HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT NT SERVICES DEPARTMENT
BUILDING&CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
1,the undersigned,am the owner of the following described property,
1-33o(, ivy,) 3&(,4wood Palm City, F1 34490 -7"1-4 -103 004IJ 000
(Parcel ld#/Lc,-al 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 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
corni-nunity.
Scott Harala
Property Owner Name(Please Print)
Propert3(,C�Zcr ignaturc; Ddite
STATE OF FLORIDA,COUNTY OF Broward
ACKNOWLEDGED BEFORE ME THIS 20th DAY OF March 20 17
By Scott Harala WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
—SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
Tyr SANDIGOOPER ll
';kl'MFloridat4ouary -State Of F1011(l
'o Public
SLCPD evised 0 comnlission FF N5
f.
SD R
20EW" 9
PAy Comm.Expires SCII 7,201
IjOnfle(I t1lough[,jallonal K1(,,t;try Assn.
)1 2"! ri
Soil Nuclear Gauge Client: Project:
G��• Report Date:5/19/2017 Standard Pacific Homes,South Florida 13-0183.00
Test Method:ASTM D 6938 825 Coral Ridge Drive Riverbend
Port St.Lucie Coral Springs, FL 33071-4180 St. Lucie County, Florida
FBPE CA#4930
521 NW Enterprise Drive
Port St.Lucie,FL 34986
Phone:772-924-3575 1 Fax:772-924-3580
Test Results
Optimum Maximum In Place In Place Probe Min/Max
Retest Test Soil Moisture Dry Density Moisture Dry Density Depth Percent Comp.
Test# Of Date Proctor ID Method Classification N (pcf) M (pcf) (in) Compaction N Remark
120 5/18/17 P-1 N/A 10.2 116.0 9.5 109.8 12 95 95/105 Pass
121 5/18/17 P-1 N/A 10.2 116.0 9.0 110.6 12 95 95/105 Pass
• 122 5/18/17 P-1 N/A 10.2 116.0 9.0 111.3 12 96 95/105 Pass
Test Information
Gauge
Test# Test Location Elevation Reference Make/Model/SN Field Technician
120 Below.Slab Grade:Lot 38,3108 NW Radcliffe Way,foundation pad,southeast comer 0-1 Troxler3430 34907 Grimes,John
(PERMIT NO.1512-0411)
121 Below Slab Grade:Lot 38,3108 NW Radcliffe Way,foundation pad,northwest corner 0-1 Troxler 3430 34907 Grimes,John
(PERMIT NO.1512-0411)
122 Below Slab Grade:Lot 38,3108 NW Radcliffe Way,foundation pad,center (PERMIT NO. 0-1 Troxler 3430 34907 Grimes,John
1512-0411)
Remarks Comments_
Pass:Tests results comply with specifications Tests are"Direct Transmission"(Method A)unless probe depth is noted as
"Backscatter".Gauge calibration data on file with the testing agency.
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Test Reports shall not be reproduced,except in full,without the written approval of GFA International Inc. Page 1 of 1
Digitally signed printed.copies of this document are not considered signed and sealed and the signature must be verified on any electronic copies.
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