HomeMy WebLinkAboutSUBMITTED PAPERSOE I( E USENI,Y:
DATE FILED: % d
PLAN REVIEW FEE: RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
PERMIT NUMBER: /off • ��%`
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING'& CODE REGULATIONS-MMION
SCAN 2300 Virginia Avenue
BY Ft. Pierce, FL 34992-5652
St. Lucie County 772462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITYMONING COMPL E
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 9401 ,
2. PROJECT
SITE PLAN NAME:
3. PROPERTY TAX ID #: 1 3o I Ga V— D 3 S a- b O O-
4. LEGAL. DESCRIPTION (attach extra sheets if necessary): L-q l�eWDo� Part —
/ -_ --- ---, _ / nn _ -% 1-2 1 _ — A / ,n 0 --7 On / � n c-7-�►
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 5 4
9.
10.
II.
12.
13.
14.
16.
051.1 07)
S. LOT NO. 3 0
m �
PARCEL SIZE (ACRES/SQ FT.): U, 29 &C ,EC LOT DMNSIONS:
CONTLETT, DESCRIPTION OF CONSTgUCTION PROJECTOR WORK ACTIVITY:
rr-i Se
Inc v✓ Co C o �- ` �✓- -
SETBACKS (ACTUAL) FRONT: BACK: Y 3 RIGHT SIDE: LEFT SIDE: 3 0
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION EXPANSION/ADDITION' INTERIOR RENOVATION
[ J RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE:
SQ. FT OF CONSTRUCTION: -- 15. SF. FT 1st FLOOR
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 ibis application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
OWNER INFORMATION
NAME: + 0Mr4 S J Scl^
ADDRESS: 8 LIc0l1 f„ �,n V_r
CITY: -�' Q e rGe STATE: FC. ZIP:
PHONE (DAYTIME): "74 Email:
IF TIE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFEREiv'T FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #:
BUSINESS NAME:
QUALIFIERS NAME:,
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX NO. Email:
ARCIUVENGINEER: i
ADDRESS: ..
CITY: STATE: ZIP:
PHONE (DAYTIME): C--)
BONDING COMPANY:
ADDRESS:
CITY: _- -
STATE: ZIP:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE: 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
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance 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., not otherwise 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
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE 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 JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, 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
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN.
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
SIGNATURE
STATE OF FLORIDA
COUNTY OF 1) 7
The foregoing instrument was acknowledged before
me this 10 day of
by
who is personally known ✓ or has produced
Commission No. tf_ /0 3
identification.
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
me this day of
by
who is personally
of N
ekgdwledged before
7 -
,20
or has produced
as identification.
RitwA UmA WIIQIfAR
NIMypMMR' NW al i� missio o. (Seal)
Gloom"* 1E "M7
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE.
FIRM MAP #
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 111990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED.
LOT SPLrr
APPROVED
REPORT
CODE
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BID
BRACT FEE
CORRECTION
PUBIC BID
BRACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
BRACT
FEE
ROAD
BRACT
FEE
CREDIT
Y
N
LAW ENF
BRACT
FEE
FIRE/EMS
BRACT
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
DATE SENT TO ADDRESSING: ! /
REVIEWS
FRONT
COUNTER.
ZONING
REVIEW
SUPERVISOR
REVIE
PLANS
REVIEW
VEGETATION
REVIE
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
ASOl1€d r:R$
v :�
DATE
COMPLETED
:
9.3 4* ,
mu ! Masi
'I
INITIALS
- - .
01l15/2006 U4:51
1124bYb443
bLU INDrr-k, I AU14=
St Lucie County Insl ,._ ions
2300 Virginia Avenue '
Ft Pierce, FL 34982
(7.72) 462;2112
CERTIFICATE OF TERMITE-T ' + A'i'MEN T
CONSTRUCTION•SOIL TREATMENT
PERMIT # d 2 JOB ADDRESS 7` 0 • i5,✓r ✓v 4'✓
PEST CONTROL CONTRA
PEST CONTROL LICENSE
6�4.-,--A,ov A$
We, the undersigned; hereby certify that we have pretreated the above -described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: �/� Chemicals used:���a-h
Percentage of solution: Total ga]aon5 useds
Date of treatment: �� ?� Time of Treatment: /r o `
❑ Footing
❑ Isf Treatment
0�Le-treat ,
lab
❑ Ist Treatment
❑ Re -treat
❑ Driveway
❑ Ist Treatment
❑ Re -treat
\ ❑ Pools
D Ist Treatment
❑ Re -treat
❑ Other
FOC104.2.6 Cernfieate ofProtettive T'r+eatment forpreveation of termites.
A'weather resistant jobsite posting board shall be provided to receive
duplicate ?Treatment Certo5cates as each required protective rr, eatmene is
completed, providing a copyfor the person the permit is issued to and -
another copy for the building permit files. The Treatment Certifrcare shall
provide the product used, identity. of the applicator, time and date of the
'tMatntenr,.site location, areh treated, chemical used, percent concentration
and number of gallons used, to establish a verifiable record of protective
treatment., If the soil chemical barrier method for termite prevention is used,
final exterior treatment shall be -completed prior ro feria! building approval.
St Lucie County requires for the final Inspection for CO, a Permanent
Sticker to be placed on the electrical panel box cover, listing, all the
treatments and dates orapplications.
❑ Ist Treatment
❑ Re -treat
❑ Perimeter for Final Inspection
NOTE: '
Signature of exterminator
There must he a completed form for each required treatment or re -treatment and this form must bean
the job site to be picked up by the inspector at time of each inspection or the scheduled.inspection will
fail and a re -inspection fee charged.
Retard VIVO dmg
elements Pest control Services
VERO BEACH F650609 ' Inc.
PR. 682• 45®965.0609
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 3674067 OR �3362 PAGE 2438, Recorded 02/14/201' ; 08:53 AM
NOTICE OF COMMENCEMENT
Permit No. )apgk - 0 ,f yr Tax Folio No. 130 I — (i)S— C) 3 S Z — 6)00— (o
State of Florida County of St. Lucie
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
he following information is provided In this Notice of Commencement.
legal Description of property: (and street a dress if available); (,f .
/ f4
t �� Ce /y 3 (f �5
TL 11
i AY-f-wooD PR2K.-0n%+, - 1 0�
AAe 13 02
o2 294r6-z.S37,
General description of Improvement: e G r
v.al a ,J K
&, �r
ar l
.SOF Aarek4:- +� r�eoth v A. &Ai%rao�+ 2CAr
�-
GJwra�G
Owner infor as ton or Lessee Inform It the Lessee contracted for the Improvement:
Name � In 11,E T Yr . nS' ke-
M.
Address el4o'1 W. n f Lit✓cltn
`t�Tt�
Interest in property: 0 w
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name:'
Contractor Address: �s r..l n c -
Phone Number:
1 2 — 3 5 �* -4 y
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address:
Phone number:
Lender Name: Phone Number:
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section.
713.13(1)(a)7., Florida Statutes:
Name: Phone Number:
In addition to himself or herself, Owner designates of
Uenor's Notice as provided In Section 713.13(1)(b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
Sxplration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
:ontractor, but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YO OPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE10B SITE BEFORE THE FIRST
INSPECTION. IF YOYATEN)6 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
-1ECORDING YOUY(NOTIV OF COMMENCEMENT.
my
that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
or Lessee, or Owners or Lessee's Authorized Officer/Director/Partner/Manager
010 r l U_
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this,10— day oft Nof�yv'�20 ( ?
1y Q'WOMbS '3 o0f+rrJt;i4C as 0 irJR for
Name of Person Type of authority (e.g.officer,trustee) Party on behalf of whom instrument was executied
ht,u,.ALSILLAn'ILCHAK Personally knownj/or produced Identification_
�, Notary Pubile • State of Florida
(Sign cure of Notary Public' -State of Florf �; .= My Comm. Expires Jan 2, 2016
(Print, Type, or Stamp Commissioned Na blitommission # EE 147317 pe of Identification produced
Bonded Through Notional Notary Assn.
STATE OF FLORIDA
ST. LNIE COUNTY
TH
T fl
0R
By
Da
2012-02-17 14:01 BUT 7722329526 " 7724626443 P 1/1
G R.6" it JOIMVVI VAS I OJoi CAW& LYOor AWQQ:QQQ VL/i9/LVi4 C. 7.2 AM
NOTICE OF COMMENCEMENT
Parmlt No. _ � Q , �% i y �. T. Fo110 No,, 1 � _� �. 0 3 S Z �
a
Stato of Florlda County of St, Lucia
The undersigned hereby gives notlee that Improvement Will be made to eertaln real property, and In accordance with Chapter 713, Flodde Statutes,
.he following Information Is provided In this Notice of Commencement
Laaat n sttl tlon of Property: (and atrea� dross If available): I t rJ 3 SS •i
(sue
C}p't.,'Es,0oa0 f;gl y_— nt — jTo mqP l3 02 ds2 �6'LS�i�
General description of Improvement: s a a w�
SO rrOt�+d^• yLewtn 0. eb;r, 2C0! 9ctla�G Q ✓� `�`�
Owner fnfomiatlon or Ivae Informatitvt If the 4ttsgo Conceactod for the tmprowamant:
Name
Address d•r•re e.%
Interest In property: c-4
Name and addrass of fee simple titleholder (If dlfrorantfrom Owner listed above):
:add'aC10t'I Name;
hittfattar Address: �`•' Phone Number: �"7 — `Ica �
�',{eCC � $
H. -IrCi�
Surety (if applioble, a copy of the payment bond la attaehedl: Amount of band; S
Name and address: _Phone number.
bender Name; Phone Number,—
Londor's addross:
Persons within the StAte of Flarld■ daslgnatad by Owner upon whom notices orothordocumanti mby be sorved as provided by Section
73ffi 111111%,FloridaStatutasl
Nama: Phone Number:_„_,,
Address:
inaddition tohirdselforhernalf,owner designate s - +of..__.—.--
tianor's Notice as provided in Section P1gjg(1•)(b), Fforldo Statutes.
Phone number of person or entity designated by owner.
to rccelve a copy of the
yapiratlon date of notice of commencement: (the exp(rat)on date may not be before the completion of construction Ind final payment to the
-0ntraelor, but will he 1 year from the data of recording unless a different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART i, SCCTION 71A,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
:MPROVEMENTS TO YOPRIOPERTY.ANOTICJOFCOMMENCEIwENTMUST01RECORDEDANDPOMPONTHEJODSITEDEFORETHEARST
INSPECTION, IF YOOTENfi TO OBTAIN FINANCINO, CONSSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORX OR
M1£COROINGYOU OTI OF COMMENCEMENT,
Under pans pa/ aclpra that I have read the loragoing natlta of commancamcnt rend that the facts stated therein are true to the bast of
mykn An
or Lossoo, or
rheforegaingInstrument wpsacknowfodgedbefore mothls_4_day vf! �JPA0L? '
ty tiTadfdeS 3 "��Fh7lyirC_ _ Aa ��wla.�R for
NemeofPerson Typaoraothority(e,g,afficertrustee) Party an behalf oofwhom instrumontwas owutlod
i WERV=Gz ,;I "1l, M.aaAESIL�A NILCHAI'
Pgnonallykftc--LarProduced ldentintptton�
SI i dturo of Notary Pub c-Stato of FIorI , y CcI PYalk • 41JBuier Flmlda
1 R .) sty Comm, frpeb JAA Z.70te
IPrint, Type, or Stamp Commissl0ned Na blimp letlOn M ff 1A7377
Po of Identlfitatlon pfodueed�.
a0tdsd lhrovph µtupnu Naory Assn.
STATE 0'F FLORMA
ST. Li3CIE COUNTY r
T^i;Siv"CiOrl.';I('!TfIr,T ' ,;;IS:ATOV,�r-tea'•
••
,: , r'. CORRECT v i .,.; ; • „ -; t
14,0 .
,? ;1t
y�,r1,•��.• FES 17
{fly rj�
Feb, 13. 2012 6:10PM
No, 1973 P. 1
866-PRE-TREAT
1-800-DILIGENT
FAX 800-837-0311
TerinitePretreat.com
State License 150612
Notice of Preventative Treatment for Termites
(as required by Plorida Building Code (FBC) 104.2,E and BToward County Chapter FEIC 105.2.2)
PEST PREVENTION I LAWN & ORNAMENTAL CARE I TERMITE SERVICE IMOSQUITO ABATEMENT I RODENT EXCLUSION & REMOVAL
SERVICE ORDER NUMBER S SERVICE DATE _21 13 TIME WEATHER CONDITIONS
D ELOPMENTNAME(PR ECU
d
t
STRUCTURE ADDRESS (LOT/BLOGK)
s.
r
CONTACT PHONE NUMBER
TREATMENT TYPE/AREA
❑ FLOATING
R-MONOLITHIC
0 CUTOUTS
❑ FOOTERS
CONTRACTOR'S NAME � rr- CONTACT PEN
dC0�A� 1710m s
p� C17Y STATE, ZIP CODE COUI
NOTES
d-\a 01 4 'Fil.V,a
CJ PATIO
U FRONT ENTRY
❑ GARAGE ❑ 09fVEWAY C. STEM WALL
LI EXTERIOR PERIMETER FOR RENEWAL U OTHER —
TREATMENT TYPE
❑ TAMP & TREAT 0 TREAT ONLY FINAL Q RETREAT ❑ BORA CARE TREATMENT ❑ BAIT STATION
PRODUCT /
❑ BASELINE I<if'PROBUILD TC Ll DRAGNET U DEMON TO U TERMIDOR TO ❑ BORACARE ❑ OTHER
-ACTIVE INGREDIENT
CONODNTRATION
❑ ,0B% ❑ .12% 45% 0 .5% ❑ .23% O OTHER
R V 9lElER
ES ❑ NO
JOS READY CONDITIONS MEI
AES ❑ NO
& • ee UL•1
D MEASURED OR VERIFIED PER PLANS
DETAILS
GALLONS APPLIED /6 0
❑ ADDITION
L.%-e-
As per 104.2.6 FBC - If soil chemical barrier method for termite prevention is used. Finsf exterior treatment shell be Completed prior to I'l uildicnggwapproval.
Certificate of Compliance: The building has received a Complete treatment for the prevention of subterranean termites. Treatment is in ac �614 �, ,) rotes and
laws established by the Florida Department of Agriculture and Consumer Services. (Per th fFl!orida BUllding Cads.) men 9�
/_12
If this notice is for the final eXterior treatment, initial and date this line ��/` , ��
FINAL STICKER � 12
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
Payment Terms: Customer's payment in full is due at time of initial service. Customer agrees that a finance charge in the amount of 18% per annum will
be assessed on all unpaid balances that are not bad fled by the due date- In the event a collection process becomes necessary 10 recover an unpaid
balance the following fees will be assessed' dl but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
pay e t fee, ustomer will be responsibl for ng all costs associated with any collection process,
Date Applicator (Dill t Lawn and Post Control, Inc.)
Date Customer (Property Owner or Agent)
.g. r 4, 1-800-DILIGENT
R rr�7A :: , s.� . , ,. -..� W13 atAnrlilinor%+ nnm
Inspections
Planning & Development Services Online address:
Building & Code Regulation Division http://www.stlucieco.org/planning/permitting.htm
2300 Virginia Avenue Quick Links
Fort Pierce, FL 34982 Permit Status Lookup
Phone: (772) 462-2172 Fax: (772) 462-6443 Online Building Inspection System
Job Address 8407 WINTERGARDEN PKWY
... ...... _......... -------................................................ _-._....---.._.......... ,
\pplication Type Building Permit w/o subs '
:............._..........
__...._..........._.....— —....— -
Activity Type Other
"ermitType [Building (Miscellaneous)
Other GARAGE/STORAGE
Stories 1 Inspection Area
'ENCLOSING 2 CAR GARAGE/STORAGE ONLY UNDER THE HOUSE WITH.CONCRETE FLOORAND WOOD WALLS
r'roperty Owner Name RANDY SANDT Phone (772) 473-3988
Business Name
Inspection Notes
fs.hf;
''q
4 .spector Comments
'ee Revision
Date
Scheduled
Priority Status
Max Expiration Date 02/21/2008
Inspector (Code)
Inspector Date Inspected
I1....
238 '
Electric Rough
3
238
Electric Rough
3
280
Electric Final
4
999
Final Inspection
4
996
Final Termite Treatment
4
;..
05/09/2006
900
Plan Revision
0
Approved
Debbie Isenhour
05/09/2006
IVRAccess
04/12/2006
121
Termite Spray
1
Approved
Norman Anderson
04/12/2006
;t!/;RAccess
04/12/2006
115
Slab
1
Approved
Norman Anderson
04/12/2006
a RAccess
05/11/2006
140
Construction Rough Framing
2
Approved
Jim Beams
05/11/2006
'J.VRAccess
06/28/2006
148
Window/Door Attachment
3
Approved
Jim Beams
06/28/2006
I:VRAccess
I
06/28/2006
135
Wall Sheathing
3
Approved
Jim Beams
06/28/2006
1:
y is
�r
u: r
I
,R
I
l:
Planning & Development Services Permit 1
Building & Code Regulation Division
•
Permitting Department
2300 Virginia Avenue
Fort Pierce, FL 34982
r`
Phone: (772) 462-1553 Fax: (772) 462-1578
Address 8407 WINTERGARDEN PKWY Owners) THOMAS J SCHINSKE
FORT PIERCE 34951 Historic No Jurisdiction St. Lucie County
Parcel # 1301-605-0352-000/6 S/D Lakewood Park Unit 5 Block 54 Lot # 30
FLU RU Zoning RS-4 Flood Mar 70F Flood Elevation Flood Zone X
FPLICATION INFORMATION Property Maintenance Add A New Permit
Application Type I Building Permit w/o subs Status Expired
0512-0778 Activity Type Other
Expiration 12/27/2006
Other -Specify GARAGE/STORAGE
509 Permit Type Building (Miscellaneous) Date Applied 12/20/2005 Taken By serranob
Location Mainland* Date Issued 02/21/2006 Issued By dpelton
lat Fee Valuation Date Finaled Posted By
Date Voided Please explain in Additional Comme
Job Address 8407 WINTERGARDEN PKWY
CONTACT INFORMATION Add Application Contact
C t t
O
Category Type
Contractor
Property Owner
Name
Property Owner
Business
Address
Email
RANDY SANDT
8407 WINTER GADEN PKWY
Fort Pierce FL 34951-4504
^pen ` on rac or ■
Phone (772) 473-3988 ext
Fax ( ) -
Mobile ( )
Pager
TRADESUB . Tr.I
Sub -Trade Permit Permit Type ub Trade Status
Contractor Taken By
Company Date Applied
Contr, ( ) _ Issued
Sub -Trade Job Description
Issued By
Finaled
Finaled By
CONSTRUCTION IN•- •
Units 1 00: `' Floors � Buildings 1 ,;+€' # Bedrooms # Bathrooms
Total Sq. Ft. 0.00 Min Flood Elevation Flood Map =lood Zone
FCC 438 Residential Carport/Garag, NOC Required ® VOC Receivec ® NOC Expiration
Setbacks Front 54.00 Back 43.00 Left Side 16.00 fight Side 30.00
Job Description
Additional Info
ENCLOSING 2 CAR GARAGE/STORAGE ONLY UNDER THE HOUSE WITH CONCRETE FLOOR AND WOOD
WALLS
Please include the date and your name when adding information.
1-30-2012 renewal fee will be $168.75 and a new permit will need to be pulled due to having a new owner -A
Humphrey
SENT EXPIRED PERMIT LETTER 1/8/08 - KC
OKAY PER PAULA NO HEALTH DEPT
NEED O/B ELECTRIC SUB AGREEMENT & SUB LIST FILLED OUTAT PICK-UP.
Spoke to owner permit ready for p/u with all pertinent info. bd 2/21/06. filed numerically
Spoke to Randy revision ready for p/u. bd 5/9/06
St. Lucie Coi
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even
though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You
may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of
under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially
improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building; it is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the
responsibility. for supervising work to a licensed contractor who is not licensed -to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide w ke '
compensation for that employee, all as prescribed by law. Your construction must comply with all applic ws,
ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on how o et
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be h
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are required be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liabl r e
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction prof t
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related al
cost, which could include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclo a tatement and that I further
understand that any violation of the terms of the owner/builder exemption sh orted by the Building and
Zoning Department tp the Florida State Department of Professional Regula • . Si d and acknowledged on this
10 day of Pt b of 201 Z. Z
Signature
STATE OF FLORIDA "
COUNTY OF �tb W
The foregoing instrument was acknowledged before me this l day of T&rU Oaf' , 20 12
by ' 0-0 P Oa S 'S �Lbh�r�PS1L�... who is personally known to me, or who has
produced -- as identification.
smodbow MARIA ESTELA WILC]2.2016
Gr' 4iD�lJ R {g(Lc• S ��(,1�►— �r ��fd t a� `C' y, Not" ftW . Stan 01
ignature of Notary ^ , Type or Print Name of Notary 101y Comm. E*k*l Jan Title: Notary Public Commission Number eF— N7 3 � % VIComissioonEE14
;MITE PRE -TREAT SPE iLlf ."S
Notice of Preve
�l ii
fw6o64ILIGENT
'
�d D FAX 800-837-8311
DiligentFL.com
12 State LicenseJJB`]9+4495
—PUBLI' Wonit3 N
�
w�
S7 LIJCIC -ou., , FL
ative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 1816 and Broward County Chapter FBC 105.2.2)
Service Date -3-30 0G Time
Lot Block Section
Builder 0013
Shell Subcontractor
Development Name/Project %Z�-s TreatmentType/Area
Structure Address ^'�— Floating ❑ Monolithic ❑ Patio ❑
City �� /e �� Y Garage Driveway ❑ Stem Wall ❑
J � Or_ � � � � Cnty UG
Owner
Addition ❑ Cutouts ❑ Footers ❑
Notes r� ��� ��� C��1G o G� C < , 302, Front Entry ❑ Other
Treatment/Product Detail
Tamp & Treat ❑ Treat Only
Treatment Type: Initial Under Slab Retreat ❑ Final ❑
Product: Probuild TC Ur ---Dragnet ❑ Demon TC ❑ Termidor TC ❑ Other ❑
Concentration: 25% ❑ .5% ❑ 1.0% ❑ Other Gallons Applied:,5D
Square Footage: /�S'D�9 Linear Footage:
As per 104.2.6 FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance: This building has been treated in accordance with the rules and laws established by the Florida Department of
Agriculture and Consumer Services. Further, the treatment complies with the Florida Building Code. O�M E If rq�
If this notice is for the final exterior treatment, initial and date this line 2� GpRPORglF`.S '�
�10
Applicator
Date
Customer Signature°•.PORN ..•'��
3100 Northwest Boca Raton Boulevard Suite 106 • Boca Raton, FL 33431 0800-487-8190 • Toll Free 1-800-DILIG�''-o,```�
/\ 1® lull
e4i::!,a:ti3� ant �-kvrmw�
Code Compliance Division
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
Date: 21 February 2006
Job Address: 8407 WINTERGARDEN PKWY
Received By: dpelton
Paid With: CK
Paid By: RANDY SANDT
Building
Receipt
Receipt#: 0000033730
Permit Number: SLC- 0512-0778
Amount: $359.56
Credit Card Number:
Check Number: 437
Sign:
Jt. Lucre county.
Buil ,. Zoning Department
'irginia Avenue
Fort terce, Florida 34982
(772) 462-1553
OWNEWBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law -requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that laa•. The exemption allows you, as the owner of your property, to act as your own contractor even
though you do not have a license. You must provide direct. on -site supervision of the construction yourself. You
may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of
under S25;000.00. The building or residence must be for your own occupancy. It may not be built or substantially
.improved for sale or lease. if you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building; it is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all appli aws,
ordinances, building codes, and zoning regulations. Initial.
I understand that the building official and inspectors are not there to design or give advice on hQAK to meet
the minimum code.. Initial _
l understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial.
I understand that if I compensate any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and li or the
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction project -
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relatSdppdical
cost, which could include loss of w•,19Ps during recovery from their injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
WDepartment to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of Cr ( ?mber f 20 9:K—. /\ i
Ov. erBuild6w-5igFi Lure
STATE OF FLORIDe
COUNTY OF ___ . ��-
e forecoin.o init-umcnt was acknowledged before me this � day of �_, 20 ffby
who is personally known to me or who has produced
identification.
RM�-,, Beatriz Serrano
Sid=n=tut gi'lota-'. Tvpe or Print \afit�sGommission#DD228304 (Seal)
Title: N.' Pu` ii Cummission su Expires: Jul 01 2007
.,,�...c
Bonded Thu
""'� Atlantic Bonding Co., Inc.
EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 2761680 OR 37 PAGE 146, Recorded 12/14/2001ft :20 AM
NOTICE OF COMMENCEMENT
Permit No. Tax ID # 13Ul—bU'LUjj�—UU /6
State Of Florida County Of St Lucie
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and street address, if available-11407 tdi nto-w P:a*ri wn Ml _ rre D" ..... on
General description of improvements ear]oae nndfr nrniaw virn nnnr.r.re t tnnr w S;nn+ *0
Owner Randy R_ Qanrlt
Address_ tS407 Winter Garden Pkw, N •- Pi wrrtw �14 �Hal 951
Owner's interest in site of improvement proviriP rnr an wrnrrunfeej gerage anti r.%G a 4�
—below• the wzictilEg riving aroma,
Fee Simple Title holder if other than owner)
Address
Contractor /jt�-�/ Phone #
Address Fax #
Surety / 1LIV
Phone #
Address Fax #_
Amount of Bond $
Lender /(f�� Phone #
Address Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
Phone #
_uwcaa
Fax #
In addition to himself, owner designates of (Phone #
Fax # 1 to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Expiration date of notice of commencement is one year from the date of recording unless a different date is specified.
(Date)
` ERS SINA
STATE OF FLORIDA, COUNTY O U�CI'��
tVRE
Acknowledged bef a Vie thii day of 2 L't d who is personally known to me or
who has produced Y as identification. ;
(seal) SIPKATURE OTARY
",- Nancy Oliver
:Commission # DD367,:43�I
i a Expires December28 ;n;µ
STATE OF FLORIDA
ST. LUCIE COUNTY
Ta ,STO GENTIFYTHATTI-,!S ISA
'i_;�:Vt_ AND CORRECT COPY OF THE
?V+J,N Pt. F - Y, J• CLERK
bate.
C 2-� l �y I r^•t:z
TYPE OR PRIN•Y NAME OF NOTARY
NOTARY PUBLIC TITLE
COMMISSION NUMBER
ST. LUCIE COUNTY
BUILDING & ZONING
-v 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
�OR`OP -462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: (map 13/02S)
13,01-605-0352-000y6 LAKEWOOD PARK6UNIT 5 -- BLK. 54 LOT. 30 (02 34S. 39E)
_ 8407 Winter- Gardeny. P:arkway (2175-617)
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number , I acknowledge that as
owner of the above described property, and in accordance with Section 7.04.01(D), St.
Lucie County Land Development Code, I shall be responsible for assuring adequate
drainage so that the immediate community WILL NOT be adversely affected. I further
acknowledge that in granting this permit for the development of this property, St. Lucie
County is neither obliged nor liable to provide for, or maintain in any form, adequate
drainage off my property which will not adversely affect the immediate community.
Randy E. SAnd f-
JProperty Owner Name Property*Owner Signature Date
STATE OF FLORIDA. COUNTY OF St LuC"e
ACKNOWLEDGED BEFORE ME THIS DAY OF LAC , 20�"
BY DLI S4-0 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION. Bea¢LI..IZ Seffapp �M
o
Commission #DD228304
L"' Expires: jut Ot,-2007
SIGNATU E OF NOTARY TYPE OR PRi9��11£ OF N ��
''������` Atlantic Bonding Co., Inc.
(SEAL)
NOTA PUBLIC TITLE COMMISSION NUMBER
r "—N v1- c"I , I•• , (Jr irtr, l;1kl;U1P CUUkT — SAi1gT LUCIE COUNTY
FILE # 2761679 OR BOOK 2437 PAGE 145, Recorded 12/14/201:20 AM
Doc Tax: $0.70
This Document Prepared By and Return to:
,For � P,e r ce FL, 3495I
Parcel ID Number: . Il 0 I _ /05
Quitclaim Deed
This Quitclaim Deed, Made this 1 3+h day'r December , 2005A•D•• Between
Eric P. Sandi and, Carol A Sandt Husband and Wife
of the County of St Lucie �tatc or Florida , grantor, and
,
Randy E. Samilt
whose address is: b40/ Winter Garden Parkway, Fort Pierce, Florida, 34951
of the county or St Lueiw , state or Florida , grantee.
Witnesseth that the GRANTOR,forandinconsideralionofthesumor
------------------------TEN DOLLARS ($10)----------------------- DOLLARS,
and other good and valuable consideration to GRANTOR in hand paid by GRANTEE, the receipt whereof is hereby acknowledged, has
granted, bargained and quitclaimed to the said GRANTEE and GRANTEE'S heirs, successors and assigns forever, the fallowing Described land, situate,has
lying and being inthe County of St. Lucie Staleof Florida to wit:
Lot 30, i3'lock 54, L•AXETtfY M PARK, Unit No. 5, according to the
Plat thereof, recorded iN Flat Book 11, Dage 5, Public Records
0r St. Lucie countyE l {�!
:-tIS TO ��;,1•�r' THAT THIS Is A_ -
f4: I' •,,•f1 UI 1. �'� 4) U i t 1I 11%11 OF TH
I, rJI
tI 4if'f, f1.? i:ti t. ii i t't�
By
To Have and to Hold the same together with all and singular the appurtenances thereunto belonging or in anywise
appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of grantor, either In law or equity, for
the use, benefit and profit of the said grantee rorever.
In Witness Whereof, the grantor has hereunto set hand and seal the day and year first above written.
Signed, sealed and deliver d i ,bur presence:
(15
�ted : Q isr1C P. SaIIdt (Seal)
P.00.. Address: n f
(Seal)
finredNam t&rol A. Sandt
t ll P.O. Address:
STATE OF SF Cj,—
COUNTY OF S� t 2 (/'�{Q C e m r^ /1`
The foregoing instrument was acknowledged before me this I f �'1 day of 1� YJ WJ
, � by
r i Q_ �� . SC>� d + c C ,lei Sc r\ c�
who is personally known tome or who has productd'�5river r a 1 i cans a asichet at)on. vv�Q�7
Printed Name:
e.�Y `' Nancy Oliver Notary Public
Commission 9 1)0382338 My Commission Expires:
a E.0res December 28, 2008
av ,� BoWrd Trv, Fr, • rruM.a 4c. 1G0a167D1/
tatty G.—,d by 0 Di,ply Sy.. —.Inc.• 2003 (865)763.5555 Form FLQCD-1
Code Compliance Division
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
Date: 20 December 2005
Job Address: 8407 WINTERGARnF.N Puwv
Received By: serranob
Paid With: CK
Paid By: CAROL SANDT
Building
Receipt
Sign:
Receipt#:
0000030336
Permit Number:
SLC- 0512-0778
Amount:
$100.00
Credit Card Number:
Check Number:
356
--/Z) &u� d-7
, c UA�
OFFICE USE ONLY: Q
VSDATE FILED: �J v / Q PERNIIT # PD� /
- -- - - -RECEIPT #
REVISIONFEE: -
l
0
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 t�1,il
(772) 462-1553:y�,3i •.,-.:
1,. y=r
APPLICATION FOR BUILDING PERWr RED = IQNS�;` y'
PROJECT INFORMATION
1. LOCATION/SM
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
A- �
alxv Siva woad Lra�.,
,�z I e -4T ; c �
751
4.
5.
CONTRACTOR INFORMATION:
cl.en kwo+.
l'
00 6-
STATE of FL REG./CERT. #: ST. LUCIE COUNTY CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
OWNERIBUILDER INFORMATION:
NAME: 11) d MA S
ADDRESS: 4
C1TY: F4 . P 'e rr I
PHONE: -772- - 3J- -6 Zci
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9/23/09
Revised 04/26/2010
STATE:
VA u
ZIP:
FAX:
i5 b r r j114
� i,w
FORMS
FLORIDA BUILDING CODE, ENERGY CONSERVATION
FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
Scope: Compliance with Section 402 of the Florida Building Code, Energy Conservation, shall be demonstrated by the use of Form 402 for single- and multiple -family residences of three
stones or less in height, additions to existing residential buildings, renovations to existing residential buildings, new heating cooling and water heating systems in existing buildings as
applicable.To comply, a building must meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 402E R this
form. If a building does not comply with this method or Alternate Form 402, it may still comply under Section 405 of the Florida Building Code, Energy Conservation.
AND ADDRESS:Wlnl
PROJECT NAME:t�l
OWtt25 SChj rIS
ePF,rar' e4PKW
uerce i7L -3qq5l
BUILDER:
PERMITTING
OFFICE:
OWNER:
PERMIT NO.:
JURISDICTION NO.:
General Instructions:
1. New construction which incorporates anf of the following features cannot comply using this method: glass areas in excess of 20 percent of conditioned floor area, electric resistance
heat and air handlers located in attics. Additions s 600 sq.R., renovations and equipment changeouts may comply by this method with exceptions given.
2. Fill in all the applicable spaces of the "To Be Installed" column on Table 402A with the information requested. All "To Be Installed" values must be equal to or more efficient than the
required levels.
3. Complete page 1 based on the "To Be Installed" column information.
4. Read the requirements of Table 402E and check each box to indicate your intent to comply with all applicable items.
5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owners agent must also sign and date the form.
1.; New construction, addition, or existing building
2. Single-family detached or multiple -family attached
3. if multiple -family -No. of units covered by this submission
4. Is this a worst case? (yes/no)
5. Conditioned floor area (sq. ft
6. Glass type and area: l r ifl �ry 4 r
a. U-factor
b.SHGC
c. Glass area
7. Percentage of glass to floor ° r' a h i zjyl� A �i
t tto�e Jt
8. Floor type, area or perimeteand, i s�tatio�t: wa:,,�r �;;
a. Slab -on -grade (R-value) i %j
b. Wood, raised (R-value)
c. Wood, common (R-value)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
9. Wall type, area and insulation:
a. Exterior: 1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b. Adjacent: 1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
10. Ceiling type, area and insulation: t 1
a. Under attic (Insulation R-value) (�j to l S U ti G9er G DO d f� / Dn t-d
b. Single assembly (Insulation R-value) l� J e 4 Ce
11. Air distribution system: Duct insulation, location, On
a. Duct location, insulation
b. AHU location
c. Qn, Test report attached (< 0.03; yes/no)
12. Cooling system:
a. Type
b. Efficiency
13. Heating system:
a. Type
b. Efficiency
14. HVAC sizing calculation: attached
15. Hot water system:
a. Type
b. Efficiency
Please Print CK
1.
2. 1��i Qta+cJ•�
3.
4. Nb
5. 15 8 t
6a. ,3(0
6b. • 3S
6c. 4C) sq. ft.
7. (?, •-1 %
8a. R=_0 (Q+ lin.ft.
8b. R = sq. ft.
8c. R= sq.ft.
8d. R = sq. ft.
Be. R = sq. ft.
9a-1. R = sq. ft.
9a-2. R =_ 1:3 q. ft.
916-1. R = sq. ft.
9b-2. R =q. ft.
10a. R = sq. ft. 5 OR
10b. R = sq. ft.
11 a. R = N6
11b. Coal Inn6-1 P ,
11c.Test report attached? Yes No
12a. Type: rl j61fSS 1.^"6 _50 4
12b. SEER/EER: I _A
13a. Type: P-10 r_ 4-riC� S t c
13b. HSPF/COP/AFUE: A
14. Yes No
15a. Type: NA
15b. EF:
I hereby certify that a pl nd s 6 covered by the calculation are In compliance with the Florida Review of plans and specifications covered by this calculation indicates compliance with the Florida
Energy Code. U Energy Code. Before construction is completed, this building will be inspected for compliance in
accordance with Section 553.908, F.S.
PREPARED BY: t DATE: Z
CODE OFFICIAL:
I hereby, certify that this bull ompila ce with the Flor da ngrgy pde:
OWNER AGENT: TE: DATE:
C.4 2010 FLORIDA BUILDING CODE - ENERGY CONSERVATION
FORMS
TABLE 402A
BUILDING COMPONENT
PERFORMANCE CRITERIA'
INSTALLED VALUES:
U-Factor < 0.65
or= 3V
Windows (see Note 2):
SHGC = 0.30
SHGC= �'
SHGC
%ofCFA<=20%
°a of CFA =
S I hts
U-Factor < 0.75
f S
Doors: Exterior door U-Factor
U-Factor < 0.65
U-Factor = Q
Floors: Slab -on -grade
No requirement
R-Value =
Over unconditioned spaces see Note 3
R-13
Walls — Ext. and Ad). (see Note 3):
Frame
R-13
R-Value =13
Mass (see Note 3)
Interior of wall:
R-7.8
R-Value =
Exterior of wall:
R-6
R-Value =
Ceilings (see Notes 3 & 4)
R=30
R-Value =
Test report
Atta d7
Reflectance
0.25
Reflectance=N,R
Ye o
Air distribution system (see Note 4)
Ductwork & air handling unit:
Location: C pndQi+104ecl
Test
Unconditioned space
Conditioned
Not allowed
J �GLCE
report
Ana ?
space
,
Ye o
Duct R-value
R-value 2 6
= N A
A
Alr leakage On
On:5 0.03
Orualue
1
N
Air conditioningsystems see Note 5
SEER =13.0
SEER =
Heating system
Heat pump (see Note 5) Cooling:
SEER =13.0
SEER =
Heating:
HSPF = 7.7
HSPF = I _ '
Gas furnace
AFUE 786/6
AFUE =
A
Oil furnace
AFUE 78%
AFUE = N - -
Electric resistance: Not allowed (see Note 5)
Water heating system (storage type)
A'
Electric (see Note 6):
40 gal: EF = 0.92
Gallons = / V
50 gal: EF = 0.90
EF =
Gas fired (see Note 7):
40 gal: EF = 0.59
Gallons =
Other (describe):
50 gal: EF = 0.58
EF =
(1) Each component present in the As Proposed home must meet or exceed each of the applicable performance criteria in orderto comply with this code using this method;
.otherwise Section 405 compliance must be used.
(2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U-Factor and the maximum SHGC (solar Heat Gain Coefficient) criteria
and have a maximum total window area equal to or less than 20% of the conditioned floor area (CFA); otherwise Section 405 must be used for compliance.
Exception: Additions of 600 square feet (56 m2) or less may have a maximum glass to CFA of 50 percent.
(3) R-values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the "interior of wall" requirement must be
met except if at least 50% of the R-6 insulation required for the "exterior of wall" is installed exterior of, or integral to, the wall.
(4) Ducts & AHU installed substantially leak free per Section 403.2.2.1. Test by Class 1 BERS rater required.
Exception: Ducts installed onto an existing air distribution system as part of an addition or renovation; duct must be R-6 installed per Sec. 503.2.7.2.
(5) For all conventional units with capacities greater than 30,000 Btu/hr. For other types of equipment, see Tables 503.2.3(1-8).
Exception: The prohibition on electric resistance heat does not apply to additions, renovations and new, a sys t t 11 In isj'ng Idings�
(6) For other electric storage volumes, minimum EF = 0.97-(0.00132 x volume). v , a fit
tr s t• x}
(7) For other natural gas storage volumes, minimum EF = 0.67-(0.0019 x volume).
'3 fir-
TABLE 4028 MANDATORY REQUIREMENTS
COMPONENTS
SECTION
REQUIREMENTS ` �)`? xv: K4
.' ? CHEO (ti3`.
Air leakage
402.4
To be caulked, gasketed, weatherstripped or otherwise sealed. Rb69s' 'lighting; rates as me , g?A^TM
283. Windows and doors = 0.30 c(misq.ff. Testing or visual inspection feiieF(relac s i'gaset dtsa
outdoor combustion air.
Ceilings/knee walls
405.2.1
R-19 space permitting.
Programmable thermostat
403.1.1
Where forced -air furnace is primary system, programmable thermostat is required.
Air distribution system
403.2
Ducts in attics or on roofs Insulated to R-8; other ducts R-6. Ducts tested to Q� = 0.03 by Class 1 BERS rater.
Heat trap required for vertical pipe risers. Comply with efficiencies in Table 403A.3.2. Provide switch or clearly
Water heaters
403.4
marked circuit breaker (electric) or shutoff (gas). Circulating system pipes insulated to = R-2 + accessible manual
OFF switch.
Spas and heated pools must have vapor -retardant covers or a liquid cover or other means proven to reduce heat
Swimming pool & spas
403.9
loss except if 701/ of heat from site -recovered energy. Off/timer switch required. Gas heaters minimum thermal
efficiency = 78 % 82% after 4/16/13 . Heat pumli pool heaters minimum COP= 4.0.
Sizing calculation performed & attached. Minimum efficiencies per Tables 5032.3. Equipment efficiency verification
Coolingtheating equipment
403.6
required. Special occasion cooling or heating capacity requires separate system or variable capacity system.
Electric heat >10kW must be divided into two or more stages.
Lighting equipment
1 404.1
At least 500% of permanently installed lighting fixtures shall be high -efficacy lamps.
2010 FLORIDA BUILDING CODE — ENERGY CONSERVATION C.5
�Product RevIWeAffidavit
• St Lucie County, Public Works Department
-� - Code Compliance Division
r The following products will be installed in the structure located at
Building Permit # C \
Owners Name Owner's Address e9l h Z"
Contractor 4V,* jr Contractor's Address
Product
* Product Rated
Design Pressures
Manufacture
Model Number
Method of Attachment
Windows
* Fill in the rated wind design pressures listed by the manufacture for each product listed
1 st Choice
-1'�'3.�---5�„�
GI �Obe=-.
2nd Choice rca„,iab,q,d�
�G
Fixed Glass
1 st Choice
2nd Choice (N„fic.ble,
} 9 \
i
Glass (other)
Butt GlassIm
�, M UU,
- i
} ;
r
Glass Block
Sliding Glass Doors
1 st Choice
2nd Choice,ir.,,,I.b.,
Swing Type Doors
1st Choice
--
'�': of 6,
��//pp
�/1°i
�% �� i��'!
2nd Choice of.,,nab,.,
�—✓
.�.
Overhead Garage Doors
lst Choice
2nd Choiceffa„,;�blc,
Robfing Material
Asphalt/Fiberglass
Metal
Shutters S,61IY OVA
Ve,*C Choice ;7WY
9�, �� �~7Z.0
�tr / rJ
A3�0
I have reviewed the above components and cladding
provide adequate resistance to the wind'loads and f4
N
ed their use in the siructudand
current code provisions.
Seal (FBC 106.1)
��S
Design Firnl!�,
Rev12i9i05 dme
�8
No. Date:
4r
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114
St. Lucie County
Building and Zoning Department
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-1553
FILE COPY
Design Certification for Wind Load Compliance
This Certification is to be completed by the project design architect or engineer. This Certification must be submitted with all
applications for building permits involving the construction of new residence (single or multi- family), residential addition. any
accessory structure requiring a building permit, and any nonresidential structure. This Certification shall not apply to interior
renovations (provided that no structural walls, columns or other similar component is being effected) and certain other minor building
permits. For further assistance, please contact the Building Inspection Office at 462-1553 or 462-2172.
Project Name
'Eil+Q 67Z' des Ctie
Office Use Only
Street Address
$ 0-Z wi,"Aema ti
Permit Number
Occupancy Type
g
Construction Tv- e
Certification Statement:
I certify that, to the best of my knowledge and belief, these plans and specifications have been designed to
comply with the applicable structural portion of the Building Codes currently adopted and enforced by St. Lucie
County. I also certify that structural elements depicted on these plans provide adequate resistance to the wind
loads and forces specified by current code provisions.
Design Parameters and Assumptions Used: (Please check or complete the appropriate box.)
1. Florida Building Code 2004 Edition � ASCE 7-98
2. Building Design is (check one) Enclosed _� Partially Enclosed Open Building
3. Building Height: 2t� 4. Wind Speed Used in Building Design: 3 second gust
5. Wind Exposure Classification (refer to exposure tables in Building Code identified in Line #1):
6. Average Wind Velocity Pressure on Exterior Faces of Structure I-Zlo -Zg PSF
7. Peak Wind Velocity Pressure on Exterior Faces of Structure +Z(o :5Z.PSF
8.--importance/Use Factor (obtain from Building Code): ,
9. Loads: Floor PSF Roof/dead PSF Roof/live PSF
Ir �
10. Were Shear Walls Considered for Structure (check one): Yes No --yl (if No, attach explanation)
11. Is a Continuous Load Path Provided (check one): Yes No X (if No, attach explanation) giz)� ,�L
12. Are Component and Cladding Detail Provided (check one): Yes No (if No, attach explanation)
13. Minimum Soil Bearing Pressure: PSF
As witnessed by my seal, I hereby certify that the information included with this certification is true and
correct, to the best of my knowledge and belief.
Name: �%� � 1^ U J + Certification #: 4'*3&4[Seal Here'
DesimiFirm: 5PAVrF N }�,LU!-iPRfGM�D--q/!04Date: 17-- t,C-,C>
'ZA.Jc .
SLCCDV 1=orm 9 020-00 rev, 10/5/05 dm;
1NONE" a rC lCode Compliance Division
St Lucie County, Public Works Department Product Review Affidavit
The following products will be installed in the structure located at: b407 Ginter Garden Parkway
Building Permit# (Lakewood Park) Ft Pierce
Owners Name___ Randy E., Sandl Owner's Address 8407 Winter Garden Pkwv_t't Pierce
Contractor (owner )' Contractor's Address
Product
* Product Rated
Design Pressures
Manufacture
Model Number
Method of Attachment
Windows
* Fill in the rated wind design pressures listed by the manufacture for each product listed
1 st Choice
�^9Q.p — �Qa
j , EiVI%�'vN
S.H. SW7
/act; /6
2nd Choice (ifappi¢abie)
Fixed Glass
1 st Choice
2nd Choice Grappheabie)
Glass (other)
Butt Glass
Glass Block
Sliding Glass Doors
1 st Choice
2nd Choice iifapphew.)
Swing Type Doors
1st Choice
ts�3 r�0,6
�ea�t'►�a- ��y�'�je�L}
110 x �`z�"G f�s� S
2nd Choice (ifappiieabie)
^+SS,p ...o
Gkeevw- �a,(ee
YGm�um
zYz 5,e1ccz_- S
Overhead Garage Doors
1stChoice
2nd Choicelif ppbeable)
Roofing Material
Asphalt/Fiberglass
Metal
Other
Shutters
Choice
I have reviewed the above components and cladding a d have approved it use in the structure and
provide adequate resistance to the wind loads and f6ircA specified I y ur ent code provisions.
�>�n�Name: �� Signatur
Design Firm t- /`TIC% BUG Cert. No.
Seal (FBC 106.1)
Date: `z a %6 `y
Rev12/9/05 dmg
vTFICE USE ONLY:
DATEFILED:a
-REVISION FEE:_
PERMIT NUMBER:.Q
RECEIPT NO.:,�6 1 G�
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING & ZONING
300 VIRGINIA AVENUE
T PIERCE 3 6"
•4 -
I
I FOR BUI
LOCATION!SITE
:ADDRESS:
.1" V 17
PROJECT INFORMATION
FA
DETAILED DESCRIPTIONS OF PROJECT
3. CONTRACTOR INFORtiIATION:
ST. OF FL REG./CERTI ST. LUCIE COUNTY CERT.M
BUSINESS N ME:
Qualifiers Name:
ADDRESS: - 7
CITY: STATE:- ZIP: _
PHONE (DAYTI`IE): 77�? ' i%%_ --5V K FAX #
4.
5
.ARCHIT/E\GINEER:
DAME:
ADDRESS:
CITY:
PHONE (DaYTIINIE):
FA,X# 7 Z 99
Code Compliance Division
2300 Virginia Avenue
Ft Pierce, FL 34982
'(Phone: (772) 462-1553 Fax: (772) 462-1148
Date:
04 May 2006
Job Address:
8407 WINTERGARDEN PKWY
Received By:
counselb
Paid With:
CA
Paid By: RANDY SANDT
Building
Receipt
Sign:
Receipt#: 0000038156
'ermit Number: SLC- 0512-0778
Amount: $25.00
�redit Card Number: .
Check Number:
Tcc .'!�o✓ I�.
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name THOMAS J.SCHINSKE
OMB No. 1660-0008
Expires March 31, 2012
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Numa
8407 WINTER GARDEN PARKWAY
ber ``, ,'
i
City FORT PIERCE State FL ZIP Code 34951
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 30, BLOCK 54, OF LAKEWOOD PARK UNIT 5, PLAT BOOK 11, PAGE 5.
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27"32'40.51"N Long. 80"24'37.17"W Horizontal Datum: ❑ NAD 1927 x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number ONE -A
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage 420.0 sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes x No d) Engineered flood openings? ❑ Yes x No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
UNINCORPORATED AREAS 120285 1 ST. LUCIE FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
12111C0070
J
02/16/12
2/16/12
x
NON HAZARD AREA
1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile x FIRM ❑ Community Determined ❑Other (Describe)
Bl 1. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 x NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x No
Designation Date N/A ❑ CBRS ❑OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' x Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARM, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized NGS BENCHMARK ID: D14002 ELEVATION 21.33' Vertical Datum NAVD 1988
Conversion/Comments NONE Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
23.62
x feet
❑ meters (Puerto Rico only)
b) Top of the next higher floor
34.24
x feet
❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only)
N/.A
x feet
❑ meters (Puerto Rico only)
d) Attached garage (top of slab)
23.49
x feet
❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building
_ 22.60
x feet
❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG)
22.01
x feet
❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG)
23.45
x feet
❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 22.01 x feet ❑ meters (Puerto Rico only)
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elei
information. l certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by (ne or imprisonment under 18 U.S. Code, Section 1001.
[]Check here if comments are provided on back of form.
Certifier's Name: BILL H. HYATT, JR.
Were latitude and longitude in Section A provided by a
licensed land surveyor? x Yes ❑ No
License Number: 4636
Title: P.S.M. Company Name: ALLSTATE SURVEYING, LLC
0 G �ySE NU\
4636
STATE OF
FLORIDA
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. �Fdrtansura�ce Company Use = ;-
��
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy'Numtier,t r
8407 WINTER GARDEN PARKWAYS
City FORT PIERCE
State FL
ZIP Code 34951
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
comments
ELEVATION OF THE CENTERLINE OF THE ROAD IS 20.44'.
LOWEST MACHINERY SERVICING BUILDING IS A WELL PUMP -NOT TOBE USED FOR CONSTRUCTION OR DESIGN FLOOD INSURANCE USE ONLY
Signature ✓_ Date 3/01/12 ❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items Ei-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑meters ❑above or ❑belowthe HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑above or ❑below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑meters ❑above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes []No ❑Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
U Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
G10. Community s design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature
Comments
Date
Check here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions