HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USEK)NLY:
DATE FILED: oZ
PLAN REVIEW FEE: RECEIPT NO.: L�/ PERMIT NUMBER: 1� O� • 00
CONCURRENCY FEE. RECEIPT NO.: CERT. CAP. NO.:
1.
2.
3.
4.
5.
9.
i0.
11.
12.
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 JGANNEC)
772462-1553 BY
o )Kw-Gw _ St. Lucie COunty
APPLICATION for BUIL ING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
LOCATION/SITE ADDRESS:
PROJECT NAME:
PROPERTY TAX ID #: L 1
LEGAL DESCRIPTION (attach extra
PROJECT INFORMATI OIL-W aaaAA-
/� I I 0111L5 S I
I�L3
SITE PLAN NAME:
PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:
DESCRIPTION OF CONSTRUCTION PROJECT OR WORK
i_ _ , _., e . _ —1 MR. — -
tE
RUCCKS ( TU FRONT: BACK: RIGHT SIDE:
•�'ll� e'L 1 C' a
OF CONSTN (Check I appropriate boxes)
LEFT SID
J e
[`} NEW CONSTRUCTION [ J EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ J COMMERCIAL [ ] INDUSTRIAL
[ J OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION:
15. SF. FT Ist FLOOR
16. VALUE OF CONSTRUCTION: $
The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application-
SLCCDV Form No.: 001-02
UPDATED 6/25/09
OWNER INFORMATION
NAME: /� C
ADDRESS: O�
CITY: STATE: YP.
PHONE (DAYTIME): Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY O R) IS DIFFERENT 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 #: 4) u) 1KI 6 I?
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): (_) FAX NO.
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): C_)
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
STATE:
ST. LUCIE COUNTY CERT #:
Email:
11'
0
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
VA
r
NTYO R 1 D A
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
45-04 — - nW'5�
(Parcel Id#/Le al description/Ad4ress).
iL
for which I have applied to St. ucie County for a Final Development ermit. 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.
W �,
ACKNOWLEDGED BEFORE ME THIS �_ DAY OF •�
[_,gyp
BY V, LTA f_ j n- [T/L K'r'Q_WHO IS PERSONALLY KNOWN TO ME
PRODUCED
COMMISSION NUMBER
;s* AUDREY B. HUMPHREY
MY COMMISSION # EE 061159
EXPIRES: March 6, 2015
l o� 1S1 Bonded Thru Notary Public UnderWam
SLCPDSD Revised 08/2
11
ux
20—tC9—L,
OR WHO HAS
AS IDENTIFICATION.
PAY
M,pC0REf'B H
EXp 1dM/SS/ONE ff
7cnded Tbti ES March B �1159
�� ��ry11�e1,5i
y Planning & Development Services Department
® Building &Code Regulations
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
OWNERBUILDER 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 workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
blJ
ordinances, building codes, and zoning regulations. Initial _V`
I understand that the building official and inspectors are not there to design or give advice on how tQ meet
the minimum code. Initial
I 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
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 rei e�ical
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 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
Zoning Department to the Florida Stt#to _Department of Professional Regulation. Signed and acknowledged on this
day of of 20
1 rBuil Signature
STATE OF FLORIDA
COUNTY OF �
The fore oing ins umemnt, was acknowledged before me this (0 day of , 20 d',►
IA
by who is personally known to me, or who has
produced as identification.
Title: Notary Public
SLCPDSD Revised 07/22/2010
Type or Print Name c
Commission Number
(Seal)
AUDREY B. HUMPHREY
MY cOMMISSION # EE 061159
0
EXPIRES: March 6, 2015
Underwriters
'? 4�fBonded
Thru Notary Public
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.
OWNEA OR CO TRACTOR IGNATURE
STATE OF FLORI
COUNTY OF
�Y
The foregoing instrument was acknowledged before •4
me this day of 20 o`� a x
a� n
by
who is personally known or has produced
c, ^v
mz
as identification.
o
ASiagnatur.e of
o
0•F77.•(9� • `
Commission No. (Seal)
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
me this day of
by
who is versonW known
re of Notary
Commission No.
1(nowledged before
, 20
or has produced
_ as identification.
(Seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNERBUILDER, 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 OWNERBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY B -
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
IST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BID
IMPACT FEE
CORRECTION
PUBIC BID
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS
6%
Low
I f -
JOSEPH E. SMITH, ;RK OF THE CIRCUIT COURT - SA; LUCIE COUNTY
FILE # 3671562 OR BOOK 3360 PAGE 1907, Recordea u2/06/2012 at 04:08
NOTICE OF COMMENCEMENT
t
I'd
3�n(�QOSbbO
�7ermit No. 0 Tax Folio No. j
State of Florida County of St. Lucie i
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.
S
Legal De�sjc ' tion of Prope (nd str et address if available): L2
0 a11. � I %��
aTj CO) ° ° t n n /I 1 J
eneral e r n of Ap v ent:allj""
n
owner 1nfor ton gLgsee Informationre Lessee contracted for the Improvement:
Name 1 CT (7 r L GL, sS.2S—
Interest in property: .
Name and address of fee simple titleholder (if different from Owner listed above):
;ontracto-�Jr's Name: ._,
>:ontractorAddress: Ph a umber: / ra `�
Surety (If applicable, a copy of the payment bond is attached): Amount of bond: 5
Name and address: Phone number:
Lender Name: F4arre Number:
_enders 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
Lienor'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
Expiration 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)
t
UVARNING 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 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 COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of erjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowle a dbelie
AUDREYB.HUMPHREy
(Signatur Owner or lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager , _ MY COMMISSION A EE06� tE��
'•e EXPIRES: March 6. 20i5
R(,•^,, amded Th. Notary ^rudr U,!dcnvngrsJl
(Signatory's Title/Office)
The foregoing• instrument was acknowledged before me thisl day of�� , 20�
9y VIC 1QW)4N Ge_ L� as �iI/,�.J1C%�` for
Name of Person Type of authority (e.g.officer,trustee) Party on behalf of whom instrument was executied
/�n',r V 1.��"" • Personally known_or produced Identification_
(Signature of No�'Sla a Florida a
(Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced C
STATE OF FLORIDA
C-1 r ,—
d
I
.
conTinenTi.
Continental Florida Materials Inc. C — V
Q,5 I 1735826
1
13450 W. Sunrise Blvd..
Suite 430
Sunrise, FL. 33323
i-IEIDELBERGCEMENTGroup
Tel: (954) 858-0780
CAUTION!! Freshly mixed cement, mortar,
UNLOADING Drivers are prohibited
concrete or grout may cause skin injury. Avoid
from delivering concrete except under the
({$
jifi"11 I
Fi 1! {tf + y i
Ai ow
Cyi
contact with eyes where possible and wash
exposed skin areas with water. If any
truck's own power, and where site conditions
permit the safe and proper operation of his
# 1 3
t
5
f i tlfl��ill101
5 1 `;
promptly
cement mixtures get into eyes, rinse immediately
equipment. Drivers are not permitted to
and repeatedly with water and get prompt medical
add water to the mix nor to go beyond the
treatment. Sawing, or grinding of concrete
curb line, except upon the authorization of
Q}t� X �{�� lr' WE 7 F ��i...l``�
masonry units may result in the release of dust
the Purchaser/Purchaser's Agent and his
particles which, without the use of proper eye or
acceptance of risk for any loss or damage.
31778 5EL V 1 Y Z WAD
respiratory protection, could cause eye or nose
1 acknowledge that I have received and
561 _'f 6A .- 7P4;*
irritation. The Material Safety Data Sheets for
accepted the materials listed on this ticket
the products sold by Continental Florida
1 understand and agree to the terms on
Curb line crossed at Purchaser/Purchaser's Agent request. Initials of Purchaser/Purchaser's
Materials Inc. are available upon request.
both the front and back of this ticket.
Agent
g
TOTAL
WATER
Initials of Purchaser/Purchaser's Agent acknowledging addition of water at
Purchaser/Purchaser's
YARDS ON TRUCK / GALS OF WATER ADDED ADDED
Agent request.
PURCHASER/PURCHASER S AGENT P.O. NUMBER / ORDERED BY ZONE
`:4H',61131
SOLD TO
QUANTITY QUANTITY
THIS LOAD ORDERED
Truck # Plant #
Calcium Air Entrain
QUANTITY
DELIVERED
Slump
Super Plas.
PRODUCT
CODE
10 9 8 7 6 S 4 3 S 1
PURCHASER/
PURCHASER'S AGENT
JOB NUMBER I TIMETICKETED
DELIVER TO
Th.l[)1AN RTNEV T)!.
PRODUCT DESCRIPTION
FW
Due at Job Use of Concrete
Drivers Name _
J CONCRETE TESTED
I Mo
DATE I TICKET
Concrete Disposal: yds
UNIT OF UNIT EXTENDED
MEASURE PRICE PRICE
WV
® 9
N09 %eSUBTOTAL
St TAX
TOTAL
Delivery Instructions
_ ... .. CUSTOMER
1. WARRANTY: The materials sold by Continentu la Materials Inc. (hereinafter "Continental") are warrantee ror r year from the date of delivery to be free from defects in
material. This warranty is exclusive and is in lieu of all other warranties (whether written, oral or implied). including any warranty or merchantability or fitness for any particular
purpose. Continental's liability under any circumstances will not be greater than the purchase price of the materials supplied, the purchaser must examine the material upon delivery
and before installation to discover any defects, latent or otherwise, and Continental will not be liable for and other damages including, but not limited to incidental, indirect,
consequential, special or delay damages. loss of profits. or any other damages arising out of the breach of any obligations under this agreement. Purchaser further agrees that
no claims may be filed under this warranty unless and until any indebtedness to Continental is paid in full.
2. ELUS(.VE_R..E EDY: Purchaser further agrees that its exclusive remedy against Continental in the event the goods, materials or services
supplied by Continental are alleged to be defective and/or are alleged to have caused purchaser to suffer personal injury, loss of life, property, damage or economic losses as a
result of breach by Continental of any and all of the foregoing express or implied warranties, or as a result of any negligence, strict liability, or other tortious conduct or statutory
violation by Continental, shall be limited to, and shall not exceed the purchase price of the goods, materials, or services purchased from Continental by purchaser and purchaser
agrees that Continental shall not be liable to purchaser for any other damages including, but not limited to, lost profits, lost wages: indirect, incidental, consequential, compensatory,
special. delay; punitive or any other damages, including damages for pain and suffering, mental disease, medical or funeral expenses, any other similar damages, or any attorney
fees or costs incurred by the purchaser in connection with pursuing any claim, demand or cause of action against Continental for breach of any obligations under this agreement,
breach of the express or implied warranties delineated above, negligence, strict liability or other tortious conduct committed by Continental in connection with its sale to the
purchaser's use of goods, materials or services sold by Continental.
3, DU..E.,DATE: Payment for all credit sales is due by the 10th of the month following the purchase date. The Purchaser agrees that all past due accounts will accrue interest at 1.5%
per month.
4. DDLL_ECTION COSTS: Purchaser agrees to pay attorneys' fees and costs of collection incurred by Continental prior to judgment, in obtaining judgment, or appeal, for bankruptcy
and for post -judgment collection procedures. Venue of any action between the Purchaser and Continental shall be Broward County, Florida.
5. MIX C _ E L CATION The purchaser agrees to order the mix needed by product code and accepts full responsibility to determine the location for the readyrnix concrete.
6. D.E.LI_V_ERY SITE...DOND.I.TLON,$: Continental reserves the right to determine whether the site; for delivery requested by the Purchaser is suitable for such delivery and Continental
may refuse to deliver to a site if Continental is of the opinion that delivery would be unsuitable or unsafe. The Purchaser shall be responsible for all costs and damages incurred
where adequate access for delivery cannot be obtained.
7. UNATTENDED DELIVERY SITE: Where delivery of products is to be to an unattended site. Continental will not be liable for any loss or damage to products, property or for unsigned
delivery tickets.
8. DELAYS: Continental shall not be liable for any delay in delivery or non -delivery resulting from any cause beyond its control including but not limited to plant and delivery equipment
breakdowns, industrial stoppages or shortages of raw materials. It Continental is unable to complete delivery: of any part of an order, the Purchaser shall accept such part of the
order,as Continental is able to deliver and the Purchaser shall pay for the part delivered pro rata at the same rates as the whole of the order agreed to be sold and the same terms
of payment.
9. RUANTITIE$: This type and quantity of products delivered and detailed on the delivery ticket must be checked by the buyer at the time of delivery for compliance with the
Purchasers order. Variations between actual quantities delivered and those shown on the delivery ticket must be noted on all copies of the deliveryticket signed by the Purchaser,
Invoice charges will be based on the quantities of products shown to be supplied as per the delivery ticket. Any claim for alleged short delivery of products must be made in writing
within seven (7) days of delivery: otherwise it will be accepted by Purchaser and in the absence of any claim the Purchaser shall be liable to pay for the full quantity of products
listed on the Continental delivery ticket.
10 _MIWMUM LQ Q CHARS :All prices quoted are based on loads of not less than five yards. There will be a short load charge on each delivery, less than five yards. One call back
without charge will be allowed on pours exceeding ten yards.
11.WAITING TIME: A maximum of sixty minutes per 10 yard load will be allowed at no charge. After sixty minutes there will be a charge of $1 50 per min.
12ENVI_RQNM.ENTAL...DHARC�.E: A $5.00 per load environmental charge will be assessed.
13.SPEQIFICAT�N: Unless specially ordered. Continental concrete is manufactured according to the provisions of ASTM C-94. Specificatiors for Ready Mixed Concrete, and block
is manufactured according to the provisions of ASTM C-90, Specifications for Concrete Masonry. Continental is not responsible for concrete to which fire Purchaser (without the
approval of an authorized agent of Continental) has added or requested Continental to add any water, admixture or additive or where the Purchaser has mishandled the concrete
after delivery.
14.T..ECHNIDALA.S_$IS_T.ANG.E: Continental accepts no responsibility for claims arising from technical advice or assistance provided to the Purchaser, Advice and assistance provided
by Continental is for Purchasers guidance only and Purchaser agrees to rely solely on its own architects.. engineers or other technical experts.
15.,$AFET(_DATA: The Material Safety Data Sheets for the products sold lay Continental are available upon request.
16.MQQlFj.ATLQy_9F T .ERNS: No employee or agent of Continental has the authority, in the absence of an express writing. to make any statement, including restricting or modifying
or otherwise concerning the existence or effect of any of these terms and conditions or of any warranty or guarantee and no such employee or agent making any such statements
shall be acting on behalf of or with the consent or agreement of Continental. These conditions may only be altered or varied to writing signed by an Officer of the Company and
no other employee nor any other person has authority to alter or vary any or all of these terms and conditions. Some of Continental Divisions' terms may vary due to industry
standards but all changes must be approved by an Officer of the Company.
17.TERMS: The Purchaser as indicated in this quotation, agrees to abide by these terms. regardless of any change in the legal status of Purchaser, or until the term of this quotation,
agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation expires. These terms contained herein supersede any
and all terms previously given. to Purchaser that conflict with the terms herein.
If. at the request of the Purchaser. Continental Florida Materials Inc. enters into a written agreement or purchase order with the Purchaser to furnish materials to or on behalf of
the Purchaser for a specific project or job, all of the terms set forth herein shall be deemed to be a part of and incorporated by reference into such written agreement or purchase
order notwithstanding any term or provision in the written contract or purchase order to the contrary and, if there is a conflict with terms and`or provisions of the written contract
or purchase order. the terms herein shall prevail and be determinative.
conTmEnTl
I
Continental Florida Materials inc.. ° 17358
�
13450 W. Sunrise Blvd.,
Suite 430
Sunrise, FL 33323
i�IEIDELBERGCEMENTGroup
Tel: (954) 858-0780
CAUTION!! Freshly mixed cement, mortar,
UNLOADING Drivers are prohibited
concrete or grout may cause skin injury. Avoid
from delivering concrete except under the
contact with eyes where possible and wash
truck's own power, and where site conditions
exposed skin areas promptly with water. If any
permit the safe and proper operation of his
cement mixtures et into eyes, rinse immediately
g
equipment. Drivers are not permitted to
and repeatedly with water and get prompt medical
add water to the mix nor to go beyond the
treatment. Sawing, or grinding of concrete
curb line, except upon the authorization of
FORT }.,
T F .E i IE OLM
masonry units may result in the release of dust
the Purchaser/Purchaser's Agent and his
;4fIRE
particles which, without the use of proper eye or
acceptance of risk for any loss or damage.
3778 SELV 12 .,
respiratory protection, could cause eye or nose
/ acknowledge that I have received and
"5'0;14F4
irritation. The Material Safety Data Sheets for
accepted the materials listed on this ticket.
the products sold by Continental Florida
/ understand and agree to the terms on
Curb line crossed at Purchaser/Purchaser's Agent request. Initials of Purchaser/Purchaser's
Materials Inc. are available upon request.
both the front and back of this ticket.
Agent
TOTAL
WATER
Initials of Purchaser/Purchaser's Agent acknowledging addition of water at Purchaser/Purchaser's
YARDS ON TRUCK / GALS OF WATER ADDED ADDED
Agent request.
10 9 8 7 6 S 4 3 S 1
PURCHASER/
PURCHASER'S AGENT
PURCHASER/PURCHASER S AGENT
P.O. NUMBER / ORDERED BY
ZONE JOB NUMBER TIMETICKETED
DATE
TICKET
SOLD TO
DELIVER TO
Concrete Disposal:
yds
QUANTITY
QUANTITY
QUANTITY
PRODUCT
PRODUCT DESCRIPTION
UNIT OF UNIT
EXTENDED
THIS LOAD
ORDERED
DELIVERED
CODE
MEASURE PRICE
PRICE
ikt. ihi�
.. ..
r::!'�. ��
5i1 �: [s'+Z t'R '�• ''i #r'' 6'r';.;i ti i=
� ,;
i to t"
;-731f4, (At,
Truck #
Plant #
Slump
Due at Job
Use of Concrete
SUBTOTAL
Calcium
Air Entrain
Soper Plas.
Drivers Name
TAX
U CONCRETE TESTED
TOTAL
Delivery Instructions
CUSTOMER
1. ytr_A_ RRANTY: The materials sold by Continental F Aatedals Inc. thereinafter "Continental') are warranted fr Ir from the date of delivery to be free from detects in
material. This warranty is exclusive and is in lieu or air orner warranties (whether written. oral or implied), includirly < ,y ovarranty or merchantability or fitness for any particular
purpose. Continentals liability under any circumstances will not be greater than the purchase price of the materials supplied; the Purchaser must examine the material upon delivery
and before installation to discover any defects, latent or otherwise: and Continental will not be liable for and other darnages including, but not limited to incidental, indirect,
consequential, special or delay damages, loss of profits, or any other damages arising out of the breach of any obligations under this agreement. Purchaser further agrees that
no claims may be filed under this warranty unless and until any indebtedness to Continental is paid in full,
2. EXCLUSIVE aEMEDY: Purchaser further agrees that its exclusive remedy against Continental in the event the goods, materials or services
supplied by Continental are alleged to be defective and?or are alleged to have caused purchaser to suffer personal injury, loss of life, property. damage or econornic losses as a
result of breach by Continental of any and all of the foregoing express or implied warranties, or as a result of any negligence, strict liability, or other tortious conduct or statutory
violation by Continental, shall be limited to, and shall not exceed the purchase price of the goods, materials. or services purchased from Continental by purchaser and purchaser
agrees that Continental shall not be liable to purchaser for any other damages including, but not limited to, lost profits, lost wages, indirect, incidental, consequential, compensatory,
special, delay, punitive or any other damages. including damages for pain and suffering, mental disease. medical or funeral expenses, any other similar damages, or any attorney
fees or costs incurred by the purchaser in connection with pursuing any claim, demand or cause of action against Continental for breach of any obligations under this agreenr nt,
breach of the express or implied warranties delineated above, negligence, strict liability or other tortious conduct committed by Continental in connection with its sale to the
purchaser's use of goods. materials or services sold by Continental.
3. DUE. DATE: Payment for all credit sales is due by the 10th of the month following the purchase date. The Purchaser agrees that all past due accounts will accrue interest at 1.5"
per month.
4. OQ.L_.LEC.T....IpN._04..$..T.S: Purchaser agrees to pay attorneys' fees and costs of collection incurred by Continental prior to judgment, in obtaining judgment. or appeal, for bankruptcy
and for post -judgment collection procedures. Venue of any action between the Purchaser and Continental shall be Broward County, Florida.
5. MIX.GgQE[( QCATI.ON$: The purchaser agrees to order the mix needed by product code and accepts full responsibility to determine the location for the readymix concrete.
6 pELIVERY SITE CQNQITION$: Continental reserves the right to determine whether the site; for delivery requested by the Purchaser is suitable for such delivery and Continental
may refuse to deliver to a site if Continental is of the opinion that delivery would be unsuitable or unsafe. The Purchaser shall be responsible for all costs and damages incurred
where adequate access for delivery cannot be obtained.
7. UNATTENDED DELIVERY SITE: Where delivery of products is to be to an unattended site. Continental will not be liable for any loss or damage to producas. property or for unsigned
delivery tickets-
B. DELAYS: Continental shall not be liable for any delay in delivery or non -delivery resulting from any cause beyond its control including but not limited o plant and delivery equipment
breakdowns.. industrial stoppages or shortages of raw materials. If Continental is unable to complete delivery, of any part of an order, the Purchaser ;;hall accept such part of the
order as Continental is able to deliver and the Purchaser shall pay for the part delivered pro rata at the same rates as the whole of the order agreed tc be sold and the same terms
of payment.
9..Q,IlAtjT(TL,ES: This type and quantity of products delivered and detailed on the delivery ticket must be checked by the buyer at the time of delivery far compliance with the
Purchaser's order. Variations between actual quantities delivered and those shown on the delivery ticket must be noted on all copies of the delivery ticket signed by the Purchaser,
Invoice charges will be based on the quantities of products shown to be supplied as per the delivery ticket. Any claim for alleged short delivery of products must be made in writing
within seven (7) days of delivery: otherwise it will be accepted by Purchaser and in the absence of any claim the Purchaser shall be liable to pay for the full quantity of products
listed on the Continental delivery ticket. 1;_
10..MY010VM_,.L,,QA9..QHAJQ_r: All prices quoted are based on loads of not IAA than five vards. There will be a short load charge on each delivery. less than five yards. One call back
without charge will be allowed on pours exceeding ten yards.
11.WAITIND TIME: A maximum of sixty minutes per 10 yard load will be allowed at no charge. After sixty minutes there will be a charge of $1.50 per min.
12.ENV-IRONMENTAI. HARQE: A $5.00 per load environmental charge will be assessed.
t 3.SPECiFiCAN: Unless specially ordered. Continental concrete is manufactured according to the provisions of ASTM C-94. Specifications for Ready Mixed Concrete. and bieck
is manufactured according to the provisions of ASTM C-90, Specifications for Concrete Masonry. Continental is not responsible for concrete to which the Purchaser (without the
approval of an authorized agent of Continental) has added or requested Continental to add any water, admixture or additive or where the Purchaser has mishandled the concrete
after delivery.
14.TECHN}CALASS(STANCE: Continental accepts no responsibility for claims arising from technical advice or assistance provided to the Purchaser. Advice and assistance provided
by Continental is for Purchasers guidance only and Purchaser agrees to rely solely on its own architects, engineers or other technical experts.
15.SAF,ETy„_Q..A.T.A: The Material Safety Data Sheets for the products sold lay Continental are available upon request.
16.MODIFICATION OF TERMS: No employee or agent of Continental has the authority, in the absence of an express writing, to make any statement, including restricting or modifying
or otherwise concerning the existence or effect of any of these terms and conditions or of any warranty or guarantee and no such employee or agent making any such statements
shall be acting or behalf of or with the consent or agreement of Continental. These conditions may only be altered or varied to writing signed by an Officer of the Company and
no other employee nor any other person has authority to alter or vary any or all of thes6 terms and conditions. Some of Continental Divisions' terms may vary due to industry
standards but all changes must be approved by an Officer of the Company.
17.TERMS: The Purchaser as indicated in this quotation, agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation,
agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation expires. These terms contained herein supersede any
and all terms previously given to Purchaser that conflict with the terms herein.
If, at the request of the Purchaser. Continental Florida Materials Inc. enters into a written agreement or purchase order with the Purchaser to furnish materials to or on behalf of
the Purchaser for a specific project or job, all of the terms set forth herein shall be deemed to be a part of and incorporated by reference into such written agreement or purchase
order notwithstanding any term or provision in the written contract or purchase order to the contrary and, if there is a conflict with terms and/or provisions of the written contract
or purchase order. the terms herein shall prevail and be determinative.
00 � ' 1735824
conTinenTl Continental Florida Materials Inc. ;
� 13450 W. Sunrise Blvd.,
Suite 430
Sunrise, FL 33323
Tel: (954) 858-0780
H E I DE L BE RG C E M E N T Group
CAUTION!! Freshly mixed cement, mortar,
concrete or grout may cause skin injury. Avoid
UNLOADING Drivers are prohibited
from delivering concrete except under the
contact with eyes where possible and wash
truck's own power, and where site conditions
exposed skin areas promptly with water. If any
permit the safe and proper operation of his
i e Z I
cement mixtures get into eyes, rinse immediately
equipment. Drivers are not permitted to
and repeatedly with water and get prompt medical
add water to the mix nor to go beyond the
treatment. Sawing, or grinding of concrete
curb line, except upon the authorization of
masonry units may result in the release of dust
the Purchaser/Purchaser's Agent and his
particles which, without the use of proper eye or
acceptance of risk for any loss or damage.
respiratory protection, could cause eye or nose
I acknowledge that / have received and
irritation. The Material Safety Data Sheets for
accepted the materials listed on this ticket.
the products sold by Continental Florida
/ understand and agree to the terms on
Curb line crossed at Purchaser/Purchaser's Agent request. Initials of Purchaser/Purchaser's
Materials Inc. are available upon request.
both the front and back of this ticket.
AAgent
g
TOTAL
WATER
Initials of Purchaser/Purchaser's Agent acknowledging addition of water at Purchaser/Purchaser's
YARDS ON TRUCK / GALS OF WATER ADDED ADDED
Agent request.
10 9 8 7 6 5 4 3 S 1
PURCHASER/
PURCHASER'S AGENT
PURCHASER/PURCHASER S AGENT
SOLD TO
P.O. NUMBER/ORDERED BY
ZONE JOB NUMBER
DELIVER TO
TIMETICKETED
DATE
TICKET
--
ORDER% 31
F.lT In..! f TI 114,70C, rr'
Concrete Disposal: _ _ _
ydS
QUANTITY QUANTITY
QUANTITY
PRODUCT
PRODUCT DESCRIPTION
UNIT OF UNIT
EXTENDED
THIS LOAD ORDERED
DELIVERED
CODE
MEASURE PRICE
PRICE
y
Truck # Plant #
Slump
Due at Job
Use of Concrete
SUBTOTAL
Calcium Air Entrain
Super Plas.
Drivers Name
TAX
J CONCRETE TESTED
TOTAL
Delivery Instructions
„____, ,__.____.____ CUSTOMER
1. WARRANTY: The materials sold by Continental F Materials Inc. (hereinafter "Continental") are warranted l ar from the date of delivery to be free from defects in
material. This warranty is exclusive and is in lieu of all other warranties (whether written, oral or implied), including a4-1-arranty or merchantability or fitness for any particular
purpose. Continental's liability under any circumstances will not be greater than the purchase price of the materials supplied, the purchaser must examine the material upon delivery
and before installation to discover any defects, latent or otherwise, and Continental will not be liable for and other damages including, but not limited to incidental, indirect,
consequential, special or delay damages, loss of profits, or any other damages arising out of the breach of any obligations under this agreement. Purchaser further agrees that
no claims may be filed under this warranty unless and until any indebtedness to Continental is paid in full.
2. EXCLLIEIVE REMEDY: Purchaser further agrees that its exclusive remedy against Continental in the event the goods, materials or services
supplied by Continental are alleged to be defective and/or are alleged to have caused purchaser to suffer personal injury, loss of life, property, damage or economic losses as a
result of breach by Continental of any and all of the foregoing express or implied warranties, or as a result of any negligence, strict liability, or other tortious conduct or statutory
violation by Continental, shall be limited to, and shall not exceed the purchase price of the goods. materials. or services purchased from Continental by purchaser and purchaser
agrees that Continental shall not be liable to purchaser for any other damages including, but not limited to, lost profits, lost wages, indirect, incidental, consequential. compensatory,
special, delay, punitive or any other damages. including damages for pain and suffering, mental disease, medical or funeral expenses, any other similar damages, or any attorney
fees or costs incurred by the purchaser in connection with pursuing any claim, demand or cause of action against Continental for breach of any obligations under this agreement.
breach of the express or implied warranties delineated above, negligence, strict liability or other tortious conduct committed by Continental in connection with its sale to the
purchaser's use of goods, materials or services sold by Continental.
3, DL1E DATE,: Payment for all credit sales is due by the 10th of the month following the purchase date. The Purchaser agrees that all past due accounts will accrue interest at 1.5%
per month.
4. COLLECTION CO, TS: Purchaser agrees to pay attorneys' fees and costs of collection incurred by Continental prior to judgment, in obtaining judgment, or appeal, for bankruptcy
and for post -judgment collection procedures. Venue of any action between the Purchaser and Continental shall be Broward County, Florida.
5. MIX CQE/LQCATIONS: The purchaser agrees to order the mix needed by product code and accepts full responsibility to determine the location for the readymix concrete.
6. DELIVERY $.I„„TE_ON,D.,ITIONS: Continental reserves the right to determine whether the site; for delivery requested by the Purchaser is suitable for such delivery and Continental
may refuse to deliver to a site if Continental is of the opinion that delivery would be unsuitable or unsafe. The Purchaser shall be responsible for all costs and damages incurred
where adequate access for delivery cannot be obtained.
7. UNATTENDED DELIVERY ITE: Where delivery of products is to be to an unattended site. Continental will not be liable for any loss or damage to products, property or for unsigned
delivery tickets.
B. DE.IQAY..S: Continental shall not be liable for any delay in delivery or non -delivery resulting from any cause beyond its control including but not limited to plant and delivery equipment
breakdowns, industrial stoppages or shortages of raw materials. if Continental is unable to complete delivery, of any part of an order, the Purchaser shall accept such part of the
order as Continental is able to deliver and the Purchaser shall pay for the part delivered pro rata at the same rates as the whole of the order agreed to be sold and the same terms
of payment.
9. QUANTITIE$: This type and quantity of products delivered and detailed on the delivery ticket must be checked by the buyer at the time of delivery for compliance with the
Purchaser's order. Variations between actual quantities delivered and those shown on the delivery ticket must be noted on all copies of the delivery ticket signed by the Purchaser.
Invoice charges will be based on the quantities of products shown to be supplied as per the delivery ticket. Any claim for alleged short delivery of products must be made in writing
within seven (7) days of delivery: otherwise it will be accepted by Purchaser and in the absence of any claim the Purchaser shall be liable to pay for the full quantity of products
listed on the Continental delivery ticket.
10.9INIMUM LOAD CHARGE: All prices quoted are based on loads of not less than five yards. There will be a short load charge on each delivery, less than five yards. One call back
without charge will be allowed on pours exceeding ten yards.
11.WAIT NI G TIME: A maximum of sixty minutes per 10 yard load will be allowed at no charge. After sixty minutes there will be a charge of $1.50 per min.
12.ENY_I..RIONMENTAL_CHARCE: A $5.00 per load environmental charge will be assessed.
13.SPECIFICATION: Unless specialty ordered. Continental concrete is manufactured according to the provisions of ASTM C-94. Specifications for Ready Mixed Concrete. and block
is manufactured according to the provisions of ASTM C-90. Specifications for Concrete Masonry. Continental is not responsible for concrete to which the Purchaser (without the
approval of an authorized agent of Continental) has added or requested Continental to add any water, admixture or additive or where the Purchaser has mishandled the concrete
after delivery.
14.1EGHNICA1LA5SISTAN.QE: Continental accepts no responsibility for claims arising from technical advice or assistance provided to the Purchaser. Advice and assistance provided
by Continental is for Purchasers guidance only and Purchaser agrees to rely solely on its own architects. engineers or other technical experts.
15.SAFETY_DATA: The Material Safety Data Sheets for the products sold lay Continental are available upon request.
16.MODIFiCAT10N_QFTERM
S: No employee or agent of Continental has the authority, in the absence of an express writing, to make any statement, including restricting or modifying
or otherwise concerning the existence or effect of any of these terms and conditions or of any warranty or guarantee and no such employee or agent making any such statements
shall be acting on behalf of or with the consent or agreement of Continental. These conditions may only be altered or varied to writing signed by an Officer of the Company and
no other employee nor any other person has authority to alter or vary any or all of these terms and conditions. Some of Continental Divisions' terms may vary due to industry
standards but all changes must be approved by an Officer of the Company.
17.TERMS: The Purchaser as indicated in this quotation, agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation,
agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation expires. Those terms contained herein supersede any
and all terms previously given to Purchaser that conflict with the terms herein.
If. at the request of the Purchaser. Continental Florida Materials Inc. enters into a written agreement or purchase order with the Purchaser to furnish materials to or on behalf of
the Purchaser for a specific project or job, all of the terms set forth herein shall be deemed to be a part of and incorporated by reference into such written agreement or purchase
order notwithstanding any term or provision in the written contract or purchase order to the congary and, if there is a conflict with terms and/or provisions of the written contract
or purchase order. the terms herein shall prevail and be determinative.
Property Appraiser
- St.Lucie (Cc)tmty,
FL
Page 1 of 1
PROPERTY RECORD CARD
Victoria Greer
Record: 1 of 2
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
T rT \,UCIE q2
Site Address:
12623 S INDIAN RIVER DR
ParcellD:
+450{-0949�0605:%f6Q-6
Gy�
Sec/Town/Range:
04 :37S :41 E
Account #:
y��
122511
Map ID:
45/04S
Land Use:
SF Res
Auk
Zoning:
RS-4
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner:
Victoria Greer
4 37 41 FROM SW COR OF LOT 6 BLK2 OF SPRING HILL S/D RUN S�
Address:
12623 S Indian River Dr
28 DEG 30 MIN E ALG SLY EXT OF W LIOF SD
Jensen Beach FL 34957-2219
More...
Sales Information
Assessment 2011 Final Total Land and Building
Date
Price Code Deed
Book/Page
2011FinaC 156500 Land Value: 113000Acres, 0.56
12/21/2011
200000 0205 WD
3351 / 2179
Assessed: 156500 Building Value: 43500
10/11/2011
100 0111 WD
3335 / 0795
Ag.Credit 0 Finished Area: 2136 SgFt
9/14/2011
0111 PB
3327 / 0310
Exempt:
9/14/2011
0111 PB
3327 / 0307
Taxable:
9/7/2010
100 0311 WD
3307 / 2122
Taxes: 3184.13
11/24/2004
100 03 QC
2101 / 2366
8/4/2000
100 02 WD
1319 / 0221
4/1/1972
20500 00 CV
0201 / 1547
BUILDING INFORMATION
E2
[%
Exterior Features
View:
RoofCover
TN - Metal
RoofStruct:
GA - Gable
ExtType: HC- - HC-
YearBlt:
1901
Frame:
Grade: C- - C-
EffYrBlt:
1960
PrimeWall:
SB - Abs Shingle
StoryHght: 0020 - 2 Story
No.Units:
1
SecWall:
Interior Features
BedRooms: 0
Electric
MX - MAXIMUM
PrmintWall:
PB - PANEL BOARD
FullBath: 1
HeatType:
AvgHUFI:
1/26ath. 0
HeatFuel:
-
Prm.Flors:
SP - Sing Pine
%A/C: 0
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty.
Units Qual. Cond
YrBlt. No. Land Use
Type
MeaSLlre Depth
DOK2 - WOOD DOCK Y 1
1212 AV AV
1960 1 0100-SF Res
240 -Front Ft
�`' ,5_t
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?prclld=450431000050006 2/6/2012