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HomeMy WebLinkAboutSUBMITTED PAPERSA OFFICE USE ONLY: I Date: _.) j(; Fee Due: 1 Receipt# Permit A, �. i� �`�J' I . 2. 3. 4. PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION SCANNEri 2300 Virginia Avenue B Y Ft. Pierce, FL 34982-5652 'St• Lucie CO 772-462-1553 (inty APPLICATION FOR ALUMINUM STRUCTURES PERMIT ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PROJECT INFORMATION LOCATION/SITE ADDRESS: 8417 Belfry Place Port Saint Lucie, FL 34986 PROJECT NAME: Mitchell SITE PLAN NAME: PROPERTY TAX ID #: 3327-701-0064-000-1 LEGAL DESCRIPTION (attach extra sheets if necessary): POD 28At The Reserve — Lot 61 5. PLAT BK PAGE 6. PARCEL SIZE: ACRES/SQ FT. BLOCK LOT DIMENSIONS LOT 61 7. SETBACKS (ACTUAL) FRONT: BACK: 3� RIGHT SIDE: i•5� LEFT SIDE: 1.5 8. TYPE OF STRUCTURE (CHECK ALL APPROPRIATE BOXES FOR EACH AND EVERY TYPE OF STRUCTURE) N = New SG = Slab on Grade SQUARE FEET OF TYPE OF CONSTRUCTION A = Addition SR = Raised Slab DIMENSIONS CONSTRUCTION R = Rebuild WD = Wood Deck ❑ SCREEN ROOM ❑ NEW ❑ EXISTING X ❑ CARPORT/PATIO ROOF ❑ NEW ❑ EXISTING X ❑ HABITABLE GLASS ROOM ❑ NEW ❑ EXISTING X ❑ CAT 1, 2 OR 3 SUNROOM ❑ NEW ❑ EXISTING X ❑ ALUMINUM COMP. SHED ❑ NEW ❑ EXISTING X 11X POOL ENCLOSURE N SR -Cd NEW ❑ EXISTING 30' X 42' ❑ M H ROOF OVER ❑ NEW.- ❑ EXISTING X ❑ ROOF SYSTEM OVER EXISTING ACCESSORY STRUCTURE ❑ NEW El"EXISTING X ❑ OTHER: ❑ NEW ❑ EXISTING X ❑ ALUM POOL FENCE Linear feet I TOTAL SOUARE FOOTAGE OF CONSTRUCTION 1 III 9. VALUE OF CONSTRUCTION: $ 9,290.00 The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted PRIOR TO FIRST INSPECTION. SLCCDV Form No.: 001-02 Rev.04/26/2010 Z OWNER INFORMATION NAMLiames & Marcella MItchell ADDRESS: 8417 Belfry Pl CITY: Port Saint Lucie STATE: FLI ZIP 34986 PHONE (DAYTIME): (217 99.0461 &MAIL: (PROPERTY OWNER) IS DIFFERENT FROM FILL IN NAME AND ADDRESS BELOW IF THE FEE SIMPLE TITLEHOLDER THE OWNER LISTED ABOVE: FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME): ( ) CONTRACTOR INFORMATION STATE OF FLORIDA REG./CERT #: _ _ _ RX 1 106691 9 ST. LUCIE COUNTY CERT #: 4763 BUSINESS NAME: Pi on _Pr 4c�rA�l Cs]-•—�I3C IT QUALIFIER'S NAME: Michael T Newman it- ADDRESS:_ 1 682 sw Tiii ltmn. CITY: Port Saint Taic!i t- STATE: FL —St I ZIP 34984 PHONE (DAYTIME): ( ) _ 2) 340-4 9 FAXNO. _ 340-4626 1 emailpioneerscreenAmsn_com ARCHITECT/ENGINEER: Do Kim & Associates ADDRESS: PO Box 10039 CITY: Tampa STATE: FL ZIP 33679 PHONE (DAYTIME): (M) 857.9955 NOTE: IF APPLICABLE, SUBCONTRACTOR AGREEMENTS MUST BE ATTACHED TO APPLICATION FOR ROOFING, ELECTRIC, PLUMBING, AND HVAC ZONING REQUIREMENTS All such structures will be subject to the requirements of the ST. LUCIE COUNTY LAND DEVELOPMENT CODE. 1Z 2 scaled plot plans showing lot size, dimensions of existing host structure, and proposed aluminum addition. All setbacks including front, side, rear and distance between adjacent property structures ❑ 2 sets of color photos for all storm damaged areas to be reconstructed. in MH Parks shall be, indicated on the plot plan. One picture must include house address number for inspection verification. ( not required for construction unrelated to storms) OFFICE..USE. ONLY . . SECTION TOWNSHIP RANGE MAP NO. Additional ZONING LAND USE LOT CVG % Pen -nits Re aired REPORT CODE BIMS FEE MISC FEES TOTAL FEES BUILDING & ZONING REVIEW ; FRONT PAN S VALUE OF CONSTRUCTION REVIEW COUNTER ZONING SUPERVISOR EX MiN VEGETATION USING ICC TABLE DATE COMPLETE INITIALS PO M a PLAN REVIEW SPECIFI PLEASE PROVIDE ONE OF THE FOLLOWING: d2 Sets of Detailed Plans: Dated, Signed & Sealed by an Engine ❑ 2 Sets of Detailed Plans: Designed in accordance with the AAF ❑ 2 Sets of Detailed Plans: Designed in accordance with any Appi (I) ANY PLANS SUBMITTED WITHOUT COMPLYING WITH APPROVAL. ALL PLANS MUST BE IN INK AND ANY NOTA' A SUBMISSION. • All plans must be legible and must be designed in Architect • All relevant tables & details, if using a manual, must be prc drawings. • The plan view must include all dimensions; the location of identified thereon. • All elevations must be shown, including 4`h wall detail, dim • All primary and secondary carrier beams, spans, spacing, g; • All methods of fastening or other details which are relevant • All upright column heights, sizes, spacing and gauges must • All chair -rails, roof purlins, girts, channels, knee -bracing, I must be sized and identified. • All ridge beams and super gutter or fascia attachments muse • All roof pans or composite panels, with gauges and spans, r • All footing, slab and ISO pier designs must be on the plans, • All light metal alloys which are utilized shall be designed it 20, including 2006 revisions. • Barrier railings, if utilized, shall have all materials, fastener catching gates with picket spacing. TION CHECKLIST or Architect holding a Florida State professional license. aide to Aluminum Construction in High Wind Areas. Manual per fs-489.113. FOLLOWING SHALL BE RETURNED WITHOUT i IN PENCIL WILL NOT BE CONSIDERED A PART OF Scale on pages which are 81/2" x 1 I" or larger. rly highlighted and must match design checklists & host structure and all materials must be sized and -nsions and all material must be sized and identified. uges must be shown [Example: 2" x 8" x .072"]. to the design must be identified on the Plans. be shown as follows: [Example: 3" x 3" x .050"]. -bracing, cable bracing or any other required component be identified. cost be sized and identified. per the Architect / Engineer's plans & specifications. conformity with the Florida Building Code of 2007, Chapter and height specified and shall have self -closing, self- (11) SITE CONSTRUCTED SHEDS, HAVING ANY ALUMINUM COMPONENT, SHALL MEET ALL OF THE ABOVE REQUIREMENTS AND THE FOLLOWING ADDITIONAL ITEMS: (A) 2 copies of the current product approval [i.e. N.O.A. or State of Florida approval] with the proposed "opening" or cladding component highlighted and with fasteners and design pressures, per FBC 1714; clearly identified. (B) 2 electric schematics, in accordance with the N.E.C., if applicable. (C) Design pressures, per ASCE-7, identified on the openings of all Plans. (I11) HABITABLE ROOMS/ADDITIONS DESIGNS SHALL MEET ALL OF THE ABOVE REQUIREMENTS, EXCEPT AAMA SPECIFICATIONS, AND CHAPTER 13 OF THE FLORIDA BUILDING CODE. (IV) SUNROOMS (as defined in R202 and FBC 2002.6) MAY BE CONSTRUCTED, SO LONG AS THEY MEET ALL OF THE ABOVE REQUIREMENTS AND MUST BE IN STRICT COMPLIANQE WITH AAMA/NPEA/NSA2100.02 AND MEET THE FOLLOWING ADDITIONAL ITEMS: (1) The designer or engineer will state on all Plans, which Category of Design [3.1.2] will be used, inclusive of the definition. (2) If designing a Category 4 or Category 5 structure, as defined in the current Edition of 3.1.2.4 and 3.1.2.5, proper energy calculations and long form equipment sizing calculations shall be required, pursuant to Chapter 13 of the current State of Florida Building Code. (V) MOBILE HOMES (FAC 15C-2.0081 - FAC 15C-2.0072): ALL STRUCTURES ADJACENT TO OR NEW ROOF SYSTEMS (Pan or Composite) OVER EXISTING ADJACENT STRUCTURES TOIA MOBILE HOME SHALL REQUIRE: (a) A 41h wall or a current, signed original manufacturer's attachm number and current owner's name and street address. (b) That the complete guide to H.U.D. specifications be strictly ac (c) A Certified Florida Engineer may design the manner of attach assume full responsibility for both structures' integrity by site approval letter which includes the model number, serial I to. of the proposed structure to the host house but shal l ific documentation. AFTER RECORDIN - F fRN TO' %�v � 2 � lid• � i G�i�, a.?c )�7!/l f �/PT se CZ - PERMIT NUMBER: r —Z JOSEPH E. SMITH, CLERK OF CIRCUIT COURT SAINT LUCIE COUNTY --, FILE # 3925847 02/17/2014 at 01:24 PM OR BOOK 3604 PAGE 2266 - 2266 Doc Type: NC RECORDING. $10.00 NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal' description and street address) TAX FOLIO NUMBER: `721/^ SUBDIVISION BLOCK TRACT LOT W'f BLDG UNIT QE 2. GENERAL DESCRIPTION OF IMPROVEMENT: 1AISY411 —% na C 3. OWNER INFORMATION: a. Name 117%mcs Ir, /!7 /TeW,,F 4Z i �iA/leE([,Q �hi- rLL b. Address 19'07 Y P_ /� 61e,',Z c. interest in property�FrJ.v--2 d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: ,&'i3OA16-- 2 J CP_c-C—W 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) , 20 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IIvfPROPER 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 WITH YOUR rJf—inncs/t' f'1') 1 i LILLL Owner or t Print Name and Provide Signatory's Title/Office ;horized Off icer/Director/Partner/Manager State of Florida County of —* t cG The foregoing instrument was acknowledged before me this �day of , 20�. By�Fim �C • /n ' i �'T!� LL , as Q Z j (Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For .11 (Name of party on behalf of whom instrument was executed) Personally Known' — or produced the following type of ID: / ?�(S—iggnature a��� i 7� 0 tir��'iyJO ANNE WILLS (Printed Name of Notary Public) of Notary Public) (Seal) - g Commission # EE 036047 '_..� Expires February 20, 2015 Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to li sts y �&F ftpao S003as•7019 belief (section 92.525, Florida Statutes). s Signature(s) of Owner(s) or Owner(s)' uthorized Officer/Director/Partner/Manager who signed above: y s� (Sign e) (Printed Name) Uv. 08A 7(Rccmdin ) MOBILECRETE. ILEC MOB ET R E , . t ; TECHNOLOGIES: - . TECHNOLOGIES ,.: _ : � - � a ,. � �� �� Ell MC . 0 VISA Metered and Mixed Fresh On -Site °` ❑VISA Metered and Mixed Fresh On -Site 772.466.5070 0 AMEX 772.466.5070 ❑ AMEX 3825 Selvitz Road, Ft. Pierce, Florida 34981 i 3825 Selvitz Road, Ft. Pierce, Florida 34981 " te: `� /11-/ / L / Cubic yds. ordered: / ° _ I Date: S fN Cubic yds. ordered: j ie of.job: Time of -job: Name:, V Php6q;p1y Ft _ ; Customer Name: J { 0 -, i Phone: !very Address:_ �% �� �1 '� f , j, o -e(' Delivery Address: Y L.. f 1 , ; LC City: f ler fe: P.O.#: ' _ — Project Name:_ 1� r, P.O.#: � YARDS. MIX DESIGN PEA ROCK PRICE `YARDS MIX DESIGN PEA ROCK PRICE USED REG.( #57/67 PER YD AMOUNT USED PUMP #57/67 PER YD AMOUNT ��R%.AD MIX 'OTHER •' � i .\ FIB / AD,MIX OTHER TIME TIME TIME DELIVERY iME' TIME TIME DELIVERY 5008 STARTED FINISHED CHARGE" ON:JOB" STARTED FINISHED CHARGE TRUCK TRUCK O.T. FEE O.T. FEE ' SHORT LOAD SHORT'l� �.. 1O`MlnUteS Of FREE'. FUELSURCHARGE 10 MIfluteS of FREE FUELSURCHA 4. � unloading fora every, yard.,ENVIRONMENTAL unloading- for: every yard: o - ' $1.00 per Mlnute.After ENVIRONMENTAL SUBTOTAL ` $100. per Minute After U r I SUBTOTAL �. TAX TAX TOTAL DUE • �`�/" '" TOTAL DUE 4ARKS: , I REMARKS: tiaserassuines full responsibility for strength, slump:and quality.of.concrefe when ', I Purchaserassu,mes full responsibility for strength, slump and quality of concrete when: ging the calibration of sand, rock or water, or other material requested"on the job.:changing the calibration of sand, rock or water, or other, material requested on'the job undersigned, will assume all res(onsibility for any damage a delivery is made I, the undersigned, will, assume all responsibility for any damage where delivery is made of the curb. inside of ther{r'" )mer,X: Customer X: Driver: ',J r Reading: Truck'Number. _ Meter Reading: �;! Truck Number. G� . y} I+. •. ' MOBILECRETE_ a-�� ; .:, s d} :; �y�... .. .. . MOBILECRETE TECHNOLOGIES. o:MC = I Q ❑ MC 0 VISA TECHNOLOGIES ' ❑VISA Metered and Mixed Fresh On -Site i Metered and Mixed Fresh On -Site 772.466:5070 ❑ AMEX j 772.466.5070 ❑ AMEX 3825 Selvitz Road-, Ft. Pierce, Florida 34981 i 3825 Selvitz Road, Ft. Pierce, Florida 34981 " {{ I te: Cubic yds. ordered: :`• Date: 1 / Cubic yds. ordered: le of.job: Time of.job.: . . 3torrier:Name:. ) t� d i n j a' I 1 Phone: I 'Customer.Name:•_ PPJ {, _ Phone: ively Address:_ L1 1 �Cll f ;.l �,,( I L Delivery Address:_-,�� L� City: �fl pp jec ie: j G i-� P.O.#: Project Name: 1� P.O.#: Y SED MIX DESIGN PEA ROCK PRICE ' WARDS' ' MIX DESIGN PEA ROCK "PRICE r USED [2EG. UM #57/fi7 PER YD 'AMOUNT ° USED PUMP . #57/67 PER YD AMOUNT DER /,SAD MIX ' OTHER F FIB / AD,•WIX ' OTHER :TIME TIME TIME DELIVERY YME, TIME'TIME DELIVERY �N.J08 STARTED . FINISHED CHARGE : ON JOB' STARTED FINISHED • CHARGE TRUCK O.T. FEE TRUCK - .•.. ;.. :.. ....• ..: • :- O.T. FEE ....:. SHORT LOAD .. SHORT LOAD 10MlnuteS Of FREE'. FUELSURCHARGE 10 Minutes Of FREE . FUEL SURCHARGE O` j .unloading for every: yard: ENVIRONMENTAL unloading. fdr`eVery yard. ENVIRONMENTAL, $1.00 per Minute:After $:1:00. per Minute,After SUB.`TOTAL 4 u SUB TOTAL TAX. � _ o '. I TAX TOTAL DUE /gyp: TOTAL DUE -/ .. 4ARKS: • REMARKS: . qT i Baser assumes full responsibility for strength, slump. and. qualjty of.concrefe when Purchase.r,assumes full responsibility, for strength, slump and ualit of concret` q . X e when: ging the calibration.of sand, rock or water, or other material requested'on•the job. changing' the�calibration of sand, rock'or water, or other material requested on -the job." undersigned, will assume ait re (onsibility for any damage a delivery is -made ` . I, the undersigned, will assume. all responsibility for any damage where delivery -is ^mad' e of the curb. :inside of the . )mer X: � -� �C Driver: V' r Reading: ; Truck'Number: J : " e M ter Reading: ,Thick Number. . CPO ';-E(DN KIM, P-L- '-]C. NUMBEF 'A a 41� A S c 0 BCD' 3 qF-A' 3e' R7A. -oPC%-' sa PLAN � ,a2 OR F 4,eEB sEcroN nm GE- sure 24' O.R 3L�•__ .,_ Y 101E (FKN SDq Pt1RN suProar 2a3I/B' . r la ANGLE sus Tmx ,DA �. mrt osrME¢ v (+) ns.2/.• sus T{Y WMCRD[ ANCMB •/]3L• pIBmYMf Wf0 OTNLYRTE (TAOt smo EDGE OF Jr ANM& ENMI SOE (TP.) iLY LVIDREIE Im BO DItND11D4r ono ` SEE o Eµf o)�NCPEIE T[] 114, o.& solE PLATE 3- INN. DTP.) jr—y" comaRvE sc Rl AIQDr a 24- o.C. AND 9• PIldl POST DTP.) �-•la2 OR 501E RATE �,i. of rn1cIRTE I I r ETYPA PLAN VIEW q )i' ANQE, not = (ITPJ ~ ' ' � `.3i�Y2J{CONCIRTE AMtwll "'$RiUCIWALarcRElEc YP. rmE 40) 15Q',I08 SME Purz Q ANI=R 0 24 QLC D ISSSSt AG• M. fo6f (MJ� • f couaa/asE LId nB sac RArz (=` qua ox TOP FweR W On rASIO1ED TO coNwoE CORNER p�E sEGlvi •Int /,oa• Bus." TP at •taRN • tlr 0A I. on sa rAu t2A0rli umla4f ELEVATION VIEW CORNER POST/ COLUMN UPRIGHT DETAIL Post DO KIM ASSOCIATES, LLC CONSULTING STRUCTURAL ENGINEERS PO Box 10039 Tampa, FL 33679 Tel: (813) 374-MI 250D PSI MIN. CONCRETE STRENGTH ,NEYL-�` ,.` � r�"`��'�-'•ram. ' •! • • • . or IPd asK PAYFIB APPRo%IYATE sET to ON TOP W ROOM d' .. 08 501E RATS 24 � J �. COMPACTED OR Q Lu d (2)-/3 TE&k% COWNUOEIS c ❑ �. �.. s. `!... Ui 3- MUL CONC. COMER, 3e MIK - TcM_ LAP SPIXE O =:. U 0 o 12' MIN.' Jr OW CONCRETE SMW a 2,• OM 21i• N0l 001E N U ti mPa. Ix• GONG Dp r DEOIW ENHDI�17 (ITP.> ) W ``u=amt/e• . r In AMGLE ON 1 US P IM FO ' Z LLI 'jp /4 s"5 TYPCIAL FRONT VIEW OF POST TO OT RS V, FOUNDATION CONNECTION WITH PAVERS •.000 O L) • z C Q Z U U d � 0. BFAY ALTERNANGLE J W 2a1r)6" ANGLE U ❑ (4) /I2$• BRACE DRAWN BY: DYK 4' NGWAL COIICISIE SAB ra Rpp ri,"$• AWE (BRAtq r/ CHECKED BY: DYK m (o Pa • Io Io OR scALE: ABB.— rsx [PaTP1DRTD¢ PER - DATE B/11A18 p � 13 PCIM EN.LEA MY.] • N=�EI/(4) III2e1L-Oaue A' '� BGr IIQ FAOI lE0 (BENT t BRACE) •• Oil M510PkD ' A• DO YEON KIM, P.E .�d., S•; A, 2(1 / �slji5. • E FLA. REG. NUMBER 49497 BRAC .. • ' •!A .: (TNr. (SEE PLAN) • ((2) poslY (Tw. rAOI ETD) DO KIM 8 OCIATES. LLC ,•d•• ALTERNATE(2) C 6887 • A •A • .� � �\ 0035) 2N BRACE pB, 133679 cmjmw um SOL DR ;NNxrra ' cR„910 LOOBOCK (90>< PROLTDR) (, ( (= REMAR 2.- �' �u PLAN - TYPICAL ROOF aomD coPDt c"') BRACE TO BEAM CONNECTION 1 FOUNDATION/SLAB DETAIL Drawing No. - 060811 SHEET 20F3 LEGAL DESCRIPTION: Lot 61, POD 26 of THE RESERVE according to the plot thereof as recorded ih P-lot Book 34 pages 29, 29A through 29C of the Public Records of St. Lucie County, Florida. J e C ABBREVIATIONS: SET = Set 6/8" iron r bar yyyylth yeIIa* cap marked "PSI 6643" FD=Found 5/8" Iron Rebor F.F.E.=Finished Floor Elevollo OH--OH--OH-= Over Head Fires X--X--X-= Chain Link Fence R.O.W. = Right of Way 0--0--0-= Wood.Fence IEI= FPL Transformer Pod PL=Yolue as platted R = Rodius of curve L = Length of curve OZDelp of Curve . = Meosured CONC. = Concrete C.P.= Conc(�to Pod ED -Joter Meter ® = Polder Pole 0= Utility Box ®= We I I SURVEYORS DOTES: 1. Unless otherwise noted only plotted easements are shown hereon. 2. No underground utilities or improvements Were locoted unless otherwise shown. 3. This site lies *!thin Flood Insurance Rote Map Zone X. 4. Flood Zone shown hereon is on interpretation by the surveyor and is provided as a courtesy. The flood zone should be verified by a determination agency. 5. Bearings shown hereon ore based on the North line of LOT 61 POD 28 as being N 80'49'27" E according to the Plot described hereon, 6. P.U.D.E. denotes Public Utilities and Drainoge Easement. 7. All Lot dimensions shown ore per plot unless otherwise shown. MIN. SETBACK REQ. FRONT' SIDES- CRIR SIDES EZNG R.H. LOT 62 POD 28 30.00' r N i0'49' 2l" E �?• � � 1 STORY C%. BLOCK 9` w1 o PAVER $ 1.00 DRIVE p P' 42.01' 'o 41.70 r P A+ N 86.31'27" E 130.00' LOT 60 POD 28 8417 BELFRY PLACE Cer t ! 1 ! ed to: James K. itchell � arceua itchell SOALE;1 "=30 ° Atlantic Lard Deli nS United Community K Title Company, LLCLC of the Treasure Coast, LB7468 Chico o Title Insuronce Co. _ DATE; 9/1 1 / 1 3 754 NE Jansen Beach Blvd. Jenson Beach, FL 34957 1 hereby certify that the survey sho*n hereon is true and correct i�itAo A�yP Mailing Address: and is bosed on ncluol meoseuremenls Cohen in the field. This P.O. Box 1421 Jensen Beach, FL 34958 surrey meets the i�Inimum Technical Standards of Chapter GJ-171�-- e 2013-0720 ALD5543@gmall.com 772 398-4290 Florida administrative code. / GFTTtPtC'.1TE�°� James A. DlgitallyslgnedhyJamesAC4slroJr. PSM55,13 DATE REVISIONS DN: cn=James A. Ceslrn JC, o=Atlantic 1 land Designs of the Tr, ou, \� Cesir® Jr, Datali_ALDS543@gmali.com, -US e: 2013.00.1209:47:04-04.00' "! srnreor �y NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC 4F °toFt ¢ "{ LAST FIELD DATE:9/11/13 SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL `QFD��s"_uir•.1c,R