HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: — Permit Number: HCR -�q6-0
SCANNED
BY
St. Lucie Count
Building Count
Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: i�"6 a�
Legal Description:
Commercial Residential
Property Tax ID #: �/" /� d� / Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ditionai work 1
_Mechanical
Electric
rrormea unaer finis permit- cnec
Gas Tank _ Gas Piping
VK[umbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ < (y-O
Name #A&,j-C L)5-��0[,\_VL So -I
Address: r-'D a•� tc-t C�--oQ
City: Aj f✓ State:
Zip Code: Fax:
Phone No.
E-Mail:
apply:
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
Utilities: _Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: `C-3 ✓
Company: 2 Pt 0,^I0 two IILA,L2
Address: 12,0.:
City: - 7f -e- State:Z�
Zip Code:-? Fax:
Phone No. 02 6 Xl
E-Mail: i1 14 Cd
State or County License: 5
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone.:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may, apply.
In considerationof the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING 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 lender or an attorney before
commencing work or recording our Notice of Commencemen
Signature of Owner/ Agent/ Lessee
ature o ontractor/License Holder
STATE OF FLORIDA
COUNTY OF `'
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20_ by
this day of 20_ ,by
f'1
(Name of person acknowledging)
(Name of pers n ac nowledging )
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State.of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7/2014
IV V 2� Af
9 A
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
November 13, 2015
South Florida Land Clearing, Inc.
15701 Orange Avenue
Fort Pierce, Florida 34945
Re: 102 Germani Road &
Corner of Midway Road
Fort Pierce, !o 'da
Permit#: 1408-0406 -
K9M Project#: 152491-1d
Dear Sir:
Enclosed, please find the nuclear density. testresults performed on the parking lot at
the above referenced project.
Shoul�dA t3 Iry �ly,�uestions, please feel free to call.
R � f1�� °°•��':
J EK/ct
11-zv-IS-
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
\ -.V
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@KSM ENGINEERING. 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:
November 12, 2015
KS JOB #:
152491 -1 d/ES/ct
PERMIT #:
1408-0406
CONTRACTOR:
South Florida Land Clearing,
Inc.
JOB LOCATION:
102 Germani Road &
Corner of Midway Road
Fort Pierce, Florida
MATERIAL:
Brown and Gray Sand with Marl Mix
ITEM TESTED:
Parking Lot
---------------------------------------------------------------
TEST LOCATION
DEPTH MOTS-
DRY
MAX. DRY
PERCENT
OF SAMPLE
TURE
DENSITY
PROCTOR
COMPACTION
---------------------------------------------------------------
VALUE
1. N. E.
0" —12" 7.6
114.1
114.3
99.8
2. N.W.
8.4
112.8
98.7
3. Center
8.0
113.7
99.5
4. S.W.
7.6
114.0
99.7
5. S.E.
4.4
113.0
98.9
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366
r• s ;;. r � EL'y �'
�9f
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 MOISTURE -DENSITY RELATIONSHIP FAX (772) 589-6469
MODIFIED PROCTOR (ASTM D 1557)
DATE TESTED:
PERMIT #:
CONTRACTOR
JOB LOCATION
Soil Description:
Max. Dry Density
November 12, 2015
1408-0406
South Florida Land Clearing, Inc.
102 Germani Road &
Corner of Midway Road
Fort Pierce, Florida
KSM JOB #: 152491-1p
115 T---1---1---1---1--7--7--T---1
I I I I I I I I 1
I I I I I I I I I
1144- 1---I---I---I-- --— — a- — — a
} I I I I I I I I 1
113
U I I I I I I I I I
a I I I I I I I I
X112-r--I---1---I —-1---r---r-- r--1.
I I 1 I I I I I
W I I I I I I I I I
I I I I I I I I I
I I I I I I I I
110__ I
I I I I I I I I I
I I I I I I I I I
I I I I I I I F I
109t--I---I---I---i--=+— t--+--i
6 7 8 9 10 11 12 13 14
Moisture - Percent of Dry Weight
Brown and Gray Sand with Marl Mix
114.3 P.C.F.
Optimum Moisture: 11.6 Percent
Julie E. Keller, P.E.
President
Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366