HomeMy WebLinkAboutInspection Docs JOSEM E. SMITK, CLERK OF THE CIRCUIT COURT — SAINT LUCIF, COUNTY
FM # 4327176 OR BOOK 4016 PAGE 1707, Reaordo-d '07/07/2017 11:04:55 AM
STATE OF FLORIDA
S,T.LUOIE COUNTY
1 ' WS IS TO CERTIFY T 3 THIS IS A
TRUE•A D ORRECT OF E
E.Sul
By,
•r OvptdtRy OEer�
The undacsiW hereby ovett AObz tW impltivedttC L will bt M&io mta'sa seal Pmprly, in accost4anre with Chapter 71 ,
Mrida statutes the fallowing infoaudon is provided in the Notice of eomtnettc=mt.
1.DESCREMN or"(QP '(Legal fts ption mtd street address)W TOM NUMBM-3.41 A--5 2 1— 7L.01;7,0.0 0 9.
Spartss
' stls�x�vrs><o � � 1�c't` ,,,��t►r���DG »xrr .��.
� •Se - lz 2 .
2.CEIRALD)BStON OF OVEMEN>r:a gr 1. a��ti rsitc3sn�e
l 3.0'w(t,'LI(MOAMA-0w: aNama. use' Ettil�liyst� Ci7r �raty4►ri •� ��
b.Addx= 9000 S_USI, SU1r_e 402, PSG ' FIt 34952 e.in(esest>nproperty—
d.Name and nddrM of fee&hripta titlehakfer Or other than msm).
4.COMTACT4R'SNAMrhADARFMANDk'84NENU50ER: P7yrine Deye20pant Qrporatiot
J, scan s US3., Suite 402, psL, FL a�ay 7 g �e)ia
� zz.az-
5.9URI''VS NANX ADDRESS AND PHONE Nt1AMER AND BOND AMOUNT:
6.L$A1QM-8 NAB,ADDRESS AND 1'90NE N001�t:
01, 7,Persons within the State of i�toridrr designated b .Owner upon whom notices of other dommuts may be served u provided by
Section 713.1.3(1)(a)7.,Florida Statutes: -
XAMKADA SArMPHO1MNt1Jtd9MD6'-"9 ,'Brantley 1 Silver. Oak, Dr. 'BSI,,. PL.2Q-T---tPM---
B.b alltion to himscif or herself;Owner designates th6 following to receive a copy of th6 Lienot's Notice as prov9dcd in Sttdon
Ivs.i9 Q}(b),'filorid8 statutes:.
NAME,ADDRESS AND PROM NLxv SM
9.'Etgir don data of uolim of commencerneut(i3tC expiration date is 1 yeAr Isom the date of record•;#tw1em a diff&cnt date is
=it go
AND CM MUM:
Yoi1g»A)Mo ; rnz tt zo Y93 'r Y 8 'oar a cast �i3,12�8 EBm9DS M
p r o
Matthew LyI5! Wynne, Vice-Rr-at;,r7. ent
Sicut ue of timer or iprlttt Name Ind I r6vide S(g►atory's w(ttelotrice
Owmes Avthiodua 4fftcexJ!}iseemril'an trter/Mnastger
Start:of Florllla
County of r•T t r•i e
ThA ft:rmelVE instrument was aclmewledgea beFoso
gy Matthew LVZe Wy_nYte a5 ll tom. ftz wut — —
(KAV4 of parSan} (lope of amhorily,..e,g:>Swnu,offiea.ws�c,atmmoy 3n fact)
NrWynize 8ailding Corporation
(Name of pamy on bd%lf of Whom instrument was adc;i dd) Personally Known o produced the fonowing t7pe of ID:
HMO
tm
A raw$
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ECeoy E n05rinted NameofNOiagPub1(c) (SSgnatwt of Notary PuNia) f �,os►2sl2ozo-undR penalties of ptxjury I&elm that i have ra;A the foregoing W that thefans iuio best of my kpwledga and
bclfeY(sccdon 93.525,Plorids 9tatutCs). ,
5yguatm(5)of G wrtcr•(s)or-0"9'Gg)'Aathoriized 0f10er0rectorlPar1net/M8a4ger who signf d shove:
By.
3y B
� �„oarsar:r�lta�� •-
dA0 Sul in Guu�C
� tig�-d 0�00/L000d £89-1 999L8L8ZLL 0 pl . 8 M -WOU L9=80 LL,-L£-80
i
Ank
PERMIT# '" ISSUE DATE
PLANM NG& DEVELOPMENT ENT SERWCES
Building &"Code Compliance Division
o Win. w v. BUILDING PERMIT
M _ SUB-CONTRACTOR AGREEMENT
ZCc. 7r, c- -�.n �. have agreed to be
(Co any Nameftdividuai Name)
the Sub-contractor for LA.) ri n t Deg U e— +'/�
I (Type of Trade) (Prima&Contractor)
For-the project located at
(Project Street Address or Prope Tax ID#)
I
It is understood that,if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) .O RPIG i'OR SIGNAT[JR .(Qualifier)
PRINT NAME PRINT NAME
C itWY CERTMCATION NUMBER COUNTY CERTIFICATION NUMBER""��
State of Florida,County of �(It.� State of Florida,County of±i biu-c 4
Th foregoing instrument was signed before we tbis� day of r The foregoing instrument was siggned�before me this�V da of
—� ,2&-),by v�'�C i..i���Q� l� �La+`P ;2��,by l.s@11JUQ1�C0
who is personally known�Kor bas produced a who is personally!mown_V_or has produced a
as identification. as identification.
L'`-����--� STAMP
STAMP
Signature of Notary Public 1Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
of nodda Ei
,, LAORA R.CMEDGE
a,Kern BuK. :_...My Commissiakt Ff..:978543 03
;Expires QctoW21-2020
Revised!!/16/2016 �oExpires0512522 .FandedilwTroyFaibGyur�Atslpp38I.1019'
1
PERMIT' ISSUE DINE
g ',eiM F1V ENT MER VICES
ulrld I & erode Compl au ee I ivilsfarn
STD= fi1 TRA Ta AG"-bUNT
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I
Cgmfort. Cqg: rol -of St. 'Lucie -County, ZnC.. ha'veaglreed'to'be
(Company Name4ndivi"lJ=a)
the HVAC Sub-c`oi U otor-for W ;nne. .D.e'e�7 0 ment Cor .
II (Type Oftrdde) (primary Contractor)
i
For the project ldeated at
(Project Street Mdnew,&?mpeity M
t is lin&rstaad;that,if them is any chango-of iuius.regarding our Pudoxpation with the aliovo mentioned..
rojoct;the Bufid ig and Code Regulation Division of St.Lucie County will be advised pursuant to the
HIM' of a Changp-of SUb-corirractor-notice.
CON't'"CTORSIONATURE `dfier).
�Qri .'CD ••.. iGNA�'URE(QttrJGfier)
;Ka:vthew Lk.e Wynne S.a:r: `ernan
PRINTNAMB IPMT NAME
82$.8
COUNTY CERTIFICATION NUMB-A— 00U li y C PnffrA.T%0N NUMBER
to of)Rw!da,Quuty of Si. a,E State of Wrift County of Si eci ��
The Porigoing instrunCtnt�vss siEned Before me ttd�3l .;` The foreEaiaE insh�in�ent was slgAied befafre me t);i day of
.2�2,by . �aa��b� -Ctcci.0 �a.►vn swt�tl
who is'PinonsBy lmown 'or Boa produiceas
aB frieniifiaatiom as idetiti6catipn. '
STAW STAWli
Sigaatnre of No&WO.We Srgrtatui+e o Notary e
egg ,oYti : : ,V AA-g Yn� a: o-i'>d.:Y. AV j ,E7,9SkI.y
I?n'M]�Tau2oofiVatary�iu611a Print Name of NotaryPu6lit
DQROTHYANN BASKIN
HII11
°• ` ~ `ems=::`% DOROTHY
i �� MY COMMISSION#�G 030145 ;•�4•• �.: A(�:A ]
EXPIRES,October 2,2020, o t . MY COMMISSION.ThiuNotaryPubl':cl(ndenvilfers eP.c� €XPIRES:OctobNe7,P,
L66-J 99/Z Uad t�L4-1 9g9L8L8ZLL dA 00 su i p l i na auuAM -WOaj 9
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMTT.
i SUB-CONTRACTOR AGREEMENT
11
i
I
Q Y u (V I c.e S c, have agreed to be
�bntpany Name/Individual Name)
the lumblncA tractor for L 0.Y1£..*,b{Y i p m e f TI C,O•R
(Type of Trade) (� (Prim ry Contractor)
For the project located at e;
(Project Street Address or ProperiyVax W#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) SU"CTOR (Qualifier)
m(N- eW L P_ U nn-� bes-- LU A ILL M
P1dft NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 917 Gr State of Florida,County of��•Ll1 C-j P--
The foregoing instrument was signed before me this-�of The foregoing instrument was signed before +me thi of
20n by`t"�Q \R 20 + by �b LJY rT UU GI I�C�.
-✓
Who is personally known or has produced a who is personally known or has produced a
as identification. as identification.
I
Q1/Ct t7un n.,n alJ STAMP STAMP
Signature of Not&Public S2ignature of Notary Publi
I
� 16 A-Che" ,, av�Ac-k. C"t!
Print Name of Notary Public Prifit Name of Notary Public
bt%R1-'•e' D6ROTHYANNSASKIN pj't%`r"-""' t''; '' '`•':; + ,`;:._wt _.,_ w�"¢+y
'-MY COMMISSION#GG 030145 w.
,.• ' .��: EXPIRES:October 2,2020 •o.?`?"s% R9$ON®A @.AF
FERTY
Bonded Thru Notary Public Underyrrilem �4 `*; My COMMISSION#EES54297 rA
EXPIRES January 0' 2017
moo.`
(407)3980153 FloridallotaryServic2.c= jrL
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P£RUIIT ISS1l ;Di4 E:
su
$=Ct� C�(?Yt�AGT1VIEl�T`
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th' 'ogf1.z.g Sc#b-c; ib^aet rfQr W.Y ri I7�w-.e c p>pe t Grp ,:
E'f�pe::of:'I'aca�e� (Eiia�ary-.�ontra�ccirl•
• :{Pi+oject-�f�et:A�d%ess�:tsr1?i�oP�Y'`T.:::::'��)
It><s.unzlerstoadttat 7�'t �t@'. s�;aii�change:��`s�a�s regaz��.�ur part�xpa�ibn`wig tl�e abcxve mc�i�t�n .
• pFu)ec, �Build>eng d.,C>o ie:l egula o Devi it3it o :St Lucie County vvx11 ::advise .pu-sua6t t `ftie.
f:rh�lg of a Cage;o��a�,u�-�pntFaur n��[cef
QN1'RAtCT�Dlt°sIG'�Y' 'i'[IItE .
s� QaaLfej ,.SUB-��"!1TRe1,�OR WAUTR u#LS
,Mat�.tk�:�:w��.:,I;;1rI�. W��u��ne. .... .. ... ... .. ... . ,..B�:r• a>n�� .Ma:�:.o:�e�y
PR1lV '1 AN1E:. :rim
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�OtINW- -ERTI�7 "TCOI�.PRIi1�B C#1.. E)�t CO[ tTY CER CATYbAElltt c m
State�alFlo�u�a;�ougtiyqf h.0 t: �S..ta�te;of�tociaa�Couriff:°u.• G!C
T7iefgreggine�nst#vment�as: ed:bgigre;mettils'zgf: Ttie£orcgo'iq 'ansticupteritwss.sagideilirefore`iue:tliif.
�.. . ....... $!$n
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s+t:F o u petsogalh Gown.• gt.hastpradgCed:;i;: whn Lfi per on9UYko bivn✓ br lfas'praduced a'
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tipo: asdentt}cariolts
iguatpcetifl�lotq Pubhe "tai'eof�ltotary ublir:
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PritirNstdiesot N4t8iv.I'uh Rriuiiollle fltiotary ?pbti
?Js�c,� DOROTHY ANN BASKIN
M1•iPU
to MY COMMISSION#GG 030145 ;zoS• Boy.; DOROTHYANN BASKIN
T :;�? EXPIRES:October 2,2020 MY COMMISSION#GG 030145
•.gp; ;t;• Bonded fire Notary f?ubl(c Undesvntte;s EXPIRES:October 2,2020
[tevisidd 12/1bl2fi16: ••,;oF:2;o Bonded Ttiru Notary Public:Undem-tM .
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�+ s MI.Windaws & Doors
Phdw (800) 876-0643
-1650 West MMMT
17030
Gratz -P6
riig
Series 185 Aluminum Windows Insulated 420 Series Aluminum SGD Insulated
Glass - RLE5527 Tempered Glass- HPLOE
n
0.54 0.25 0.55 0.26
v
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0.44 < = 0.3 0.47
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weft
ad'�Dmsac�tat:e�*at as� aae� o a.Ra�gr a�daoraf�rAa
�E �• Termite Ins Sec ion Sus 'St'is Lo� *2-323-7921
• Termite PretreatmentEVid A-80, ra Toll Free: 1-877-365-9990
• Pest Control ^ Term",
Fax: 772-340-5990
• Rodent Service
�� Pest
• Fire Ant Lawn Service - Control, Email: Evictabug@gmail.com
Whitefly Treatment Inc. 2373 SW Woodridge St.
Licensed & Insured Lic.JB��5'�5 Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code(FBC)104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE TIME
DE ELOPMENT NAME(PROJECT) CO RACTOR'S NAME f NTACT PERSON
I ,,STRUCTURE ADDRESS(LOT/BLOCK) ( ]� CITY,STATE COUNTY
NOTES �g d ZIP CODE
1 k L:�ti, :.-'C... `.- '�_..�.T-'{��f'.(.i'' t{:.�`�.••r'" `� _�
TREATMENT TYPE/AREA
❑FLOATING ❑,MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
0 TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
Z,
❑BASELINE 1�DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑'TALSTAR
❑.OTHER i
V ACTIVE INGREDIENT VIMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.12% ❑.25% [Yb5% ❑23% ❑9% ❑OTHER GALLONS APPLIED ! r�
SQUARE FOOTAGE .���' A �/�4 LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
� 'YES ❑NO ;LyMEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET —
C],YES I ❑NO DETAILS
As per 104.2.6 FBC-If soil chemical barrier method for termite prevention is used.Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance:The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established
by the Florida Department of Agriculture and Consumer Services.(Per the Florida Building Code.)
If this notice is for the final exterior treatment,initial and date this line
r
FINAL STICKER
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
I
Payment Terms: Payment due at time of service.
Ii� ��/ ���.f.�r'.r•.—�^'mil ���y.c° L.>�:-�(.''1'-�-�� __
Date/ Applicato�1( ,ict A Bug Termite and Pest Control,Inc.)
f/1
Date Customer(Property Owner or Agent)
www.evictabugpestcontrol.com
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Facia & ' me10plrn'. i. �ceFs
RECEIVED
..
. ,v�sa��i R,2 2018
� � •��od�e•l�egu[�e�ia�o•Da
fi-
3 t >l i�iia Av:
e
Permitting2 De t
tAWN St. Lucie county
772r4 2tiZ3G Faz"772-462-6443
fRequi. •• for to-�3ay Tei-jpbk *'PdWer A61ease
Dam. Permit WUMbelr.
Project Address; s�
CY
THE UNDERSIGNED HERESY REQU857 RELEASE OF ELECTRICAL POWER TO THE ABOVE DFSCRSSED
PROPERTY,FOR A PERIOD NOT TO MEED THIRTY(30),PAYS, FOR THE PURPOSE OFTESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FAR A FINAL INSPECTION. IN CONSIDWTION OF APPROVAL OF THE
REQUEST WE HS�EB1(ACKNOV&EDGE AND AGkEE AS Fbaows:
3. 'This tetYtporary power reieasQ is.requested for ft above sad purpm oniy,and be no
occupancy of any type,other than that gernfiLted by con3�.ruction during this time_pe►,ad.
2. As-witness tay our slgnaWu We -er0y agree tb abide by-a terms and coriditions of labs agreement,
Including Building Division Policy,which is lncor�oiatgd herein by reference.
3. AR conditions and reyukernents.16ted in the attadied document entitled"Requirements for 30 Day
Power for Testing"htave'heei n'fulfiiiled'aind the premise is ready for compliance inspection.
4. All r64uests for an Wenslon beyond 30 days must be.made In writing to the Building Official Swung
the reason fbr the request. PoWer May*be reriroveTfroin,the sibs and%r a Strop Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of$100.00 will be,required to lift-
the Stop Work Order.
WE HEREBY RELEASE AND AGREE.TO HOLD.HARMLESS,ST. LUCIE COUNTY,AND THEIR EMl7LOYEES FROM
ALL L IA BILMES AND.CLAIMS-OF ANY TYPE 0.F,i�i MJRE WHICH MAY AME NOW OR IN THE FUTURE OUT
OF Ti-t 5 TRANSACTION,TN.CLUDIIV(5 ANY DAMAGE'WMICFi M'AY 83 INCURRED.DUE TO THE
DISCONNECfttMN'OF B ECTRI POWER IN THE EVENi OF VIOMON OF THIS AGREEMENT
�Aa
OWNER'=NATURE DATE
tt311i AC OAI' RE DATE
kA
ELECTRICAL CONTPACTOR SIGNATURE DATE
L90-d L000/ 000d L L8-1 999LSLKLL -W08J 99:0 L 8 L t z_V0
Professional Insulators of South Florida
FTC Insulation Installation Certificate
To: St Lucie County J Dater March 6,2018
Re: Lot/Block:
Address: 23..Nogales Project:
The undersigned hereby certifies'that insulation has been installed in the above described property as follows:
1. Exterior CBS-walls have been insulated with: I Spray-on Cellulose
Thickness in inches: Fiberglass Blankets
Manufacturer: Fi Foil lRock Wool Blankets
Density: X Aluminum Foil
R-Value: R 4.1 Rigid Board
Polystyrene
Other
2. Ceilings(level)have been insulated with: Spray-on:Cellulose
Thickness in inches: 11.1" X Fiberglass Blown
Manufacturer:- Climatepro IROk.Wool Blankets
Density.: Aluminum Foil
R-Valued R-30 IPolygrethane
Qpen Cell SPF
Ceilings(Inaccessible)insulated with: Spray-on Cellulose
Thickness in inches: 9.511' X Fiberglass Blankets
Manufacturer:, Johns .Manville Ildnition Barrier
Density,: Fiberglass Blown
R-Valuer R-30 Cellulose Loose Fill
Open Cell SPF
3; Interior kneewaM have been insulated with: IFiberglass Blankets
Thickness in inches: Ifiberglass Loose Fill
Manufacturer: IRock.Wool
Density: Fiberglass Blown
R-Value: Cellulose Loose,Fill
Open Cell SPF
4. Garage partition.walls of,AIC living=area have R Fiberglass:Blankets
been insul2ted.With: Rock Wool
Thickness in'inches: 3.5" Polyurethane
Manufacturer: Johns Manville Spray=on Cellulose
Density: Open Cell SPF
R-Value: R-11
5 The followina.have.been insulated:
WYNmE.BUlIAING CORP.;
General:Contract/Builder
_.: SEAS
CBC1254041 2603
'Competency#
Professional Insulators of South Florida,Inc. �•�dg'Ona �i��
Insulation Contractor
By: By:
APPRIONED
„ELLER, SCHLEICHER & MaCWILLIAM ENGINEERING AND TESTING, INC.
MARTIN (772)337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772)589-0712
PALM BEACH (561)845-7445 www.ksmengineering.net MELBOURNE(321)768-8488
PAX(561)845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE(772)229-9093
C.A.:5693 FAX(772)589-6469
SOIL COMPACTION REPORT
ASTM D 1557 and ASTM D 2922
DATE TESTED August 28, 2017 KSM JOB# : 172667-1d/SS/ct
PERMIT# 1706-0687
CONTRACTOR Wynne Development
JOB LOCATION 23 Nogales
Spanish Lakes 1
Port St. Lucie, Florida
ITEM TESTED Compacted Foundation Fill
TEST LOCATION DEPTH * PEN DRY MAX. DRY PERCENT
OF SAMPLE READ DENSITY PROCTOR VALUE COMPACTION
1. S.W. 0” - 12" 45 108.4 110.8 97.8
2. N.W. It41 105.7 it95.4
3. Center 41 106.0 to95.7
4. N.E. 39 105.8 It95.5
5. S.E. 43 . 107.3. 96.8
Soil Description:
Tan and Gray Sand 112.0 I I I I I I
with Traces of Clay W
In Place Moisture: E I I I I I I
9.0 Percent I I I I I I
G 111.0 -..� _..� _. _.._..� _..' _..
Optimum Moisture: H
12.0 Percent T I I I I
110.0
- - -Max.-Dry-Density: - -- - -- - -P ------- — ----- --
110.8 P.C.F. I I I I I
C
109.0
@ Test Locations The I I I I I I
Density & Penetrometer F I I I I I
Readings Indicate the j I I I I
Degree of Compaction Meets 108.0 -- - - - ••-••-••-••._.._..
D I I I I I I
Minimum Required R I I I I I
for StRke'd IkWhrdatyon. y I I I I
* PeYi to Natural Grade. 107.0
Rb 9 10 11 12 13 14 15
• � 6 6 Moisture-%of Dry Weight
P id r F 4�
j id• �RQ die County Building Department RECEIVED SFP
Ema<I ( I�tA(1 atlhlakes.com RECEIVED SEP
012017
Ronald G. Keller, P.E.: 37293/SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
r ! PlaWng & Development Services
Building &Code Regulation Division
® 2300 Virginia Ave
• o Fort Pierce, FL 34982
'Y7 2-462-2172 Fax 77/2-462-G443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION S09L TREATMENT
PERMIT #: 120,6-- 0617 - .70E ADDRESS: 3 Qbw V l e.SZ—
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the national Pest Control Association.
Square feet if area treated: Chemicals used: M&M
Percentage of solution: ` w e `> / Total gallons used:'0
Date of Treatment: 41, ) 7 Time of Treatment: ��•�`"
Footing Slab
15t Treatment 06 111 Treatment
Re-Treat Re-Treat
Driveway Pools
j ist Treatment 11t Treatment
Re-Treat Re-Treat
Other Perimeter for Final Ins ection
ist Treatment
Re-Treat
Signature of Exterminator Date
Note: There must be a completed form for each required treatment or re-tr eatment and Mls form must be on the f'ob
slte to be picked up by the inspector at time of each Inspectlon or(fie scheduled inspection MY fall and a re-Inspection
Ifee charged,
FBOL04.2.6 Certificate of Protective Treatment for pfeventlon of termites A weather resistant jobsite posting board
shall be provided to receive dupllcate Treatment Certificates as each required protective treatment is completed,
�provlding a copy for the person the permit Is Issued to and another copy for the building permit files: The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment,site location, area
treated,chemical used,percent concentration and number ofgallons used, to establish a vedf]able record of
protective treatment if the soil chemical barrier method for termite prevention is used,final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the e8ectracal panel mom cover, listing all the treatments and dates of applications.
Revised 7/24/2014
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TYPE jOF SURVEY: BOUNDARY PLOT PLAN U C TIE IN FINAL I TOPOGRAPHIC
COMPLETED ON: 1 8-29-1 7
DESCRIPTION: o SURVEYORS NOTES:
BEING ALL 23 NOGALES WAY , OF THE 1. UNLESS OTHERWISE NOTED ONLY PLATTED EASEMENTS ARE
UNRECORDED PLAT OF SPANISH LAKES SHOWN HEREON.
PHASE 1, OF ST. LUCIE COUNTY, w, 2. NO UNDERGROUND UTILITIES OR IMPROVEMENTS WERE
FLORIDA. M. LOCATED UNLESS OTHERWISE SHOWN.
Z II 3. THIS SITE LIES WITHIN FLOOD ZONE X , ACCORDING TO
THE FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO.
` 12111CO283 J, EFFECTIVE DATE 2-16-12.
ABBREVIATIONS: o (5 4. FLOOD ZONE SHOWN HEREON IS AN INTERPRETATION BY THE
FFE = FINISHED FLOOR ELEVATION cn J SURVEYOR AND IS PROVIDED AS A COURTESY. THE FLOOD
R/W = RIGHT-OF-WAY V ZONE SHOULD BE VERIFIED BY A DETERMINATION AGENCY.
R = RADIUS OF CURVE =a) 5. BEARINGS SHOWN HEREON ARE REFERANCED TO THE
L = LENGTH OF CURVE CENTERLINE OF NOGALES WAY HAVING AN ASSUMED BEARING
SF = SQUARE FOOT OF EAST, ACCORDING TO THE UNRECORDED PLAT OF
0 = DELTA OF CURVE SPANISH LAKES PHASE 1, OF ST.LUCIE COUNY, FLORIDA
0 6. NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED
SEAL OF A FLORIDA LISCENSED SURVEYOR AND MAPPER.
7. THIS IS A SPECIFIC PURPOSE SURVEY FOR THE PURPOSE
OF LOCATION AND ELEVATION OF FORMBOARDS. BOUNDARY
LINES SHOWN HEREON ARE FOR GRAPHICAL PURPOSES ONLY.
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PERMIT #: / 7 a 6 -o,�IS 7
- TOP OF BANK -
M
n
ui
14.00',t 19.89'
c PATIO
20.00
N
19.90 A AVERAGE TOP 16.05
OE FORMS
ELEVATION=19.96 EXISTING
3.72' ABOVE EDGE
OF PAVEMENT
EXISTING
rPORCH:�
c
15.90' 18.16'
0
R
M
SITE BENCKMARK
fASS.SUMED 16.24
_ NOGALES WAY
20 PAVED ROAD
St. UGl2 CO. R E C;
Dat
pIc�ed
SEP 1 2017
.cr
Ax
U V ILII J
(7I-
1/7
yd I
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