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HomeMy WebLinkAboutSUBMITTED PAPERSAr OFFICE USE O_ NLY• DATE FILED: PLAN REVIEW FEE: CONCURRENCY FEE: RECEIPT NO.: RECEIPT NO.: PERMIT NUMBER: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue S+ Ft. Pierce, FL 34982-5652 eY �O 772462-1553 St �Uc1e Coup APPLICATION for BUILDING PERMIT ty CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATIONISITE ADDRESS: 2. PROJEGTNAME: 13m4A% POD I SITE PLAN NAME: --_ O)oI and CwAere4t-,de4, 3. PROPERTY TAX ID #: I q2 3 - !i30 ?' - DO 2.0 —(>00-.0 4. LEGAL DESCRIPTION (attach extra sheets if necessary)Coj e, - UA * D 33u - 2 lR, 5. PLAT BOOK — 6. PAGE NO. _ 7. BLOCK NO. 8- LOT NO. 9. PARCEL SIZE (ACRESISQ FT-): LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: * k- D i e r pe 1'fn'4- 11. 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSIONIADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRgAL [ ] OTHER (SPECIFY) S u� d M n� t`na +n o cz C©n ca(� k 13. DESCRIPTION OF PROPOSED USE: �Su "MMI nu �Pal9l 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- gDb-pr+ pr-6&+rA(,A � rr ) ut,n(j1 `/ . ADDRESS: _3qo N �-- �(9 Un j -e rruc'e. CITY: -TensfA '5eo.Cl STATE: FL ZW: 3 9 qq 9 PHONE (DAYTIME): (11 y) 26D - 31 '%5 Ems: "Isa;1 & Akf urea Ae{- IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ()inner' ADDRESS: CITY- STATE: ZIP: PHONE (DAYTIME): CONTRACTOR INFORMATION ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: BUSINESSNAME: OWL-er QUALIFW.RS NAME - ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): (_, FAX NO. Email: ARCHIT/ENGINEER: ADDRESS- CITY - PHONE (DAYTIMM): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER- ADDRESS - CITY: STATE: Zn': STATE: ZIP: STATE: ZIP: EWORTANT 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. I r 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. 4yJ_ :Rf OWNER OR CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF ST- 4LV ,f E The foregoing instrument was acknowledged before me this AP1 day of by 1)6eg- - Bea n 61 a n who is personally known )� or has produced t4111 C Oa r/I us K Vl 01Ij as identification. Signature of Notary CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of by 20 . who is personally known or has produced Signature of Notary as identification. Commission No. p 1 q I �°� @ t, MY COMMISSION 0 OD 9419i VICTORIA DIANNE MGIEUH� (Commission No. (Seal) * * ii Q EXPIRES: July 21, 2012 fArFOF F160 Bonded Thor Budget Notary Servion 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. Y- OPPTCE USE ONLY SP #: SECTION TOWNSHIP RANGE MAP PTO. ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FR2M MAP 9 1STFLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRlNKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 111990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA OUDON) RADON FEE PERMIT FEE LIBRARY PvVACT FEE PUBIC BLD RdPACT FEE CORRECTION PUBIC BLD BDACT FEE GENERAL PARRS DVACT FEE SCHOOL RLIPACT FEE ROAD PACT FEE CREDIT Y N LAW ENF EWPACT FEE FAW"S IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADME4][STRATTVE VARIANCE FEE SPECIFY SUBS ,REQUIRED MECHANIC ROOF ELECTRIC GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS REFS DATE SENT TO ADDRESSING- REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE . RECEIVED DATE COMPLETED INIITIALS 4 a Planning & Development Services Department Building & Code Regulations 2300 Vninia 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 firm 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 FJ.CA and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, 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 to 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 courtwith 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 liable for 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 worlmnen's compensation. I could be held liable for all doctor, lawyer and related medical 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 State Department of Professional Regulation. Signed and acknowledged on this Q 6V day of of 20 Owner/Builder Signature STATE OF FLORIDA COUNTY OF % kae.IF_ The foregoing instrument was acknowledged before me this a�' day of 20 /a , by f�oherf bran if7n .n who is personally known _X to me, or who has produced ,D�U k pan as identification. non �ldhr►v. Wl�-�c� (port VIC�►2►y� ���n. e (`%r,��(cc �+,�vc Signature of Notary Type or Print Name of Notary (Seal) Title: Notary Public Commission Number DD 441�IIo SLCPDSD Revised 07/22/2010 �o�Pa:•P'8��� VICTORIA DIANNE MCKUHEN * MY COMMISSION # DD 941916 EXPIRES: July 21, 2012 �f�TFOF F� Bonded Thru Budget Notary Seivirs rr:.+u v Mr. Robert Brantman 390 NE Town Terr. � Jensen Beach, FL 34957 _'kOTICE OF COMMENCEMENT Permit No. State of Florida County of St. Lucie Tax Folio No. NZ3'�r)y'oa?'o - 000-� 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): 9t =-leison Wa4 it+. t `eroe-, FLr 3�f94� Coast.( Coq,e /of 18 u��of 2 General description of improvement: Cl')✓vlO i�P`on O 5(^) n� m i nu Poo d r+Gt COACT-e&— OCec-I - Owner inform o or Lessee information if the Lessee ntracted for the Name _ 0��('I� 1,�7, ('G n-I-mAn (-r"le CCA " Address �9D N G -rio Lin 7r<—, rmce- � tAsen .13 Interest in property: )M % Name and address of fee simple titleholder (if different from Owner listed above): b.er+ Contractor Phone Number: 3495-7 Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ PJ1 A Name and address: Phone number: Lender Name: fj 114 Phone Number: Lenders address: Persons within the State of Florida desknated byOwner upon whom notices or other doaunents may be served as provided by Sectid M- 1) (a)7., Ronda Statutes Name. S e t a s a&)ye. Phone Number: Address. In addition to himself or herself, Ownerdesigrates 2 Gts O boJe-of to receive a copy of the Lienors Notice as provided in Section 713 1) (b), Florida statutes. Phone number of person or entity designated by owner. Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the contractor, 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 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 perjury, I declare that 1 have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. Q (Signature of Owner or Lessee; or Owners or Lessees Authorized Officer/Direcbor/Partner/Manager (Sis'natoNs The forreegoiing instrument was acknowledged before me this a ��' day of , 20 By //lbC Prli arrdrnhilexh as /rust ea for Old !IP.p--l4-aCd-e Name of Person Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed �71Z�l�fThl m i.��yia- Personally known Nor produced Identification (Signature of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced o.oy aueic VICTORIADIANNEMCKUHEN z ' * MY COMMISSION # DD 941916 .t EXPIRES: JUIy 21, 2012 `nr�TfOF F`oP`�v* Bondd Th►u W;0 N041 Servl"5 :ocD:ncnC- nm n� Cn Aoza:4m r� 0 w � S c�a�c7rn FriN o ff' C' :q on C2 0 rrn Ww x a� n ._i K x o m M n n c 0 O c 07/19/2012 05:05 772589'9`1 K.S.M.ENG. PAGE 01/01 SM KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND s�EsSATING 589-0712 INC. MARTIN (772) 337-7755 P.O. BOX 78.1377, SEBASTIAN, FL 32978,1377 MELBOURNE (321) 758-8488 PALM BEACH (561) 845-7445 www.ksmengineering.net ST LUCIE (772) 229-9093 FAX (561) 845-8875 E-Mail: KSM®KSMENGINEERING.NET FAX (772) 589-6469 C.A.: 5693 SOIL COMPACTION REPORT ASTM D 1657 and ASTM D 2922 DATE TESTED July 16, 2012 JOB # : 124834-1 pd/SH/km PERMIT # : 12010100 PO#: Brantman CONTRACTOR Crystal Pools of Indian River JOB LOCATION 905 Jackson Way Fort Pierce, Florida ITEM TESTED : Pool Backfill TEST LOCATION DEPTH *READ DRY MAKDRY PROCTOR VALUE PERCENT COMPACTION OF SAMPLE DENSITY 1 North 0' - 1' 36 103.5 105.2 88.4 95.0+ 2 1'- 2' 35 95.0+ 3 2' - 3' 35 H 95.0+ 4 3' -4' 0' -1' 35 35 143.3 105.2 98,2 5 East 95 0+ g 1'- 2' 35 „ 95.0+ 7 2' - 3' 36 „ 95,04- 8 3' - 4' 0' . 1' 35 35 103.7 105.2 98.6 9 West 95,0+ 10 1' - 2' 34 „ 95 0+ 11 2' - 3' 35 , 95.0+ 12 31,41 35 Soil Description: Tan Send with Shell In Place Moisture: 9,9 Percent optimum Moisture: 12.2 Percent Max. Dry Density: 105.2 P_C.F. @ Test,Locations the Density & ���adings Indicate G paction Meets 5, I>w'�rium q , f * pw ngs':TI;fDn to Natural Grade. R21pectfully Subnitt# 57ATE Cyr1-_i W 1 I 1 I I I I I I i I T I 1 ( 1 1 I F 104.0 I --- -- — I --- I - I I I I l I 103.0 1 1— JI R 9 10 11 12 13 11 5 Moisture -% of Dry Weight®@1 VVF_� 0- N S 752 Building Department 6lnnalri r- Keller. RE.: 37293 / SI Lic. No.: 860 1 Julie E. Keller, P.E.: 68366 12ol-ol00 PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): Name/Individual Name) have agreed to be the Of Ll I J sub -contractor for e (Type of Trade) (Primary Contractor) for the project located at ;T (Project Street Address or PropertJOT D #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SI S�"QUIRED �---6knwlis SIGNATURE PRINT NAME DfA.Tlt Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: a & W-A - �� =61 1 01 �� K S M KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 SOIL COMPACTION REPORT ASTM D 1557 and ASTM D 2922 DATE TESTED July 16, 2012 PERMIT # 12©10100 /�j/_ -)/oZ) CONTRACTOR Crystal Pools of Indian River JOB LOCATION 905 Jackson Way Fort Pierce, Florida ITEM TESTED Pool Backfiii JOB # : 120834-1 pd/SH/km PO#: Brantman TEST LOCATION * PEN DRY MAX. DRY PERCENT DEPTH OF SAMPLE READ DENSITY PROCTOR VALUE COMPACTION 1 North 0' - 1' 36 103.5 105.2 98.4 2 1' - 2' 35 95.0+ 3 2' - 3' 35 95.0+ 4 3' - 4' 35 95.0+ 5 East 0' - 1' 35 103.3 105.2 98.2 6 1' - 2' 36 11 95.0+ 7 2' - 3' 36 " 95.0+ 8 3' - 4' 35 95.0+ 9 West 0' - 1' 35 103.7 105.2 98.6 10 1' - 2' 34 11 95.0+ 11 2' - 3' 35 " 95.0+ 12 3' - 4' 35 1.95.0+ Soil Description: Tan Sand with Shell In Place Moisture: 9.9 Percent Optimum Moisture: 12.2 Percent Max. Dry Density: 105.2 P.C.F. @ Test Loows,the Density & z �4�t�}}yQQ�1r1(1 . J Per 1F r � s Indicate t`jrei;�#n Meets 10inijlum Requir d.' Pin dNpgq,kdp tolNatural Grade. spectfully Submitte N : 106.0 I I I I W, E I I I I I I I I I I I I G 105.0 ----� — --� -- ---- '—------- T I I I I I I P I I I I I 104.0— -- -- — --- C I I I I I • I I I I I I F, ----� ----� ---- - -- I— ---I-- — . 103.0 , I I I I I I D, R I I I I I I 9 10 11 12 13 14 15 Moisture - % of Dr l tl V x `°' ``" t; s,...< JUL 2 6 2012 Building Department Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 01115f2006 04:51 7724626443 SLC INSPECTIONS PAGE 01101 St ]Lucre County Insvi �Il©ns 2300 Virginia Avenue Ft Pierce, FL 34982 (7.72) 462;2I72 CERTIFICATE OF TERMITE. TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #_ S'L 12� Idol - a 100 JOB ADDRESS BUILDER C/ ' ' &o f S . PEST CONTROL CONTRACTOR PEST CONTROL LICENSE # 'e o(�19 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: Percentage of solution: - 2,S' Date of treatment: 7 - J 7 - /)_ ❑ Footin ar ❑ Ist Treatment Q'Re-treat ❑ Slab ❑ 1st Treatment ❑ Re -treat ❑ Driveway ❑ Ist Treatment ,Re -treat OO�l,S/'- & 1st Treatment ❑ Re -treat ❑ Other ❑ 1st Treatment ❑ Re -treat Chemicals used: QV'1.4'., % f. Total gallons used: 7 01- 7u,- Time of Treatment: f 1; l FOCI04.2.6 Cern'ficate of protective Treatment for prevention of termites. A weather resistanr jobsite posting board shall be provided to receive duplicate Treatment Certfeates as each required protective treatment is completed, providing a tapy for the person the permit is issued to and another copy for the building permit, files. The Treatment Certiftcare shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentratton and number of gallons used, to esrablfsh a verifiable record of protective treatment. If the soil chemical barrier method jor termite prevention is used, final exterior treatment shall be completed prior ro ftrial building approval, St Lucie County requires for the final Inspectiou ror CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. ❑ Perimeter for Final Inspection NOTE: Signature of exterminator There must be 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. Rev cd 6113102dmg Robert Brantman 905 Jackson Way Ft. Pierce, FL 34949 772-334-0472 cell:772-260-3185 fax:772-340-2779 e-mail: bob2sail@netzero.net June 29, 2012 St Lucie County Building Department Attn: Plan Review Reference: Change of Contractor on pool permit # 1201-0100 905 Jackson Way Ft. Pierce FL Dear Building Department, I wish to change contractors for the construction of an Inground Swimming Pool and Concrete Pool Deck on the above referenced permit. Harbor Bay Pools, Inc. has gone out of business, leaving me with an unfinished pool. I would like to take the permit over, and complete the pool as owner/ builder. Thank you for your consideration. Sincerely, Robert Brantman INSPECTION CARD Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6443 rSs3 Online address: http:/AArww.stlucieco.org/planning/permifting.htm Quick Links Permit Status Lookup Online Building Inspection System Permit #: SLC- 1201-0100 Confirmation #: 958 Status ISS Issued: 03/20/2012 Type: Pool/Spa Job Location: 905 JACKSON WAY City: FORT PIERCE Jurisdiction: St. Lucie County Parcel: 1423-802-0020-000/0 'I L �i 9{� 4 Subdiv: Coastal Coves Unit 1 Lot: 18 Block: " Flood: AE Elev: 5 Flood Map: 181G'� Setbacks Left: 13.00 Right: Fron; Rear: 64.00 i Job Description: CONSTRUCT INGROUND SWIMMING POOL AND CONCRETE DECK. .Contractor -MARTZ-, KEVIN L HARBOR BAY POOLS INC (772) 878-8806 1919`SWS MACEDO BLVD PORT ST LU.CIE, FL 34984 Property:Owner ROBERT W BRANTMAN (TR) (772) 260-3185 390 NE TOWN TERRACE JENSEN BEACH, FL 34957 Property Owner CINDY J:`BRANTMAN (772) 260-3185 390 NE TOWN TERRACE JENSEN BEACH, FL 34957 i Permit # Status PT 1201-0100-01 ISS EP 1201-0100-02 ISS PP Inspection Notes: - SUB -PERMITS Cert# DOA Owner / Builder Job Description 27050 ;DOA- E.RGIZED ELECTRIC LLC 24432 HARBOR`BAY POOLS INC LQ I'PQ For the automated inspection system call (772)462 1261. To schedule an inspection online go to f;. http://airs.slcfl.vetrol.com/AIRSweb.php. AlFi.nspections requested prior to 9:00 PM will be scheduled for the next business day. Inspection requests between 901P_M friday and 9:00 PM Monday will be scheduled for the following Tuesday. If you require any assistance, please contact the Building Department at (772) 462-2172. Permit # Type Code Description Priority Date Sched. Res Description Inspector Date Insp. 1201-0100 1201-0100 113 188 Angle of Repose Main Drain Test 1 �• �" 1 19 1201-0100 189 Drain Test 1 1201-0100 190 Pool Steel & Ground 1 , 1201-0100 191 Pool Steel 1 ���� �� J. 1201-0100 104 Compaction Test - Offic 2 1201-0100 105 —Form Board Survey- C 2 J e�� 1201-0100 417 Pool Underground Pipii 2 / - 711 �r 1201-0100 121 Termite Spray 3 1201-0100 123 Stairs (concrete steel) 3 r,2 .057 1201-0100- 193 Pool Deck 3 ®�� 'i �_,Ij jPermit Nur 1201_0100 _�J a�i 4y�w1 S � Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-2172 Fag: (772) 462-6443 1201-0100 216 Deck Bond 3 1201-0100 217 Pool Bond 3 1201-0100 413 Pipe Test 3 1201-0100 194 Alarm/Pool Barrier 5 1201-0100 219 Pool Final Electric 5 1201-0100 237 Electric Bond 5 .1201-0100 238 Electric Rough 5 1201-0100 251 Alarm Final 5 1201-0100 419 Pool Plumbing Final 5 `1201-0100 999 Final Inspection 5 j INSPECTION CARD Online address. http:Ilwww.stlucieco.org/planninglpermitting.htm Quick Links Permit Status Lookup Online Building Inspection System r � Permit Nur 11201-0100 Permit Information Page 1 of 1 01." Use this search feature to obtain building permit Permit # (Example:0611-0001) information. 1201-0100 Go You may also contact the Permitting division at .... __... _._......................................... (772) 462-1553 or permitsLstlucieco.org Click here to search by Tax ID # PERMIT APPLICATION INFORMATION PARCEL DATA Address: 905 JACKSON Permit Number: 1201-0100 WAY Permit Type: Pool/Spa City: FORT PIERCE Number Units: 1 (Vlewproparry data) Zip Code: 34949 Activity Type: Addition ParcellD: 142380200200000 Status: Issued Subdivision: 1423802 Job Description: CONSTRUCT Residential, Single Family - Block. INGROUND SWIMMING POOL AND 4oning: 18 CONCRETE DECK Date Applied: 1/13/2012 Jurisdiction: CTY PERMIT REVIEW INFORMATION Reviewed Date Date Date Comments Department Review Review By Started Sent Completed p Type Status angels 1/132012 1/13/2012 Front Counter Review Complete 1/23/2012 1/23/2012 To Be Reviewed by Complete Zoning We 1/23/2012 1/232012 1/232012 Zoning Review Complete amoldk 2/2/2012 2/2/2012 To Be Review by Plans Complete Examiner irvie 3/19/2012 Documents Missing Complete humphreya 2/16/2012 2/162012 2/16/2012 Notified for Picialp Complete INSPECTION INFORMATION Inspector Inspection Date Date Date Inspection Date of Scheduled Permit Name Type Updated Scheduled Entered Status Inspection By Number Gary Scheigner Angie o1 Repose 2/212D12 323/2012 2212012 Approved 3/23/2012 ivraccess 1201-0100 null Scheduled: Thu Mar 22 17:57:22 EDT 2012 with value: Fri Mar 23 00:00:00 EDT 2012 Gary Scheigner Main Drain Test 212IM12 3232012 2/2/2012 Approved 323/2012 ivraccess 1201-0100 null Scheduled: Thu Mar 22 17:57:51 EDT 2012 with value: Fri Mar 23 00:00:00 EDT 2012 Gary Scheigner Drain Test 222012 3/23/2012 2/22012 Approved 3/232012 ivraccess 1201-0100 null Scheduled: Thu Mar 22 17:58:22 EDT 2012 with value: Fri Mar 23 00:00:00 EDT 2012 Gary Scheigner Pool Steel & Ground 2/2/2012 3/23/2012 2/2/2012 Approved 3232012 ivraccess 1201-0100 null Scheduled: Thu Mar 22 17:59:49 EDT 2012 with value: Fri Mar 23 00:00:00 EDT 2012 Gary Scheigner Pool Steel 2/2/2012 323/2012 22/2012 Disapproved 3232012 ivmccess 1201-0100 Scheduled: Thu Mar 22 18:00:29 EDT 2012 with value: Fri Mar 23 00:00.00 EDT 2012 NOT FINISHED Greg Smyth Pool Steel 3232012 3262012 3232012 -Approved 3262012 ivraccess 1201-0100 Re4nspection 1 Scheduled: Fri Mar 23 16:11:14 EDT 2012 with value: Mon Mar 2600:00:00 EDT 2012 http://gis.stlucieco.gov/permits/permit_finder.asp 4/19/2012 Audrey Humphrey ` From: Jennifer L. Evans Sent: Thursday, February 23, 2012 1:59 PM To: Dawn Milone; Angela Huff; Audrey Humphrey Subject: FW: (Voice Mail) from Berrones, Veronica I am sorry the address is actually 905 not 605 Jackson Way -----Original Message ----- From: Jennifer L. Evans Sent: Tuesday, February 21, 2012 4:46 PM To: Dawn Milone; Angela Huff; Audrey Humphrey Subject: FW: (Voice Mail) from Berrones, Veronica Hi guys, We sent a VP up for 605 Jackson Way that was associated with a pool permit. Will you please go ahead and issue the VP prior to the pool permit? Thanks, Jenn -----Original Message ----- From: Amy Griffin Sent: Tuesday, February 21, 2012 4:44 PM To: Jennifer L. Evans Cc: Benjamin Balcer Subject: RE: (Voice Mail) from Berrones, Veronica Yes, it is ok to release the VP prior to issuance of the pool permit for 605 Jackson Way. Amy Griffin Environmental Regulations and Lands Division Manager St Lucie County Environmental Resources Department Office (772) 462-2531 Fax (772) 462-1684 ---=-Original Message ----- From: Jennifer L. Evans Sent: Tuesday, February 21, 2012 4:42 PM To: Amy Griffin Subject: FW: (Voice Mail) from Berrones, Veronica Amy, Please confirm it is ok to release the VP prior to issuance of the pool permit for 605 Jackson Way. Thanks, -----Original Message ----- From: berronesv@stlucieco.org[mailto:berronesv@stlucieco.org] Sent: Tuesday, February 21, 2012 1:59 PM To: Jennifer L. Evans Subject: (Voice Mail) from Berrones, Veronica 1 Y Voice mail forwarded from NeaxMail AD-64. Voice Originated From Author: Berrones, Veronica Subject: (Voice Mail) from Berrones, Veronica Date: February 21, 2012 2:58 PM Duration: 33 seconds WAV size: 538k (16bit linear PCM, monophonic, 8000 samples per second) Please Note: Florida has very broad public records laws. Most written communications to or from County officials regarding County business are public records available to the public and media upon request. It is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and / or copying. Your e-mail communications will be subject to public disclosure unless an exemption applies to the communication. If you received this email in error, please notify the sender by reply e-mail and delete all materials from all computers. Please Note: Florida has very broad public records laws. Most written communications to or from County officials regarding County business are public records available to the public and media upon request. It is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and / or copying. Your e-mail communications will be subject to public disclosure unless an exemption applies to the communication. If you received this email in error, please notify the sender by reply e-mail and delete all materials from all computers. Please Note: Florida has very broad public records laws. Most written communications to or from County officials regarding County business are public records available to the public and media upon request. It is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and / or copying. Your e-mail communications will be subject to public disclosure unless an exemption applies to the communication. If you received this email in error, please notify the sender by reply e-mail and delete all materials from all computers. r t Y OFFICE USE O1VL: DATE FILED: I I PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 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 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE A7D�DRESS: 1D5 -�i]C�J'�I VV" 2. PROJECT NAME: LJRAA-rm-Am SITE PLAN NAME: 3. PROPERTY TAX ID #: .Z3- D� — DDT® — O�O„o— 4. LEGAL DESCRIPTION (attach extra sheets �-tJt� if necessary): - A7-WJC� LET l 5. PLAT BOOK 35D4- 6. PAGE NO. 244 q 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.):. �• MF-6S LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR -Qbr-0uMD '5W) Ak►rJb -PvaL- t— Co,JCpe ACTIVITY: 11. SETBACKS (ACTUAL) FRONT: _NA BACK: &A.1 RIGHT SIDE: NIA_ LEFT SIDE: �_ 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [- _ NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ]' RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) - tie-rrA Ti orj A2, 13. 14 16 DESCRIPTION OF PROPOSED USE: SQ. FT OF CONSTRUCTION: r0 33 VALUE OF CONSTRUCTION: $ �`fy�• 0 D [ ] INTERIOR RENOVATION [ ] INDUSTRIAL 15. SF. FT 1st FLOOR: 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: U IN . PKA-N 1 NkMM Ii ADDRESS: D5 �3-AtXSO W CITY: i ILL STATE: ZIP: PHONE (DAYTIME): '71, 090a 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 #: o�Sa� 555 5 7-)' ST. LUCIE COUNTY CERT BUSINESS NAME: i4r-f�:Or QUALIFIERS NAME: I Aa rA/YrZ. ADDRESS: 10"� D 51n1 �51-forc 31d� PHONE (DAYTIME): (_� $ $�� FAX NO. Ka- Email: ARCHIT/ENGINEER: `l r ADDRESS: G��J t�152 CITY: 'For-t-St PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: T.C. STATE: IV L. ZIP: 4 q f5a, 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. 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 CONIlVIENCEMENT 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. CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF _'5+'LLLU c, The foregoing instrument was acknowledged before me this Z day of :() P C_ 20 l I by "RD&at+ 8"T AL,4-,J who is personally known for has produced STATE OF FLORIIMA ` COUNTY OF L" -u e-- The foregoing instrument was acknowledged before me this Z day of —1 by Ke4, n1 v K crL who is personally known ­�or has produced as identification. as identification. Sign re of Notary S' ature of Notary c:°a°°a°:o°a��as°°ena°°�ua■....■............. _ ;o°a°an°cue° u..........eu°°° 0 ................ A. LOND® Commission No.� ,, ,,%�S�m# DDD00 7 �JOSAND.tA COIDmis"Ift Cornim # DD074 )' _ Expires 319/2012 = . - Expires 3/9/2012 Florida Notary Assn., Inc = '�„ ;°a Florida Notary Assn., Inc `-•.• d NNg1AP °x ° ■........... NOTE: TWO"' TURES ARE REQUIRED. acnaa: e�ea. a°^. ac.n°o°°e°n°e.s°e°°uo�°°a 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/BUH DER APPLICANTS. For specific instructions see appropriate permit checklist. t � OFFICE USE ONLI( - BP #: SECTION TOWNSW RANGE MAP NO. ZONING LAND USE - -LOT CVG %o .. - -TAZ NO. - - -- - -11V -HGT FIAOD ZONE. -FIRM MAP# FU ELF =CONST TYPE -OCCUPJWE. — - -- - =MAX;OCC[JP- --' -_-- —: ,WATER _ _SEWER:; _ ._ -SPRINKLERS STORM[WATER LOT OF REC `-Before-1/1990 - - - LOT OF REC . -After-1/1990 - - - LOT SPLIT REQUIRED - - -- - LOT SPLIT -APPROVED - - - - - - --- - -REPORT CODE HABTFABLE AREA - RADON FEE- PERMIT _ FEE. LIBRARY WACT FEE PUBLIC BID IMPACT FEE CORRECTION PUBIC BID AVACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT _.FEE ROAD IMPACT- FEE CREDIT Y N LAW ENF WACT -FEE-. FRWEMS DOACT -FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCEFEE _ 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 .. / fba J rLZ !Z - DATE -COMPLETED - - - l 74-- %� INITIALS "1 L PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772)462-1553 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMIT # I (We), acknowledge that a new , . ming pool, spa, or hot tub will be constructed or installed at 906- jA-ey-sm WA4 , _rTM5-9- C- Fi- and hereby affirm that one of the following methods (Please print street address) wil a used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29. The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for Safety Covers for Swimming Pools, Spas, and Hot Tubs). ./ All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85decibels at 10 feet. All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms placed no lower than 54 inches above the floor or deck. I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S. I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized. I, the co i(ractoY, agree to instruct the owner of the proper use and maintenance of such safety device. CONTRACTOR SIGNAT WNER SIG VA�GURE TE OF FLORIDA, ARY PUBLIC The foregoing M w� aimmA. .. LONDO a.......o Comm# DD0742647 Expires 3/912012 1t ack laMeaOS&$SR, We ..... a .... ............. A........... this A day of Jzt , 201 by Kul) /UocZ Personally Known I',' or Produced Identification Type of Identification Produced: SLCPDS Revised 04/11/2011 ST E OF FLORIDA, COUNTY OF wvvva•v.o.avaa..ovv..auue.a.u..eeen� JOSANDRAA. LONDO �a�nur,�. NOTARY PUBLIC Comm# DD0742i Expires 3/9/2012 ,q�r�e?� r�da Notary Assn., The foregoing instrument was acknovhe f"fS," a vnoueaoeoe000vveu this c--� day of ' }te , 20 J by elb—&- L TnCA.-- Personally Known o%r Produced Identification Type of Identification produced: _ t_&g -65 (Company/Indiv(dual Name) -1 .l P)Egte project located (Street a dress or Property Tax ID #) PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DMSION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the 3`W46 It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical Gle'rlZe-J �.- C06 Plumbing' 6 HVAC/ Mechanical Roofing Gas ;OFFICE I7SE ONLYc' PERMIT ISSUE DATE: NUMBER: ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: �J }(� 0' State of Florida Certification Number (if applicable): �ll1E 'Er [ 4L-L C'm C.r have agreed to be the (Company Name/Individual Name) LL CTiZ% C, sub -contractor for ink j If L c, (Type of Trade) (Primary Contractor) for the project located at %off Xie40/J kA1 i 7- ,piz5v-Ple (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department - ------ -_ --- _ -- -- -- --- --- -- . _._.-_.... _ — - --- — ----- ---- -—--------- ---.-------.___._.-. of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL KGNATU ARE RE UIRED M��C a 6(. I I-AxMAN SI T PRINT NAME DATE Business Name: Address: City/State/Zip: r02T 9r. L1JC;; . FL 3L1g37-,4- Phone: _ g0%— ��` email: OFFICE USE ONLY: PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: �3 State of Florida Certification Number (If applicable):�a��5� 6bor Vb87 have agreed to be the (Company N me/Individual Name) �� It ap) 0 L sub -contractor for 44,mft & pbot-5— (Type of Trade) (Primary Contra or) for the project located at %y� c,��4'S0� �o,Fa2��� (Project Street Address or roperty Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED IGNA Business Nara/H4Q*1?— 8MLI �� Address: City/State/Zip: Phone: P.J o nl inQ/l7Z PRINT NAME DATE 467$ 3yx. email: ��Ur�dc9@ ha�vrl a�,�bJIS ���✓�^— OFFICE USE ONLY: PERMIT # ISSUE DATE NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 14� b — �Da — OUP D — O D 0 " 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 Descriptio of Property: (an street address if available)-, ��� ` KS^_ ` I ( "�f�On G � �(a,( Cok— M i:5 f'i t ir i Lo T I ( (N ' l c General description of improvement: SW M.Iy I Q A & ��L— "� 'Jey� Owner i { Name if.thelessee contracted for the, improvement: Address 5 A SON W LKY trl r I t_+ r irjterest in property: O L011(fy— Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: Contractor Address: 5 Surety (if applicable,a copy of the payment bond is attached); Amount:of bond; Name and address: Lender Nam Lender's add hone Numbe Phone Number: number: Persons within the State of Florida designated by Owner upon whom noticessor other documents may be served as provided by Section, 713.13(1)(a)7., Florida Statutes: Name: Address: 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 ofth a- ; O UJ � U � Z a U F- U_ M O X �m r Lu o w>Qco � Z UJ =a�C90 Uiz�aca en NUJ "r6 WMo'YZ —I 'coo U) LL � O n0)a:0 r Expiration date of notice of commencement (the expiration date may not be before:the completion of construction and final payment to t contractor, but Will be 1 year'from the date'of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS,M4DE BY THE OWNER.AFTERTHE EXPIRATION OF THE'NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I; SECTION,71113,FLORIDA:STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR I MPROVEMENTIS TO YOUR PROPERTY. &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 perjury, I declare that I have read the foregoing notice :of commencement and that the facts stated therein are true to the best of my knowledge and belief. r Owner's or Lessee'sAuthorized Officer/Director/Partne Q(Z At6' (Signatory's Title/Office) , i The foregoing instrument was acknowledged before me this T day o2011 , By�Oh + W b&ATM4"3 as for Name of Perso Type ofauthority (e.g.officer,trustee) Party on behalf of whom instrument was executied Personally, knowr>/or produced Identification (Signatavype, a of Notary Public :State of Florida) ryj.6 I_... Typ�bf Identification produced (Print, or Stamp Commissioned'Name'of Nota .°••••°°°°' "°°•° "'• JOSAI�i�'�A A' CDD0742�7 omm 2� Expires 31912012 Assn., Inc o o FloridaPlotary 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, IFLa3 - WDa - ooaD - 000 - o (Parcel 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. Property Owner Name (Please Print) i-G— t.c1a1� r 2 Z 111 ro ertyOwnr i " a ure Date STATE OF FLORIDA, COUNTY OF -+- Lucite ACKNOWLEDGED B,�EFOOREE ME THIS II DAY OF �/�-!� / , 20 BY Rber-1 W z "�M+-� 'WHO IS PERSONALLY KNOWN TO ME ✓ OR WHO HAS PRODUCED n/A, SIGfIURE OF NOTARY PUBLIC COMMISSION NUMBER r� A AA s1 AS IDENTIFICATION. nR¢o¢n¢¢o JOSA�1®r�� A. LONDO 11074 TYPE (� � 1�T ` Expires 319i2012 q off` Florida Notary,Assn., lnc • �f.¢ta¢SnaC'}Y¢Y¢¢F�RRCGoe��ei¢la��m®YO���e�RaR (SEAL) SLCPDSD Revised 08/24/2010 SmartPool Page 1 of 1 ,e YARDGARD- GATE/DOOR)VVIND0W_A0XM SYSTE11i #YG03 • Convenient Single Button Pass / Reset Operation • 7-Second Delay Allowed for Adult Pass Through • 120 dB Alarm Siren - Minimum 95 dB at 10 feet Auto Low Battery Chirp • All Hardware Included for Gate, Door or Window Mount • Listed by ETL to UL Standard 2017 and CETL to CSA Standard C22.2 No. 205 Y `R • Water -Resistant tY • Always On Device as Required by Barrier Codes • Can be Manually Reset or will Automatically Reset in 'r 3 Minutes • Always Resets to Standby State in 30 Seconds After Last Switch Activation �f Atli i` ..- : • Alarm Goes Off Immediately When Triggered as sx n cii ` Required by Barrier Codes rq'21a :°t. • Operates on 1 - 9-Volt Battery (not incl.) Bilingual Installation/Operation Manual (English/French) • Bilingual 4-Color Box (English/French) Sack to Top MASTER CARTON WEIGHT:10 Ibs (12/Master) UNIT BOX SIZE: 9" x 6" x 2" ,�Od-i5t y603 http://www.smartpool.com/website/YARDGARD/yg03.htm 3/10/2009 ANSI/Apse-7 2G06 Specifies three methods for determining the maximum system flow rate.. The following simplified TDH calculation is one of the methods specified. Sim, lied Total D ',°�-amic Head _TDrl Ciilcula;`ion Worksheel Determinee oar to Minimum Flow Rate Required: 35 p( m Per Skimmer Required: 1 skimmer per BOG sf of surf. area) g-^� -�� .=/x: a-=48 {ant./�ufaic £a6- -EalClTlate—POoi%-VOWFne (uaL in qaL) Surf. Area) — (Avg. Depth) . 2. Determine preferred Turnover. Time in hours: x 60 (min. / hr) _ (Tamaver m It n ) (Hours) 3. Determine Max Flow Rate: �� 2�?� '/ tyal. in- gai.) (Turnover Was.) (Pool Flow Rate) (Featur (Sys'tem now Rate) Alr Jan PlusHP Pumps ttrsion Cottons Fbr.;each :pump High erorma .ce. Check one. SIMDllfl d Total Dynamic Head fSTDH) Jandy© PlusH'Pa Series High Head Pumps Co4nplete STDH Worksheet. - Fill in ail blanks. _Raicu.(rljjPi;,) Feet of Total- Dynamic Head (TDH)- Head Complete Program or other talcs. Fill in required 90 blanks on warksheet & attach calculations. Maximum Flow -CaDGCitY - _..Qi: the. rrely or re_acarnerlt -Rump: 6a F - MUZZ iliac �i�iii_R�•.�_i�►V___��� r___r.O___IZIMMEM____ 4. Spa Jets: — x �— gpm Jet Flow Jets) ( ) '.Per [ow rate. (Total Jet Flow Rate)' for fhe poa! &spa) 1 ` �f�m variable eed pump Is used, use the max. scalculations. _ (No. of --(Far;iiig[e : pump .. p95Pa-cotrti�4,... e. her of .-No. - 3-.-or__ No.. 4 _in -the following calculations a ow n Pump :.9:.For t side wall drains, use appropriate side wall drain = 9 Determine Pioe Szi-a'=: �/2 inch to keep velocity' @ 6 fps max. at ES fj gpm . Maximum' System Flow Rate: :::flow as published by manufacturer: name and aproved maximum 4 to Branch Piping to be 2 '� inch to keep velocity @ B fps max. at g gpm Maximum System Flow Rate. 3_ .Insert manufacturer's flow. I so eo tm ao all iso a tVy tie __ G =-_"_. L Trunk Piping to be � • / 22 [ m Maximum System Flow Rate. 4. See installation instructions for numb er,of ports to ' � _ - Rate of Flow (GRM) Return Piping to be `�j inch to keen velocity @ 10 fps max. aL gP _ . be used: conform to „ 32" Channel D.rain Flat Grate Anti-Entrapm6 t 5. In -Floor .Jction outlet- cover/grate must z� _ -` �:.: Suction Outlet Cover and Three -Part Determine SiMplifited most recent edition of ASME/ANSI A112.19.. and be - Manufactured Sump 1. Distance from pool to pump in feet: @ m = from pipe flow/friction loss chart) (- P P embossed with that edition approval. 6:.Pumo,. Filter &Heater make and model cannot 2. Friction loss (in suc6an pipe) In inch pipe per i ft gP lass chart) equipment location cannot be moved chanoed', and equi VGB Series I The Aqa a5tar line of suction outlet covers, compliant with the new I a E(PS151 Aii Virginia Graeme-8 k Pool d Spa Safety Act (AS 2 29.8p-2008) i -Baker as an 3. Frltction loss (in return pipe) In inch pipe per 1 it @ gpm = (from pipe T3aw/friction closer to pool without submitting a revised, Ian and g P for Product Specification Sheet -- _ —� TDH .calculations worksheet approval. Features.j The Unblockabte!" i 4 x — (Length of Suci Pioe) (FL of head/1 fit of Pipe) (TJH SucL Pipe) 'i Asingle. unbtodrable suction outlet that meedsthenewvGamandateandASME/ ANSI A112.19.8a-2008 standard 1 I [ I S X NOW and rncuon "LRS ct;l• taut xv« l ft of Fzoe) (NH' Return Pipe) inswttationinswcdonsforplamb &- (Length at Return Pipe) (Ft of head/. t TDH in Piping: :Schedule 40.'PVC Pipe singlewrault-purnpconne and Vd — F—_A Per Second s ogle or multi pump cametdans) i single Titer foss in Tt7H (from frfter data sEtee��: __—_..�+F _ I. 8'�- IO Roar. 316 GPM a[79 fps L WaU: 1a8 GPM a[L6(ps ! _ 16 0.14 I 2L m 033r ' 26 m CAS Foorfwaui122GPM at1.5fps 15 37. m- OA6' I 50 m 014' I 6Z I 021'FILE 0 w-mhy =` Heater loss in TDH (from heater data sheet): 25.9,aaar°'"ti °pin'ng�,, 2' I 62' • pm I 0 06' 82 m Q10 1103 m i 0.16 .316 stainless steel suews 48 m 0.13 ��,3 al all otter loss: 2S" m 0.05r a17 Q09 I I Manufactured \\ Tot W-resistant engineered polymers = 1,:- ( —3` Y36 m I 0.04' I tat a m l 0.47 m 0XY I s= V ..:. ��^ °. 4' 234 I 0.03r 313 0.05' ' 392 0 07 three ports: bottom z h oo. I Total Dynamic Head (I.DH): 2 tosrs:nsde2 Is ! " 5 .534 opts 0.02: 712 gpm - I o. T two 2" threaded plugs included _ Meets oreueeds NSF 50fA5ME/ANsI�` Selected Pump and t`aln Oram Cover_ :�K A112.ma.-2008 nationals�nda ds ' ` _ -' - and ASTM G1SL W testing '.`` \'+ using pump curve for TDH & System Flow Rate orange disposable plastic pre•sunitefplaster '` ✓`.. '`� Pump selection �NgE�,>cj I/ 7° i Insert keeps debris out action retains sump I .. - shape dating construction (Pump model and size in* Horsepower) tranriUnnal glue whenatmcnins l . /`%O:'` 10 /1�_._ to PVC pipe �}�tj?.5 t".''� Vag (System Flow Rate must not exceed approved cover flow rates) VstedwithlAPMORST with sump (concrete poots) Two Drains in One! Main Drain Coverl.�.ZG�FLXaX j=?7 + 4percase Part ='32CDFtzxs (Make and Model) - Notes: Minimum sys em flow based on min. flow per Skimmer of 35 gpm. S`�Imming Pool Spec(iIcG' n For Date ' Date L d of Required In -Floor Suction Oiria_ 4 Determine the Num ee 5 R.AfN'CN1 Ail ��- _:: ie Check all that apply. / - -- O O 2 suction outlets @� gpm max. 'flow (see note 2). . A ` 1 note�ontroctor - •- s anature i 3 suction outlets @gpm max. (see . 3). PTnf�s;e3ze�'1 G �zs��.�- w283". Ccnvactors Printed Name ��`�� ar}� �� r AQ.G lNSit9 2 channel drain @ _ ports (see note 4). _ m I .32cL1FiX 3��P ' gpm w/ 2 ,• _ d Contractors Cert. No. L I Scale: None Rev 0 - 2/16/09 ntractors telephone No. - __ LEGAL DESCRIPTION: All of LOT 18, COASTAL COVE UNIT ONE, according to the map or plat thereof, as recorded in Plat Book 10, at Page 71, of the Public Records of St. Lucie County, Florida. LOT AREA: 17,476 Sq. Ft.; 0.40 Acres± STREET ADDRESS: 905 Jackson Way, Fort Pierce, Florida 34949. CERTIFIED TO: ROBERT W. & CINDY J. BRANTMAN�� �<<�,' j �o - p do Revised: Address comments, WB, 11-23-11. Revised: Form board tie-in, WB, 01-24-12. Revised: Patio form board tie-in, WB, 07-20-12. JUL 2 0 2012 I I Public Works St. Lucie County, FL jo 25.99' M FIR o .: .gip •: ;•;: °� a o 3g 2, per.rj 4� Z z o ¢ 0 LL. in 0 a , ..40 4, 0 o I , d Lu TANK ��? . • . ,... • • . •.. •Av;,., FIR d co •:':4 CO 3 I 1:3 COVERED 29.6' LOT- 18 SURVEYORS' NOTES: 1, Bearings shown hereon are based on the centerline of Jackson Way as platted and bears N 90'00'00" E. 2. Written dimensions take precedence over scaled dimensions and distances are not to be scaled for construction and/or design purposes. 3. All distances and bearings are as field measured and are coincident with "PLAT" and description data unless otherwise noted. 4. This drawing is not valid without the signature and original raised seal. of a Florida licensed Surveyor & Mapper.- 5. This survey is based upon a• description furnished by the client, there has been no search of the public records done by this office. 6. Property lies in Flood Zone "All" (EL 5) as scaled from' the National Flood Insurance Program Rate Map, Community Panel Number 12111 CO181 G. with an effective date of November 4, 1992. 7. This survey is not covered by professional liability insurance. 8. City water & sewer are available in this area. 9. No underground utilities or improvements were located unless otherwise shown. 10. Elevations shown hereon are based upon NGVD 1929. 11. This plan information to be verified by contractor prior to construction LOT 19 (VACANT)- S 14'07'57" E 204.73' I i0 i is t n� 12.0'� 12.1' 16 _8' it 0 V 0 d N U _..:.•: ::::.;;..�:;.::.'. CONCRETE I PORCH ONE-STORY O `L ;.;1r"' :.I-•%2�;:'.. DRIVEWAY Iry 9.3 RESIDENCE V1 3 0�:1 '�:'�,�0 JC c o �Fl TBM IS FFE .! o/6 X ''�' '2l \,_ ELEVATION 4.71 r mQ ° .;•'': t 2.. 9.3 (NGVD 1929) o, 3 29: 4'. 8. o r° g0,. x• 25.1' 51.1' �u 56; :: '::'•'-.• :: • g1 O o N o ; � UNKNOWN . CAPPED PIPE ----o-------- - -- - --�`-- FIR 411/11\:15' / CLF • N x (CLEAR) JULY 20, 2012 Date of Signature IMWAM B. BENNETT- Professional Surveyor & Mapper Florida Certificate No. 6353 LB No. 7608 POOL (UNDER CONSTRUCTION) - 63.5' } N } / FIR :r, L= 62.45' R=50.00' _D-_=7.1 ;3345" 38.0' 12.1' i PATIO FORMS (MATCHES COVERED PORCH ELEVATION) _ , CON STOOP MORM in PUMP-----'----'-------L__ 91.0' 7.7'r�IHOUSE---------------- S 14'07'57" E .165.96' LOT 17 OCCUPIED / LEGEND -OHE- = OVERHEAD UTILITY LINES CONC = CONCRETE (KO = SANITARY CLEANOUT jzr = TELEPHONE RISER 0 = WOOD POWER POLE • = WATER METER F- = POLE ANCHOR X = CABLE TELEVISION RISER CL = CENTERLINE RIGHT OF WAY DUE = DRAINAGE & UTILITY EASEMENT EP = EDGE OF PAVEMENT D = DELTA ANGLE FIR = FOUND 5/8" IRON ROD L = ARC LENTH CLF = CHAIN LINK FENCE R = RADIUS = SPOT ELEVATION TBM = TEMPORARY BENCHMARK ,rooa FFE = FINISHED FLOOR ELEVATION ± = PLUS OR MINUS Vicinity MI Lp (Not To Scale) r� e- N O z= i 9• ��� 0 y D m /co FIR p0' / xeGo ------------ FIR BOO �O 4' CLF (ON LOT LINE Date of Last field work:07/19/2012 Form Board Survey �� Prepared on the order of: `,�e n n e tt Bennett Surveying, Inc. Robert W. Brantman 493 SE Nome Drive Meld: LM/BB Job No.: 11-0804 Port SL Lucie, Rorlda 34984 tel:772.336.4933 fax:772.336.8689 Drawn: WB Date:08/13/2011 email: bennettsurveyingOyahoo.com Scale: 1 "=20' Sheet: 1 of 1 LLUAL DESCRIPTION: All of LOT 18, COASTAL COVE UNIT ONE, according to the map or plat thereof, as recorded in Plat Book 10, at Page 71, of the Public 'Records of St. Lucie County, Florida. LCT AREA: 17,476 Sq. Ft.; 0.40 Acres± STREET ADDRESS: 905 Jackson Way, Fort Pierce,, Florida 3 CER1`IFIED T0: MIN, SETBACK REQ, ROBERT W. & CINDY J. BRANTMAN FRONT_' SIDES CNR SIDES r r� - REAR II ZNG. 5 67 TECH. FIRAj . -. Ivy__ Revised: Address comments, WB, 11-23-11. SURVEYORS' NOTES: 1. Bearings shown hereon are based on the centerline of Jackson Way as platted and bears N 90"00'00" E. 2. Written dimensions take precedence over scaled dimensions and distances are not to be scaled, for construction and/or design purposes. 3. All distances 'and bearings are as field - measured and are coincident with "PLAT" and description data unless otherwise noted. 4. This drawing is not valid without the signature and original raised.seal of a Florida licensed Surveyor & Mapper.. 5. This survey is based upon a description furnished by the client, there has been no search of the {public records done by this office. 6. Property lies +n Flood Zone "AE" (EL 5) as scaled from the National Flood Insurance Pr.•ogrorn Rate Map, Community Panel Number 12111 CO181 G, with an effective date of November 4, 1992. 7: This survey is not covered by professional liability' insurance. 8.. City water & sewer are available in this area. 9. No underground utilities or improvements were -located unless otherwise shown. 10. Elevations shown hereon are based . upon NG.VD 1929. 11. This plan infcirrmation to be verified by contractor prior to construction.\ LOT 19 (VACANT) \ S 14°07'57" E 204.73' 1 .9z 29.6' 12:10.. - JL z LOT 18 0 o in J �cQ�, -ONE—STORY t `f :::' : =': oz,� o C a _ RESIDENCE' N N, I• �•. .:'::: •':� "�'� °) M¢ t TANK± TBM IS FFE coNc ' .':'_.Q�?: • :• : 2 ��' ++ a t z ELEVATION 4.11 -- �, (NGVD 192 ,:�:.•. III Z. - m 12.1' rc PROPOSED PROPOSED 20 0 ar, ..�vr.• CONC DRIVE 'I I g, COVERED o�°� x�'�� �, �.,�. vj FIR I��g� -'� o ENTRY N ` o " 0 a I Ki r - 0.67' WALL V 31:2' �9 l33 PROPOSED r me �. 20 _ GARAGE ADDITIONPROPOSE �'�'4: 2$ '' in r� GARAGE EL.=4.26 { ``� # / d 7 --' EXISTING io Z 1 co LI�U`NDAR) O i �z;' :'R- '`� (Match Existing). of o c4 ROOM CONC DRIVE p - '•'iaJ�' 29.6' 1 .10' lb iT ---- - - ---- - - FIR 4�0�;�• /A N x� 6' CLF =t a NOVEMBER 23. 2011 Date of Signature 4_41 WILIJAM -6:; .BE tvNETT ProfessionbC.•Surveyor & Mapper. Florida Certificate No. 6353 LB No. 7.608 FIR R=50.00' Q _ w /a 2 �. ro x 3/a OFIR ev OP --------- FlR O� vicinity M6p (Not .To. Scale) - c0.. O„ co C� JQ c � 65 96' x ' x __1x _/•-- x --- x — / x x (L-L N) LOT 17 OCCUPIED GJ���01✓ ( ) END 6' CLF 4' CLF'% 0 rf fAr f . E NO BEGIN 4' CLF ' (6.9' W -OHE-•= OVERHEAD UTILITY LINES CONC = CONCRETE 19 = SANITARY' CLEANOUT jzr = TELEPHONE RISER 0 = WOOD POWER POLE ♦ = WATER.METER F— = POLE ANCHOR X = CABLE TELEVISION RISER CL = CENTERLINE RIGHT OF WAY DUE = DRAINAGE & UTILITY EASEMENT ER = EDGE OF PAVEMENT D = DELTA ANGLE FIR = FOUND 5/8" IRON ROD L = ARC LENTH CLF = CHAIN LINK FENCE R = RADIUS = SPOT ELEVATION TBM = TEMPORARY BENCHMARK Xopp FIFE = FINISHED FLOOR ELEVATION ± = PLUS OR MINUS °..W! : r y_ te_o -last field work: 11/23/2011 Boundary Survey Qv ` n nett Prepared on the order of: Bennett Surveying, Inc. 493 SE Nome Drive Port SL Lucie, Florida 34984 tel: 772.336.4933 fax: 772.336.8689 email: bennettsurveyingOyahoo.com . Robert W.. Brantman Field: - LM/BB -Job. No.:. 11-0804 Drawn: WB Date:08/13/2011 Scale: 1 "=20' Sheet: 1 of 1