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a pepart_ Florida Department of Rick Scott a e h Governor 0 Environmental Protection_a Carlos Lopez-Cantera Bob Martinez Center Lt. Governor 2600 Blair Stone Road o �e` Tallahassee, Florida 32399-2400 Ryan E. Matthews ''hentai p<� Interim Secretary March 10, 2017 Sankara Rao and Rama Kothakota c/o Gregory L. Celentano,Managing Partner a Celentano Development Group,LLC. -7 1\)6 V D 824 Southwest Squire Johns Lane I Palm City,Florida 34990 I Dear Mr. Celentano: Notice to Proceed Issued Permit Number: SL-320 Permittee Name: Sankara Rao and Rama Kothakota Your request for a permit pursuant'to Section 161.053, Florida Statutes, for construction or other j activities seaward of the coastal construction control line, has been approved by the Department of Environmental Protection. Enclosed is the permit. However, construction may not commence until after the permittee complies with any preconstruction requirements described in Special Permit Condition 1. Please read the permit and permit conditions including both the General Permit Conditions and any Special Permit Conditions closely before starting construction. General Permit Conditions 1(q), 1(r), and 1(s) pertain to written reports which must be submitted to the Department of Environmental Protection at specified times. The forms for the reports: l(q) Periodic Progress Report (DEP Form j 73-111), l(r) Foundation Location Certification(DEP Form 73-11413), and l(s) Final Certification (DEP Form 73-11513) are available by clicking on the following link http://www.dep.state.fl.us/beaches/forms.litm#CCCL. Each form may be submitted electronically. The periodic reports are due in the office on a monthly basis. No progress reports are required until such time as construction activities have started. The permit will expire 3 years from the date of issuance.Upon receipt of a written request signed by the permittee or authorized agent,the Department will consider extending the permit for up to but no more than three years. You must apply for a new permit for completion of any work not accomplished under the original permit. Although you may apply for a new permit, there is no assurance that such new permit for the same construction or activities would be approved. I i n vi v.del).state;f 1.its • Sankara Rao and Rama Kothakota March 3, 2017 ' Page Two The authorized work is strictly limited to that described on the enclosed permit. If you have any questions pertaining to this permit, please contact me by mail at the letterhead address (add Mail Station 3522),by telephone at(850) 245-7671. Sincerely, John Glunn,Permit Manager Coastal Construction Control Line Program i Division of Water Resource Management cc: Permit Information Center Jason Spanier,Field Inspector Debra Zampetti, St. Lucie Zoning and Permitting Supervisor Zampettid a stlucieco.orQ Dr. Kothakota,Property Owner shankarkothakota a,yahoo.com www.dep.statefl.us a 0 e part STATE OF FLORIDA �a DEPARTMENT OF ENVIRONMENTAL PROTECTION Division of Water Resource Management ° 2600 Blair Stone Road-Mail Station 3522 a, Tallahassee, Florida 32399-2400 m (850)245-8336 � o 6 ,V p Le4 'mental Pao PERMIT NUMBER: SL-320 PERMITTEE Sankara Rao and Rama Kothakota l� c/o Gregory L. Celentano,Managing Partner Celentano Development Group,LLC. I 824 Southwest Squire Johns Lane Palm City,Florida 34990 NOTICE TO PROCEED AND PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the coastal construction control line that are indicated in the project description,was filed by the applicant/permittee named herein on&ptember 22, 2016, and was determined to be complete pursuant to rule on January 23, 2017. The proposed project is to be located landward of the 30-year erosion projection and the existing line of construction established by major structures in the immediate area. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons, the Department finds that upon compliance with the permit conditions,the activities indicated in the project description of this permit are of such a nature that they will result in no significant adverse impacts to the beach/dune areas or to adjacent properties; that the work is not expected to adversely impact nesting sea turtles, their hatchlings, or their habitat;that the work is expendable in nature and/or is appropriately designed in accordance with Section 6213-33.005, Florida Administrative Code. Based on the foregoing considerations, the Department approves the application; authorizes construction and/or activities at the location indicated below in strict accordance with the project description, the approved plans (if any) and the General Permit Conditions which are attached and are by this reference incorporated herein, and any additional conditions shown below, pursuant to Section 161.053(4), Florida Statutes. EXPIRATION DATE: March 3, 2020 LOCATION: Between approximately 542 feet and 582 feet north of the Department of Environmental Protection's reference monument R-67, in St. Lucie County. Project address: Lot 5, Watersong South, Hutchinson Island. PROJECT DESCRIPTION: Single-Family Dwelling 1. Location relative to control line: A maximum of 138.0 feet seaward. 2. Exterior dimensions: 60.0 feet in the shore-normal direction by 28.0 feet in the shore-parallel direction. • PERMITTEE: Sankara Rao and Rama Kothakota PERMIT NUMBER: SL-320 PAGE 2 3. Type of foundation: Pile. Excavation/Fill 1. Total volume of excavation: Approximately 110 cubic yards. Volume of net excavation: None; excavated material to be placed as fill on the project site. 2. Location of excavation: From 67.0 feet to 138.0 feet seaward of the control line. 3. Maximum depth of excavation: To pile tip elevation. � 4. Volume of fill to be placed: Approximately 210 cubic yards. 5. Location of fill to be placed: From 67.0 feet to 158.0 feet seaward of the control line. I Other Structures/Activities 1. A paver driveway of dimensions 15.0 feet shore-normal by 25.0 feet shore-parallel is to be located landward of the house. i 2. Landscape planting is to a maximum of 178.0 feet seaward of the control line. I 3. Exterior and landscape lighting. SPECIAL PERMIT CONDITIONS: i j 1. Prior to commencement of construction activity authorized by this permit, a preconstruction conference shall be held at the site among the contractor,the owner or authorized agent, and a staff representative of the Department to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. The proposed locations of the structures shall be staked out for the conference. Contact Jason Spanier at(772) 919-5786 to schedule a conference. 2. All fill material shall be obtained from a source landward of the control line and shall consist of sand which is similar to that already on the site in both grain size and coloration. This fill material shall be free of construction debris, rocks, or other foreign matter. A sample of the sand shall be provided to the staff representative of the Department during the preconstruction conference. 3. All lighting shall be installed and maintained as depicted in the approved lighting schematic. No additional permanent exterior lighting is authorized. Approved plans are incorporated into this permit by reference. Done and ordered this 3rd day of March 2017, in Tallahassee,Florida. Attachment: General Permit Conditions • PERMITTEE: Sankara Rao and Rama Kothakota PERMIT NUMBER: SL-320 PAGE 3 FILING AND ACKNOWLEDGEMENT State of Florida FILED, on this date,pursuant to S 120.52 Department of Environmental Protection Florida Statutes,with the designated Department Clerk, receipt of which is hereby acknowledged. 03/03/2017 Fritz Wettstein,Environmental Consultant Deputy Clerk Date Coastal Construction Control Line Program Division of Water Resource Management I NOTICE OF RIGHTS This action is final and effective on the date filed with the Clerk of the Department unless a petition for an administrative hearing is timely filed under sections 120.569 and 120.57, Florida Statutes, before the deadline for filing a petition. On the filing of a timely and sufficient petition, this action will not be final and effective until further order of the Department. Because the administrative hearing process is designed to formulate final agency action, the hearing process may result in a modification of the agency action or even denial of the application. Petition for Administrative Hearin A person whose substantial interests are affected by the Department's action may petition for an administrative proceeding(hearing) under sections 120.569 and 120.57;Florida Statutes. Pursuant to rule 28-106.201,Florida Administrative Code, a petition for an administrative hearing must contain the following information: (a) The name and address of each agency affected and each agency's file or identification number, if known; (b) The name, address, any e-mail address, any facsimile number, and telephone number of the petitioner, if the petitioner is not represented by an attorney or a qualified representative;the name, address, and telephone number of the petitioner's representative, if any,which shall be the address for service purposes during the course of the proceeding; and an explanation of how the petitioner's substantial interests will be affected by the agency determination; (c) A statement of when and how the petitioner received notice of the agency decision; (d) A statement of all disputed issues of material fact. If there are none, the petition must so indicate; (e) A concise statement of the ultimate facts alleged, including the specific facts that the petitioner contends warrant reversal or modification of the agency's proposed action; (fl A statement of the specific rules or statutes the petitioner contends require reversal or modification of the agency's proposed action, including an explanation of how the alleged facts relate to the specific rules or statutes; and (g) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the agency to take with respect to the agency's proposed action. • • PERMITTEE: Sankara Rao and Rama Kothakota PERMIT NUMBER: SL-320 PAGE 4 I The petition must be filed (received by the Clerk) in the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000. Also, a copy of the petition shall be mailed to the applicant at the address indicated above at the time of filing. Time Period for Filing a Petition In accordance with rule 62-110.106(3), Florida Administrative Code, petitions for an administrative hearing by the applicant must be filed within 21 days of receipt of this written notice. Petitions filed by any persons other than the applicant, and other than those entitled to.written notice under section 120.60(3),Florida Statutes,must be filed within 21 days of publication of the notice or within 21 days of receipt of the written notice,whichever occurs first. Under section 120.60(3), Florida Statutes, however, any person who has asked the Department for notice of agency action may file a petition within 21 days of receipt of such notice, regardless of the date of publication. The failure to file a petition within the appropriate time period shall constitute a waiver of that person's right to request an administrative determination (hearing) under sections 120.569 and 120.57, Florida Statutes, or to intervene in this proceeding and participate as a party to it. Any subsequent intervention (in a proceeding initiated by another party) will be only at the discretion of the presiding officer upon the filing of a motion in compliance with rule 28-106.205, Florida Administrative Code. Extension of Time Under rule 62-110.106(4), Florida Administrative Code, a person whose substantial interests are affected by the Department's action may also request an extension of time to file a petition for an administrative hearing. The Department may, for good cause shown, grant the request for an extension of time. Requests for extension of time must be filed with the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, before the applicable deadline for filing a petition for an administrative hearing. A timely request for extension of time shall toll the running of the time period for filing a petition until the request is acted upon. Mediation Mediation is not available in this proceeding. Judicial Review Once this decision becomes final, any party to this action has the right to seek judicial review pursuant to section 120.68, Florida Statutes, by filing a Notice of Appeal pursuant to rules 9.110 and 9.190, Florida Rules of Appellate Procedure, with the Clerk of the Department in the Office of General Counsel, 3900 Commonwealth Boulevard, M.S. 35, Tallahassee, Florida 32399-3000; and by filing a copy of the Notice of Appeal accompanied by the applicable filing fees with the appropriate District Court of Appeal. The Notice of Appeal must be filed within 30 days from the date this action is filed with the Clerk of the Department. Newspaper Publication The Agency will not publish or require, the person requesting a permit to publish in a newspaper a notice of receipt of the permit application or notice of Agency action granting or denying the permit. PERMITTEE: Sankara Rao and Rama Kothakota PERMIT NUMBER: SL-320 PAGE 5 Persons receiving a permit are advised that interested parties who become aware of Agency action approving or denying the permit, or who observe work on the project within certain time frames without any prior notice,may have rights to petition for an administrative hearing under Chapter 120, F.S. For this reason, it may be in the best interest of the person proposing the activity to publish, at its expense, a one-time "Notice of Permit Issuance" in a newspaper of general circulation in the county where the activity is located meeting the requirements of Chapter 50, F.S. Agency staff can provide persons with the information for such a notice upon request. Persons who are substantially affected by the proposed action may petition for an administrative hearing within the time frames specified in the notice and Chapter 120,F.S. I I I I Florida Department of Environmental Protection(DEP) Division of Water Resource Management ��' "'•,� Coastal Construction Control Line Program 2600 Blair Stone Road,Mail Station 3522 ` e1 Tallahassee,Florida 32399-2400 (850)245-8336 General Permit Conditions Rule 6213-33.0155,Florida Administrative Code 1. The following general permit conditions shall apply,unless waived by the Department or modified by the permit: (a) The permittee shall carry out the construction or activity for which the permit was granted in accordance with the plans and specifications that were approved by the Department as part of the permit. Deviations therefrom, without written approval from the Department, shall be grounds for suspension of the work and revocation of the permit pursuant to Section 120.60(7), F.S., and shall result in assessment of civil fines or issuance of an order to alter or remove the unauthorized work, or both.No other construction or activities shall be conducted. No modifications to project size, location, or structural design are authorized without prior written approval from the Department. A copy of the notice to proceed shall be conspicuously displayed at the project site. Approved plans shall be made available for inspection by a Department representative. (b)The permittee shall conduct the construction or activity authorized under the permit using extreme care to prevent any adverse impacts to the beach and dune system,marine turtles,their nests and habitat,or adjacent property and structures. (c)The permittee shall allow any duly identified and authorized member of the Department to enter upon the premises associated with the project authorized by the permit for the purpose of ascertaining compliance with the terms of the permit and with the rules of the Department until all construction or activities authorized or required in the permit have been completed and all project performance reports, certifications, or other documents are received by the Department and determined to be consistent with the permit and approved plans. (d) The permittee shall hold and save the State of Florida, the Department, and its officers and employees harmless from any damage, no matter how occasioned and no matter what the amount, to persons or property that might result from the construction or activity authorized under the permit and from any and all claims and judgments resulting from such damage. (e) The permittee shall allow the Department to use all records, notes, monitoring data, and other information relating to construction or any activity under the permit, which are submitted, for any purpose necessary except where such use is otherwise specifically forbidden by law. (f) Construction.traffic shall not occur and building materials shall not be stored on vegetated areas seaward of the control line unless specifically authorized by the permit. If the Department determines that this requirement is not being met, positive control measures, such as temporary fencing, designated access roads, adjustment of construction sequence, or other requirements, shall be provided by the permittee at the direction of the Department. Temporary construction fencing shall not be sited within marine turtle nesting habitats. (g) The permittee shall not disturb existing beach and dune topography and vegetation except as expressly authorized in the permit. Before the project is considered complete,any disturbed topography or vegetation shall be restored as prescribed in the permit with suitable fill material or revegetated with appropriate beach and dune vegetation. (h) All fill material placed seaward of the control line shall be sand which is similar to that already existing on the site in both coloration and grain size. All such fill material shall be free of construction debris, rocks, clay, or other foreign matter; shall be obtained from a source landward of the coastal construction control line;and shall be free of coarse gravel or cobbles. (i) If surplus sand fill results from any approved excavation seaward of the control line, such material shall be distributed seaward of the control line on the site,as directed by the Department,unless otherwise specifically authorized by the permit. 0) Any native salt-tolerant vegetation destroyed during construction shall be replaced with plants of the same species or, by authorization of the Department, with other native salt-tolerant vegetation suitable for beach and dune stabilization. Unless otherwise specifically authorized by the Department, all plants installed in beach and coastal areas—whether to replace vegetation displaced, damaged, or destroyed during construction or otherwise— shall be of species indigenous to Florida beaches and dunes, such as sea oats, sea grape, saw palmetto, panic grass, saltmeadow hay cordgrass, seashore saltgrass, and railroad vine, and grown from stock indigenous to the region in which the project is located. (k)All topographic restoration and revegetation work is subject to approval by the Department,and the status of restoration shall be reported as part of the final certification of the actual work performed. (1) If not specifically authorized elsewhere in the permit, no operation, transportation, or storage of equipment or materials is authorized seaward of the dune crest or rigid coastal structure during the marine turtle nesting season.The marine turtle nesting season is May I through October 31 in all counties except Brevard,Indian River,St.Lucie,Martin,Palm Beach,and Broward counties where leatherback turtle nesting occurs during the period of March 1 through October 31. (m) If not specifically authorized elsewhere in the permit,no temporary lighting of the construction area is authorized at any time during the marine turtle nesting season and no additional permanent exterior lighting is authorized. General Permit Conditions(May 31,2007) Page I i (n) All windows and glass doors visible from any point on the beach must be tinted to a transmittance value (light transmission rom inside to outside)of 45%or less through the use of tinted glass or window film. (o)The permit has been issued to a specified property owner and is not valid for any other person unless formally transferred.An applicant requesting transfer of the permit shall sign two copies of the permit transfer agreement form, agreeing to comply with all Perms and conditions of the permit, and return both copies to the Bureau. The transfer request shall be provided on the form entitled `Permit Transfer Agreement"—DEP Form 73-103 (Revised 1/04), which is hereby adopted and incorporated by reference.No work hall proceed under the permit until the new owner has received a copy of the transfer agreement approved by the Department.A copy f the transfer agreement shall be displayed on the construction site along with the permit.An expired permit shall not be transferred. (p)The permittee shall immediately inform the Bureau of any change of mailing address of the permittee and any authorized agent until all requirements of the permit are met. (q) For permits involving major structures or activities, the permittee shall submit to the Bureau periodic progress reports on a monthly basis beginning at the start of construction and continuing until all work has been completed. If a permit involves either new armoring or maj or reconstruction of existing armoring,the reports shall be certified by an engineer licensed in the State of Florida.The permittee or engineer, as appropriate, shall certify that as of the date of each report all construction has been performed in compliance with the plans and project description approved as a part of the permit and with all conditions of the permit, or shall specify any deviation from the plans, project description, or conditions of the permit. The report shall also state the percent of completion of the project and each major individual component. The reports shall be provided to the Bureau using the form entitled"Periodic Progress Report"—DEP Form 73-111 (Revised 6/04),which is hereby adopted and incorporated by reference. Permits for minor structures or activities do not require submittal of periodic reports unless required by special permit condition. (r) For permits involving habitable major structures, all construction on the permitted structure shall stop when the foundation pilings have been installed. At that time the foundation location form shall be submitted to and accepted by the Bureau prior to proceeding with further vertical construction above the foundation. The form shall be signed by a professional surveyor, licensed pursuant to Chapter 472,F.S.,and shall be based upon such surveys performed in accordance with Chapter 472,F.S., as are necessary to determine the actual configuration and dimensioned relationship of the installed pilings to the control line.The information shall be provided to the Bureau using the form entitled "Foundation Location Certification'—DEP Form 73-114B (Revised 9/05), which is hereby adopted and incorporated by reference. Phasing of foundation certifications is acceptable. The Department shall notify the permittee of approval or rejection of the form within seven (7) working days after staff receipt of the form. All survey information upon which the form is based shall be made available to the Bureau upon request.Permits for repairs or additions to existing structures with nonconforming foundations are exempt from this condition. (s)For permits involving major structures,the permittee shall provide the Bureau with a report by an engineer or architect licensed in the State of Florida within thirty(30)days following completion of the work.The report shall state that all locations specified by the permit have been verified and that other construction and activities authorized by the permit have been performed in compliance with the plans and project description approved as a part of the permit and all conditions of the permit;or shall describe any deviations from the approved plans,project description, or permit conditions, and any work not performed. Such report shall not relieve the permittee of the provisions of paragraph 62B-33.0155(1)(a), F.A.C. If none of the permitted work is performed, the permittee shall inform the Bureau in writing no later than 30 days following expiration of the permit. The report shall be provided on the form entitled "Final Certification'DEP Form 73-115B (Revised 9/05),which is hereby adopted and incorporated by reference. (t)Authorization for construction of armoring or other rigid coastal structures is based on an engineering review and assessment of the design and anticipated performance and impact of the structure as a complete unit. Construction of any less than the complete structure as approved by the Department is not authorized and shall result in the assessment of an administrative fine and the issuance of an order to remove the partially constructed structure. Modifications to the project size, location, or structural design shall be authorized by the Department in accordance with Rule 62B-33.013,F.A.C. 2. The permittee shall not commence any excavation, construction, or other physical activity on or encroaching on the sovereignty land of Florida seaward of the mean high water line or,if established,the erosion control line until the permittee has received from the Board of Trustees of the Internal Improvement Trust Fund the required lease, license, easement, or other form of consent authorizing the proposed use. 3. The permittee shall obtain any applicable licenses or permits required by Federal,state,county,or municipal law. 4. This permit does not authorize trespass onto other property. 5. In the event of a conflict between a general permit condition and a special permit condition, the special permit condition shall prevail. 6. Copies of any forms referenced above can be obtained by writing to the Department of Environmental Protection, Bureau of Beaches and Coastal Systems, 3900 Commonwealth Boulevard, Mail Station 300, Tallahassee, Florida 32399-3000, or by telephoning(850)488-7708. General Permit Conditions(May 31,2007) Page 2 • • Lydia Galbraith From: Greg Celentano <gregcdg@gmail.com> Sent: Tuesday, April 18, 2017 2:39 PM 'To: Lydia Galbraith Sul bject: Kothakota Residence FDEP CCCL Permit No. SL-320/ Building Permit No. 1702 - 0019 Attachments: SL-320-FO.pdf L dia, Please see enclosed FDEP permit below from John Glunn. This is was requested in your comments for this project. We will submit hard copies with our resubmittal, along with a proper response letter, but I just wanted to show it to you ahead of time in case you had any additional questions. Can you review this for us while we work with William on the balance of the comments. This way, if you require additional information from your review, I can incorporate into my resubmittal. lou also commented on the survey easement size, which has been corrected and will be resubmitted. Thank you for your help on both of these projects. Greg Celentano Celentano Development Group 824 SW Squire Johns Lane �alm City, FL 34990 Cell: 561-718-9961 From: Glunn, John Sent: Monday, March 13, 2017 4:58 PM To: Greg Celentano Subject: FW: SL-320 Greg, Here's,the permit announcement for the Kothakota residence. I think your email initials must have been switched on the application form and that's the reason for the mix up. John Glunn, Environmental Specialist III Coastal Construction Control Line Program 50/245-7671 john.glunn@dep.state.fl.us From: CCCL(Shared Mailbox) Sent: Friday, March 10, 2017 9:54 AM To: 'Zampettid@stiucieco.org' <Zampettid@stlucieco.org>; Glunn,John <John.Glunn@dep.state.fl.us>;Spanier,Jason <Jason.Spanier@dep.state.fl.us>; 'shankarkothakota@yahoo.com'<shankarkothakota@yahoo.com>; '1 s 'gregdcg@gmail.com' <gregdc9fgmail.com> Subject:SL-320 Dear Sir/Madam: The Florida Department of Environmental Protection Coastal Construction Control Line (CCCL) Program now issues electronic documents, in lieu of hard copies, via our Shared mailbox system. Enclosed is a copy of the Pi rmit with Notice-To-Proceed and Approved Plans for File Number SL-320. We ask that you please: i 1) Respond electronically to this cover page to acknowledge receipt. Do this by selecting"Reply" on the menu bar of your e-mail software and then select"Send". Please do not delete the subject line.We must receive verification that the document has been received to avoid repeated e-mail attempts to deliver. 2 Open the attached document which may require immediate action on your part within a specified time frame. P ease open and review the document(s)as soon as possible. (The attached document is in Adobe Portable Document Format(PDF).Adobe Acrobat Reader can be downloaded for free at the following internet site: lilttp.1 twww.adobe.com roducts acrobat readste 2.htm1 *, Note" When printing the attached document from Adobe Acrobat Reader, select"Document and Comments"from the "Print What:" menu item. If this is not done,the signature and or dates may not appear on the printed document. AAll plans submitted for this project, including the survey, can be located at the link below.The approved plans for this project will have the subject line Approved Plans. oar link to file. itps://de ped ms.d e p.state.fl.us:443/Ocu I u s/se rvl et/sh e I I?corn rn a nd=h itl ist&ff reeText=l&[fo Ide rN a m e=J&[pro=hitlist&ffreeText=1&ffolderName=1&[pro file=Permitting Authorization%2BPlans+and+Specificationsl&[creator=]&fentityType=anyl&[createdDateTo=1 &[catalog=201&[searchBy=profilel&fsortBv=Document+Datel&[created Date=1&fApplication+Number= EQ SL 0,00320 Thank you, I)ELL.A.WEAVER STATE 01+ELORIDA; IaE,PA;RTMENT OR ENVIRONMENTAL PROTECTION DIVISION OF WATER RESOURCE MANAC7EMENT 2600 FLAIR STONE ROAD -MAIL STATION 3522 TjALLfkHASSEE,FLORIDA 32399-2400 2 Inspection Card Permit#: 1702-0019 Planning&Development Services Online address: Building&Code Regulation Division http://www.stiucieco.org/planning/permitting.htm 2300 Virginia Avenue Quick Links: Fort Pierce,FL.,34982 Permit Status Lookup PI one:(772)462-2172 Fax:(772)462-6443 Online Building Inspection System Page 1 of 4 Permit# SLC-1702-0019 #Confirmation 879 Status ISS IssIued: 5/26/2017 Type: BUILDING RESIDENTIAL(SFR UP TO 3 FLOORS) Job Location: 5116 Watersong Way City: Fort Pierce Jurisdiction: SAINT LUCIE COUNTY Parcel: 2532-803-0012-000/2 I Su division: WATERSONG SOUTH PUD#1 Lot: 5 Block: Fll od: AE Elev: Flood Map:_ I S6 backs: Left: 6.10 Right: 6.10 Front: 10.10 Rear: 40.40 Jo Description: New Construction Of A Single Family Residence;4 Story With Required Sitework. Contractor Gregory C Harris -- Cert#30055 Harris Homes&General Contracting Llc (772) 828-8288 1409 Sw Aachen Ave Port St Lucie, FL 34953 Property Owner Rama Kothakota 10947 Martingale Ct Potomac, MD 20854 Property Owner Sankara R Kothakota 10947 Martingale Ct Potomac, MD 20854 SUB-PERMITS Permit No Status Permit Tvoe Cert# DBA Owner/Builder I 1702-0019-01 Issued ELECTRIC-RESIDENTIAL 18506 Cook Electric Inc 1 1702-0019-02 Issued PLUMBING-RESIDENTIAL 24654 Jensen Beach Plumbing Inc 1702-0019-03 Issued MECHANICAL/HVAC RESID-FIRST 27009 Sharkey Air Llc TIME INSTALLATION 1702-0019-04 Issued ROOF-METAL 30010 Diversified Roofing Solutions Inc I 1702-0019-05 Issued GAS/GAS PIPING- 1 &2 FAMILY 22580 Propane Services Inc RESIDENTIAL Report prepared on 7/20/2017 10:59:44 AM Aduk Inspection Card Planning&Development Services Permit#: 1702 -0019 Building&Code Regulation Division Online address: � http://www.stlucieco.orglplanning/permitting.htm 2300 Virginia Avenue Quick Links: Fort Pierce,FL. 34982 Permit Status Lookup Phone:(772)462-2172 Fax:(772)462-6443 Online Building Inspection System Page 2of4 For the automated inspection system call (866)284-1280. To schedule an inspection online go to http://codeinspectionpublic.stiucleco.gov. All inspections requested prior to 9:00 PM will be scheduled for the next business day. inspection requests between 9:00 PM 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. Inspection Notes: i PelIrlImit# Code Description PrioritySched.Date Res Description Inspector Insp.Date 1702-0019 900 PLAN REVISION 0 SUBMIT REVISION FOR THE CHANGES NEEDED TO THE PLANS FOR THE PILE LOCATIONS AND FOOTING SIZING 17 2-0019 105 FORM BOARD SURVEY- 1 OFFICE ENGINEERS REPORT- 1702-0019 106 ORIGINAL-TURN INTO 1 7/20/2017 91 Partial Approval William Durden 7/20/2017 OFFICE PILE REPORT. 32'DEPTH X 14"DIAMETER PILES.TOTAL OF 41 DEVIATION FROM ENGINEERS REPORT THE PLANS SEE NOTES FOR REVISION. ENGINEERS REPORT- 1702-0019 106 ORIGINAL-TURN INTO 1 OFFICE PLEASE SUBMIT REVISION FOR THE CHANGES NEEDED TO THE PLANS FOR THE PILE LOCATIONS AND FOOTING SIZING.ALSO SUBMIT AN ENGINEER'S REPORT FROM THE DESIGN PROFESSIONAL IN CHARGE SIGNING OFF DEVIATION IN THE PLANS,OKAYING THE NEW PILE DEPTHS.SEE NOTE BELOW ENGINEERS REPORT STATED PILES INSTALLED TO DEPTHS OF 23 TO 30 FEET AND A DEVIATION IN PILE LOCATIONS.PLANS SHOW MINIMUM DEPTH OF 32 FEET.PLEASE SUBMIT AN ENGINEER'S REPORT FROM THE DESIGN PROFESSIONAL IN CHARGE FOR THE DEPTHS STATED FROM NUTTING ENGINEERS.ALSO PLEASE SUBMIT A REVISED PILE LOCATIONS PLAN SHOWING THE NEW LOCATIONS OF THE DEVIATION TO THE PILES ALONG WITH A REVISED PILE PLAN FOR THE DEVIATION IN THE PILES. 1 02-0019 187 REVISION PICKED UP 1 1702-0019 906 BATCH TICKET IF OVER 1 7/19/2017 90 Approved Office 7/19/2017 3000 PSI/OFFICE 5000 PSI CONCRETE FOR THE PILES. 1702-0019 103 EUFER GROUND 2 COMPACTION TEST- 1102-0019 104 ORIGINAL-TURN INTO 2 OFFICE SEE FOUNDATION NOTE#4.SOIL ALL FOOTINGS MUST BE INSPECTED AND APPROVED BY A REGISTERED GEOTECHNICAL ENGINEER BEFORE COMMENCING WORK.APPROVAL IN WRITING MUST INDICATE THE SOIL IS ADEQUATE TO SAFELY SUSTAIN SPECIFIED SOIL BEARING PRESSURES. 1702-0019 110 FOOTER/FOUNDATION 2 SEE INSPECTION 104 NOTES. 1702-0019 121 TERMITE SPRAY 2 1 i02-0019 420 PLUMBING ROUGH 2 1702-0019 427 TEMP.TOILET(rEMP 2 CULVERT 1702-0019 906 BATCH TICKET IF OVER 2 3000 PSI/OFFICE 5000 PSI CONCRETE FOR THE GRADE BEAM.. Report prepared on 7/20/2017 10:59:44 AM -i ANIL Inspection Card Permit#: 1702-0019 Planning&Development Services Online address: Building&Code Regulation Division http://www.stiucieco.org/planning/permitting.htm 2300 Virginia Avenue Quick Links: Fort Pierce,FL. 34982 Permit Status Lookup Phone:(772)462-2172 Fax:(772)462.6443 Online Building Inspection System Page 3of4 1702-0019 115 SLAB 3 1702-0019 906 BATCH TICKET IF OVER 3 3000 PSI/OFFICE 5000 PSI CONCRETE FOR THE SLAB. 170z-0019 908 DEFERRED SUBMITTAL 3 -OFFICE SUBMIT THE SHOP DRAWINGS&ENGINEERING FOR THE LAYOUT AND DETAILS FOR THE 8"HOLLOW CORE FLOOR SYSTEM. 170I Oulu gpg DEFERRED SUBMITTAL 3 -OFFICE SUBMIT ELEVATOR ALLOWANCES AND SUBMITTALS FOR APPROVAL. ENGINEERS REPORT- 1702-0019 106 ORIGINAL-TURN INTO 4 I OFFICE 17b2-0019 118 COLUMN 4 3000 PSI CONCRETE FOR THE COLUMN. FLOOD ELEV CERT 1702-0019 122 UNDER 4 CONSTRUCTION- OFFICE HOUSE IS LOCATED IN AE6,AE7,AND VE11 IS LOCATED ON THE PROPERTY. I GARAGE ELEVATION IS SET AT FFE6.4,NEXT HIGHEST FLOOR IS FFE7.7,LOWEST HORIZONTAL BEAM IS ELV17.1 17 2-0019 125 TIE BEAM 4 3000 PSI CONCRETE FOR THE TIE BEAM. 17 2-0019 128 BOND BEAM 4 3000 PSI CONCRETE FOR THE BOND BEAM. 1702-0019 908 DEFERRED SUBMITTAL 4 -OFFICE I SUBMIT THE TRUSS DRAWINGS AND THE ENGINEERING. 1702-0019 133 WINDOW/DOOR BUCKS 5 1702-0019 134 ROOF SHEATHING 5 1702-0019 137 STRAPPING 5 1702-0019 139 WIRE LATH 5 17 2-0019 145 TRUSS DRWG 5 1702-0019 300 WINDOW AND DOOR 5 FLASHING(4) 1702-Oulu 908 DEFERRED SUBMITTAL 5 -OFFICE REQUIRED FIRE SPRINKLERS FOR ALL HOMES THAT HAVE MORE THAN 2 STORIES.PUD CONDITION. SUBMIT A COPY OF THE FIRE SPRINKLE PERMIT FROM THE FIRE DEPARTMENT.WITH THE FIRE SPRINKLER DRAWINGS AND SUBMITTALS FOR REVIEW INDUPLICATE. 1702-0019 127 MULLION 6 1702-0019 136 ROOF DRY-IN/TIN TAB 6 17i 2-Oulu 425 SEWER CONNECT 6 17i 2-0019 456 FIRE SPRINKLER 6 ROUGH 1702-0019 650 FRAME-ALL 6 1702-0019 141 INSULATION 7 1702-0019 167 ROOF FINAL 7 Report prepared on 7/20/2017 10:59:44 AM qw 4 uCI�1- 4e Inspection Card Planning&Development Services Permit#: 1702-0019 Building&Code Regulation Division Online address: 2300 Virginia Avenue http://www.stiucieco.org/planning/permitting.htm Quick Links: Fort Pierce,FL. 34982 Permit Status Lookup Phone:(772)462-2172 Fax:(772)462-6443 Online Building Inspection System Page 4 of 4 POWER RELEASE 17 I2-0019 259 FORM(30 DAY FOR 7 TESTING)OFFICE 1702-0019 800 ADDRESS FINAL 7 I 1702-0019 804 DRIVEWAY BLDG 7 ENGINEERS REPORT- 1702-0019 106 ORIGINAL-TURN INTO 8 OFFICE PLEASE SUBMIT BLOWER DOOR TEST.SEE CHAPTER 4 SECTION 402.4 SUB-SECTION 402.1.2.. 17 2-0019 148 WINDOW/DOOR 8 ATTACHMENT 17 2-0019 149 PROGRESS INSPECTION 8 PLEASE SUBMIT THE AIR HANDLER UNIT CERTIFICATION.THAT THE AIR HANDLER QUALIFIES AS CERTIFIED FACTORY-SEALED UNIT IN ACCORDANCE WITH R403.2.2.1...SEE NOTES ON PAGE 1OF4 OF THE ENERGY CALC'S. 1702-0019 149 PROGRESS 8 INSPECTION PLEASE SUBMIT THE AIR BARRIER AND INSULATION INSPECTION CHECKLIST IN ACCORDANCE WITH R402.4.1.1...DOCUMENT IS ATTACHED TO THE ENERGY.CALC'S. INSULATION 1702-0019 153 CERTIFICATION- 8 OFFICE CBS-R5.0/WFW-R11/C-R30 i 1702-0019 260 30 DAY FOR TESTING 8 MECHANICAL DUCT 1702-0019 349 LEAKAGE 8 PLEASE SUBMIT DUCT LEAKAGE TEST.SEE CHAPTER 4 SECTION 403.2.2. FLOOD ELEV FINAL 1702-0019 130 CONST CERTIF- 9 OFFICE HOUSE IS LOCATED IN AE6,AE7,AND VE11 IS LOCATED ON THE PROPERTY. GARAGE ELEVATION IS SET AT FFE6.4,NEXT HIGHEST FLOOR IS FFE7.7,LOWEST HORIZONTAL BEAM IS ELV17.1 1702-0019 700 FIRE DEPARTMENT 9 FINAL 1702-0019 . 808 LANDSCAPINGITREES 9 FINAL TERMITE 17,02-0019 996 TREATMENT-TURN 9 INTO OFFICE 17 2-0019 457 FIRE SPRINKLER FINAL 10 SOLID WASTE(TRASH 1702-0019 821 10 PICKUP)PAY IN OFFICE 1702-0019 999 FINAL INSPECTION 10 Total Inspections: 54 Report prepared on 7/20/2017 10:59:44 AM r Y 1310 Neptune Drive • 1, d aJ C'S d 1 • Boynton Beach,Florida 33426 Nutting 561-736-4900 Toll Free:877-NUTTING(688-8464) FaxE -9975 Engineers Browar1-737941-8 Broward 954-941-8700 St.Lucie 772-408-1050 of Florida Inc.I Established 1967 Miami-Dade 305-557-3083 Your Project is Our Commitment www.nuttingengineers.com RECEIVED JUL 19 2017 tn a� June 26, 2017 Ln fu Mr. Rich Barnes v Bodax Foundations, Inc. 1101 NW 55' Street ° Ft. Lauderdale,Florida 33309 > `L Subject: Report of Augercast Pile Installation Monitoring c Proposed Kothakota Residence Lot 5, 5116 Watersong Way v Hutchinson Island, Florida Q tn c Dear Mr. Barnes: c o) Nutting Engineers of Florida, Inc. (NE) has completed observation of augercast piling operations for the proposed residence and pool at the subject site. Bodax Foundations, Inc. installed cast-in- F place augured piles for support of the proposed construction. L Bodax Foundations, Inc. installed a total of 41, 14-inch diameter augercast piles for the project. v The piles were installed from June 19 to June 20, 2017. Please refer to the pile plan for the numbering provided to our office. The pile size and depth recommendations were based upon our review of the Report of Geotechnical Exploration prepared by Florida Engineering and Testing dated April 7, 2016. The pile installation characteristics of each pile are presented in the attached Pile Installation Data. Identification of each pile location followed by the pile number is shown on the Pile 0 Location Plans attached. Each pile record in the attached summary tables shows the following information: U L ■ RECORD NUMBER IN CHRONOLOGICAL ORDER o ■ THE PILE NUMBER(AS FOUND ON ATTACHED PLANS) ■ THE DIAMETER OF THE PILE THE LENGTH OF PILE FROM GROUND SURFACE TO TIP ■ THE THEORETICAL VOLUME OF GROUT FOR THE PILE 'f THE NUMBER OF PUMP STROKES FOR THE PILE ■ THE ACTUAL VOLUME OF GROUT FOR THE PILE o THE GROUT FACTOR ai ■ THE DATE OF INSTALLATION ■ THE REINFORCEMENT TYPES �A OFFICES0.1 , Pallm Beach s�F Miami-Dade hRY c St. Lucie 1 _ 9�zp 17 f ■ AND GENERAL COMMENTS AS NEEDED The drilling operations were monitored in the field by our field engineer and inspector in order to approximately determine the type of material being penetrated. This identification was done based on the augering time, the materials received during the drilling operations and the relative hardness of the soils/rocks as indicated by the vibration or"chattering" of the hydraulic lines. The augercast piles were installed to depths of twenty-three to thirty feet below the existing ground surface which was approximately three to four feet below adjacent crown of road elevations. We note that piles installed less than 30 feet all encountered refusal drilling conditions. The piles were designed for an allowable compressive capacity of 30 tons as required by the structural specifications. Generally, during the installation of the piles, easy drilling was observed from the ground level to approximately twenty feet. Below this depth range hard to refusal drilling was encountered to the final tip depth. All house and pool piles received steel reinforcement consisting of full.length cage with 5, #6 reinforcing bars with#3 ties spaced 6-inch on center as stated in the structural documents. Upon completion of this inspection process, and review of the recorded data, it is our opinion that the augercast piles installed for the residence attained the required design compressive capacity of 30 tons. The piles that were presently installed were constructed in substantial compliance with the plans and specifications. We note that it was monitored and ensured that the piles began installation at the survey locations provided in the field. If during drilling operations it was discovered that gross deviations from original locations have occurred, the deviation was attempted to be rectified. Nutting Engineers is not responsible for minor deviations which have occurred during drilling operations, along with incorrect surveyed pile locations during piling installation. We also note that some deviations may be due to the augerdrill shifting when attempting to drill through the hard rock or other encountered debris conditions. This condition is beyond the control of the site inspector and undersigned engineer. Our client for this project was: Mr. Rich Barnes Bodax Foundations, Inc. 1101 NW 55ffi Street Ft. Lauderdale, Florida 33309 Nutting E Engineers of Florida Inc.I Established 1967 2 The contents of this report are for the exclusive use of the client, the client's design & construction team and governmental authorities for this specific project exclusively. Information conveyed in this report shall not be used or relied upon by other parties or for other projects without the expressed written consent of NE. We appreciate this opportunity to work with you on this project and look forward to completing this and future projects with you. Should you have any questions or if we can be of any further assistance, please contact us at your convenience. I Respectfully Submitted, NUTTING ENGINEERS OF FLORIDA, INC. Richard C. Wohlfarth, P.E. St her E: iworek; P.E. #69947 Director of Engineering Se g En ineer,_ Attachments: Pile Location Plans Pile Installation Data LTR BODAX LOT 5-5116 WATERSONG HUTCHINSON ISL ACP CEG I IN I Nutting 0 Engineers of Florida Inc.I Established 1967 3 i CONCREFE GRADE BEAM SCHEDULE ea x�Afi_,x_P,Ace rm,rnF P P o Fs T PPFS SNAIA BE 14' LOUPRE39PY CAPACITY NM. 5T£SCNFOOfE[N PUN LOP G STIRRUPS T4'q"T"1 PLIES SIAIL UPFPS PFAY SFE F4TlOim¢\5 -UN.O. o TOP OF BE PoM Ie)R 1hRT.PARS GR(6J W KAL PAPS O PFAWETER AY0/J LES AT FAOM FF. L2D np POTT N¢ PRE 6'0/C Fai BPrT 25'OF OFPM R U Q1AOE uA Ir aC FOP 11L FPIAuc:O 5 OB-T ER PLAS IW.20' A b 4 p6 /3¢6.0.G z -3'-2'FF.SLAP OFPOI W 1HE Pns ] 11EPfW OF CA61LW AYO IFNLTtS 6 PIES Y,IH GLLV{A110:5' V8d I PLAYS 2r.20' 3/fi 5/6 }S a 6'OG -3'-1'FS.9J1P PE PUPI6TlE0 PY TIC L iNJFi[F¢i ll�APPROVAL BT A/E P60..= -0'F. 49-3 PV13 1P'x 20' ♦jP </A p O 6'¢G -S'-2'FF. 6TARPNO THE INmLGIW IF FSES ]AWEWN 60W.41011TE W—Vmm TEPIF5.OE9OT ®-4 FA PlA3 t6YLC 6{P 6 P6 iM O 6'¢¢ -r-2'Vs.SAP IFAA Oi'COIO11E1E IDES A3w 10 BE SIOOIlFO Fai AFPRO.'•a A/E AL aES 9aLL w IIa1t0PE0 v 4E➢IFIJWCAL m.'m+EO+TNO - C¢V1RACi0T TO t'DOFr OOG)ID¢YS OF WI lS Ax0 BEAYS PWOR TO FOR .ANO flaLL GE S,Al1iiFD lO Tlm EUIID. OFPIIRil01i . pW� ® < PqC PFPOPT N.LS PR£3FN1E0 At TIE 1mE CF 1115¢il1fV.G 50 A WL .: DFJ•IX OF PIIE'N 0.mIEK OFPW 6�4'-0'LOL FAOII F]OSTO.t PVAOE ON PER Sai ENGu.O£IL I 3 FT T-S t (S—l�S<•.Y—F4�.f �SAM10iRflYfOFE R OfId1F➢FIW 1E1Y A9f}pTEC1URE -Y-T-1/2'FF. W R�g.Q 6W���uVAIORY LOCAIIDG O ALL OINER IReCET c9aOE {;V - .'•:.•• ir' !. _ 6 ALL PIFS PoINN 6 OVOIElO13 @ T IO13T&"POIRID WL 12 xaAs APARL i{ •°!" w-A' - .-'n>-'fit. v'I,`' - •-�, T COxIPACTaT I=T OMEFLR.ATP]TIICN TO M AND FVWMAr4N SYS,LIIS 01mx0 4 ,1•• rc.0-1'-10'F 1 _ .'• y PACXBLL MO—A—OUI.t1R6 J. � � I 1 I I ��• Pneso0vlAE •I� I I �'-�:' IV eo�mm au PusTUL Wtm wfmrrn A.t6 tEP11 - - •-+-.� - _ ..- cPArsma,anPm Om;llO asvL loanrtl NA,u•E , TOP aF Pu:-Y- W-2 ♦T§ YYo �' (6) BARS SECTION •(I Il:' , m 1 OR 5 BARS SCALEa'=t'-o' ,AT BREAKAWAY WALL AND •-G I f:'� I I I,i�. BA PE[ UNS :.• .:.. 6 �� 1 ®i• I w p STIR RUPS PAT P1LE'Vc7t71CAL BARS `— -o•FI. /, SlOj TO HOOK INTD !� -0'S FF. _ fi-0.0 TO-25'-0- 1 1:'., 1 I ,� CRAOE BEAM i'diH Oa-1._ I^� �' Tor w uAd Y• f. :... .".., R. OAST W PUCE y { �: 1- �+ ® 'r-- m •.mil'• PILE PER PANS '- 1 LOP CF PAE N•_=• ':L. 1 .:.-.• yi —1 • .I - -�-�' STIRRUPS SECTION s 12 - '{{ F;•'---PP-2'- ha � 12.O.C.V.BALALA NCE SCALE:1'=1'-0' •I•r"- .1 l: OR AS DELFRNfNEO BY 6 11 INSPECTING GEOTECMACAL ENG. ; • '1 I��• FROM EMSTING GRADE LO 1` WERYS �1i�•j�-.rf'� ��—_1 _�� �'' GUIDE r•.'. -1A HAFT PILE DETAIL 6 -1 I 1 f 6 la'SAS tlm w {II' I:1•. It Aw WT1W AT �I �r' sw�spnP liO - -r-n•F. I I( Am • reP n au-r-r ir. ti PILE AND GRADE BEAM PLAN SECTIOD NOTE NOTE lO P CONiRAOTOR HLW-1'-10'FF. OIAL NIINfiFA Q PPIS=61 TOP ALL PI =V 3 9 SCALE7-=1'-0' SECTION AT IJVING TO ETEVAT . i0P 6'flE-5-1'FF. •� 9 BODAX FOUNDATIONS Proposed Kothakota Residence lot 5, 5116 Watersong Way Hutchinson Island, Florida PILE LOG DATA OF AUGERCAST PILE INSTALLATION NUTTING ENGINEERS OF FLORIDA, INC. Total Theoretic. Volume of Pile Record Pile Dia'. Pile Pump Grout Date Pile No. Length Grout Remarks No. (in) Volume Strokes Factor Installed. MY s Pumped- 1 5 14.0 30 32.1 37 40.3 1.26 06/19/17 2 41 14.0 30 32.1 37 40.3 1.26 06/19/17 3 8 14.0 24 25.7 30 32.7 1.27 06/19/17 4 13 14.0 23 24.6 30 32.7 1.33 06/19/17 5 17 14.0 24 25.7 32 34.9 1.36 06/19/17 6 14 14.0 25 26.7 32 34.9 1.31 06/19/17 7 16 14.0 24 25.7 30 32.7 1.27 06/19/17 8 18 14.0 24 25.7 30 32.7 1.27 06/19/17 9 19 14.0 24 25.7 31 33.8 1.32 06/19/17 10 21 14.0 24 25.7 31 33.8 1.32 06/19/17 11 22 14.0 24 25.7 30 32.7 1.27 06/19/17 12 23 14.0 24 25.7 38 41.4 1.61 06/19/17 13 24 14.0 24 25.7 33 36.0 1.40 06/19/17 14 25 14.0 24 25.7 31 33.8 1.32 06/19/17 15 26 14.0 24 25.7 30 32.7 1.27 06/19/17 16 15 14.0 24 25.7 35 38.2 1.49 06/19/17 17 20 14.0 25 1 26.7 31 33.8 1.26 06/19/17 18 27 14.0 25 26.7 36 39.2 1.47 06/19/17 19 30 14.0 25 26.7 31 33.8 1.26 06/19/17 20 33 14.0 25 26.7 31 33.8 1.26 06/19/17 21 34 14.0 25 26.7 35 38.2 1.43 06/19/17 22 1 39 14.0 26 27.8 37 40.3 1.45 06/19/17 23 40 14.0 27 28.9 30 32.7 1.13 06/19/17 24 28 14.0 24 25.7 33 36.0 1.40 06/19/17 25 31 14.0 23 1 24.6 30 32.7 1.33 06/19/17 26 35 14.0 23 24.6 31 33.8 1 .37 06/19/17 27 29 14.0 23 24.6 30 32.7 1.33 06/19/17 28 1 32 14.0 24 25.7 30 32.7 1.27 06/19/17 29 37 4.0 3 24.6 30 32.7 1.33 1 06 9 7 31 4 14.0 24 25.7 32 34.9 1.36 06/20/17 32 3 14.0 24 25.7 30 32.7 1.27 06/20/17 33 2 14.0 24 25.7 30 32.7 1.27 06/20/17 34 1 14.0 26 27.8 34 37.1 1.33 06/20/17 35 6 14.0 26 1 27.8 33 36.0 1.29 06/20/17 36 11 14.0 25 26.7 37 40.3 1.51 06/20/17 37 7 14.0 24 25.7 35 38.2 1.49 06/20/17 38 10 14.0 24 25.7 33 36.0 1.40 06/20/17 39 13 14.0 24 25.7 33 36.0 1.40 06/20/17 40 12 1 14.0 24 25.7 1 32 1 34.9 1.36 06/20/17 4 36 I 14.0 23 24.6 1 32 1 34.9 .42 06720711 Total linear feet drilled 1006 Total Grout voL. (yd')l 53 Minimum depth drilled 23 Maximum depth drilled 30 PILE LOG BODAX 5116 WATERSONG WY HUTCHINSON ISL ACP CEG Hulling fi=- Engineers of Florida Inc.I Established 1967 I I 1310 Neptune Drive • ���a.' dd l� • Boynton Beach,Florida 33426 Nutting 561-736-4900 Toll Free:877-NUTTING(688-8464) Fax -9975 Engineers Browar1-737941-8 Broward 954-941-8700 St. 50 of Florida Inc. Established 1967 Miami-Dade Lucie 7de 305-1 7- Miami-Dade 305-557-3083 Your Project is Our Commitment www.nuttingengineers.com v u a� June 26, 2017 RICER;ED Mr. Rich Barnes JUL 1 ZO�� v Bodax Foundations, Inc. C 1101 NW 55, Street ° Ft. Lauderdale, Florida 33309 "' Subject: Report of Augercast Pile Installation Monitoring c Proposed Kothakota Residence Lot 5, 5116 Watersong Way a Hutchinson Island, Florida Dear Mr. Barnes: tm Nutting Engineers of Florida, Inc. (NE) has completed observation of augercast piling operations for the proposed residence and pool at the subject site. Bodax Foundations, Inc. installed cast-in- place augured piles for support of the proposed construction. L Bodax Foundations, Inc. installed a total of 41, 14-inch diameter augercast piles for the project. a The piles were installed from June 19 to June 20, 2017. Please refer to the pile plan for the numbering provided to our office. The pile size and depth recommendations were based upon our review of the Report of Geotechnical Exploration prepared by Florida Engineering and Testing dated April 7, 2016. f The pile installation characteristics of each pile are presented in the attached Pile Installation Data. Identification of each pile location followed by the pile number is shown on the Pile c: Location Plans attached. Each pile record in the attached summary tables shows the following 0 0 information: 41 ■ RECORD NUMBER IN CHRONOLOGICAL ORDER o ■ THE PILE NUMBER(AS FOUND ON ATTACHED PLANS) ■ THE DIAMETER OF THE PILE fa C ■ THE LENGTH OF PILE FROM GROUND SURFACE TO TIP THE THEORETICAL VOLUME OF GROUT FOR THE PILE THE NUMBER OF PUMP STROKES FOR THE PILE ■ THE ACTUAL VOLUME OF GROUT FOR THE PILE o ■ THE GROUT FACTOR ■ THE DATE OF INSTALLATION ■ THE REINFORCEMENT TYPES OFFICES Palm Beach Miami-Dade cI. S tl. L u c i e 1 jpN967- °1yE ■ AND GENERAL COMMENTS AS NEEDED The drilling operations were monitored in the field by our field engineer and inspector in order to approximately determine the type of material being penetrated. This identification was done based on the augering time, the materials received during the drilling operations and the relative hardness of the soils/rocks as indicated by the vibration or"chattering" of the hydraulic lines. The augercast piles were installed to depths of twenty-three to thirty feet below the existing ground surface which was approximately three to four feet below adjacent crown of road elevations. We note that piles installed less than 30 feet all encountered refusal drilling conditions. The piles were designed for an allowable compressive capacity of 30 tons as required by the structural specifications. �I Generally, during the installation of the piles, easy drilling was observed from the ground level to approximately twen feet. Below this depth range hard to refusal drilling was encountered to the twenty P g g final tip depth. All house and pool piles received steel reinforcement consisting of fall length cage with 5, #6 reinforcing bars with#3 ties spaced 6-inch on center as stated in the structural documents. Upon completion of this inspection process, and review of the recorded data, it is our opinion that the augercast piles installed for the residence attained the required design compressive capacity of 30 tons. The piles that were presently installed were constructed in substantial compliance with the plans and specifications. We note that it was monitored and ensured that the piles began installation at the survey locations provided in the field. If during drilling operations it was discovered that gross deviations from original locations have occurred, the deviation was attempted to be rectified. Nutting Engineers is not responsible for minor deviations which have occurred during drilling operations, along with incorrect surveyed pile locations during piling installation. We also note that some deviations may be due to the augerdrill shifting when attempting to drill through the hard rock or other encountered debris conditions. This condition is beyond the control of the site inspector and undersigned engineer. Our client for this project was: Mr. Rich Barnes Bodax Foundations, Inc. 1101 NW 55tl' Street Ft. Lauderdale, Florida 33309 Nutting Engineers of Florida Inc I Established 1967 2 The contents of this report are for the exclusive use of the client, .the client's design & construction team and governmental authorities for this specific project exclusively. Information conveyed in this report shall not be used or relied upon by other parties or for other projects without the expressed written consent of NE. We appreciate this opportunity to work with you on this project and look forward to completing this and future projects with you. Should you have any questions or if we can be of any further assistance,please contact us at your convenience. Respectfully Submitted, - NUTTING ENGINEERS OF FLORIDA, INC. r Richard C. Wohlfarth,P.E. St her E.�".vorek; P.E. #69947 Director of Engineering Se Engineer-, Attachments: Pile Location Plans Pile Installation Data LTR BODAX LOT 5-5116 WATERSONG HUTCHINSON ISL ACP CEG Nutting ria Engineers of Florida Inc.I Established 1967 3 I i i i CONCRETE GRADE BEAM SCHEDULE' AYCF eAST_,N_P,ACP nua e�Pnc n Ps. I P0£6 9W10E"r--R A—t FASr iLES pi'30 T0..1=PRE m DIPAGTY YIN. SSE 5 ON PIAN Wei H10WUPS ,{'OVNETER PRES WAIL YAPoF 6MAY SZE RBlBiI¢6,'C -V.N.O. u TOP OF 11 SVSN 1111 —r.BARS OR(5)is Ifni GARS D PBi01ERR ANO 0 REJ AT I FRON ri. w iiP YD BOTt Na PRE O.0/0 fOR FWT 35 K OEPW iRW DYNE ANp ll'aC r0R VE RSYA0AS0 $ LB-1 RA:6 IB'.20' 4/6 4 p6 03 D 6.O.0 z -3'-3°F.F.SLAB OFPIN OF 1F0:PRFS ]YEINW OF CAJRVC AY0l62TSD OF P45 YIN(AINURPS 9WL CB-2 PLAYS 2{'.ZO' 6 16 5 06 1XI/3 O 6.4t -J'-2'FS.SAB BE 9IDIODm BT tiff C6WIFp,ftA T!ff AI4R0VAL BT A/E BFfO.Tc D'-O•P. L9-3 PILE,B'A 30• 4 ja 4 1B n P D 6.M. -J'-4'FF.SAB 6T'NUNO 111E INSTANATWI OP F{ES J A IlDDN4f 6000P9 G10Uf S iD ff USrD Fai 110:PEES OEADS ®-S ER PLATS 36}ZO' S L6 S W r•J D 6'QC -T-3'Fi.SIB ;-A 6 CO�a}E IDS A6E TO ff 96Bt®FOR APP60•✓A BT A/E A0P116 N..1 BE YOYt010B Br OFORDLVGL FNVAtEBi RE - CO.VIRACTW TO YE/dFT DIVF]YSIQVS OF PItfH AID BFAY6 PNOR TO FOIIYINO ANO SM PW ® {OBFPLLp W OF RPIWI EB AS'1S0 PARpEItED 1N 0O iYAT1N fiUE1 9ID OFS PANRI VFRNT. 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'=.••: E rA. ,;,s CAST IN PLACE PILE PER P:ANB e' �.,1.1cJqj Qt I•: • , y f —j _• • -—I--I—- (IJ STIRRUPS AT SECTION 3 6H-21 ® - 12°0.CX.BALANCE SCALE7•=1•-D° ��'.S S 1 r•.:i r '1 ::: 14,1 I I I ' �I j71 Ji M 1 I••r T [ I it k FROM AS UETERNINEA B7 6 'di INBPECIINC GEOTECHMCAI ENG. 2 4 V-BARS a I.( r r.:.. i FRON DBSBNC GRADE 001�SNAFT DE PILE DETAIL 6 6•rr. 46 PILE AND GRADE BEAM PLAN 'A NOTE: NOTE TD PRE CONTRACTOR: BFAN-,'-,0'FI. SECTOOb lAl NUNBFR OF PRES=4, 0 PILES AR =1•-0• SECTION S C A L E a B SCAIE:I"=1'-O" AT IJVING TO 8"AT raP rc fuE-r-3•ir. ` 9 BODAX FOUNDATIONS Proposed Kothakota Residence lot 5, 5116 Watersong Way Hutchinson Island, Florida PILE LOG DATA OF AUGERCAST PILE INSTALLATION NUTTING ENGINEERS OF FLORIDA, INC. Theoretic Total Pile Volume of Record Pile Dia Pile' Pump.• Grout Date No. Pile No: Length � Grout Remarks Volume Strokes Factor Installed (ft) ift3 Pumped 1 5 14.0 30 32.1 37 40.3 1.26 06/19/17 2 41 14.0 30 32.1 37 40.3 1.26 06/19/17 3 8 14.0 24 25.7 30 32.7 1.27 06/19/17 4 13 14.0 23 24.6 30 32.7 1.33 06/19/17 5 17 14.0 24 25.7 32 34.9 1.36 06/19/17 6 14 14.0 25 1 26.7 32 34.9 1.31 06/19/17 7 16 14.0 24 25.7 30 32.7 1.27 06/19/17 8 18 14.0 24 25.7 30 32.7 1.27 06/19/17 9 19 14.0 24 25.7 31 33.8 1.32 06/19/17 10 21 14.0 24 25.7 31 33.8 1.32 06/19/17 11 22 14.0 24 25.7 30 32.7 1.27 06/19/17 12 23 14.0 24 25.7 38 41.4 1.61 06/19/17 13 24 14.0 24 25.7 33 36.0 1.40 06/19/17 14 25 14.0 24 25.7 31 33.8 1.32 06/19/17 15 26 14.0 24 25.7 30 32.7 1.27 06/19/17 16 15 14.0 24 25.7 35 38.2 1.49 06/19/17 17 20 14.0 25 26.7 31 33.8 1.26 06/19/17 18 27 14.0 25 26.7 36 39.2 1.47 06/19/17 19 30 14.0 25 26.7 31 33.8 1.26 06/19/17 20 33 14.0 25 26.7 31 33.8 1.26 06/19/17 21 34 14.0 25 26.7 35 38.2 1.43 06/19/17 22 39 14.0 26 27.8 37 40.3 1.45 06/19/17 23 40 14.0 27 28.9 30 32.7 1.13 06/19/17 24 28 14.0 24 25.7 33 36.0 1.40 06/19/17 25 31 14.0 23 1 24.6 30 32.7 1.33 06/19/17 26 35 1 14.0 23 24.6 31 33.8 1.37 06/19/17 27 29 14.0 23 24.6 30 32.7 1.33 06/19/17 28 32 14.0 24 25.7 30 32.7 1.27 06/19/17 29 37 4.0 3 24.6 30 32.7 .33 06 9 7 31 4 14.0 24 25.7 32 34.9 1.36 06/20/17 32 3 14.0 24 25.7 30 32.7 1.27 06/20/17 33 2 14.0 24 25.7 30 32.7 1.27 06/20/17 34 1 14.0 26 27.8 34 37.1 1.33 06/20/17 35 6 14.0 26 1 27.8 33 36.0 1.29 06/20/17 36 11 14.0 25 26.7 37 40.3 1.51 06/20/17 37 7 14.0 24 25.7 35 38.2 1.49 06/20/17 38 10 14.0 24 25.7 33 36.0 1.40 06/20/17 39 13 14.0 24 25.7 33 36.0 1.40 06/20/17 40 12 1 14.0 24 25.7 1 32 34.9 1 1.36 06/20/17 41 36 14.0 23 1 24.6 32 34.9 1.42 1 06 20 7 Total linear feet drilled 1006 Total Grout VoL. (yd ) 53 Minimum depth drilled 23 Maximum depth drilled 30 PILE LOG BODAX 5116 WATERSONG WY HUTCHINSON ISL ACP CEG Nutting e Engineers of Florida Inc.I Established 1967 Engineers report stated piles installed to depths of 23 to 30 feet and a deviation in pile locations. Plans show minimum depth of 32 feet. Please submit an engineer's report from the design professional in charge for the depths stated from Nutting engineers.Also please submit_a revised pile locations plan showing the new locations of the deviation to the piles along with a revised pile Plan for the deviation in the piles. Please submit revision for the changes needed to the plans for the pile locations and changed the i footings.Also submit an engineer's report from the design professional in charge signing off deviation in the plans, Okaying the new pile depths.See note below IoAd Cs� I r(. l RECEIVED AUG 10 7-017 CIVIL - STRUCTURAL - MARINE i CSM ENGINEERING, LLC a VV4 v 208 1 SE OCEAN BOULEVARD — SUITE 1 A STUART, FLORIDA 34996 o: 772-220-4601 w: www.CSM—E.NET E N G 1 N E E R I N G 3-August-2017 Attn:Building Official St.Lucie County Building Department 2300 Virginia Ave. Ft.Pierce,FL 34982 o: 772-462-1553 Re: Kothakota Residence;Lot 5,5116 Watersong Way—New Structure on Concrete Pilings Permit#: 1702-0019 Dear Building Official, About the above project,we have reviewed the pile driving logs provided by Nutting Engineers dated June 26,2017 for the Kothakota residence. Due to better than expected soil conditions,driving the piles to the depth specified on CSM Engineering drawings was not necessary.\CSD61 iiljy Mgr;'/with the Nutting Engineers report and accept the reduced pile depth as specified in this report. CSM dia_E_0a&h bi!rj le vertical bars to terminate into the grade beam with hook bars. The contractor extended each verti4a) am� E�> C}e big aim,jnimum of 18 inches without a hook and this is acceptable. C e o. 1 0�ehr en ,PE Ski Engineer C i meet-WTILOF •• �(/ ON i ••....... G \� FILE C071 B17 RECEI .r_D Abu i �I 38.75" 54" W' 38.75" Ir 38.75" 52" In a In LH z RH OPPOSITE z U- 0 U- 0 0 LU 0 27" I 49.$00 Z z "2T' 26" 11149.50" z 5" 11" DOOR 36" 5n 5 36" DOOR 11" 11 36" DOOR INSIDE FINISHED 52" INSIDE FINISHED 52" INSIDE FINISHED 57' r 38.75" 54" 54° 38.75" 54" w w 46.76' LU p LH ADJACENT 0 z z O RH ADJACENT BACK WALL z 0 LL. U. 0 0 p p W 0 27„ 49.50" M z z to49.50" 27" 40.50" Z 4f1 6A 5" 11" 36"DOOR 5" $"p 36"DOOR 11" 36"DOOR 11" INSIDE FINISHED 52" INSIDE FINISHED 52" r INSIDE FINISHED 52" SOUTHEAST ELEVATOR,INC. M 461-0030 116�J l ., - r •arc- • • i ELEVATOR,EQUIPMENT PROVISIONS BY OTHERS BRACKET DETAIL TYPICAL FA.STE141NG: 1) DISCONNECT FOP.PUMP I.IOTOR:230V 1 i EQUIPMENT ROOM AND PLUMB kNOOD STUD:SEA. 30AGP'Nl7H NEUTRAL AND AUX.S';vlTCH 1 f"'X 3.25"LAGS FROI•JT':'IElf? HOIST;JAl'TO LOCAL CODE..S FOR B.A+EP.Y LO'NERNG 2 SLEEVESlCORDUFM FOP.HYDRAULIC SOLID BLOCK:3EA. 2) 110'•/ 15AMP VNTH DISCONNECT FOR HOSES AND ELECTRICAL FROM EQUIPMENT WEDGE ANCHORS CAB LIGHTING 70 HOISTNAI, 1!2"X 3.7$" 6" 6" 6" 6" 3)TELEPHONE LINE 3i REMOVABLE BARRICADES ON HOISTNAY OPENINGS VERTICAL BRACKET SPACINGT k4AKIhALItv1 20"x2O"x7" 41 ALL DIMENSION TOLERANCES TO BE CONTROLLER WTIHIN V4- RAIL kv ALL DETAIL I Si 220V AND 110V CIP.CUfi S S4ffH 1 2 NEUTRAL AND DISCONNECTS SUPPLIED TO S rARTAT RAIL INALL � CONTROLLER CENTER LINE';JITH FIRST 48•• firTELEPHONELUTE STUD ViORK OUTFRO1.1 NOTE:PIPING.ANDWREFROM 7}STRUCTUP.AL140TE:DRAWINGS SIGNED iHERE6"ON CENTER.BOTH AND SEALED FOR ANCHORAGE,DISCONNECTS TO CONTROLLER r• DIRECTIONS.STUDS TO BE 3;{-PLYWOOD PUMP UNIT PROVIDED BY ELECTRICIAN ACHORAGE DESIGNED FOR IN-LINE BOTTOM TO TOP OF DIRECTLY ON I` 23"X 15 LL4tlUFAC UREP.S GIVEN LOADS RAIL WALL,USE PLUMB BOB STUDS FROM OR LASER FOR ALIGRME4lT BOTTOM TO TOP OF 1 1 I RAIL WALL ONLY, J NAJLED OR 24"NUN. I El El F SCRE';vEO EVERT' 6"TO S" ELEVATOR SPECIFICATIONS 2"X 4"Mill.STUD 4' COMPLIES SvRH ASIDE A 17.1 ' TYPE:HYDRAULIC CAPACRY:950LBS SPEED'40FPM CONTROLLER:PLC DOOR.LOCK:EMI PAILS:1 O'X SLB 4' " PAIL BRACKET:FORMED STEEL SU SPENION:315-AIRCRAFT CABLE SUSPENION RATING:14,400L5S EA. SUSPENION END:SHACKLE!BUT CAR SLING:FORMED STEEL PLATFORM:1 12" 4' CAB WALLS:314- PLW-FOOD FULL Vv1DTH OF ' CAB ROOF:314" RAIL INALL CAP,STATION:14 GA ' PHONE:JACK!BOX HANDRAIL:32- GATE:SCISSOR!FOLDING APPROVED: GATE SW i CH:GAL Ti PE PLUNGER:2 2!." APPROVED AS NOTED: CYLINDER:4- PO,'vER UNIT:SUBMERSIBLE BY: OVERLOAD:THEP.1dAL MOTOR:4 HP JOB NAME: PUMP:35L ADDRESS: SHEAVE:10-1 FORMED STEEL GUIDE SHOES:ALUMINUM SOUTHEAST ELEVATOR,INC. PAGE 2 772-461-0030 i i i ELEVATOR SHAFT WALL ELEVATOR CAB THE DISTANCE BETWEEN THE DOOR AIJD ELEVATOR GATE MUST REJECT A 4"BALL a� f� /�. �1 :\ MAX. 1R„ \� '� FLAT TRIM TYPICAL LANDING DOOR ANY WALL THICKNESS MUST COMPLY WITH THE DOOR SETTING AT NOT TO EXCEED 114",MAX. BETWEEN THE DOOR 114" AND THE INSIDE FINISHED SHAFT MIKE SURE TO ALLOW FOR INSIDE FINISHING, APPROVED: FURRING AND DRYWALL,STUCCO,ECT.1l4" FROtvt T i E DOOR TO THIS FINISHES IS THE MAX APPROVED AS NOTED: BY: T ERE IS NO WIGGLE ROOM HERE! JOB NAME: ADDRESS: SOUTHEAST ELEVATOR,INC. PAGE' 772-461-0030 -'~ OPTIONAL METHOD: CONSULT%MTH SEI BEFORE USING THIS KIJOTGH l OVER PLATE ;' 2 �!� METHOD, 1 3/4"MIN.THICK DOOMS REQUIRED FOR DOOR INTERLOCK ` SUPPLIED BY S.E.I_ r DETAIL: +/ CUT ROUTER OUT POCKET INDOOR 2 114"X 2 1!4"X 11 2 1/4"X 11" KNOTCH INDOOR 11 y FOR ELEVATOR ELEVATOR SHAFT SIDE I1•4TERLOCK 21,`4" J / 2 1/4" r r DOOR ' 1/4"MIN. - -------------- InJALL 2"X 2"X 10" AND ELEVATOR 73"FOR 6"DOOR DOUR INTERLOCK JAMB DOOR 67-FOR 80"DOOR APPROVED: APPROVED AS NOTED: BY: JOB NAME: ADDRESS: SOUTHEAST ELEVATOR,WC. PAGE 4 772-461-0030 zzc, am a X54398296. a RECE1'�' D AUG 10 2017 � 6n Plant: Begin Loading., To Job: 'Arrive Job: Start Unload; Finish Unload: Leave Job: Return Plant: Customer Code:Y Customer Name: Customer Job Number: Order Code/Date: Pro ctLfode: JPiojec`!Tame�`�F-'l—EN CON ff RL�C"f �,.01\1 -INC Project P.O.Number: �OrderP.O.NumQr: ��r'f'�7 4 11 15 :=' � 51-1:G q�ATE-RSl�NU WAY 5116 WATERSE3KIG - 5.:� �+� E+�i�'l"I F=f�SUIgr Ticket Date. Delivery Adress: Map Page: MaplRow/Column: Delivery Instructions: Dispatcher. TOSSITI. AIL-Lr,'WABLE tndnci� ; ;rr'_<wir Ticket Number: D`X TE SOUTH 1 1f-K L ON MONTEREY tp1AK%E RT ON E OCEAN :0LL.OW iN:OR 1 H tit"`- THE POWER PL-Aft"f'WOB ON OCEAN SIDE 3520-3�^E, Due On Job: Slump: _ Truck Number: Drivel Number: Driver Name: End Use: 1 1 n i;�:a �:. 5!_; :l r.;ri? `� 1 1 � t__�J y 'J [f'l L" Pe1 11 3 :[E NI_��tdfi a E:=.T SHEL LOAD CUMULATIVE ORDERED QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 3o. of 156",594 C{:r!:0 REG.`l-iPWR YD3 E'r';-5 El-,AVIf:C)'NWI'E'P,ITAL..: CHARGE , Cash, Check#!Auth Code: Signature of Driver Receiving Cash: Cash Received; Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: WATER ADDED:, GAL , YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: E OI~;1_ RETE DISPOSAL- FEE _ PART.IAL. __.. FUL-.". LOAD �._ _ Yi'-,RD6 SIGNATURE ❑LOAD WAS TESTED BY: Notice; Our drivers will make every effort to place materials where the customer designates,but the SPECIAL TERMS: Any water added a to ers ogate P ed on job,concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: t a n ay rritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety a h' s kIde of this ticket for important control after delivery,this Company will not accept any responsibility for the finished results. No credit for safety handling information,and.to th at d it nal information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:, within one business day after the receipt of materials. O i �Ft E'i i ill'.a LL,(4))- NIJ: e 1 -68UNIVERSAL - INVOICE ZZC G M G x LO . .• Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: i Customer Code: Customer Name: Customer Job Number: Order Code/Date: •,Jt._;.._.:, Project Code: Project Name: Project P.O.Number. Order P.O.Number: :• - - { , � to -,, ' '-• _.�.,; , 1 Ticket Date: Delivery Address: Map Page: Map/Row/Column: Delivery Instructions: Dispatcher: Ticket Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: ' __ - i i�rt i�s i-l: .7 •i "'tJ: .•"Ia L._^_I',:,�- j 1!�_i"�.Jr.`I\i 5�..-tir, __ _ LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION ,UOM UNIT PRICE 'AMOUNT QUANTITY QUANTITY QUANTITY I .,..,F fi::.'�:..:_- •:u` ..i((t'}11.1 ........ j. f ,'.4 uLf.11.~ ..n ._., - I' .,t:7 ! _�i� .. G,I'•j'. J:I`y:..jt`i lY�'_y.. i ,^". :�,"I lr'i .,_._ - 1 Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check 71 Charge Comments: WATERADDED: GAL YARDS IN-DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S F f ---- ---' ❑ LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates,but the SPECIAL TERMS: Any water added is at customers Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may ca. �! terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. Please' /'CO control after delivery,this Company will not accept any responsibility for the finished results. No credit for safety handling information,and to the material safety dataG returnel concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE: f� within one business day after the receipt of materials. 0 f�G✓ 68UNIVERSAL ;'7[:.l l rt�;. ' ."r c ;. ra f S I- r', r; \l \ <.. f INVOICE'-' ?i !..: ZZCC-MC-X Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave,Job: Return Plant: v Customer Code: Customer Name: Customer Job Number: Order Code I Date: Project Code: Project Name: Project P.O.Number: Order P.O Number: Ticket Date: Delivery Address: Map Page: Map/Row/Column: Delivery Instructions: Dispatcher: Ticket Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY I ICash Check#lAuth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE 0 LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates,but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job,concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important control after delivery,this Company will not accept any responsibility for the finished results. No credit for safety handling information,and to the material safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE: within one business day after the receipt of materials. 68UNIVERSAL CUSTOMER i� � a-doll ' RECE j V p JU I j 191��7 - - T - 2101�NW 1dOth Ave: . I r oc�"_Q _C ETE ` READY MDCCONCREfECONIANSPgRiIiWDCEMFM Miami,+FL 33172 AVOIDCONTACTWfTHEYESANDPROLONGEDCONiQCT Dad-M(305).669 0611 WfTHSKIN WEAR RUBBERBbOTSANDGLOVES - Broward�;954)434 124.4 IN CASE OF CONTACT WRH SKIN OR EYES FLUSH Fax305),599 2827� THOROUGHLY WffH WATER.IF IRR(TATION.PERSISTS`^.� - - -- c GET MEDICAL'AT�TENT1 K KEEP CHILOREN AWAY www•adonelconocete com 4 s+ SOLD TO DATE ��•{�i—rf#3�'6�a 1P�lS �p1�1 � 6t DRIVER:FILL IN i'�L"Te.'`.I!:)I G 'S'�)c�Y Y'7L1 Y't.l..�d:7g w' i„'. � � - •• .. :9A7CH TIME`_ `f0 . LEAVING PLANT 10-97 ^S7 - 10—t :DELIVERY : 4DDRESS ` 'aaAlJEori°cos . ,srARnnicuNLOAnwG to-a - REMARKS:.' . .JOB NUMBER PO NUMBER _ STRUCK NO tDRIVER PRODUCT CODE CUSTOMER NUMBER, � . Y ��Q�RI��� _ '1���3�, {� ' � 04� ,y - Al' _ CUt�IC VARDS I QTY ORDERED TO?AL DEL, `. DESCRIPTION UNIT PRICE AMOUNT MAYS - )(.; MvL'h; 3I$F7G _F. . .,_(> w�iS)P3sl AFVi$ I SLUMP` sa .F:ta I•HAVE.AUTHORIZEDTRE DRIVER OF THIS TRU K 1 j TO ADD GALLONS OF WATERll_ y j j ��, �` STATE SALES TAX RECEIVE i �r;coP. • r I <- •T • r �� 11®aC carters - `hill'WAN TOiTv' SKIN A YFS 2t1�Q11tN11�1"�T�79}h�AVe READYMIXCONCREfECOPf7AINSPORTiANOCEMENT `'A�!OIDCONTACTaWfTHEYESMIDPAOLONGED�``CONTACT 1 ' , I, Dade35)88 611i 4 WfTFI SMNWFi1R RUBBER 800 D GLOVES y `� Browa 954 4�34 124,t cOEM,coNracrwnriswuoREs��ul l _ FaXd(305) 99�Z8271 TMHLYsWfTH WATER IF IRRfTATION PFASISTS k te�C _ GETMEDICALATIEIJMNJOA !}�EPCHILDF?ENAWAY" ' • - -�- '• �� ,Vvvvul/adonelconcre oin QY)( }i TIkJ1l�1Y iDFiI VER, FILLINi = �, s' /ADDERS IaaONJ08 _,STARTINGUNLOADIN61} : 102 1o=s ; 1 iFlNiSH UN600DINGs_'LEAVING JOB JOBDyUMBER P`O 'NUMBER `TRUCK#NO. DRIy(ER Y ,; JPRODUCT�CbDE- _ USTOMER NU j ,. Eta ga C" S CUEIC�YARbS TQTY,ORDERED 1 TOTAL DEL XDESGRIPTIONI UNIT PRICE �ANIOUNTr #3t3 � i71G1�'y :I a3 G$ 'PS 'SLUMP ' LIH�AVE AUTiHORIZED"tHE DRIVER+OF THIS TRUCK _ TO�ADD GALLONSOFtWATER T-�"v STATE�SALESrTAX. 'RECEIVED B I �I i i I I 'SOr 2�1014�NVII(1x10tI1N'AVe READYMD(CONCRETECCNTAINSPORRANDCEMENi .; C_R EMME .,aF 3 Ir72 AVOIDCCNfACT�NfTIiEYESANDPRCLCNGEDCONiACf Dace c(305,669'06,11` ' WfTFISI4N WF1RUeBER800iSANDGLAVES IBrol�lard� (94)434t,7244 IN CSfiOF CONTACT WfiH SKIN OR EYESrFLUSH G' n € 1FaX{,(305)599,2827,` TFiQROIGH)YeWITHWATER IFIRRRATIONBERSIST5 www�adonelconorete com GETMEDIG-II HJRON W..p DREtJ%WAY ,`SOLD�T�O: 'DATE Arj f 'WATT ��i�� $�E!1T��;L���31 I , �DRIUER�FIT{L°IN ,�BATCHTIMEC` 10=11. • i- _ - - i LEAVING PIANi DELIVERY aiasz � 1 ADD�RE$S ARRIVEO 0Q ISA U ADING { ,10.2 7 I1 5 iREMARKS FINISH UNLOADI JOB NUMBER }P O NUMBER _TRUCK y0 DRIVER PRODUCT CODE CUSTOMER NUMBER _c>3 =,w i�ARRI � (3t CUBICIYARDS IQTY ORDERED TO,TAL�DEL: DESGRIPr710N1 o IU_NITPRICE AMOUyR j., — — _ 0, .,.�� OO �{.) ►`.I��t�C'. JZ t41 C:��e-7 rS -W4y��GlV!i��L•_4.iZ"9t'ef:1{3�'.:.. .. „ ,_ ... _. ., T $ .'�%{:IG@s'FDf t� 9 00, fl SLUMP'I I HAVEAUTH RIZED THE DRIVER OF THIS TRUCK 7_ TO'ADD,,_ ) GALLON$OF WATER d s, ES.TAX STATE SAL - AECEIVED;BY' TOTAL I I I i lu2101s1NWi510th� ve - l a CO z � I� RET�E READY MIX CONCREfECONiAINSPORiLANOCEMENi Mam FL33172 Avoloc�NrAcrwmiEYESANDPROLONGEocaMACT Dade�(305 669�061`i V f1HSwN%EWjFUBBERSOOTSANDGLOVES t3 I Broward'(y�4)434 1244' INOPSEOFCONTAGTWfTHSIdNOREYES,FLUSH ce _ Fax (305)599�2827 11•IOROUGHLYWR}IWATERIFIRiiI�ATIONPEF1515T5 _ T 3 ` - GEf MEDICAL ATTEtJTION I�EP CHILDREN AWAY _ - ; SOLD TO I :www adonelconcrete com' DATiE C1i�r,( ��7 iES� 1Y�S�S. DRI1/ERvF IL L,IN v �IBA HTiME'• - ? x - _ 10V r DEUIVERY -. +,o i ADRESS ARR ON JOB. sr uNLoaaNG f � b` R SHUNLOADING VINGJOB REMARKS •_ - - - JOBNUMBER P O NUMBER TRUCK NO DRIVER PRODUCT CODE CUSTOMER NUMBER ------------- SAE{F I �ti , ca i t R!' 50 'ACIG- 0 31 3c x } L it CUBICYPRDS` QTY''ORDERED TOTAL�DEL DESCRIPTION UNIT PRICE AMOUNT {UI�1P'IlrffI.hL .L:tH.ICI u . _. i j - QfJ g i'I ". . ! , -. SLUMP-- . I'. •' I HAVE AUTHORIZED THE DRIVER OF THIS TRUCK Tt?ADD GALLONSFOF WATER ~�`` sTATEsaLEs Tax CEIVED BY ` TOTAL RE 1 i I r i I 2101j NW,1Al)thrAve FIEADYMa00NORETECONrAINSPOR7LAfdoCEMEM d ' COIJICETE 1MIan�Ii;FLc331�r2 AVOIDCOWACf�WfIHEYESA1JpPROLO NOR CONiACT I , I, Dade (305)669�0B,1i1, WITHS �J WE/1FiFLQ B �B00TSANDGLOVES{ w_ Broward (954);4341244 INCASEOFcorrrAcrwnrlswNoaEYEs�usH -� Fax�(305)�5982827 n�okouGH�vwmiwA�`IFlriairnnoNP�slsrs ..a I r _ Loa 3 ww_ w ohcrete com- I ;�' a�10116IC .. GET MEDICALATIFtJiION KEEP AWAY to —ND DATE• i r f �v�r'4 FCiUit3)�t5 Y'Llt�1�, �+ DR11/ER'FILL`INY �.kt iIV -Pl"!')�1 eATGHnME ., 1011:; 1 � � LEAVINGPtANT - �•'�' u I {DELIVERY ADDRESS. U9F 0NJoe oARnNGUNLOADWG f,FIN[SH UNLOADING LEAVING JOB 'REMARKS JOB NUMBER PO:pNUMBER TRUCKiNO. DRIVER PRODUCTtCODE, GUSTOMERzNUMBER RFtISTRY,E1.zCZ1f. >.. f CUBIC YARDS QTtY.•CRDEREI) TOTAL DEL ; - DESCRIPTION,. - UNIT PRICE AMOUNT 27- l 43f� . {)t ": l~t+f /I HUt�1F�dt-N t,aL { Rtiv�. fa:0t ~. �J _ klC 4il5itx� SLU P I _ I ;HAVE AUTHORIZED THE DRIVER OF THIj CWATER saLEs taxRECEIV ` •_ - TO.-''"� _ - ...•.., _ _ ter--.,.. I r I y II 1 _ _ raxy(��7�2}�4Q4"894`1 ,WARNING �' 7 771 L'., uel� rS ;IRRITATION�TOTHE+SKIN ANb'EYES tip ,�/��A■ry. R 21,0' INW/;1C10t�►�Av@ R�,oYMgccoNCR oo�rraivsPORtvuwoc�FNr +�', O/�,1_�i�■ �4.t -ATE - ,MI'aRiiJF,L,'3.3�17r2` i 7AVOID.ODNTACiWtiHEYESANOPROLONG�CONfACT E.' xr 1 ,Dade (ti05)869 06i 1, W(fFi S10N 4VEAA RUBBER B00is ANO GioVES '�- -� - 4Broward��95����}3�',1�4�4*` INGASEOFWNIACTWITNSbNOREYES'FLUSH' �, Fax 905 599-ZBZT' 1 10R000HLYWtT}iWATER IFiRR(TA1tQNPERSum �• � � ? GEfMEDICALAfTEM10N I�Ef�CHILORENAI,NAY t... �a ? AX ©RI,UERt'FIL_L' INS 14�`a 'R-90 G l�IAY. Lq�U DELIVERY }fast io vING 1 ADDRESS ARR oN�oa sraRn unn Nc S NISN41 I {DARKS Fl NLOADINC, LEAVING J08 ,IIQB NUMBER PO NUMBER- TRUCKtNO.. ;• iDRi1�ER ,, �PRODUGTrtCODE : � iCUSTOMER NUMBER `- ?� R� tb4e6, .7 r F tt��dit�°u a 1 G f�l 3 faU f��'i CUBIC YARDS QTY;ORDERED TOTQLsDEL > DESC�iiR710N UNIT,PRICE AMOUNT ' SLUMP, r• - 1 HAVE AUTHORIZED THE DRIVER OF THIS TRU.0 TO ADD GALLONS QF WATER —; ,RECEIVen it Knl•`-. -- I i - i i 21011 NW�,1e1Oth Ave REnoy�ni>�voNcaErEcoNraNSPo ocanENr } �> ' CQ.�V , cE MiamF,Fl;3317r2 AVOIDCONiAOT�WRHEYESAND`PROLON�-GEDCOMACT a ti i I Dade305+`6B9 0B141 Wnw'SIaN W�ARRu e{teoorsAN�Loves + ero�lva :1�(954)434`124{ IN cAseoFcoNrAcrw�tHsNoa RUSH a i i FaX J(305)�599 Z827 TMoUGHLYWfiHV(ATERNIFIRRITATIONPEASISTS i dOO ICO CALATfFNTI 1NWW a Y, ® 11C�6t@sC0111 GESMmi ON KEEP CHILDFETI'AWAY, 4 2 GPI a x ", 4 + e )<) T`' DRIVER FILL'I Nil� 11fi1L)�'Ty5lSfyxL2 v�'�11` rDT� ISM anrcHnM�: DElS1UERY+ r �io-ar 4� io>i cw ADDRE$S� AaRNE�ios sriwnNG UNwnaNG ( �FINISH�L(NCI LEAVING JOB JOBiNUAf�BER P'O NUMBER TRUCKtNO DRIVER PRODUCT CODE CUSTOMER'NUMBER EB 5 0AC -- CUBIC YAADS QTY ORDERED TOaTAL DEL. DESCRIPTION UNIT PRICE AMOUNT ILK MMLL14'1 A'L `i;-Hail-dGL t, iGE _. - SLUMP:, HAVE AU, 'AhZED THE DRIVER OF TWIS TRU K TQ.'ADD�! �GALLONS OF WATER STATE SAI�ES;TAX ` f / 17 ,REC'EIV DIK' .I -- - TOTAL i I i