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HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY: •- DATE FILED: • PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: v� _ PERMIT NUMBER: 10! CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue 6 -C) Ft. Pierce, FL 34982-5652 SCAN 772-462-1553 B ED Jt. Lucle �nty APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: / / Q NE `5�`I )-0 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: �j L% l S-L/ n 6n l 3 d©O 3 O / 4. LEGAL DESCRIPTION (attach extra sheets i(necessary): le:�z V" A: 1-� r^4-p _jggQ2g 5. PLAT BOOK 6. PAGE NO 7. BLOCK NO. 4/3 8. LOT NO. 9 10. it. 12. 13. PARCEL SIZE (ACRES/SQ FT.): C,i4, LOT DIlAENSIONS: COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: r, _A A app"rbp'ri t6 e�o`lFes) JV [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL OTHER (SPECIFY) -_� Ok i 14 DESCRIPTION OF PROPOSED USE: "0" LJDZt,✓ w 14. SQ. FT OF CONSTRUCTION: r) 15. SF. FT 1st FLOOR 16. VALUE OF CONSTRUCTION: S / 000 . Oo 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: P040 P '_� ADDRESS: 7/ J A/LO 14 CITY: 105 STATE: % ZIP: 3 PHONE (DAYTIME): L Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) 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 #: 66 C a� 5 r ST. LUCIE COUNTY CERT #: l2d -3 Q�-�_ BUSINESS NAME: QUALIFIERS NAME: l o ADDRESS: 3,5�' e2 C--r - T CITY: rS L STATE: % PHONE (DAYTIlIIE): (4 2� Z 05-FAX NO. Email ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: ZIP: "3 Y `i Sr3- mg ZIP: 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 Dec 30. 2011 01:04 PM COUNTY F L 0 R 1 D R 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 f th following -described property, -- 110 N E e S-rl . L., 1 V.- (Parcel Id#/Legal description/ 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. todo/Fo keQp Property Owner Name (Pleas rint) V¢ 1 1�1 F'0 uem -30 - // Property Owner Signature Date STATE OF FLORIDA, COUNTY OF ACKNO EDG D BEFORE ME THIS V v DAY OF 20 BY v I Fv V e / 1WHO IS PERSONALLY KNOWN TO ME �OR WHO HAS PRODUCED ATURE OF O Y PUBLIC SLCPDSD Revised 08/24/2010 AS IDENTIFICATION. M NOTARY COMMISSION NUMBER DAWN MILONE e * * (MISSION N DD 852Eer arch 22, Bonded ThruENotary Public UndaenrrNen , 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. OWNER OR CONTRACTOR SIGNATURE R I CONTRACTOR SIGNATUI& STATE OF FLORIDA o U CiJ Q TATE OF FLORIDA a'� cn 07 COUNTY OF z T OUNTY OF The foregoing instrument was acknowledged before m o g he foregoing instrument was acknowledged before me this, day of 20 me this day of 2Q� , f by ` 1 hnrr s L4kM3� by .i 1�(,C -e who is personally known or has produced who is personally known or has produced C as identification. • as identification. Signature otary re of T1,66ry ,4::+:':!; c, _ —� AUDREY R. HUMPHREY Commission NO. ._ MY COMMISSION # EE Off Sion No. (Seel) rch 6,2011, 'i Bor,de:J EXPIRES: TNotary Norya ublicU? Ifri[ers 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 Ls #: 1 11 1�7 . O I SECTION TOWNSHIP RANGE ig (r MAP NO. ZONING LAND USE PAL LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1ST FIR ELV HGT CONST TYPE OCCUP TYPE CUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLrr APPROVED REPORT CODE j HABITABLE AREA RADON FEE PERMIT FEE LIBRARY IIti1PACT FEE PUBLIC BID IMPACT FEE CORRECTION PUBIC BLD IMPACT FEE GENERAL PARKS BRACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT 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 REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE, REVIEW MANGROVE REVIEW DATE RECEIVED (� DATE COMPLETED MIALS V 1� Tairmac "hank you - We appreciate your business" A Titan America Business Ticket no. grMadd Delivery date Plant Truck I Driver Truck size Type job Customer no. I Customer name Zone Tax CD Tarmac project no. Customer P.O. no. Order no. I Terms code 1-Charge delivered 3-C.O.D. Time due ' 2-Charge F.O.B. 4-C.O.D -F.O.B. Delivery name and address Lot Block County Instructions Slump IQuantity I Product I u/M I unit price (Amount 1 Cumulative 1 Ordered 1 Code 1 Description 1 1 Load Arrive job site Start discharge Finish discharge Leave job site Arrive plant Subtotal Sales tax TOTAL Additional water added to this concrete will reduce its strength. Any water added is at customer's risk. Gallons of water added: Gallons of water added: Gallons of water added: Amt of CY Retained: Customer Approval: Customer Approval: Customer Approval: Customer Approval: Tested Tested properly I No. I Authorized and received by ❑ ❑ ❑ Yes No ❑ Yes No X Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address: Correct Not Correct MIRTnMFR ropy TARMAC AMERICA LLC TEPNIS AND CONDITIONS OF SALE 1. All sales will be subject to these terms and conditions ('`Contract") and, if buving on credit, to Buyer's credit agreement with Seller, incorporated herein by reference, all other terms, 'including any terms contained in Buyer's purchase order, are excluded unless agreed to by Seller in writing. Any changes must be in writing and signed by each party. Thus Contract will be construed in accordance with the laws of the state of Florida. For all disputes relating to this Contract, 13uyer hereby consents to the jurisdiction and venue of the state and federal courts for the location of the delivery site of the goods sold hereunder. 2. Pavment terms: Net the last day of the month following the month of delivery, without deduction, retainage, set ofl'or charge backs. A cash discount of % 10" proximo may be deducted if no previous balances are past due. Interest at the lesser of 1'rz°/u per month or the maximum rate allowed by law will be imposed on outstanding and delinquent invoices from the date of delivery until paid. Buyer will pay to Seller all applicable fedetal,.state and local sales and use taxes. In addition to any other available rights and remedies. Seller will be entitled to recover from Buyer all costs of collection and litigation including, but not limited to, reasonable attorneys' fees. Seller reserves the right to require payments in advance or to cancel the unfilled portion of this Contract without notice in the event of Buyer default of any Contract provisions, or if the financial status of Buyer becomes .impaired or deemed unsat- isfactory to Seller. Failure of Seller to exercise any, of its rights will not be deemed a waiver of any such right. 3. Regular delivery hours are 7:00 a.m. - 5:00 p.m., Monday through Friday. An additional charge may be added for deliveries outside of these hours and for any wait ingiunloading periods in excess of 60 minutes. Prices are based on frill loads. an additional charge will apply to loads of less than seven cubic yards. The minimum load for each delivery is 1'i, cubic yards. 4. Buyer will give Seller at least 48 hours prior notice of the time and rate of requested deliveries. Delivery schedules will be mutually agreed upon between Seller and Buyer. Deliveries will be made to the best of Seller's ability to dispatch, however, Buyer- waives any claims associated with any delays in delivery. 5. Buyer must provide suitable approaches to delivery points beyond paved streets. For delivery beyond curb lines, Buyer assumes all liability lot- damage to velucles, sidewalks, driveways, pipes, septic tanks, and.'or other property, and Buyer will indemnify and hold Seller harmless from and against any and all liability, loss and expense incurred as a result of such delivery, including but not limited to towing charges. except to the extent caused by Seller's gross negligence or willful misconduct. Buyer waives any right of subrogation against Seller. 6. Buyer is responsible for Bill payment of, including all costs of disposal and Seller's return charge per truck for, (i) orders not cancelled at least one hour prior to delivery time, (ii) concrete delivered due to Buyer"s mistake or in excess of requirements, (iii) concrete not deliverable due to unsuitable approaches. 7. Concrete prices and quantities are based upon the wet volume at the time of discharge frorn the truck, and are not sold "form measurement" or measured "in place". Yield will be established in accordance with applicable ASTM standards. Buyer will pay all charges incident to inspection or tests made by or on behalf of Buyer. 8. Limited Warranty: Buyer is solely responsible for determining the type and quantity of goods to be purchased. Seller warrants that its products will meet or exceed applicable American Society for Testing Materials ("ASTM") and American Concrete Institute ("AC'i") standards. when tested in accordance with AST NI and evaluated by ACI standards. Seller will.repair or replace any goods supplied by Seller that fail to meat this limited warranty, within one year after delivery thereof. Seller will uphold its warranty obligations under Florida statute 718.203. as applicable, Al..:L OTHER WARRANTIES; WHETHER EXPRF.,S:S OR iMPI..IED, INCI..,UDING WITHOUTL.IMITATION THE; WARRANTIES OF MERCHANTABI'L,ITYAND FITNESS FOR A PARTICULAR PURPOSE:, ,ARE HEREBY EXPRESSLY EXCLUDED. 'I HE REMEDY SET FORTH 1N'THiS SEC'i ION 8 WILL CONSTI FUTE THE SOLE REMEDY OF BUYER UNDER THIS LIMITED WARRANTY. 9. Seller will not be responsible for slump, strength or quality of any concrete to which water or other material has been added by or on behalf of Buyer. Bayer will be responsible to see that the concrete: is bandied in accordance with best construction practices. Seller has no control over the placing or handling of concrete after unloading and does not guarantee the finished work in which it is used. Buyer will be responsible to prevent concrete after unloading from coming into cpntactwith any material, such as aluminum, which may adversely impact concrete strength. 10. Buyer will furnish any admixtures or ingredients it desires that are not regularly supplied by the Seller in the marketplace. Buyer will be solely respon- sible for fire effect of such admixture or ingredients on the concrete. Any extra product which may be required in excess of' the mix design quoted, or which may be required to provide workability, strength, setting time or wale.1cement ratio, will result in an additional ingredient charge payable by BLyer. 1.1. Concrete will be batched and delivered in accordance with ASTM C-94. Concrete temperature will be dictated by the environmental and material condi- tions at the time of delivery. Any requirement beyond these conditions will require the implementation of controlled measures during production at the expense of Buyer. 1.2, Buyer must give Seller written✓ notic ° .vithin 48 hours after delivery of any claim against Seller as a result of any alleged nonconforming materials or ally other cause whatsoever (other than failure to meet compressive strength, in which event the time for notice will be within 48 hours after the customary time for analysis of the test cylinder), time being of the essence. Seller will be given reasonable opportunity to investigate all claims. Any failure by Buyer to give written notice within such 48 hour period will be deemed a conclusive waiver by Buyer of all such claims against Seller. 13. SELLER WILL NOT BE LIABLE UNDER ANY CIRCUMSTANCES FOR ANY SPECIAL, INCIDENTAL, PUNITIVE OR CONSEQUENTIAL DAMAGES INC'LI DINGi WITHOUT LIMITATION, ANY DAMAGES RELATED TO DELAY. WHETHER BASED ON STATUTE,. TORT, CONTRAC"L OR OTHERWISE, AND WHETHER OR NOT ARISING FROM SEI.:L:ER"S NEGIAGF.NCE. STRICT LIABILITY OR FAUI...T. IN NO EVENT WILL SELLER BE RESPONSIBLE FOR DAMAGE DUE TO THE ACTIONS OF OTHERS OR TI IE FA11.._URE OF BUYER TO COMPLY WITH ITS OBLIGATIONS. SELLER"S LIABILTI'Y FOR ANY CLAIMS WII.,L BE I-.IMI"I"ED `i'O `fHE PURCHASE PRICE OF THE GOODS SOLD UNDER "iiIIS CONTRACT. 1.4, Notice. All notices to Seller will be sent in writing to the sales office issuing the price quotation, with a copy to Credit Department, 455 Fairway Drive, Deerfield Beach, Ff.. 33441. 1.5. Severability. The unenforceabihty of any provision of this Contract will not affect the enforceability of. any other provision of this Contract, and each other provision of this Contract will be severable and enforceable to the extent permitted by law. NVARNINQ CAUSES SKIN .1RI2ITA'I'10N - INJURIOUS TO EYES. CONTAINS PORTL..AND CEMENT, FRESHLY MIXED CONCRETE: MAY CAUSE SKIN IRRITATION OR. INJURY. AVOID CONTACT WITH SKiN WHERE. POSSIBLE. WASH EXPOSED AREAS PROMPTLY WITH WATER. .IF ANY MIXTURES GET INTO THE EYE, RINSE, IMMEDIATELY WITH WATER AND GET PROMPT' y,1EDIC'AL ATTENTION. KEEP OUT OF REACH OF CHILDREN. .V[AT'ERIAL SAIa ETY DATA SHEETS (VISDS) ARE AVA ILABLE AT WWW."1'1T'ANA M ERICA.COM. Rev'd 2-08 Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Rodolfo Vega Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification "�fCIE CO Site Address: 110 Estia Ln ParcellD: 3419-540-0018-000-3 Sec/Town/Range: 28:36S:40E yQ� Ilk Account#: 42695 Map ID 34/28N RS-4 Land Use City/Cnty: SF Res Q� St Lucie County Zoning: Ownership and Mailing Legal Description Owner: Rodolfo Vega Carmen Vega RIVER PARK -UNIT 5 BILK 43 LOT 18 (MAP 34/28N) (OR 3301-2315) Address: 712 NW Grenada St Port St Lucie FL 34983-1164 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 48300 Land Value: 7700 Acres 6/3/2011 25000 0112 SP 3301 / 2315 Assessed: 48300 Building Value: 40600 4/28/2010 55900 0112 CT 3216 / 1960 Ag.Credit. 0 Finished Area 1814 SgFt 8/5/2005 215000 00 WD 2641 / 0098 Exempt: 7/29/2004 156500 00 WD 2041 / 0571 Taxable: 5/3/2001 81000 00 WD 1392 / 1894 Taxes 982.7 8/25/1998 100 01 WD 1201 10454 8/25/1998 42500 00 WD 1168 / 1138 7/20/1989 67000 00 WD 0647 / 2103 4/1/1988 0 01 CV 0587 / 2478 1/1/1983 67000 00 CV 0392 / 2814 BUILDING INFORMATION Exterior Features View: RoofCover SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD+ - HD+ YearBlt 1960 Frame. Grade: D+ - D+ EffYrBlt: 1960 PrimeWall: BS - CS Stucco StoryHght: 0010 - 1 Story No.Units. 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: PF - PF FullBath: 2 HeatType FHA - FrcdHotAir AvgHt/FI: STD 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual Cond. YrBIt. No Land Use Type Measure Depth SWAV - RES POOL AVG Y 1 450 AV AV 1980 1 0100-SF Res 260 -Front Ft M�' M4l9 PA01 - POOL DK-AVG Y 1 400 AV AV 1980 3CCT - 3CCT S 1 1 AV AV 1977 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED 1A 1�I http://www.paslc.org/prc.asp?prclid=341954000180003 12/30/2011