HomeMy WebLinkAboutSUBMITTED PAPPERSy.t�.^ f-1• 2
QR�Fl.S'B�I, 'iY:
DATE FILED: 3
PLAN REVIEW FEE: RECEIPT NO.: 10 PERMIT NUMBER [ y d ' 00 5S
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
1.
2.
3.
4.
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS SION
2300 Virginia Avenue ANNEV
Ft. Pierce, FL 34982-5652 BY
772-462-1553 St. Lucie Counts
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
LOCATION/Srm ADDRESS: _
PROJECT NAME: N e R h
PROPERTY TAX ID #.
PROJECT INFORMATION
SITE PLAN NAME: '7> f lit• -i 0.
LEGAL DESCRIPTION (attach extra sheets ifnecessary): c-4 •A
5. PLAT BOOK 6. PAGE NO. 1. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): a e r t LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: r I < t ti L 4-
3U'C10���
J
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ .] INTERIOR RENOVATION
[ ] RESIDENTIAL K COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. - DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION: % 15. SF. FT I at FLOOR
16. VALUE OF CONSTRUCTION: $ C7/ O O
The value of wnsumxion is used to determine the ammmt of pemut fees to be assessed St Lucie Comityreserves the right to question and/or modify the indicated
value of construction if it is dcmonstmtod that the subminod figures am not consistent with similar types of construction activities. if the valucis $2500 or more, a
RECORDED Notice ofCommoncensim must be submittod with ibis application. ,
SLCCDV Form No.: 001-02
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UPDATED 6/25109
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OWNER INFORMATION
NAME: �nw H P- a h
ADDRESS:Br PCBrc Itizg--yr- "iy I
CITY: L>nL STATE: F( ZIP: 3 y 0" 6-a
PHONE (DAYTIME): (7% )) � � �' n(� Email: e r G ov rc�lAri J c e 'Allsa c
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS. DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CHy; STATE: ZIP:
PHONE (DAYTIME): L_)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: y ST. LUCIE COUNTY CERT #:
BUSINESS NAME: R f C h A,r- j {» V I -e-
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): L-) FAX NO. Email:
ARCHTTIENGINEER.
ADDRESS:
CITY: `
PHONE (DAYTIME): C__j
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER
ADDRESS:
CITY:
STATE:
STATE:
STATE:
ZIP:
ZIP:
ZIP:
IMPORTANT NOTICE: When a permit is issued and it isnotpicked up within 60 days after notification
it will be voided and returned to you by mail. i
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Planning & Development Services bepartment
Building & Code Regulations
2300 Virginia Avenue
Fart Pierce, Florida 34982
(772) 462-ISM
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to.act as your own contractor even
though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You
may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of
under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially
improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building; it is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and e
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide w rk'
compensation for that employee, all as prescribed by law. Your construction must comply with all applicab
ordinances, building codes, and zoning regulations. Initial r
I understand that the building official and inspectors are not there to design or give advice on
the minimum code.. r. M.1
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be ed
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are required be
licensed in this jurisdiction; If for some reason they do not possess a license, I may be responsible_am 711abl r the
cost of the license. Initial r
I understand that if any person that is unlicensed and uninsured gets injured on my construction pr ct-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related a cal
cost, which could include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption s I be reported by the Building and
Zoning Department to the Florida State Department of Professional Regulati n. igned and owledged on this
,3 day of Tu rx of 20 L.
a
er m er Signature
STATE OF FLORIDA
COUNTY OF sk
The foregoing instrmnent was acknowledged before me this 3 day of Uyv o, . 20_ft,
by 1.dvta ., de S r � y. who is personally known to me, or who has
produced LL L as identification.
Signatrne of Not
Title: Notary Public
SLCPDSD Revised 07rM010
sz,4vvvm CYVJC.yv,t
Type or Print Name of �No�t
Commission Number
(Seal �pNNP�\��Bo\F\Oj\6s
ve.
0110 eb\ r \ EE 65��8 t
04 � omm\ss\ nNa\.00�NOurt
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PLANNING & DEVELOPMENT -SERVICES DEPARTMENT
__ - - _�I,�U[LDING & COAE:RBGUL-ATIONS DIVISION
_—_—___FORT-PIERCE; FL34982-5652_
I,"the undersigned, am the owner of the following described property,
—` `--- {Parcel I&ILegaCdescriptioa/Address)
for which I- have applied to St. Lucie County for Final, Development. Permit -In
- accepting tW Final`Development Permit, BP Number ; I -acknowledge ,,-_,-
that as - owner of the above described property, and in accordance-- with_ Section
- 7;04.01(D),' Str' Lucie. County Land Development Code, I shall be responsible; for assuring
-.adequate drainage so that -the immediate community W1LL NOT.beA0versely affected.
Y 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,_orlmaintain in,any form, _
r adequate: vdramage_ off myproperty which will not adversely. affect the immediate ,
community. _..
Dare
STATE OF FLORIDA, COUNTY OF5T. LJ 56Ck ,,uu
ACKNOWLEDGED BEFOREMETHIS 3A DAY OF�V��
- - BY SY14UQ q1 Tl"CGC71i S1Aq-_LL` — \q�I_WHOISPERSONALLYKNOWNTONIE"_ORWHOHAS-
__ ___ __ PRODUCED.�
-��D S•"'� \.� _ AS IDENTIFICATION:-__ _
SIGNATURE OF NOTARY PUBLIC
.
UK!A_i rp: &M9SSION NUMBER
SLCPDSD Revised 08242010
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, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurency 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
Ir
CONTRACTOR SIGNATURE
STATE OF FLORIDA STATR�Q
COUNTY OF S-3C . L c COUNTY
The foregoing instrument was acknowledged before
me this day off J 20_\�_,
by \-� VA6!v n
who is personally known _ or has produced
FLORIDA
The foregoing instrder
me this day of
by
was acknowledged before
20�
who is personally known _ or lids produced
Wol -<-) as identification. as ter
Signature of Notary 7DEANNAwe"S-'°:"'�"'a''•. NotState of Florida Signature of Notary
,!esDec16.2016Commission No.C� - = MY C# EE 858761 Commission No. (Seal)
..,_..•.,,! Notary Assn. .
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUU DER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
TINS APPLICATION IN THE OFFICE LISTED ON THE4 FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERBUILDER APPLICANTS.
For specific instructions see ap#ropriate permit clecklist. i
E ENGINEERING DESIGN
& CONSTRUCTIONS INC.
D1934 Tucker Court
Fort Pierce, FL 34950
Cphone:772-462-2455
fax: 772-462-2454
December 30, 2014
Mr. Michael Powley, P.E.
SLC Engineer
2300 Virginia Avenue
Fort Pierce, FL 34982
Subject: Re: Hearing Parcel — Port St Lucie
Engineering Certification
Dear Mr. Powley,
File # 13-231
This letter is to certify that the site development work, including the paving, drainage
water and sewer systems, for the referenced project have been completed in substantial
conformance with the design plans and specifications. Determination to certify is based
upon on -site observation of construction conducted by myself or by my project
representative under my direct supervision for the purpose of determining if the work
proceeded in compliance with the plans and specifications, and review of test results
and as -built surveys provided by the contractor. The designed site improvements have
been completed in accordance with the American with Disabilities Act requirements
which were in effect when the site plan was approved.
Included in this submittal are two sets of as-builts, the density testing results; and'the
concrete batch records.
Inc.
RECEIVED
DEC 3 Q &
ENGINEERING
Engineering Design & Construction, Inc. Hearing Parcel
13-231 December 2014
, 1
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KELLER, 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.ksmengineedng.net MELBOURNE (321) 768-8488
FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NEr ST. LUCIE (772) 229-9093
C.A.: 5693 FAX (772) 589-6469
July 21, 2014
Richard Beville
Beville Tractor Service
771 Campbell Road
Fort Pierce, Florida 34945
Re: 738 Prima Vista Boulevard
Fort Saint Lucie, Florida
Permit #: SLC 1406-0055 + 14010
KSM No. 141267-1d
Dear Mr. Beville:
Enclosed, please find the nuclear density test results performed on the compacted
subgrade for the concrete parking lot at the above referenced project.
Should.ygy.Dave any questions, please feel free to call.
J E"I
ME
my Building Department
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
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KELLER, 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
FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093
G.A.: 5693 FAX (772) 589-6469
SOIL COMPACTION REPORT
ASTM D 1557 and ASTM D 2922
DATE TESTED: July 18, 2014 KSM JOB #: 141267-1d/DP/jl
PERMIT #:
SLC 1406-0055 + 14010
CONTRACTOR:
Beville Tractor Service
JOB LOCATION:
738 Prima Vista Boulevard
Port Saint Lucie, Florida
MATERIAL:
Gray Sand with Some Clay and Shell
ITEM TESTED:
Subgrade for the Concrete Parking Lot
LOCATION
L66AfC6W
----
DEPTH MOTS- PEN DRY
MAX. DRY
PERCENT
OF SAMPLE
TURE READ DENSITY
PROCTOR
COMPACTION
-------------------------------------------------VALUE
-------
--------
1. N.W.
0" — 12" 9.3 47 109.3
111.0
98.5
2. Center
52 110.6
99.6
3. S. E.
56 110.8
99.8
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
TIP VIL9
"IJAYi
KELLER, 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
FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093
C.A.: 5693 FAX (772) 589-6469
MOISTURE -DENSITY RELATIONSHIP
MODIFIED PROCTOR (ASTM D 1557)
DATE TESTED: July 18, 2014 KSM JOB #: 141267-1p
PERMIT #: SLC 1406-0055 + 14010
CONTRACTOR: Beville Tractor Service
JOB LOCATION: 738 Prima Vista Boulevard
Port Saint Lucie, Florida
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Moisture - Percent of Dry Weight
Soil Description: Gray Sand with some Clay and Shell
Max. Dry Density: 111.0 P.C.F.
- - Optimum -Moisture: 11.0 Percent
Julie E. Keller, P.E.
President
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
TM*
SUPERMOC
"The On Time Concrete Company" 0
CENTRAL CONCRETE SUPERMIX, INC.
CONCRETE DISPATCHERS:
MIAMI-DADE: (305)264-7101
DEERFIELD: (954) 480-9333
BLOCK PLANT: (305) 805-3226
WWW.SUPERMIX.COM
MAIN OFFICE: 4300 S.W. 74th Ave. - Miami FL 33155 � PHONE: (305) 262-3250 - FAX: (305) 267-0698 t4 I 464 8 78
SERVING MIAMI-DADEY BROWARD, PALM BEACHy MARTIN & ST LUCIE COUNTIES
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BLOCK PLANT: (305) 805-3226WWj .CUSTOM - ' . ,;.;, • 1C1� ,:'. .,;'DATE
W .S UPERMIX.COM -
MAIN OFFICE: 4300 S.W. 74th Ave. * Miami, FL 33155, OLi 1.41, 95;"9:37
PHONE: (305) 262-3250 • FAX: (305) 267-0(398
SERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN & ST LUCIE COUNTIES
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QUANTITY DESCRIPTION
L;b•.Is)(% ;; ;Ii3f±EII4t1 _000 PET,11..II I=1R Its
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PPLI.-F.L: I #. i ).`-iill 1
EXTRA UNLOADING TIME CHARGE MINUTES ALLOWABLE TIME' PER MINUTE
= X $1.00
*6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE
SLUMP
THIS DELIVERYTOTAL_ =ia. Ir171 CU. YDS. AMOUNT
T. n OF YOUR ORDER FOR `-(L 210 CU. YDS. TAX
USTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR
ERFORMANCE OF ANY CONCRETE PLA�@ED ABOVE DESIGN a9(l�jP OR WHEN
EATER IS ADDED. ,WATER ADDED CT YES O NO r -- GLS.
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SUBJECT TO THE TERMS, CONDITIONS AND "CAUTION" WAFT' ING LISTED ON BOTH THE
-- - FRONT AND BACK OF THIS TICKET
um pqn I acknowledge that I have received and e�te` Ile rtiateriala listed on this ticket. I
understand and agree to the terms bo f e f t and back of this ticket.
i
4 / D06GON I OMMY RECEIVED BY: X �j�
i
OONSROL, 20 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
,� , jo�cl °p+r�^ MIAMI • DOWNTOWN MIAMI • WEST MIAMI • AIRPORT • OPA-LOCKA • MEDLEY • PERRINE • PEMBROKE PINES
4- l 2 DEERFIELD • BOCA RATON • RIVIERA BEACH • STUART • W. BROWARD • FL PIERCE • E. BROWARD • DELRASY
PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK NRMCA
DELIVERY COPY
"The On Time Concrete Company"@
4CENTRACONCRETL CONCE DISPATCRETE SUHERS: PERMIX, INC.
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MIAMI-DADE: (305)264-7101
DEERFIELD: (954) 480-9.333 LIVER*TI
BLOCK PLANT: (305) 805-3226 .ClUSTOMEAVOil
WWW.SUPERMIX.COM
RAIN OFFICE: 4300 S.W. 74th Ave. -Miami, FL 33 155
)HONE: (305) 2132-3250 i FAX: (305) 267-0698
ERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN & ST. LUCIE COUNTIES
SOLD TO
Id; it 171 7, 1 `51
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I:II Ij 11 F, - (j lill
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MINUTES ALLOWABLETIME'
.XTRA UNLOADING TIME CHARGE
*6 MINUTES PER CU. YD. ALLOWED
PER MINUTE
X $1.00
SHORT LOAD CHARGE NP
SLUMP THIS DELIVERY TOTAL CU. YDS. AMOUNT
OF YOUR ORDER FOR CU.YDS. TAX
USTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR
ERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR WHEN
IATER IS ADDED. WATER ADDEO 0 YES Q NO _Gcq.-
TIMEARRIVE6.0N. jOR
STARTED, UNLOADING -Ti4j-N,
IS, H,_ _Eb r0, NhOADI IN
s -�T
SUBJECT TO THE TERMS, CONDITIONS AND "CAUTION" WARNING LISTED ON BOTH THE
FRONT AND BACK OF THIS TICKET.
I Huter, utilvit:m, I acknowledge that I cepted thpnaterialV IS Wh this ticket. I
have receivErd and 5,37 �9
understand and agree to the terms oieoth the I M and b of t ticket.
v/' RECEIVED BY: X
CONTROL 20 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
,Ak CO& MIAMI -DOWNTOWN MIAMI -WEST MIAMI -AIRPORT - OPA-LOCKA- MEDLEY - PERRINE - PEMBROKE PINES
14- 15 8 0. 0, DEERFIELD -BOCA RATON -RIVIERA BEACH -STUART - W. BROWARD -FF. PIERCE - E. BROWARD - DEL14AY C
PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK- NRMCA
DELIVERY COPY
PL4NING AND DEVELOPMENT SERIVICES DEPARTMENT
Building and Code Regulations Division
2300 VMGINIA AVE.
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
PERMIT ER: i_ V 55 1,7, ati V I S 4 c,- U
I, s/ [-�e,�u` t am requesting that the above permit be renewed. I
un&Tsand that I must schedule and s all required inspections for the permit to be finaled. Further, I
understand that this is a ONE TIME NEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification 1 ii S ,p PCB I r o n y n o — o f2!1 n /e Ir rf ee r swr d i° X 4if- e
STATE OF FLORIDA�� ���
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20
10
IS PERSONALLY KNOWN TOME OR
HAS PROVIDED F / (DZ— AS IDENTIFICATION.
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
- = Original permit fee: x "/o open = $ Renewal fee
Example: [15 divided by 23=.65(°/u)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 6242014
T&PCa1 t
Z%LAA i
KELLER, 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
FAX (561) 845-8876 E-Mail: KSMQKSMENGINEERING.NET ST. LUCIE (772) 229-9093
C.A.: 5693 FAX (772) 589-6469
February 12, 2015
Laurie Hearing
738 Prima Vista Boulevard
Port St. Lucie, Florida 34952
Re: 738 Prima Vista Boulevard
Port Saint Lucie, Florida
Permit #: SLC 1406-0055 + 14010
KSM No. 141267-2d
Dear Ms. Hearing:
Enclosed, please find the nuclear density test results performed on the compacted
subgrade for the driveway entrance at the above referenced project.
,,,.•,
S .� questions
No. 2'• "'
please feel free to call.
Fax a(ridi J�ffgiriW'St. Lucie County Building Department
E-mail to: ttevi1976@bellsouth.net
sltsth@bellsouth. net
JEK/km
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
Tie C! lk L
"GIA /i
KELLER, 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
FAX (561) 845-8876 E-Mail: KSMQKSMENGINEERING.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: February 11, 2015
PERMIT #: SLC 1406-0055 + 14010
KSM JOB #: 141267-1d/ES/km
CONTRACTOR:
Laurie Hearing
JOB LOCATION:
738 Prima Vista Boulevard
Port Saint Lucie, Florida
MATERIAL:
Gray Sand with Some Clay and Shell
ITEM TESTED:
Driveway Entrance
---------------------------------------------------------------------
TEST LOCATION
DEPTH MOTS- PEN DRY MAX. DRY PERCENT
OF SAMPLE.
TURE READ DENSITY PROCTOR COMPACTION
---------------------------------------------------------------------
VALUE°...,
1. Center 0" — 12" 6.4 56 110.9 111.0 99.9
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
Tl CA 1 t
i1117 jYi
KELLER, SCHLEICHER & MlaCWILLIAM 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
FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093
C.A.: 5693 FAX (772) 589-6469
MOISTURE -DENSITY RELATIONSHIP
MODIFIED PROCTOR (ASTM D 1557)
DATE TESTED:
PERMIT #:
CONTRACTOR
JOB LOCATION
Soil Description:
Max. Dry Density:
Optimum Moisture:
z Julie E. Keller, P.E.
President
February 11, 2015
SLC 1406-0055 + 14010
Laurie Hearing
738 Prima Vista Boulevard
Port Saint Lucie, Florida
KSM JOB #: 141267-2p
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10 11 12 13 14
Moisture - Percent of Dry Weight
Gray Sand With Some Clay and Shell
111.0 P.C.F.
11.0 Percent
Ronald G. Keller, P.E.: 37293 / SI Lie. No.: 860 / Julie E. Keller, P.E.: 68366
07/21/2014 16:05 77258964c.9 KSM ENGINEERING PAGE 01/03
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KELLER, 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 8876 845-7445 www.ksmLngineering.net MELBOURNE (321) 768-8488
FAX (569 845.8876 E-Mail: KSMOKSMENGINEERING.NET ST. LUCIE 72) 229-9093
C.A.: 5693 (7
FAX (772) 589-6469
July 21, 2014
Richard Beville
Beville Tractor Service
771 Campbell Road
Fort Pierce, Florida 34945
Re. 738 Prima Vista Boulevard
Port Saint Lucie, Florida
Permit #: SLC 1406-0055 + 14010
KSM No. 141267-1 d
Dear Mr. Beville:
Enclosed, please find the nuclear density test results performed an the compacted
subgrade for the concrete parking lot at the above referenced project.
Should Ry.ra. a any gyestions, please feel free to call.
JEfUI
my Building Department
RECEIVED JUL 2 2 2014
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
07/21/2014 16:05 7725896499 KSM ENGINEERINr.__ PAGE 02/03
KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC.
MARTIN 772) ACC (561) 845-7aa5 55
PALM BEACH 567] PO, BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712
321 FAX (561) 845-8676 '�+'+N.ksmengineering.net MELBOURNE ( ) 768-8488
C.A.: 5593 E-Mail: KSM(OKSMENGINEERING.NEr ST. LUCIE (772) 229-9093
501E COMPACTION REPORT FAX (772) 589-6469
ASTM D 1557 and ASTM D 2922
DATE TESTED: July 18, 2014
PERMIT #: SLC 1406-0055 + 14010
CONTRACTOR: Beville Tractor Service
JOB LOCATION: 738 Prima Vista Boulevard
Port Saint Lucie, Florida
MATERIAL: Gray Sand with Some Clay and Shell
KSM JOB #: 141267-1d/DP/jl
ITEM TESTED:
Subgrade for the Concrete Parking Lot
- TEST L6CA71614,
- bEPTH -MOTS-----
PEN
DRY
-MAXDRY'
PERCENT
OF SAMPLE
TURE
READ
DENSITY
PROC.TOR
COMPACTION
--------------------
VALUE
1. N.W.
0" — 12" 9.3
47
109.3
111.0
98.5
2. Center
52
110.6
99.6
3. S-E.
" "
56
110.8
99.8
Ronald G_ Keller, P.E.: 37293 / SI Lic. No.: 860 1 100 E. Keller, P.E : 68366
07/21/2014 16:05 772589rdrg KSM ENGINEERING. PAGE 03/03
:d alk A
JL%Icj4ft
KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC.
MARTIN ACC (561) 855 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 58M712
PALM 61) 845 8876 845-7445 ,n�.ywAsmengineering.net MELE30URNE (321) 768-8488
FAX (569 845.8876 E-mail:KSM@KSMENGINEERING.NET ST. LUCIE (772 229_9093
C_q.: 5693 )
MOISTURE -DENSITY RELATIONSHIP FAX (772) 589-6469
MODIFIED PROCTOR (ASTM D 1557)
DATE TESTED:
PERMIT #:
CONTRACTOR:
JOB LOCATION;
k'
Soil Description:
Max. Dry Density:
Optimum Moisture:
Julie E. Keller, P.E,
President
July 18, 2014
SLC 1406-0055 + 14010
Beville Tractor Service
738 Prima Vista Boulevard
Port Saint Lucie, Florida
KSM JOB #: 141267-1p
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10 11 12 13 14
Moisture - Percent of Dry Weight
Gray Sand with some Clay and Shell
111.0 P.C.F.
11.0 Percent
Ronald G. Keller, P.E.: 37293 / 91 Lia. No.: 860 1 Julie E. Keller, PE.: 68266
Permit No. ���� ' �� rJJ Tax Folio Now — cS—S —
State of Florida 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 Descripti of Prope : (and street address if available : =;r�_
��(P{'sy. 000 adl 61�{iPirBoY(JlnfI I0-191K&3 _Trnc+4d-%orI
General description of improvement: 2 1'4 (\ ✓) Q L d N .r] P I L R ✓� -7 Kali
Owner information or lessee In
mation if the Lessee contracted for the Improvement:
Name S R w ✓I �e Cn � I h to
Address �12e' .5F 13reaK w4J p A v-c PS f 3 r-/4h 3
Interest in property:-Py2
Name and address of fee simpletitleholder(if different from Owner listed above): -
Contractor's Name: l i N0, w cL e.. v l
Phone Number:
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number:
Lender Name: Phone
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
Phone Number. 77.2 5 a? % 0 q 6
.In addition to himself or herself, Owner designates 4C ar rvr of CAA r r �L to receive a copy of the
Lienol's Notice as provided in Section 713.13(1)(b), Florida Statutes. -
Phone number of person or entity designated by owner: 7 % 2 5' 02 y A 70 / b
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final, payment to the
contractor, but will be 1 yearfrom the date of recording unless a different date Is specked)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W f h! YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under p a of =ivri�or
at I have read the foregoing notice of commencement and that the facts stated therein are true M th> ham-- z
my kno ge anPM
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY Lessee's Authorized Officer/Dire FILE # 3961572 06/0412014 at 0267 o
ROR, BOOK 3638 ECORDING: $1p GE 2067-2067 Doc Type: NC
(Signatory's Title/Office) 11ff\\4F'
The foregoing instrument was acknowledged before me this�day oiJ � n � , 2014,
ByS\--Q,01\ A*4 Ir as OW2` for �fO�Rt�'iV dwe.(ie.�
Name of Person Type of authority {e.g.officertrustee) Party on behalf o whom instrument was exec utied
` �}0.^h6. Personally known_or produced Identification_
�SignatureofNotary ublic-State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced
of L.vur< ki 1c),r+re-oyzo
` 201 South Indian River..