HomeMy WebLinkAboutSUBMITTED PAPERS�t
D00
ATE FILED:
ONIY:
PLAN REVIEW FEE: RECEIPT NO.: V
CONCVRRENCY FEE. RECEIPT NO.:
1.
2.
3.
4.
PERMIT NUMBER: � � Oc
CERT. CAP. NO{
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SEMq- CES DEPARTMENT
BUILbING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 ' SCANNED
772-462-1553 B
St. c/e COunt
APPLICATION for.BUII.DING PERMIT y
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: 9'17 toe Ar-son 9d
PROJECT NAME: rI�"m RAP.-! SITE PLAN NAME:
PROPERTY TAX ID #: ;I # : C>�� Oct) c!) .
LEGAL DESCRIPTION (attach extra sheets if necessary):
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO,., 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): 2 Rcaa _.-LOT DRbIENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK. ACTIVITY:
�oeene�oi�on witj #'e f&81�' RprsS (A e Ile ���6fl�ct�ien
11. SETBACKS, (ACTUAL) FRONT: BACK: RIGHT SIDE:— LEFT SIDE:--
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL �[ ] COMMERCIAL [ ] INDUSTRIAL
Vq OTHER (SPECIFY) f��obr! t�Xtsir�•o t�wn�+�e °� ^
13. DESCRIPTION OF PROPOSED USE: .S jns rP ) i M Res.
14. SQ. FT OF CONSTRUCTION: e00015. SF. FT 1st FLOOR '-
16. VALUE OF CONSTRUCTION: $ la 19co, Q°
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 60109
r
OWNER INFORMATION
NAME: bblElsee
9QQnfADDRESSS: %Zd
CITY: rewct .�'rfIL•. 'en
STATE: ZIP: 9 y 947
PHONE (DAYTIME): (jA 21 f , 661 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):
s
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: 4 CyGtS�c Z 191 ST. LUCIE COUNTY CERT
BUSINESS NAME: t /V h•G .6sir d s .tn c
QUALIFIERS NAME, l�
ADDRESS: jgi&o •�L� w
CITY: ,V eIa STATE: L ZIP:
PHONE (DAYTIME): C?g FAX NO. Email: —4 u1. K. e.s .g '�
v
CITY: . 54wv 1 STATE: /r 1, ZIP: 3 y 9 S
PHONE (DAYTRWE): (I 'g) �.�i�'��.o� �'t%Vtd San�iso•l
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER --
ADDRESS:
CITY:
STATE:
STATE:
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.
CERTMCATION: ,.
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. Icertify 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 buildthe 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 LARD NOTICE TO
-- THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR CONTACTOR SIGNATURE
STATE OF FL19WA Lam
COUNTY OF /J. m e
The foregoing instrument was acknowledged before
me this day ofOeZ---- 20
by TlV�
o is person or has produced
as identification.
Signature Votary
Commission No. (Seal)
STATE OF FLORID, � �COUNTYOF 1�Lu�
The foregoing instrument was acknowledged before
me this ay of 20,
by tk
who is rsonall own or has produced
t� l� as identification.
Signature of Notary
Commission No. (Seal)
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 h V�J
SECTION
TOWNSHIP
i-�
RANGE
MAP NO.
2fDb
ZONING
f� , I
'' 11
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
IsT FIR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FIRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 111990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
LIBRARY
AVACT
FEE
PUBLIC BLD
IMPACT FEE,
CORRECTION
PUBIC BLD
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
PLUMBING
NON -CONFORMING
LOT OF RECORD'
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING: /
REVIEWS
FRONT
CO
ZONING
REVIEW
SUPERVISOR
RE w
PLANS
REVIEW
VEGET ON
RE W
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS
(� �
THE SHAFFER GROUP, INC.
2440 SE FEDERAL HWY (SUITE 110)
STUART, FL 34997-1795
PH: 772.220.4990
04/16/13
To: ST. LUCIE COUNTY BUILDING DEPT.
PERMIT #: SLC- 1112-0205
OWNER: BOBBIE E. STRATTON
5999 PETERSON ROAD
FORT PIERCE, FL.
RE: INSPECTION FOR HELICAL PIER INSTALLATION
WITH TRU-LIFT BRACKETS & WELDS PER PLAN
LOCATED @ ABOVE ADDRESS
CERTIFICATION
Gentlemen,
We have observed the installation and the completion of (5) helical piers
placed according to the approved plans for this job. Each pier developed
more than 20 kips which exceeds the design values, in addition 2' x 2'
concrete pads were poured at each pier for support as additional safety
factor at the owner's request. The "Tru-Lift" brackets & welds were
installed per the manufacturer's specifications.
We hereby certify that this installation meets or exceeds the design values
of the structural design and the current 2010 FBC and ASCE 7-10. The
work done is in substantial accordance with the plans and specifications
as submitted. In addition, the finished product appears to have been done
in a good wi.:��Mgr)?P�' like manner.
ICKD
Certifi ,y: NSF'
�.
APR
1. @ 2013 r�
® `1
.
rednq' el, R N'
--���
6S Y# '\�s\`.pector No. 766
,
111 it
THE SHAFFER GROUP, INC.
2440 SE FEDERAL HWY (SUITE 110)
STUART, FL 34997-1795
PH: 772.220.4990
04/15/13
To: ST. LUCIE COUNTY BUILDING DEPT.
PERMIT #: SLC- 1112-0205
OWNER: BOBBIE E. STRATTON
5999 PETERSON ROAD
FORT PIERCE, FL.
RE: INSPECTION FOR HELICAL PIER INSTALLATION
WITH TRU-LIFT BRACKETS & WELDS PER PLAN
LOCATED @ ABOVE ADDRESS
CERTIFICATION
Gentlemen,
We have observed the installation and the completion of (5) helical piers
placed according to the approved plans for this job. Each pier developed
more than 20 kips which exceeds the design values, in addition 2' x 2'
concrete pads were poured at each pier for support as additional safety
factor at the owner's request. The "Tru-Lift" brackets & welds were
installed per the manufacturer's specifications.
We hereby certify that this installation meets or exceeds the design values
of the structural design and the current 2010 FBC and ASCE 7-10. The
work done is in substantial accordance with the plans and specifications
as submitted. In addition, the finished product appears to have been done
in a go\%iR?r�manship like manner.
�tC K D.
ied by:
6 2013
.v �S nr one
6694
�q cial Inspector No. 766
AFrER RECORDING -RETURN TO:
PERMrr NUMBER:
C JOSEPH E. SMITH, CL - ",OF THE CIRCUIT COURT
SAINAUCIE COUNTN'� i
FILE # 3821949 04/10/2013 at 03:06 PM
OR BOOK 3505 PAGE 1776 - 1776 Doc Type: NC
RECORDING: $10.00
NOTICE OF UUMlylgrlurlvmt. - - -
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER:
SUBDIVISION LOCK TRACT LOT BLDG UNIT
2. GENERAL DESCRIPTION OF
3.OWNER INFORMATION:,
c.interest in
d. Name and address of fee simple titleholder (if other than owner)_
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER:
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND``B��O AMOUNT: N/A
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: !yA
7. 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, ADDRESS AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) 20
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 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
Signature of Owner or Print Name and Provide Signatory's Title/Office
Owner's Authorized OMcer/Director/Partner/Manager
State of Florida_ —
County of
The foregoing instrument was acknowled ed before me this 1� day of �% 20-a-
Bye 0����2 3 �-� L1� , as
(Name of person) (Type of authority...e.g. Owner, officer, trustee, attorney in fact)
For
(Name of party on behalf of whom instrument was executed) Personally Known or produced the following type of ID:
(Printed Name of Notary i?ubfic) `�� v (Signature of Notary Public) (Seal)
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owner(s)' Authorized Offlcer/Director/Partner/Manager who signed above:
j By: l//? By e �S51 0 A �i i�Q/ZW
I'
Rev. OWW2007(Recording)
;*a� pm;' PATFUC14 GY 0A
PIS
Notary PuNC $trklhlf F�orid>I
s, ° khy Comm .E4Wt+ bct 5, 20#d
QF` Ctlmmis;itott
bwnrr
THE SHAFFER GROUP, INC.
13
. -n
2440 SE FEDERAL HVWY (SUITE 110) r -o S
STUART, FL 34997-1795 C
PH: 772.220.4990 0
•- �1
02-07-13�'
r
To: ST. LUCIE COUNTY BUILDING DEPT.
PERMIT #: SLC-1112-0205
OWNER: BOBBIE E. STRATTON
5999 PETERSON ROAD
FORT PIERCE, FL.
RE: INSPECTION FOR HELICAL PIER INSTALLATION
WITH TRU-LIFT BRACKETS & WELDS PER PLAN
LOCATED @ ABOVE ADDRESS
CERTIFICATION
Gentlemen,
We have observed the installatiorr'and the completion of (5), helical piers
placed according to the approved plans for this job. Each pier developed
more than 20 kips which exceeds the design values, in addition 2' x 2'
concrete pads were poured at each pier for support as additional safety
factor at the owner's request. The "Tru-Lift" brackets & welds were
installed per the manufacturer's specifications.
We hereby certify that this installation meets or exceeds the design values
of the structural design and the current 2010 FBC and ASCE 7-10. The
work done is in substantial accordance with the plans and specifications
as submitted. In addition, the finished product appears to have been done
in a good wort l hip like manner.
\\�\\\\®C K 0,
Certi1CeMS.•� i 77-
Ri9Ardby,
�m
T F affer, P.F: psi A. on, B
°'r,,� �` RRJVa 6 ��is # CGCA 09308
N
h
THE SHAFFER GROUP, INC.
2440 SE FEDERAL HWY (SUITE 110)
STUART, FL 34997-1795
PH: 772.220.4990
02-07-13
To: ST. LUCIE COUNTY BUILDING DEPT.
PERMIT #: SLC-1112-0205
OWNER: BOBBIE E. STRATTON
5999 PETERSON ROAD
FORT PIERCE, FL.
RE: INSPECTION FOR HELICAL PIER INSTALLATION
WITH TRU-LIFT BRACKETS &. WEL_ DS PER PLAN
LOCATED a@ ABOVE ADDRESS -
CERTIFICATION
Gentlemen,
We have observed the installation and the completion of (5) helical piers
placed according to the approved plans for this job. Each pier developed
more than 20 kips which exceeds the design values, in addition 2' x 2'
concrete pads were poured at each pier for support as additional safety
factor at the owner's request. The "Tru-Lift" brackets & welds were
installed per the manufacturer's specifications.
We hereby certify that this installation meets or exceeds the design values
of the structural design and the current 2010 FBC and ASCE 7-10. The
work done is in substantial accordance with the plans and specifications
as submitted. In addition, the finished product appears to have been done
in a good workmanship like manner.
f'1// OfVA I I I0'
JOSEPH E. SMITH, CLERK O1 - t CIRCUIT COURT - SAINT LUC , `�DUNTY
-FILE # 3821949 OR BOOK PAGE 1776, Recorded 04/10'., at 03:06
MMEEN" a:
NOTICE OF CONMNCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER
2. GENERAL DESCRIPTION OF IMI
3.OWNER INFORMATION:,. a.
c. interest in property /00% owner
d. Name and address of fee simple titleholder (if other than owner)_
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER:
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOW1D AMOUNTt 1414
" 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the Stale 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, ADDRESS AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (I)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) . 20_,
Signature of Owner or Print Name and Provide Signatory's Mde/OIDce
Owner's Authorized OfAcer/Director/Partner/Manager
State of Florida
County of 90 OVA- CI
The foregoing insw ent was acknowled ed before me this �3 day of 20 a
Bye olohre� f \n e;A-s as O�k�Q
(Name of person) (Type of authority ... e.g, Owner, officer, trustee, attorney in fad)
Por ,
(Name of party on behalf of whom instrument was executed) Personally Known or produced the following type of ID: _
msancrif"..,"i")
(Signature of NotaryPublic)
Under penalties of perjury. I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
belief (section 92.525. Florida Statutes).
/Slggnahtre(s) of Owner(s) or�Owwnnerr(s)' Authorized OfDcer/Diirector/Partner/MMaannnager who signedd above:
BYl.lC By // / • ��rQT�L�%
' `� per. atna'r0a7lRecadint)
Eoot-",
CpnuiAegM:if N IS01 '
STATE OF RAIDA
ST. LUCIE COUNTY
THIS-1
TRUE
ORIGI
By
Da
•
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE.
FORT PIERCE, FL 34982
(772)462-1553
PERMIT RENEWAL REQUEST
ADDRESS: 479gq r e i,Pa 4nA ' led PERMIT NUMBER:
I, rAaA- A.A AM REQUESTING THAT THE ABOVE PERMIT IS
RENEWED FOR 18 MONTHS. I UNDERSTAND THAT I MUST SCHEDULE AND PASS ALL
REQUIRED INSPECTIONS FOR THE PERMIT TO BE FINALED. FURTHER, I UNDERSTAND THAT
THIS IS A ONE TIME RENEWAL AND THE PERMIT SHALL EXPIRE SHOULD I NOT RECEIVE A
PASSING SPECTION D G ANY SIX MONTHS PERIOD DURING THE RENEWAL PERIOD.
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
STATE OF FLORIDA, County of (�
ACKNOWLEDGED BEFORE ME THIS DAY OF , 20 / 8
WHO IS PERSONALL OWN O ME , OR
HAS PROVIDED AS IDENTIFICATION.
ST TE OF FLORIDA, County of'
SEAL
SIGNATURE OF NOTARY COMMISSION NUMBER
OMRV B. HWPHREY
MY COMMISSION N EE 061159
EXPIRES: March 6, 2015
FOR OFFICE USE ONLY: g,n Bonded Thru Notary Public Undenwiters
RENEWAL FEE: $
No. of Open Inspections T Total No. of Inspections = (% of Open Inspections).
Original Permit Fee $ x Open Inspections (%) = $ (Renewal Fee).
Example: [15 = 23 = .65(%)] $175.00(permit fee) x .65(%) = $113.75 (Renewal Fee) 4
,0
SLCPDSD REV 4/11/2011
AO-4.1-Z
3 4 S S 2S -S, 32: Q