650 2ND LN City / State / Zil VERO BEACH, FL 329E Page 1 Owner(s): FRANK RAZEM CHRISTA RAZEM Application Type: Over the Counter Permit Other Activity: Stories: 1 Automatic Sprinkler System? Fax Number 772-567-4553 REVIEWS AND COMMENTS Review Type Status Reviewed By Date Started Date Complete Date Released Documents Missing Pending 01/20/2010 1 Comment CONT ON HOLD NEEDS TO UPDATE WITH ST. LUCIE 01/20/2010 2 Comment NEEDS RECORDED NOC Front Counter Review Complete Audrey Humphrey 01/20/2010 01/20/2010 Plans Examiner Review Incomplete Joe Cicio 01/25/2010 01/25/2010 1 Comment PLS SUBMIT LEGIBLE PLANS FOR REVIEW 01/25/2010 2 Comment COMMENTS MAILED AND FAXED AS OF THIS DATE Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 http://www.stlucieco.org/public—works/permiffing.htm Reviews Plans Examiner Review Incorriplete cicioj 01/25/2010 Front Counter Review Complete humphreya 01/20/2010 01/20/2010 01/20/2010 Documents Missing Pending 01/20/2010 Plans Examiner Review Incomplete cicioj 01/25/2010 COMMENT Entered Number Date Entered By Complied? Compliance Date Comments 1 01/25/2010 cicioj ❑ PLS SUBMIT LEGIBLE PLANS FOR REVIEW 1 01/25/2010 cicioj No 2 01/25/2010 cicioj No DBPR - GEZELMAN, ALLEr?; -professional Engineer - Page 1 of 1 Licensee Details Licensee Information Name: Main Address: County: License Mailing: Licensel-ocation : License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Mechanical GEZELMAN, ALLEN (Primary Name) (DBA Name) 16502 Hanna Rd. LUTZ Florida 33549 HILLSBOROUGH Professional Engineer Prof Engineer 59180 Current,Active 11/20/2002 02/28/2011 Qualification Effective 11/20/2002 View Related License Information View License Complaint 3:21:59 PM 112912010 I Terms of Use I I Privacy Statement I https://www.myfloridalicense. com/LicenseDetail.asp?SID=&id=171 CCOD 1 B4F5921 BEB... 1 /29/2010 Changzhou Trina Solar Energy Co. Ltd Page 1 of 2 FLORIDA SOLAR ENERGY CENTER& Creating Erfergy Independence n 11 3. PD Lt Certified Modules - Trina Solar Energy Co. Ltd 1 J (0 P11 �01 Trina Solar Energy Co. Ltd No 2 Tian He Road, Electronics Park New District, Changzhou, Jiangsu China 213031 http://www.trinasolar.com Trina Solar Energy Co. Ltd Contact: +86 519 85176509 FSEC Certification Number Module Number Nameplate Rating (Watts) TS09-NT90-0278 TSM-160DA01 160 TS09-NT90-0279 TSM-165DA01 165 TS09-NT90-0280 TSM-170DA01 170 TS09-NT90-0281 TSM-175DA01 175 TS09-NT90-0282 TSM-180DA01 180 TS09-NT90-0288 TSM-185DA01 185 TS09-NT90-0289 TSM-200DA05 200 TS09-NT90-0290 TSM-210DA05 210 TS09-NT90-0291 TSM-220DA05 220 TS09-NT90-0292 TSM-230DA05 230 TS09-NT90-0293 TSM-240DA05 240 TS09-NT90-0294 TSM-250DA05 250 TS09-NT90-0295 TSM-200PA05 200 TS09-NT90-0296 TSM-210PA05 210 TS09-NT90-0297 TSM-220PA05 220 TS09-NT90-0298 TS M-230PA05 230 TS09-NT90-0299 TSM-240PA05 240 http://www.fsec.ucf.edu/en/industry/testing/PVmodules/certified modules/detail trina.htm 1/29/2010 Changzhou Trina Solar Energy Co. Ltd Page 2 of 2 01 TS09-NT90-0300 TSM-250PA05 250 * Modules with certification numbers including the designation -NT90- have not been tested by the Florida Solar Energy Center. These modules have been certified at 90% of nominal nameplate power in accordance with the minimum power output requirements of UL 1703. The FSEC PV Module Certification Nomenclature is: AA-YY-BBBB-XXXX AA - Company Designation YY - Year Certified BBBB - Test at FSEC, ACTL-Tested by another accredited testing laboratory XXXX - Sequential "-P" Indicates a provisional certification. http://www.fsec.ucf.edulenlindustryltestinglPVmodules/certified modules/detail trina.htm 1/29/2010