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HomeMy WebLinkAboutSUBMITTED PAPPERWORK1 OFFICE USE ONLY: PATE FILED: LAN REVIEW FEE: RECEIPT NO.: (LAPIS CONCURRENCY FEE: RECEIPT NO.; CERT. CAP. NO.: 2 3. 4. ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie County Building and Zoning 2300 Virginia Avenue SCANNED Ft. Pierce, FL 34982-5652 BY 561462-1553 St Lu& County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDRESS: 3004 Header Canal Road, Fort Pierce, FL 34946 S/D NAME: N/A SITE PLAN NAME: PROPERTY TAX ID q: 2225-21 I-0001-000/2 LEGAL DESCRIPTION (attach extra sheets if necerssruv): NW 1/4 less roads and canals, 5. PLAT 6. PAGE 7. BLOCK 8. LOT BOOK NO. NO. NO. 9. PARCEL SIZE: ACRES/SQ I'1'. 153.01 LOT DIMENSIONS 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: construct group housing unit for captive chimpanzee care 11. SETBACKS (ACTUAL) FRONT: I ,_-t6D 13ACK: .__ R1GIIT: f LEFT: �Of �� ,1SIDE 1006 SIDE 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) I✓ NEW CONSTRUCTION I EXPANSION/ADDITION I INTERIOR RENOVATION I RESIDENTIAL I COMMERCIAL I INDUSTRIAL I✓ QfllER (SPI?C11'Y) Chilnpanzec housinta 13. DESCRIPTION OF PROPO51•:D USIi: to house chimpanzees 14. Sq. FI./CONSTRUCTTON: 2583 15. Sq. Ft. IstFloor: 16. VALUE OF CONSTRUCTION: $ S82,656.00 'IL. value of construction is used to dclerninc the muounI orpemt it lees to he assessed. St. Lucie County reserves die right to question and/or modify the indicated value of construction if it is d nwnstratcd that the so but incd figures are not consistent wild sin) ihv types of construction activities. If Elie value is S2500 or worse, a RECORD17D Notice of Cetnmcnccnumt must be submitted eiih this application. SLCCDV Form No.: 001-02 5 ;OWNER INFORMATION NAME: Institute for Captive Chimpanzee ADDRESS: 3000 S Header Canal Road CITY: Fort Pierce STATE: FL ZIP 34945: PHONE (DAYTIME): 772) email: noonc(@aol:com' -' IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL. IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: N/A ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME) CONTRACTOR INFORMATION ST. of FL REG./CERT H: CGC 053853 ST. LUCIE COUNTY CERT 9: 8215 BUSINESS NAME: Richard K Davis Construction Corporation QUALIFIERS NAME: Douglas Davis ADDRESS: P.O. Box 186 CITY: Fort Pierce STATE: FL ZIP 349541 PHONE (DAYTIME): (772) 461-8335 FAX NO. (772)465-7665 email: :ItYtrclfP,rkdayis.com ARCHIT/ENGINEER: BC Architects ADpIti SS: 900 SE Osceola St CITY: Stuart STATE: FL ZIP 34994. PHONE (DAYTIME): CM) 223-0010 BONDING COMPANY: N/A ADDRESS: CITY. STATE: ZIP MORTGAGE LENDER : N/A ADDRESS: CITY: STATE: ZIP IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. SCANNED BY St, Lucie County ST. LUCIE COUNTY SCANNED DEPARTMENT OF PUBLIC WORKS BY ENVIRONMENTAL RESOURCES DIVISION St' Lucie County LAND CLEARING PERMIT ISSUE DATE 11/24/2003 PERMIT NO. 20031142 EXPIRATION DATE 11/24/2004 SITE LOCATION/ADDRESS 3000 Header Canal Rd. ZONING Resd OWNER'S NAME_ Institute For Retired Chim azees LAND CLEARING CONTRACTOR AT/A under or near any native tree or on/in any native plants to be preserved THE APPLICATNT SHALL KEEP THIS PERMIT POSTED ON -SITE AT ALL TIMES DURING LAND CLEARING. THE PROPERTY OWNER AND/OR AGENT SHALL BE RESPONSIBLE FOR OBTAINING ALL APPLICABLE STATE AND/OR FEDERAL PERMITS. Site Inspected By: z�/��%�v� CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT TITLE AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. OWNER/CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF �S r W-cLY The foregoing instrument was acknowledged before me this JU_ day of �l , 20D� by a+�nLn 1Jom.� , who is personally known to me or who has produced '�t �,�. . V..a..w.0 as identification. Signature of Notary j ype or Print Name of Notary � N- Mr�yy rrAMBER WOLVERTON +o' •• (JCEPJ't Commission No. , � MIBSION1DD089967 �xvwes:twa�azoos "%3gnp3 PoMMIIvu BulOo�Notary Servkec CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF L.L� The foregoing instrument was acknowledged fore me this j1 day of �,I , 20t0 by who is personally known to me or who has produced as identification. Sit1griature of Notary Ax�nAF t— kK�ayl- Type or Print Name of�b[gtary F;•••. AMBENWOLVERM Commission No. + MY% MI151ONfDD0M7 '?a n•A` Buy,y Thu&tlyft3. ysnMco, NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For specific instructions see appropriate permit checklist. Property Appraiser - St.Lucie County, FL t Page 1 of 1 Inst for Captive Chimpanzee Record: 1 of 6 Property Identification Site Address: 3004 HEADER CANAL RD Sec/rown/Range: 25 :35S :38E Map 10: 22/25X Zoning: AG-5-CO Ownership and Mailing Owner: Inst for Captive Chimpanzee Address: 3D00 S Header Canal Rd Ft. Pierce FL 34945 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes ParcelID: 2225-211-0001-000-2 Account#: 12647 Land Use: ORPNAGES City/Cnty: ST. LUCIE COUNTY Sales Information Dale Price Code Deed Book/Page 12/9/1999 436100 01 VJD 126811081 1/13/1995 335000 01 WD 0939 / 0178 11/811994 612000 01 CT 0928 / 1617 5/1/1986 1650000 00 CV 0500 / 2496 6/1/1982 951200 01 CV 038312517 1/1/1978 570000 00 CV 028010212 Exemptions Permits Map Legal Description 25 35 38 NW 1/4-LESS RDS AND CANALS- (153.01 AC) (OR 1268-1081) Assessment 2003 Val: 468700 Assessed: 468700 Ag.Credit: 0 Exempt: 468700 Taxable: 0 BUILDING INFORMATION J Total Land and Building Total Land: 153.01 Acres Buildings: 5 Finished Area: 7324 Sq Ft SCANNED BY St. Lucie County Exterior Features View: RoofCover: ES -Enam Metal RoofStruct: GA - Gable ExtType: HC-HC YearBlt: 2001 Frame: - Grade: C -C EffYrBlt: 2001 Prime Wall: BS -CB Stucco StoryHght: 0010-1 Story No.Units: 1 SecWall: - Interior Features BedRooms: Electric: MX- MAXIMUM PrmintWall: DW-Drywall Ful[Bath: 2 HeatType: FHA - FrcdHotAir Avg HVFI: 1/2Bath: 1 HeatFuel: ELEC- Electric Prm.Flors: CT -Tile-Ceramic %A/C: 100 %Heated: 100 %Sprinkled: Special Features and Yard Items Land Information Type Y1S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure 1 7500-ORPNAGES 801 -Acres 153.01 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED Depth http://www.pasle.org/PRC.asp?prclid=222521100010002 2/3/2004 ST. LUCIE COUNTY BUILDING & ZONING `:"•sae 2300 VIRGINIA AVENUE SCANNED PIERCE, FL 34982-5652 561-462-1553 BY SF. Lucie county FILLED LANDS AFFIDAVIT the undersigned, am the owner of the following described property: (Tax ID/Legal escriptior✓Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. ez'yo I F, Vl o© w e"Lo- OzQn� 41N�' Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF-�jt ACKNOWLEDGED BEFORE ME TINIA S U . DAY OF .��t-� . 2O / BY \p AA.DU 61. WliO IS PERSONALLY KNOWN TO NM OR WHO HAS PRODUCED Z)26 .A %I C't a AS IDENTIFICATION. � t Q�T_ 1�Ir3-tL 4 .5.� `tl'*mbrQ_ V�-➢WE4'�t�l� SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY NOTARY PUBLIC TITLE CONMSSION NUMBER-o"w"�b tS NWOLVENTON MY COMMISSION 6 DD C69967 FxeM:Mada2Da6 St. Lucie County Building & Zoning 2300 Virginia Ave Fort Pierce, FL34982 SCANNED BUILDING PERMIT BY SUB -CONTRACTOR SUMMARY St. Lucie County si P will be using the following sub -contractors for the 7nsti�€ntPfnr�Caotive�Chim ahzees (Company/Individual Name) project located at 2225-211-0001400/2' :3000 Header Canal Road, Fort Pierce, FL (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical 0erelco`Kectrical Contractors Inc ECA 001408 ., Kenneth A Germia 10431 Plumbing South: Park Plumbing 8431 Delbert W. Keiter CPC 029690 HVAC/ Sea 'doast Air. Conditioning ' 8283' Mechanical John Langel CAC 016446 Roofing Richard- K Davis Construction 18178 O B `:X 186 FortPierce' FL CGC 053853 Gas Not,.Appl;i,cable 0FFICE`IJSE ONLVi PERMIT ISSUE DATE: NUMBER ` ST. LUCIE COUNTY PUBLIC WORKS ii BUILDING & ZONING DEPARTMENT ROP. BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNEO 7 b St. Lucie County St. Lucie County Contractor Certification Number: 2 State of Florida Certification Number (if applica/yble): ( �.0 • have agreed to be the (Company Name/Individual Name) %/. t �CitJ sub -contractor for // / / y U f_) ' (Type of Trade) (Prima y Contractor) for the project located Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED SIGNATURE PRINT NhIME DATE Business Name: Address: City/State/Zip: Phone: 1. 1 uAlla L,V1401AQVIlvil (- VV" V, ST LUCIE COUNTY PUXJC WORKS BUILD)NG is ZONING DEPARTMMNT rMD - I --i 4 .3 , T: V ; SLLD90C..dyCMVWMCffWWa&ftW.n1., !V�",'i','�i1l"-'!1THM MM3 WN -M-Himi it V " I M, 211.111,21, 11,41 FAnvwNamtavdm"N&,N TII. ........ for*aprojectlamd at MiM9MIMP 6 M 0 SCAN/Vel) St Lucie Ucie county Iris undemodiba;ifftvis any d2angeatmw 4oye mandowd prqw, IsvM immediately advise theBuildi ng and zQ1b8DVpmtm= of St. Lucie County by personally filing a Champ of Contractor nofica LFarzr nzcnv No. 00440) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) CIRIGEN'AL SIGNATURES ARE REOUIRED PRINT NAME Wic x.®e M M MIELINH MU'r ....... .. ... lum" M-4f MIRM! tw Va0'"M 9.9.1'RS-- 4 P 4 A--i MARP VAAR OFFICE m ONLYwater oo FEB - 5 2004 N011MVIPM GlAve Is 2091"TT92T M ZV97 t009/U0/%0 '^ YVi\.ILRV V1LYlY OZ/03/EU09 15:34 FAX 15614657865 HK LAviS WtVS"i'xUVi'111x l YVL/YVG H4uYi.uu;: •.'; '` BMAM .r OMDEPARIDMiri 1 ! t I' c xy•,IY BLIANWOCOMMY >�r.7erOwAxamajobec.n'ti Sf�soiFloddaC6tb�ratinaDt�Lr�e +� � x3 � -lift tobelbe �3�' tl��•I ,,,, i, _ � may�y, 1• fQrftpgjad uYOW1[ I LI, ! il.- y 'r15� - q ..il �•: _:O, q Ij. -y it M=MWVMa4 IwWbmodd*fAvim&eBOft1I11• II •1 BUSMESS 1] ' '(N2=! I' wividualshown on dm Contmctor's License) /� 1 Y lk,4,�J_v SIGNATURE PRINTNAME DATE ,:<. .-„�t'�`a j'�T' ...s...,�"-�.I:. ��:e.Cy�_�r.^3�i?�e= •, � .tr-rna'rr;i�I • ^ �T .r-Tf.�tl:llYlt...,l ���yy.44:i h `m . L.. l�I®l��iAi��liLYli�Y��'�m 4 IIS�JLYA 11 ''L'rY �y'T Vifl.n ry �f T�i:�� S'C untj, FE9 - 5 2004 04/13/2004 12:20 FAX 156146571 RK DAVIS CONSTRUCTION Z002 UZ/03/Z004 15;Z9 FAX 1501465 ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT StIli-CONTMACrORAGREEMINT St Lucia County Cocancior CciVication Number., StataofFlovidoCa?ZtmtiooN;mbaof@Wic.Us): T. have agreed to be the (Camsany Nano4culivi" Name) sub -contractor for (Type of Trade) (Primary Contractor) for the project located at (Project Street Add" or Property Tax ID #) It is understood that, if there is any change of status regarding our Participation with the above mentioned project, I will immediawly advise the Building and Zoning Department of St. Lucie Counr y by personally filing a Change of Contructor notice. (Foam: SLCCI)V No. 004-GO) ]BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGINATURES ARE REQUIRED Si NATURE PRINT NAME BusumName! ... ... ......... ... Adibaw: 74"s Y!am at.04. Moe: M &C.AIV LU c/b cot,17t 1, Permit No. 24040513 (11A ) State of Florida NOTICE OF COMMENCEMENT Property Tax ID No 2225-211-0001-000/2 County of St=Lucie The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of property and address if available .25 35. 38 _MW 1/4 less''roads-:anc (153.01, AC). General description of improvements Six (6) group -housing units for° captlye`G Owner Center for Captive Chimpanzee. Care, Inc. Pods. Address 3000 Header. Canal Road, Fort:'P,arra `- Owner's interest in site of improvement _ fee simple Fee Simple Title holder (if other than owner) n/a Address - n/a - Contractor Richard :KDavis Construction Corp Address PO' Box 186, Fort.Pierce, FL 34954` Surety Addressn/a, Amount of Bond n/a Phone # 461:i'8335 Fax # 465 :7665 Phone # Fax # .:.::. ...... . Lender:: n/a .. ._.. . _. ... '!. .._ Phone Address n/� : :: : t: [ .:. .. - .� � Fax # Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (a) 7., Florida Statues: Name Address to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. \ (q.b l(I Owner Signature State of Florida, County of-l"L,-c-�a Acknowledged before me this Co , day of 200 , by_C.Lk6LL who is personally\ known to to or who has produce d(_�� t of 1 "� _ as identification. Signature of Notary Type or Print Name of Notary cal STATE OF FLORIDA ._.4, AMeEIwotVERTO ) Title: Notary Pllilif U� CIE COUNT&remission Number f COiIN r, .'knc. MYCOMMISSION f0e0S9967 THIS ISTOCERTIFYTH T'-": ISA TRUE AND CORRFCT ORIGINAL. JoAt E HOLf�Rf/:, pY k. ^1 Date EYPSES:Mxch3,2006 8a .T 8W Nm Sm , m t-• o o m L1 = o m r— �Tv r� \ N C r, C] �n m F3 S o m .R -0 n co CS A 4 Mx om CD H tj T V f-1 .o r lJ H _ CDM M Cc-: Co co ro n ea — c m n M RR DAVIS CONSTRUCTION F0003 08/24/2004 14:23 FAX 17724657065 C St. Lucie County j Building & Zoning Department j 2300 Virginia Avenue I Fort Pierces FL 34N2 S61-462-216S i Fax 661-462-1148 Request for 30-Day Temporary Power Release Luce Counfy Public Works Date: 8-25-34 Permit Number. 24040513 Pod 11A Property Address: loop n7 ripr-ranat RA. Fnrt Piorno_ wr THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTINGSYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: SCANNED 1. This temporary power release is requested tar the above stated purpose only, BY and there will be no occupancy of any type, other than that permitted by construction St. Lucie County during this time period. 2. As witness by our signatures, we hereby agree to abide by all term} and conditions of this agreemcot, including Buildiog Division Policy, which is incorporated bcrotu by mrereaee. 3. All conditions and requirements listed in theattached document entitled "Requirements for30 Day Power for Testing" have been falfilled and the premise is ready for compliance inspection. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS. ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH AMY BE NCURRE DUE TO THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. ILI St Lucie County Insp ,`-ons y , < 2300 Virginia Avenue Ft Pierce, FL 34982 A� ORIOP (772) 462.2172 CERTIFICATE OF TERMITE TREA' CONSTRUCTION SOIL TREATMENT m st, wde County Public elks SCANNED BY PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES, INC. PEST CONTROL LICENSE# JB 94495 We, the undersigned, hereby certify that we have pretreated the above -described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet of area treated: 1 i4Uv Percentage of solution: Date of treatment: —\ - ❑ Footing ❑ 1st Treatment ❑ Re -treat Slab 1st Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools ❑ 1st Treatment ❑ Re -treat ❑ Other ❑ lst'Treatment ❑ Re -treat Chemicals used: t�V*6�L�� drJ QQ Total gallons used: ld�� Time of Treatment: FBC104.2.6 CenifecateofProtective Treatmentforpreventionoftermites., Ameather resistant jobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing 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 of gallons used, to establish a vertfiable 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 electrical panel box cover, listing all the treatments and dates of applications. ❑ Perimeter for Final Inspection NOTE: There must be.a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection fee charged. Revised 6113102 dmg St Lucie County Inspet �umns 2300 Virginia Avenue Ft Pierce, FL 34982 (772)462-2172 6 V G CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #��j q f�5 3 JOB ADDRESS � (I d O 6BI C C° PA l BUILDER 9 Ls PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES, INC. PEST CONTROL LICENSE# JB 94495 u V �� 2U06 County Fubi:c: We, the undersigned, hereby certify that we have pretreated the above -described construction for subterranean termites in accordance. with the standards of the National Pest Control Association. Square feet of area treated: , ti Percentage of solution: ZS Date of treatment: 6' ❑ Footing ❑ 1st Treatment ❑ Re -treat ❑ 1st Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools . ❑ 1st Treatment . ❑ Re -treat �� bier Chemicals used: N �%V 1 4� TC__ Total gallons used: 130 SLgIVNED Time of Treatment: d By C9Ullty FBC104.2.6 Certificate of Protective Treatment forprevention of termites. A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certfiicates.as.each required protective treatment is completer, providing 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 treater, chemical used, percent concentration and number ofgallons useA to establish a verifiable record ofprotective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to fatal building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel boa cover, listing all the treatments and dates of applications.. ❑ 1st Treatment ❑. Re -treat �eter for Final Inspection NOTE. There must be a completed form for each.required treatment or re -treatment and this form.must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection fee charged. Revised 6113102 dmg A. M. ENGINEERING 'i) TESTING, INC. ,. 3 504 INDUSTRIAL S.i' ' STREET FT. PIERCE, FLORIDA 34946 LOCAL OFFICE: (772) 461-7508 FAX: (772) 461-8880 DENSITY OF SOIL IN PLACE Client: Richard K. Davis Construction Corpor tibE C [F. 0'W [E r eport Date: 7/6/2004 Contractor: Client JZ echnician: RA Site: Chimpanzee Farm, Pod 11 A JUL 2 3 2004 ermi o 2404051— Foundation Fill Test No. Date Tested Location Eleva- tion (it) —F iod-W<sI Res ' !Proctor Max Dry Density c Compaction Pass/ Fail HCP HZO Dry Density c Probe Depth in In Place Min Req'd 1386 6/14/04 NW Corner 0-1 40 12.6 113.8 12 119.4 95.3 95 P 1387 1-2 40 119.4 95+ 95 P 1388 2-3 45 119.4 95+ 95 P 1389 3-4 60 119.4 95+ 95 P 1390 4-5 80 119.4 95+ 95 P 1391 Center 0 -1 40 11.3 114.6 12 119.4 96.0 95 P 1392 to 1-2 50 119.4 95+ 95 P 1393 2-3 70 119.4 95+ 95 P 1394 3-4 70 119.4 95+ 95 P 1395 4-5 90 119.4 95+ 95 P 1396 SE Comer 0-1 40 10.9 114.4 12 119.4 95.8 95 P 1397 1-2 40 119.4 95+ 95 P 1398 2-3 50 119.4 95+ 95 P 1399 3-4 50 119.4 95+ 95 P 1400 4-5 70 119.4 95+ 95 P Remarks: • All elevations are below bottom of slab. The field density tests were performed in general compliance with ASTM D 2922, Density of Soil in Place by Nuclear Methods. • The Hand Cone Penetrometer (HCP) test, in conjunction with information about the soil type, is empirically correlated to the relative density of the subsurface soils. SCANNED The laboratory Proctor maximum dry density was determined in accordance with ASTM D 1557. BY Distribution: Reviewed b St. Lucie County Client - 1 SLC Bldg. Dept. - 1 Bennett - I J A. M. E: AND TESTING, INC. JZ. Rebecca Grant Ascoli, P. E. Florida Registration No. 51863 1386-1400.xis A. M. ENGINEERING ) TESTING, INC. 3 504 INDUSTRIAL 3 3' �' STREET FT. PIERCE, FLORIDA 34946 LOCALOFFICE: (772) 461-7508 FAX: (772) 461-8880 DENSITY O k SOII: I 1II' Client: Richard K. Davis Construction Corp r tiorllk�j 3 2004 Report Date: 7/6/2004 Contractor: Client Technician: RA Site: Chimpanzee Farm, Pod 11 A St. Lucie County Public Works Permit No: 24040513 Foundation Fill Test No. Date Tested Location Eleva- tion (ft) Field Test Results Proctor Max Dry Density e Com action Pass/ Fail HCP HZO Dry Density c Probe Depth in In Place Min Req'd 1386 6/14/04 NW Corner 0-1 40 12.6 1118 12 119.4 95.3 95 P 1387 1 1-2 40 119.4 95+ 95 P 1388 2-3 45 119.4 95+ 95 P 1389 3-4 60 119.4 95+ 95 P 1390 4-5 80 119.4 95+ 95 P 1391 Center 0 -1 40 11.3 114.6 12 119.4 96.0 95 P 1392 1-2 50 119.4 95+ 95 P 1393 2-3 70 119.4 95+ 95 P 1394 3-4 70 119.4 95+ 95 P 1395 4-5 90 119.4 95+ 95 P 1396 SE Comer 0-1 40 10.9 114.4 12 119.4 95.8 95 P 1397 1-2 40 119.4 95+ 95 P 1398 2-3 50 119.4 95+ 95 P 1399 3-4 50 119.4 95+ 95 P 1400 4-5 70 119.4 95+ 95 P Remarks: • All elevations are below bottom of slab. The field density tests were performed in general compliance with ASTM D 2922, Density of Soil in Place by Nuclear Methods. The Hand Cone Penetrometer (HCP) test, in conjunction with information about the soil type, is empirically correlated to the relative density of the subsurface soils. The laboratory Proctor maximum dry density was determined in accordance with ASTM D 1557. Distribution: Client - 1 SLC Bldg. Dept. - 1 Bennett - 1 Reviewed by: A. M. ENGINEERING AND TESTING, INC. Rebecca Grant Ascoli, P. E. Florida Registration No. 51863 1386-1400xls