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Home My WebLink AboutHealth Dept FinalAPPLICATION # : AP 1462612 STATE OF FLORIDA PERMIT #: 56-SF-2031320 DEPARTMENT OF HEALTH DOCUMENT # : FI 1581897 t t'sy ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PAID:01/17/2020 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE WE FEE PAID :660.00 RECEIPT #:56-PID-4267473 APPLICANT: George & Helen Stefanakis AGENT: PROPERTY ADDRESS: 4535 S Indian River Dr Fort Pierce, FL 34981 LOT: BLOCK: SUBDIVISION: ID# : 2436-324-0003-000-1 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ ] [01] TANK SIZE [1] 1090.00 [21 [ ] [271 SURFACE WATER 100 FT [ ] [021 TANK MATERIAL Polypropylene [ ] [28] DITCHES FT [ ] [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS 77 FT [ ] [041 MULTI -CHAMBERED [ Y N ] [ ] (301 PUBLIC WELLS FT [ ] [051 OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS FT [ ] [06] LEGEND 1. 70-143-11DC4 2. [ ] [321 POTABLE WATER 59 FT [ ] [071 WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 10 FT [ ] [081 LEVEL [ ] [341 PROPERTY LINES 18 FT [ ] (09] DEPTH TO LID [ ] [351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ ] [101 AREA [1] 396.2 [21 SQFT [ ] [361 DRAINFIELD COVER [ ] [111 DISTRIBUTION BOX HEADER X [ ] [371 SHOULDERS [ ] (121 NUMBER OF DRAINLINES 1. 5.00 2. [ ] [381 SLOPES [ ] [131 DRAINLINE SEPARATION [ ] [391 STABILIZATION [ ] [14] DRAINLINE SLOPE [ ] [151 DEPTH OF COVER ADDITIONAL INFORMATION [ ] [161 ELEVATION ( ABOVE / BELOW ]BM 13.00 [ ] [40] UNOBSTRUCTED AREA [ ] [171 SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF [ ] [181 DOSING PUMPS [ ] [42] ALARMS [ ] [19] AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT [ ] (201 AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA [ ] (211 AGGREGATE DEPTH [ ] (451 LOCATION CONFORMS WITH SITE PLAN [ ] (461 FINAL SITE GRADING FILL / EXCAVATION MATERIAL [ ] [471 CONTRACTOR MICHAEL W STUHR (ASHTO [ ] [221 FILL AMOUNT [ ] (481 OTHER INFILTRATOR Quick4 Plus EQ36 LP [ ] [231 FILL TEXTURE [ ] [241 EXCAVATION DEPTH ABANDONMENT [ ] [251 AREA REPLACED [ ] [491 TANK PUMPED [ ] [261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED Comments: Comments are on page 2. 141 / St. Lucie CHD DATE: 12/11/2020 CONSTRUCTION I APPROVED DISAPPROVED ) ' Environmental Specialist I 'an J Ingram (ENVIRONMENTAL HEALTH) FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 02/17/2021 nvironmental Specialis II Brian J Ingram (ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1462612 EID2031320 APPLICATION #:AP1462612 STATE OF FLORIDA PERMIT #:56-SF-2031320 DEPARTMENT OF HEALTH DOCUMENT # : FI 1581897 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:01/17/2020 W6 Violation Number Comment Comments FEE PAID :660.00 RECEIPT # :56-P I D-4267473 The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. New ST, filter, and 5x7 long TRENCH DF installed. no violations, system ok to cover, contractor notified by phone. Needs final inspection for well setback. Final system approved. Contractor and building department emailed final approval. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1462612 EI02031320 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL APPLICANT: George & Helen Stefanakis APPLICATION #:AP1462612 PERMIT #:56-SF-2031320 DOCUMENT # : FI 1556249 DATE PAID : 01 /17/2020 FEE PAID:660.00 RECEIPT #:56-PID-4267473 AGENT: LW PROPERTY ADDRESS: TBD S Indian River Dr Fort Pierce, FL 34981 LOT: BLOCK: SUBDIVISION: ID# : 2436-324-0003-000-1 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ ] [01] TANK SIZE [11 1090.00 [21 [ ] [271 SURFACE WATER 100 FT [ ] [021 TANK MATERIAL Polypropylene [ ] 1281 DITCHES FT [ ] [031 OUTLET DEVICE [ ] (291 PRIVATE WELLS 77 FT [ ] [04] MULTI -CHAMBERED [ Y N ] [ ] [301 PUBLIC WELLS FT [ ] [05] OUTLET FILTER PolylokPL-68 [ ] [311 IRRIGATION WELLS FT [ ] [ 0 6 ] LEGEND 1. 70-143-11 DC4 2. [ ] [ 32 ] POTABLE WATER 59 FT [ ] [071 WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 10 FT [ ] [08] LEVEL [ ] [34] PROPERTY LINES 18 FT [ ] [091 DEPTH TO LID [ ] [351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ ] [101 AREA [1] 396.2 [2] SQFT [ ] [361 DRAINFIELD COVER [ ] [111 DISTRIBUTION BOX HEADER X [ ] [371 SHOULDERS [ ] (121 NUMBER OF DRAINLINES 1. 5.00 2. [ ] [381 SLOPES [ ] [131 DRAINLINE SEPARATION [ ] (391 STABILIZATION [ ] [141 DRAINLINE SLOPE [ ] [151 DEPTH OF COVER ADDITIONAL INFORMATION [ ] [161 ELEVATION [ ABOVE / BELOW ]BM 13.00 [ ] [40] UNOBSTRUCTED AREA [ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF [ ] [18] DOSING PUMPS [ ] [42] ALARMS [ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT [ ] [20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA [ ] [21] AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN [ ] [461 FINAL SITE GRADING FILL / EXCAVATION MATERIAL [ ] [471 CONTRACTOR MICHAEL W STUHR (ASHTO [ ] [221 FILL AMOUNT [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP [ ] [231 FILL TEXTURE [ ] (241 EXCAVATION DEPTH ABANDONMENT [ ] [251 AREA REPLACED [ ] [491 TANK PUMPED [ ] [261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED Comments: Comments are on page 2. St. Lucie CHD DATE: 12/11/2020 CONSTRUCTION [ APPROVED DISAPPROVED Environmental S e ialis rian J Ingram (ENVIRONMENTAL HEALTH) FINAL SYSTEM [ APPROVED / DISAPPROVED St. Lucie CHD DATE: 12/11/2020 c Environmental SI list II Brian J Ingram (ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1462612 EID2031320 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Violation Number Comment Comments APPLICATION #:AP1462612 PERMIT #:56-SF-2031320 DOCUMENT # : FI 1556249 DATE PAID:01/17/2020 FEE PAID:660.00 RECEIPT #:56-PID-4267473 The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. New ST, filter, and 5x7 long TRENCH DF installed. no violations, system ok to cover, contractor notified by phone. Needs final inspection for well setback. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1462612 EID2031320 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: George & Helen Stefanakis PROPERTY ADDRESS LOT TBD S Indian River Dr Fort Pierce, FL 34981 BLOCK: SUBDIVISION: PERMIT #:56-SF-2031320 APPLICATION # : AP1462612 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1301520 PROPERTY ID #: 2436-324-0003-000-1 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD Seotic New CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 375 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [] MOUND I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION of BENCHMARK: Orange paint spot on NE corner of south neighboring DW at road (house addressed 4531) I ELEVATION OF PROPOSED SYSTEM SITE [ 15.001 INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 15.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E 0 T H E R ILL REQUIRED: [ U.UU] INCHES EXCAVATION REQUIMU: L j 1Ncnr The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHD Hunt r A Collier DATE ISSUED: 02/04/2020 EXPIRATION DATE: 08/04/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1462612 SE1250963 2>11 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. St. Lucie County Health Department ri ra 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2031320 BILL DOC #:56-BID-4527560 CONSTRUCTION APPLICATION #: AP1462612 RECEIVED FROM: George & Helen Stefanakis AMOUNT PAID: $ 660.00 PAYMENT FORM: CHECK 7320 PAYMENT DATE: 01/17/2020 MAIL TO: George & Helen Stefanakis FACILITY NAME: PROPERTY LOCATION: TBD S Indian River Dr Fort Pierce, FL 34981 Lot: Block: Property ID: 2436-324-0003-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Well Construction 1 $ 115.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4267473 well 00. S'R-50a'60 PTATU QV FLORIDA P194STT NO,% WENT OF MMMH PATE PAM C)NIST-TE SMIAP9 TAEATUTUNT A—NP PTIPPOOAL PAP PAID1 SYSTEM APPLI ' CATION FOR R 9914PTRUCTION PERMIT APPLICATION P@ftj Ntw §y@9@m f I Nmi@Ifig gyqt@fft H@Iding Tank tfifi@VdFiVe R@pdif T@Mpgfdry APPLMANT AgANT MAILINAPPR999i 99q S,u). ST.-Lv,1-ir---,r-1-3 -q 153 TO HE qq;ipl, Tplu Aly APpb-Tp-MVT OR AMNA#T19 AUTHOR199P A99PIT5 PYPTPM§ MUOT Jig C@fi§TRU@Tgb 9Y A Pg�SQN 1Tg-9ff@B9 PURPPAM TO 400.1950) (m) OR 4M559, F&9R1nA 9TATUT99. IT 19 THA APP'ziqzzalV S R - ESPgNPJAILITY To pR@VjpJ9 P@904-14TATNIN OF VIA DATA THN f,@T WA@ QRNAT19D OR PLATTI.A.9 (kY1/PP/Y-Y) IF #99999TIN CONMERMON OF OTAT9TORY @RMPFATHER PROVINONS, PROPERTY TNFQRMTTQN LoTi ghQQKf 9UNIVINON1 PLATTED: 'PROPERTY iD #! )-�--3L Q 003 - QQQ - 1, ZONIM TIM PR 9QVIVAgWi [ Y (0) PROPERTY 91991 0.16 �-- A0499 VIATAR 9UPPLYi 9ftIVAT9 PUBLIQ t Y�E=99909PD t - I �4000ffb ig 59WPA AVAILM-L§ AP PER §91,006§, r9T f Y/N I MTAMC9 TO 99WERi PT PROPERTY 'kDopEgG: pj i" I v F-1c op, oA r to rXIC c- , rt_ P-TA99T19NA TO PRP?c,Wi unit Typ@ of No. @f -4U11(hing @Yf1E@fft b@13!4n N!L— Batabliomm #@dr-@@mg Ar-@a haft TMj@ 1, Phaptof W94, PAO L) 3 4 I I k!l@pk1Aqu1pffi@f1t Drdifill t j Obh@f (@N@eify) - DATg DH 4010, 90(09 whl@-h may not b@ U@@d) fneorporattd 649-6.001, F-,k@ Pdq@ I @f 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: George & Helen Stefanakis CONTRACTOR / AGENT: LOT BLOCK: SUBDIVISION: ID# : 2436-324-0003-000-1 APPLICATION # AP1462612 PERMIT # 56-SF-2031320 DOCUMENT # SE1250963 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.65 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 975.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange paint spot on NE corner of south neighboring DW at road (house address ELEVATION OF PROPOSED SYSTEM SITE 15.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100+ FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 90 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 13 FT POTABLE WATER LINES: 75 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD Cn TT. DDnWTT.F. TN7nRMATTr1N .4TTF. 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Paola Munsell #/Color sand Texture Depth 10YR 5/1 Sand 0 To 20 10YR 6/1 Sand 20 To 71 10YR 3/3 Sand 71 To 72 USDA SOIL SERIES:Paola sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 12 10YR 5/1 Sand 12 To 28 10YR 6/1 Sand 28 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 72 INCHES [ ABOVE / BELOW ] HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [X ] TRENCH [ - REMARKS/ADDITIONAL CRITERIA ] BED [ PERCHED / APPARENT ] EXISTING GRADE DEPTH: INCHES Sand/0.80 DEPTH OF EXCAVATION: INCHES [ ] OTHER (SPECIFY) WSWT evaluated using USDA WSS and soil borings. No indicators observed throughout SB1 or SB2. SB1 15" above BM. SB2 33" above BM. SITE EVALUATED BY: Collier, Hunter (Title: Environmental Specialist 1) (Florida Department of Health in St. L DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC DATE: 01 /31 /2020 Page 3 of 4 AP1462612 EID2031320 v 1.0.2 APPLICANT'S NAME: Gcdr,' A/�Ia G `GK �i��G►f'IGl K S LEGAL DESCR1PT10N: rDtree /X�o 2436 --32:4--0zq-23 0005) I PR0P0SE.D-SEP7X SYSTEMSITE INFUR AT7D1Y ;v .' I certify that there are no potable private wells within 75 feet of the available area for the proposed septic system, that there are no non -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation, that there are no public wells that serve less than 25 people or less than 15 homes or businesses within 100 feet of the proposed septic system, that there are no public wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of the proposed septic system, that the water line from the water meter or well to the structure is at least 10 feet from the available area for the proposed septic system unless the plans show the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement or right-of-way that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proposed septic system unless the property was created prior to 1972, that the septic system is proposed on the side of the lot farthest from surface water, that all private wells, septic systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of building or residences, swimming pools, recorded easements, paved areas or driveways, sidewalks, the general slope of the property, tilled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or wetlands are shown on the applicants lot. The natural grade elevation in the area of the proposed septic system and the benchmark must be shown on the site plan. Please locate the benchmark within 200 feet of the proposed septic system. NOTE: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. �luc;. inrnulicpticuSaptic:�pppPaga'_g7 CERTIFIED BY: FLORIDA P OFESSIONAL NO.: DATfi JOB NO.: 7/