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HomeMy WebLinkAbout01.04.2022HISTORICAL COMMISSION AGENDA ST. LUCIE COUNTY Regular Meeting Tuesday, January 4, 2022 4:00 PM St. Lucie County Commission Chambers 2300 Virginia Avenue 3rd Floor of Roger Poitras Building Fort Pierce, FL 34982 BOARD MEMBERS CHAIRMAN Anthropology, Archaeology, History RICHARD MCAFOOS Land Use Planning or Historic Preservation Planning KRISSTA KING Architecture MIKE MENARD Layperson BETTY JO STARK VICE-CHAIR MELANIE TREWYN Conservation/Curation MIKE MIDDLEBROOK Construction JUDY BIGLIN Mission Statement St. Lucie Works to deliver superior service that enhances our quality of life Page 1 of 196 Historical Commission Tuesday, January 4, 2022 4:00 PM 2 | P a g e GENERAL RULES AND PROCEDURES – Attached is the agenda, which will determine the order of business conducted at today’s Board meeting. REGULAR AGENDA – Proclamations, Presentations, Public Hearings, and Department requests are items, which the Commission will discuss individually, usually in the order listed on the agenda. As a general rule, when issues are scheduled before the Commission under department request or public hearing, the order of presentation is: (1) County staff presents the details of the Board item (2) Commissioners comment (3) if a public hearing, the Chair will ask for public comment, (4) further discussion and action by the Board. ADDRESSING THE COMMISSION – Please state your name and address, speaking clearly into the microphone. If you have backup material, please have eight copies ready for distribution. NON‐AGENDA ITEMS – These items are presented by an individual Commissioner or staff as necessary at the conclusion of the printed agenda. PUBLIC COMMENT – Time is allotted at the beginning of each meeting for general public comment. Comments may pertain to any matter related to the Board’s duties as the County’s governing body. General comments in support or opposition to candidates for public office are not pertinent to the Board’s duties. DECORUM – Please be respectful of others’ opinions. MEETINGS – All Board meetings are open to the public and are held quarterly on the third Tuesdays of month at 4 p.m. and on the Meetings are held in the Planning Conference Room in the Planning and Development Services Department at 2300 Virginia Ave., Fort Pierce, Fla. 34982. Anyone with a disability requiring accommodation to attend this meeting should contact the St. Lucie County Human Resource Department at 772‐462‐1546, HumanResources@stlucieco.org or TDD 772‐462‐1428 at least 48 hours prior to the meeting. Page 2 of 196 Historical Commission Tuesday, January 4, 2022 4:00 PM 3 | P a g e 1.CALL TO ORDER 2.PLEDGE OF ALLEGIANCE 3.ROLL CALL 4.ANNOUNCEMENTS 5.PUBLIC COMMENT 6.MINUTES A.Approval of the October 12, 2021 Historical Commission Meeting Minutes 7.ITEMS FOR ACTION / CONSIDERATION A.OLD BUSINESS B.NEW BUSINESS 1.Proposed Historic Designation of 9809 South Indian River Drive, Fort Pierce, FL 8.MEMBER MATTERS 9.DISCUSSION 10.ADJOURNMENT Page 3 of 196 HISTORICAL COMMISSION ST. LUCIE COUNTY, FLORIDA Regular Meeting October 12, 2021 Convened: 4:00 PM Adjourned: 4:25 PM 1.CALL TO ORDER The meeting was called to order at 4:00 PM by Chair McAfoos. 2.PLEDGE OF ALLEGIANCE Pledge of Allegiance led by Chair McAfoos. 3.ROLL CALL Present Chair Richard McAfoos, Commission Member Betty Starke, Commission Member Mike Middlebrook (Virtual), Vice-Chair Melanie Trewyn, Commission Member Mike Menard, Commission Member Krissta King, Commission Member Judy Biglin Excused Others Present Staff: Kori Benton, SLC Assistant Planning Manager, and Historic Preservation Officer Caroline Valetin, Assistant County Attorney, Stephanie Guevara, Planning Technician and Commission Secretary Members of the Public: Coach William Redden Sister of Arthur Lee Boatwright 4.ANNOUNCEMENTS Chair McAfoos requested all silence phones and devices. 5.PUBLIC COMMENT None. 6.MINUTES Page 4 of 196 Historical Commission Tuesday, October 12, 2021 4:00 PM 2 | P a g e A.Approval of the August 9, 2021 Historical Commission Minutes RESULT:APPROVE MOVER:Commission Member Betty Starke SECONDER:Commission Member Judy Biglin AYES:Richard McAfoos, Betty Starke, Mike Middlebrook, Melanie Trewyn, Mike Menard, Krissta King, Judy Biglin NAYS:None EXCUSED:None 7.ITEMS FOR ACTION / CONSIDERATION A.OLD BUSINESS B.NEW BUSINESS 1.Naming Request: The Lincoln Park Regional Park Pool as the Arthur Lee Boatwright Pool STAFF PRESENTATION: Kori Benton, SLC Assistant Planning Manager and Historic Preservation Officer. The request is to rename St. Lucie County, Lincoln Park, Pool at Lincoln Park Regional Park, and the Arthur Lee Boatwright Pool. The community asset is located at the northeast corner of 13th Street and Avenue M, within the City of Fort Pierce limits. The Lincoln Park Regional Park encom- passes the Horatio Grisby Park recreational facilities, west of 13th Street, and the Ilous Ellis Memorial Park recreational facilities east of 13th Street. The pool is within Ilous Ellis Memorial Park complex, adjacent to walking trails, covered basketball courts, baseball fields and a full-sized football field. Staff recommends the Commission evaluate the request in accordance with the St. Lucie County Public Facilities Naming Policy, and consider a recommendation. COMMISSION MOTION: RESULT:APPROVE MOVER:Commission Member Melanie Trewyn SECONDER:Commission Member Mike Menard AYES:Richard McAfoos, Betty Starke, Mike Middlebrook, Melanie Trewyn, Mike Menard, Krissta King, Judy Biglin NAYS:None EXCUSED:None Page 5 of 196 Historical Commission Tuesday, October 12, 2021 4:00 PM 3 | P a g e 8.MEMBER MATTERS STAFF PRESENTATION: Kori Benton, SLC Assistant Planning Manager and Historic Preservation Officer. 9809 S Indian River Drive updated on the demolition of release pending supplemental filing from their team. Public hearing to follow for historical designation request, and Giordanos coming in as the first Historic Preservation Designation. COMMISSION DISCUSSION: Ms. Trewyn requests briefings on items prior to the meeting coming in. Mr. Benton will send out specific experts of the Land Development Code on the Historic Designation Process. Ms. Biglin inquired about the status of the Frozen Custard project. Mr. Benton stated that there were concerns about prices for construction and placed the project on hold. Since then, a contractor expressed interest in acquiring it. Mr. Middlebrook extended thanks to the staff for allowing for virtual attendance. 9.DISCUSSION 10.ADJOURNMENT RESULT:APPROVE MOVER:Commission Member Judy Biglin SECONDER:Commission Member Mike Menard AYES:Richard McAfoos, Betty Starke, Mike Middlebrook, Melanie Trewyn, Mike Menard, Krissta King, Judy Biglin NAYS:None EXCUSED:None Adjourned at 4:25 pm. Page 6 of 196 Historical Commission Tuesday, October 12, 2021 4:00 PM 4 | P a g e Page 7 of 196 Report Dates: 8/9 & 12/2, 2021 Owner Historic Status Non-Designated Structure Eligible for Local Designation Owner Request Demolition of a primary residence, accessory guest house and garage. Staff Request & Recommendation Evaluate the historic signifi- cance and condition of the subject structure, and consid- er whether to recommend designation of the structure(s) as historic or release of the request for demolition. Staff Kori Benton, AICP Historic Preservation Officer S T . LU C I E C O U N T Y H I S T O R I C A L C O M M I S S I O N H I S T O R Y c. 1941 Date of Residence construction per Florida Master Site File (8SL1231) c. 1953 Date of Guest House & Garage construction the Property Appraiser’s records A N A L Y S I S O V E R V I E W Historical Significance: The primary wood frame structure is associated with WWII & Aftermath, with the original guest house and garage contributing to the campus. Architectural Significance: The single-story wood frame residence located at 9809 South Indian River Drive represents a simplistic styling expressed by a rectangular plan, drop siding, and side gable roof with composition shingles and various decora-tive trim. Exterior wall fabric consists of drop siding, with some modern siding replacements. The primary structure predominantly features non-original windows, with 2 over 2 design. Building modified are estimated in the 1960s and 2015. A non-original wood deck wraps a notable portion of the structure. The guest house has maintained much of the original design and material, whereas the garage has some non- original siding, windows and door. Request: The applicants are requesting to demolish the primary residence, guest house and garage to pursue a redevelop- ment project including subdivision. The applicant met with the St. Lucie County Development Review Com-mittee (DRC) to explore subdivision of the 3.93-acre into two (2) or four (4) lots. Definitive reuse plans have not been filed, however a "Lot Split to divide the parcel into two (2) is active with the Planning Division. Location 9809 South Indian River Drive Parcel ID 3529-223-0001-000-5 9809 South Indian River Drive—Fort Pierce, FL Zoning RE-2 (Residential, Estate – 2du/ac) Zoning District, Subject site Planning and Development Services Department Historic Preservation Linda Ash-Jackson & Paul Jackson January 4, 2022 Public Hearing Public Hearing for Proposed Historic Designation - Historical Commission Initiated Historical Commission's Initial Action Consider a recommendation of Designation to the Board of County Commissioners Page 8 of 196 2 Photo Date Unknown Location Exhibits Primary Residence Page 9 of 196 3 Photo Date c.2017 Primary House Guest House Garage Page 10 of 196 4 Survey Snapshot Pending Lot Split Guest House Primary Residence Garage Page 11 of 196 5 S T A F F R E C O M M E N D A T I O N Staff recommends the Historical Commission evaluate the historic significance and condition of the subject structures, and consider whether to recommend historic designation to the Board of County Commissioners or release the request for demolition. Based upon the simple Wood Frame vernacular styling, architectural significance, and displayed condition, staff is recommending against a designation request for the site while encouraging the owners to incorporate the guest house and detached garage into a redevelopment plan that consists of no more than two (2) lots, retaining the predominant development pattern along Indian River Drive. Attachments Florida Master Site File 8SL1231Main House Inspection Report (applicant exhibit) Guest House Inspection Report (applicant exhibit) Demolition Request Highlights Is the structure of such interest or quality that it would reasonably meet national, state, or local criteria for designation as a significant historic or architectural site or structure? The subject structures generally meet the local criteria for designation as significant historic, for Architectural Significance, context of devel- opment during WWII and the subsequent development period. •LDC Section 4.11.06. Criteria 1. Is the structure of such design, craftsmanship or material that it could be reproduced only with great difficulty or expense? The structures displays a simple Wood Frame Vernacular styling ex- pressed by a by a rectangular lines, drop siding, and gable roofs, fea- turing composition shingles, and simple ornamental features. The structural condition has not been well documented by staff, however the applicant has provided documentation detailing condition as assessed by a private party. Is the structure one of the last remaining exam- ples of its kind in the county or region? The structures display an architectural style that is commonly found throughout South Florida and exhibit some modifications. Would retention of the structure promote the general welfare of the County by providing an opportunity for study of local history, architec- ture and design or by developing an understand- ing of the importance and value of a particular culture and heritage? The structure reflects development the development pattern along In- dian River Drive in the 1940s, as architectural styles shifted. The ar- chitecture and design is limited, however the development pattern and context are valuable. The guest house condition, and detached nature of the garage contrib- ute to the historic development pattern along the Drive. Incorporating these structure into the redevelopment plan is encouraged, considering greater viability to relocate. Are there definite plans for re-use of the property if the proposed demolition is carried out, and what will be the effect of those plans on the char- acter of the surrounding area The applicant has presented preliminary plans for redevelopment, however the viability has not been verified. A “Lot Split” application, to divide the parcel into two lots is active with St. Lucie County. A copy of the 2021 Pre-application Report for the proposed redevelop- ment is attached for review. S T A F F A N A L Y S I S Page 12 of 196 6 Potential Motions (Subject to critique before hearing) AFTER CONSIDERING THE APPLICATION DOCUMENTS, THE STAFF REPORT, STAFF COMMENTS & TESTIMONY PRESENTED DURING THE PUBLIC HEARING AND THE STANDARDS SET FORTH IN SECTIONS 4.11.06. - DESIGNATION PROCESS AND PROCEDURE AND 4.11.07. - EMERGENCY ACTIONS OF THE ST. LUCIE COUNTY LAND DEVELOPMENT CODE, I HEREBY MOVE THAT THE ST. LUCIE COUNTY HISTORICAL COMMISSION APPROVE THE DEMOLITION REQUEST(S) (NOT RECOMMENDING AN EMERGENCY DESIGNATION ACTION) BECAUSE... AFTER CONSIDERING THE APPLICATION DOCUMENTS, THE STAFF REPORT, STAFF COMMENTS & TESTIMONY PRESENTED DURING THE PUBLIC HEARING AND THE STANDARDS SET FORTH IN SECTIONS 4.11.06. - DESIGNATION PROCESS AND PROCEDURE AND 4.11.07. - EMERGENCY AC-TIONS OF THE ST. LUCIE COUNTY LAND DEVELOPMENT CODE, I HEREBY MOVE THAT THE ST. LUCIE COUNTY HISTORICAL COMMISSION APPROVE THE DEMOLITION REQUEST FOR THE PRIMARY RESIDENCE (NOT RECOMMNDING AN EMERGENCY DESIGNATION ACTION), ENCOURAGING THE PRESERVATION OF THE GUEST HOUSE & GARAGE WITHIN FUTURE DEVELOPMENT PLANS… AFTER CONSIDERING THE APPLICATION DOCUMENTS, THE STAFF REPORT, STAFF COMMENTS & TESTIMONY PRESENTED DURING THE PUBLIC HEARING AND THE STANDARDS SET FORTH IN SECTIONS 4.11.06. - DESIGNATION PROCESS AND PROCEDURE AND 4.11.07. - EMERGENCY ACTIONS OF THE ST. LUCIE COUNTY LAND DEVELOPMENT CODE, I HEREBY MOVE THAT THE ST. LUCIE COUNTY HISTORICAL COMMISSION DISAPPROVE THE DEMOLITION REQUEST(S), IN FAVOR OF RECOMMENDING AN EMERGENCY DESIGNATION ACTION TO DESIGNATE THE SUBJECT STRUCTURE(S) WITH A RECOMMENDATION THAT THE OWNER IS ABLE TO DIVIDE THE SUBJECT PARCEL, ALLOW AN ADDITIONAL HOME, WITH THE MOTION INTENDING TO SUPPORT REASONABLE DIMENSIONAL AND DESIGN CRITERIA CONCESSIONS NECESSARY TO PRESERVE THE STRUCTURE(S) BECAUSE... Page 13 of 196 Page 14 of 196 Page 15 of 196 Page 16 of 196 Page 17 of 196 Page 18 of 196 Page 19 of 196 4261 Dant Blvd Reno, NV 89509 Kris McCrain Associate Planner St. Lucie County, Florida Via email: McCraink@stlucieco.org Re: Jackson Lot Split (LS-5202126032) & Greystoke Estate Pre-Application (PreApp- 4202126023) 9809 South Indian River Drive Parcel ID: 3529-223-0001-000-5 Fort Pierce, FL 34982 Request for historical review Dear Mr. McCrain: Thank you so much for all of your help on this project. As we have discussed there are two living structures on the existing 4 acre lot. These are the original home dated 1940, and a smaller guest house dated 1953. The main home apparently had been struck by lightning in the relatively recent past and had been completely rebuilt we assume from the permitting that has been done within the past 10- 12 years. It had been completely remodeled. The only original features we believe are there, are some Dade County pine floors that we were planning on salvaging, and the fireplace that is non-functional today and likely requires extensive rebuilding if we were to keep the house intact. Kitchen, baths, bedroom, electrical are all modern. The guest house is smaller; The floors have been replaced and the kitchen and the bath reflect modern remodeling and styling. We have been investigating how to manage our plans based on moving or demolishing one or both of these structures. We would like to request a historical review of the structures to determine if either or both would be required to be relocated on the property, or if they can be taken down and used for salvage. At the present time, we are unable to occupy these homes since we were unable to secure homeowners’ insurance, other than fire and liability, and they are insured as vacant. Page 20 of 196 We will be in Florida the 22nd of July to the 29th in the morning and we can take any photos or meet someone at the site to review if that is required. At lease one of us will attend the meeting in person on August 9. Please let me know if you or the Historical Committee require any additional information Very truly yours, Linda Ash-Jackson and Paul Jackson Page 21 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 1 of 11 Insured/Applicant Name: Paul & Linda Jackson Application / Policy #: Address Inspected: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Actual Year Built: 1940 Date Inspected: 2/11/2021 Minimum Photo Requirements: Dwelling: Each side Roof: Each slope Plumbing: Water heater, under cabinet plumbing/drains, exposed valves Main electrical service panel with interior door label Electrical box with panel off All hazards or deficiencies noted in this report A Florida-licensed inspector must complete, sign and date this form. Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected. Electrical System Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician. Main Panel: Type: Circuit breaker Fuse Total Amps: 200 AMP Is amperage sufficient for current usage? Yes No (explain) Second Panel: Type: Circuit breaker Fuse Total Amps: 50 AMP Is amperage sufficient for current usage? Yes No (explain) Indicate presence of any of the following: Cloth wiring Active knob and tube Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring): *If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided. Connections repaired via COPALUM crimp Connections repaired via AlumiConn Hazards Present Blowing fuses Tripping breakers Empty sockets Loose wiring Improper grounding Corrosion Over fusing Double taps Exposed wiring Unsafe wiring Improper breaker size Scorching Other (explain) Incomplete labeling / open knock outs General condition of the electrical system: Satisfactory Unsatisfactory (explain) Panels need to be properly labeled. Garage sub panel had double tapping, non-brand breakers, an open knockout, and neutral and ground wires were shared on the same buss bar which is not allowed. Supplemental Information Main Panel Panel age: 6 years Year last updated: 2015 - whole house re-wired Brand/Model: Square D Second Panel Panel age: Unknown Year last updated: 2015 Brand/Model: GE Wiring Type Copper MN, BX or Conduit Page 22 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 2 of 11 HVAC System Central AC: Yes No Central heat: Yes No If not central heat, indicate primary heat source and fuel type: Are the heating, ventilation and air conditioning systems in good working order? Yes No (explain) Heat function not working, system may have low voltage wiring improperly completed. Evaporator coil needs service. Date of last HVAC servicing/inspection: Unknown Hazards Present Wood-burning stove or central gas fireplace not professionally installed? Yes No Space heater used as primary heat source? Yes No Is the source portable? Yes No Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area? Yes No Supplemental Information Age of system: 4 years Year last updated: 2017 Plumbing System Is there a temperature pressure relief valve on the water heater? Yes No Is there any indication of an active leak? Yes No Is there any indication of a prior leak? Yes No Water heater location: Laundry room General condition of the following plumbing fixtures and connections to appliances: Dishwasher Refrigerator Washing machine Water heater Showers/Tubs Satisfactory Unsatisfactory N/A Toilets Sinks Sump pump Main shut off valve All other visible Satisfactory Unsatisfactory N/A If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.) Washing machine was not hooked up at the time of inspection and was not tested. Toilet(s) that are loose at the base should be secured or re-set as needed. Hall bathroom tub stopper assembly needed to be replaced. Supplemental Information Age of Piping System: Original to home X Completely re-piped Partially re-piped (Provide year and extent of renovation in the comments below: Whole house was re-plumbed in 2015. Water heater was updated in 2013. Type of pipes (check all that apply) Copper PVC/CPVC Galvanized PEX Polybutylene Other (specify) Page 23 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 3 of 11 Page 24 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 4 of 11 Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.) Predominant Roof Covering material: Asphalt composition shingle Roof: age (years): Unknown, appears to be 2004 / 2005 Remaining useful life (years): 3-5 years Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Visible hail damage Any visible signs of leaks? Yes No Attic/underside of decking Yes No Interior ceilings Yes No Secondary Roof Covering material: Modified bitumen Roof: age (years): Unknown, appears to be 2004 / 2005 Remaining useful life (years): None Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Loose cap sheet Any visible signs of leaks? Yes No Attic/underside of decking Yes No Interior ceilings Yes No Additional Comments/Observations (use additional pages as needed) No re-roof permits were on file for this property. Extensive remodeling was completed in 2005 including all new wiring and plumbing. Flat roof cap sheet was peeling up / loose at the edges. Wood rot and staining at the soffit on the downhill side, as well as soft spots in the decking, would indicate the flat roof is leaking. All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct. Inspector Signature Licensed Home Inspector Title HI 8824 License Number 2/11/2021 Date National Property Inspections Company Name Home Inspector License Type 772-220-1268 Work Phone Page 25 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 5 of 11 Special Instructions: The 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable. Photo Requirements Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include: Dwelling: Each side Roof: Each slope Plumbing: Water heater, under cabinet plumbing/drains, exposed valves Open main electrical panel and interior door Electrical box with the panel off All hazards or deficiencies Inspector Requirements To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include: A general, residential, or building contractor A building code inspector A home inspector Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.) Documenting the Condition of Each System The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies. Additional Comments or Observations This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection: Updates: Identify the types of updates, dates completed and by whom Any visible hazards or deficiencies Any system determined not to be in good working order Note to All Agents The writing agent must review each 4-Point Inspection Form before it is submitted with an responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies. Page 26 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 6 of 11 PHOTO PAGE Page 27 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 7 of 11 PHOTO PAGE Page 28 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 8 of 11 PHOTO PAGE Page 29 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 9 of 11 PHOTO PAGE Page 30 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 10 of 11 Photo Page Page 31 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 11 of 11 Photo Page Page 32 of 196 Page 33 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 1 of 8 Insured/Applicant Name: Paul & Linda Jackson Application / Policy #: Address Inspected: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Actual Year Built: 1953 Date Inspected: 2/11/2021 Minimum Photo Requirements: Dwelling: Each side Roof: Each slope Plumbing: Water heater, under cabinet plumbing/drains, exposed valves Main electrical service panel with interior door label Electrical box with panel off All hazards or deficiencies noted in this report A Florida-licensed inspector must complete, sign and date this form. Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected. Electrical System Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician. Main Panel: Type: Circuit breaker Fuse Total Amps: 100 AMP Is amperage sufficient for current usage? Yes No (explain) Second Panel: Type: Circuit breaker Fuse Total Amps: Is amperage sufficient for current usage? Yes No (explain) Indicate presence of any of the following: Cloth wiring Active knob and tube Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring): *If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided. Connections repaired via COPALUM crimp Connections repaired via AlumiConn Hazards Present Blowing fuses Tripping breakers Empty sockets Loose wiring Improper grounding Corrosion Over fusing Double taps Exposed wiring Unsafe wiring Improper breaker size Scorching Other (explain) Incomplete labeling / open knock outs General condition of the electrical system: Satisfactory Unsatisfactory (explain) Double taps, incomplete panel labeling, and open knockouts in the panel should be addressed. Supplemental Information Main Panel Panel age: Unknown Year last updated: 2015 - whole house re-wired Brand/Model: Gould Second Panel Panel age: N/A Year last updated: Brand/Model: Wiring Type Copper MN, BX or Conduit Page 34 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 2 of 8 HVAC System Central AC: Yes No Central heat: Yes No If not central heat, indicate primary heat source and fuel type: Are the heating, ventilation and air conditioning systems in good working order? Yes No (explain) Date of last HVAC servicing/inspection: Unknown Hazards Present Wood-burning stove or central gas fireplace not professionally installed? Yes No Space heater used as primary heat source? Yes No Is the source portable? Yes No Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area? Yes No Supplemental Information Age of system: 13 years Year last updated: 2008 Plumbing System Is there a temperature pressure relief valve on the water heater? Yes No Is there any indication of an active leak? Yes No Is there any indication of a prior leak? Yes No Water heater location: Interior closet - not fully accessible (behind staacked washer / dryer) General condition of the following plumbing fixtures and connections to appliances: Dishwasher Refrigerator Washing machine Water heater Showers/Tubs Satisfactory Unsatisfactory N/A Toilets Sinks Sump pump Main shut off valve All other visible Satisfactory Unsatisfactory N/A If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.) Master bathroom shower apparently leaks around the shower curtain - walls had soft spots on both sides of the shower. Consider installing a full shower door. Supplemental Information Age of Piping System: Original to home X Completely re-piped Partially re-piped (Provide year and extent of renovation in the comments below: Whole house was re-plumbed in 2015. Type of pipes (check all that apply) Copper PVC/CPVC Galvanized PEX Polybutylene Other (specify) Page 35 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 3 of 8 Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.) Predominant Roof Covering material: Asphalt composition shingle Roof: age (years): Unknown - appears to be 2004 / 2005 Remaining useful life (years): 3-5 years Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Visible hail damage Any visible signs of leaks? Yes No Attic/underside of decking Yes No No attic access Interior ceilings Yes No Secondary Roof Covering material: Modified bitumen Roof: age (years): Unknown - appears to be 2004 / 2005 Remaining useful life (years): None Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Loose cap sheet Any visible signs of leaks? Yes No Attic/underside of decking Yes No No attic access Interior ceilings Yes No Additional Comments/Observations (use additional pages as needed) No re-roof permits were on file for this property. Extensive remodeling was completed in 2005 including all new wiring and plumbing. Flat roof cap sheet was peeling up / loose at the edges. All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct. Inspector Signature Licensed Home Inspector Title HI 8824 License Number 2/11/2021 Date National Property Inspections Company Name Home Inspector License Type 772-220-1268 Work Phone Page 36 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 4 of 8 Special Instructions: The 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable. Photo Requirements Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include: Dwelling: Each side Roof: Each slope Plumbing: Water heater, under cabinet plumbing/drains, exposed valves Open main electrical panel and interior door Electrical box with the panel off All hazards or deficiencies Inspector Requirements To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include: A general, residential, or building contractor A building code inspector A home inspector Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.) Documenting the Condition of Each System The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies. Additional Comments or Observations This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection: Updates: Identify the types of updates, dates completed and by whom Any visible hazards or deficiencies Any system determined not to be in good working order Note to All Agents The writing agent must review each 4-Point Inspection Form before it is submitted with an responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies. Page 37 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 5 of 8 PHOTO PAGE Page 38 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 6 of 8 PHOTO PAGE Page 39 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 7 of 8 PHOTO PAGE Page 40 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 8 of 8 PHOTO PAGE Page 41 of 196 Page 42 of 196 Page 43 of 196 Page 44 of 196 Page 45 of 196 Page 46 of 196 Page 47 of 196 ST.LUCIE COUNTY HISTORICAL COMMISSION PUBLIC HEARING AGENDA January 4,2022 NOTICE OF POTENTIAL HISTORIC DESIGNATION The St.Lucie County Historical Commission proposes to consider an action to initiate a historic designation request to the Board of County Commissioners for 9809 South Indian River Drive,including the three (3)structures present which include a primary residence,guesthouse and detachedgarage. Property Owner(s):Paul Jackson Linda Ash-Jackson 4261 Dant Blvd Reno,NV 89509 ParcelID:3529-223-0001-000-5 Hearing Scope:The applicants are requesting to demolish the primary residence,guest house and garage to pursue a redevelopment project including subdivision.Definitive reuse plans have not been filed,however a “LotSplit to divide the parcel into two (2)is activewith the St.Lucie County Planning Division. The Historical Commission may recommend release of the demolition request,to Staff,or act to initiate an emergency Historic Designation proposal to the Board of County Commissioners for any or all of this single (1) parcel containingthree (3)structures. LOCATION:9809 South Indian River Drive PARCEL ID NUMBER:3529-223-0001-000-5 The PUBLIC HEARING on this item will be held in the Commission Chambers, Roger Poitras Annex,3rd Floor,St.Lucie County Administration Building,2300 VirginiaAvenue,Fort Pierce,Florida on Tuesday,January 4,2022 beginning at 4:00pm or as soon thereafter as possible. Allinterested personswillbe givenan opportunitytobe heard.Written comments received in advance of the public hearing will also be considered.Written comments to the Historical Commission should be received by the Planning and Development Services Department -Planning Division at least 3 days prior to the scheduled hearing.The projectfileis available forreviewat the Planning and Development Services Department –Planning offices located at 2300 Virginia Avenue,2nd Floor,Fort Pierce,Florida during regular business hours.Please call (772)462-2822 or TDD (772)462-1428 if you have any questions or require additional information aboutthis petition. The St.Lucie County Historical Commission has the power to review and recommend historic designation of properties within St.Lucie County’s jurisdiction forfurther consideration by the Board of County Commissioners. The proceedings of the Historical Commission are electronically recorded (audio only).PURSUANT TO SECTION 286.0105,FLORIDA STATUTES,if a person decides to appeal any decision made by the Historical Commission with respect to any matter considered at a meeting or hearing,he or she will need a record of the proceedings.For such purpose,he or she may need to ensure that a verbatim recordofthe proceedingsis made,whichrecord includesthe testimony and evidence upon which the appeal is to be based.Upon the request of any party to the proceeding,individuals testifying during a hearing will be sworn in. Any party to the proceedingwill begrantedan opportunity to cross-examine any individual testifying during a hearing upon request.If it becomes necessary,a publichearing may be continuedfrom time to time to adate-certain. Anyone with a disability requiringaccommodationstoattend thismeeting should contact the St.Lucie County RiskManager at least forty-eight (48)hours prior to the meeting at (772)462-1546 orT.D.D.(772)462-1428. HISTORICAL COMMISSION ST.LUCIE COUNTY,FLORIDA /S/RICHARD MCAFOOS,CHAIR PUBLISHDATE:December 21,2021 TR-GCI0794832-01 Page 48 of 196 Date Mailed: December 3, 2021 Planning and Development Services Department (772) 462-2822 OwnersPaul Jackson Linda Ash-Jackson 4261 Dant Blvd Reno, NV 89509 Representative Brian Anderson, Esq. 321 S 2nd St Fort Pierce, FL 34950 The Designation Staff Report and Flor-ida Master Site File for the subject site are enclosed. Further details are available in the Planning & Development Services Department - Planning Division please contact: Staff: Kori Benton, AICP Tel: (772) 462-2518 Email: Bentonk@stlucieco.org Public Hearing Notice Tuesday, January 4, 2022 Notice of Proposed Historic Designation St. Lucie County Historic Commission Initiated Designation Historical Commission Brian Anderson, Esq., 321 S 2nd St. Fort Pierce, FL 34950 Meeting Time: 4:00 PM (or soon thereafter) Location: BOCC Chambers SLC Administration Annex, 2300 Virginia Avenue, Fort Pierce, FL 34982 a notable portion of the structure. The guest house has maintained much of the original design and ma- terial, whereas the garage has some non-original siding, windows and door. Meeting Preparation: Documentation for the Historical Commission Agenda Packet should be received by the Planning & Devel- opment Services Department - Plan- ning Division at least 14 days prior to the scheduled hearing. General written comments to the Historical Commission, should be received by the Planning & Develop- ment Services Department - Plan- ning Division at least 3 days prior to the scheduled hearing. Anyone with a disability requiring accommodations to attend this meeting may contact the SLC Com- munity Risk Manager at least 48 hours in advance at (772) 462-1546 Request: The applicants are requesting to demolish the primary residence, guest house and garage to pursue a redevelopment project including subdi- vision. The applicant met with the St. Lucie County Development Review Committee (DRC) to explore subdivi- sion of the 3.93-acre into two (2) or four (4) lots. Definitive reuse plans have not been filed, however a "Lot Split to divide the parcel into two (2) is active with the Planning Division. Architectural Significance: The single -story wood frame residence located at 9809 South Indian River Drive repre- sents a simplistic styling expressed by a rectangular plan, drop siding, and side gable roof with composition shin- gles and various decorative trim. Exte- rior wall fabric consists of drop siding, with some modern siding replace- ments. The primary structure predomi- nantly features non-original windows, with 2 over 2 design. Building modifi- cations are estimated in the 1960s and 2015. A non-original wood deck wraps Page 49 of 196 Planning and Development Services Department (772) 462-2822 OwnersPaul Jackson Linda Ash-Jackson 4261 Dant Blvd Reno, NV 89509 Representative Brian Anderson, Esq. 321 S 2nd St Fort Pierce, FL 34950 The Designation Staff Report and Flor-ida Master Site File for the subject site are enclosed. Further details are available in the Planning & Development Services Department - Planning Division please contact: Staff: Kori Benton, AICP Tel: (772) 462-2518 Email: Bentonk@stlucieco.org Public Hearing Notice Tuesday, January 4, 2022 Notice of Proposed Historic Designation St. Lucie County Historic Commission Initiated Designation Historical Commission Paul Jackson & Linda Ash-Jackson 4261 Dant BLVD Reno, NV 89509 Meeting Time: 4:00 PM (or soon thereafter) Location: BOCC Chambers SLC Administration Annex, 2300 Virginia Avenue, Fort Pierce, FL 34982 a notable portion of the structure. The guest house has maintained much of the original design and ma- terial, whereas the garage has some non-original siding, windows and door. Meeting Preparation: Documentation for the Historical Commission Agenda Packet should be received by the Planning & Devel- opment Services Department - Plan- ning Division at least 14 days prior to the scheduled hearing. General written comments to the Historical Commission, should be received by the Planning & Develop- ment Services Department - Plan- ning Division at least 3 days prior to the scheduled hearing. Anyone with a disability requiring accommodations to attend this meeting may contact the SLC Com- munity Risk Manager at least 48 hours in advance at (772) 462-1546 Request: The applicants are requesting to demolish the primary residence, guest house and garage to pursue a redevelopment project including subdi- vision. The applicant met with the St. Lucie County Development Review Committee (DRC) to explore subdivi- sion of the 3.93-acre into two (2) or four (4) lots. Definitive reuse plans have not been filed, however a "Lot Split to divide the parcel into two (2) is active with the Planning Division. Architectural Significance: The single -story wood frame residence located at 9809 South Indian River Drive repre- sents a simplistic styling expressed by a rectangular plan, drop siding, and side gable roof with composition shin- gles and various decorative trim. Exte- rior wall fabric consists of drop siding, with some modern siding replace- ments. The primary structure predomi- nantly features non-original windows, with 2 over 2 design. Building modifi- cations are estimated in the 1960s and 2015. A non-original wood deck wraps Page 50 of 196 Date Mailed: December 13, 2021 Planning and Development Services Department (772) 462-2822 Owner(s) Paul Jackson Linda Ash-Jackson 4261 Dant Blvd Reno, NV 89509 Representative Brian Anderson, Esq. 321 S 2nd St Fort Pierce, FL 34950 Parcel ID: 3529-223-0001-000-5 Address: 9809 South Indian River Drive Review Scope Potential Historic Designation of a single (1) parcel containing three (3) structures. The Designation Staff Report and Flor- ida Master Site File for the subject project are available through inquiry. Further details are available in the Planning & Development Services Department - Planning Division please contact: Staff: Kori Benton, AICP Tel: (772) 462-2518 Email: Bentonk@stlucieco.org Courtesy Public Hearing Notice Tuesday, January 4, 2022 Notice of Proposed Historic Designation Potential St. Lucie County Historic Commission Initiated Designation Historical Commission Thomas M Slattery (TR) Nancy B Slattery (TR) 9601 S Indian River DR Fort Pierce; FL 34982-7826 Meeting Time: 4:00 PM (or soon thereafter) Hearing Location: BOCC Chambers SLC Administration Annex, 2300 Virginia Avenue, Fort Pierce, FL 34982 a notable portion of the structure. The guest house has maintained much of the original design and ma- terial, whereas the garage has some non-original siding, windows and door. Meeting Preparation: Documentation for the Historical Commission Agenda Packet should be received by the Planning & Devel- opment Services Department - Plan- ning Division at least 14 days prior to the scheduled hearing. General written comments to the Historical Commission, should be received by the Planning & Develop- ment Services Department - Plan- ning Division at least 3 days prior to the scheduled hearing. Anyone with a disability requiring accommodations to attend this meeting may contact the SLC Com- munity Risk Manager at least 48 hours in advance at (772) 462-1546 or TDD (772) 462-1428. Request: The applicants are requesting to demolish the primary residence, guest house and garage to pursue a redevelopment project including subdi- vision. Definitive reuse plans have not been filed, however a "Lot Split to di- vide the parcel into two (2) is active with the St. Lucie County Planning Divi- sion. The owner(s) met with the St. Lucie County Development Review Committee (DRC) to explore subdivi- sion of the 3.93-acre into two (2) or four (4) lots. Architectural Significance: The single -story wood frame residence located at 9809 South Indian River Drive repre- sents a simplistic styling expressed by a rectangular plan, drop siding, and side gable roof with composition shin- gles and various decorative trim. Exte- rior wall fabric consists of drop siding, with some modern siding replace- ments. The primary structure predomi- nantly features non-original windows, with 2 over 2 design. Building modifi- cations are estimated in the 1960s and 2015. A non-original wood deck wraps 9809 South Indian River Drive This courtesy notice is provided to owners of property within 1,000 ft. of the subject property Page 51 of 196 Page 52 of 196 Parcel ID Site Address Owner Acres Land Use DistrictGroupOwner1 Owner2 Owner3 Mailing Address 1 Mailing City State ZipLastSaleDate 3519-444-0003-000-7 9601 S INDIAN RIVER DR Thomas M Slattery (TR) and Nancy B Slattery (TR) and Thomas M Slattery Jr (TR)1.64 0100 - SF Res0002 - Saint Lucie CountyThomas M Slattery (TR)Nancy B Slattery (TR)Thomas M Slattery Jr (TR)9601 S Indian River DR Fort Pierce; FL 34982-7826 5/14/2019 3519-444-0004-000-4 9603 S INDIAN RIVER DR Reynaldo Gonzalez 1.71 0100 - SF Res0002 - Saint Lucie CountyReynaldo Gonzalez 9603 S Indian River DR Fort Pierce; FL 34982-7826 3/17/2015 3519-444-0005-000-1 9605 S INDIAN RIVER DR Muhannad Kassawat 2.89 0000 - Vac Res0002 - Saint Lucie CountyMuhannad Kassawat 4203 NE Skyline DR Jensen Beach; FL 34957-3842 4/13/2021 3529-221-0002-000-6 9701 S INDIAN RIVER DR Todd S Galt and Dana C Galt 4.16 0100 - SF Res0002 - Saint Lucie CountyTodd S GaltDana C Galt 8895 Yearling DR Lake Worth; FL 33467-1147 2/11/2021 3529-221-0003-000-3 9705 S INDIAN RIVER DR Roy W Pearce Jr 1.588889 0100 - SF Res0002 - Saint Lucie CountyRoy W Pearce Jr 9705 S Indian River Dr Fort Pierce; FL 34982-7827 8/22/2001 3529-221-0004-000-0 9707 S INDIAN RIVER DR Matthew SW Preston (TR) and Suzanne M Preston (TR)3.560009 0100 - SF Res0002 - Saint Lucie CountyMatthew SW Preston (TR)Suzanne M Preston (TR)9707 S Indian River DR Fort Pierce; FL 34982-7827 5/24/2019 3529-221-0006-000-4 9803 S INDIAN RIVER DR Joann S Cullum 1.190909 0100 - SF Res0002 - Saint Lucie CountyJoann S Cullum 9803 S Indian River Dr Fort Pierce; FL 34982-7874 11/14/2002 3529-223-0001-000-5 9809 S INDIAN RIVER DR Paul Jackson and Linda Ash-Jackson3.934366 0100 - SF Res0002 - Saint Lucie CountyPaul JacksonLinda Ash-Jackson 4261 Dant BLVD Reno; NV 89509-7020 3/16/2021 3529-223-0002-000-2 9895 S INDIAN RIVER DR Maurice D Splain III and Elizabeth De Leon Stolkowski1.7191 0100 - SF Res0002 - Saint Lucie CountyMaurice D Splain IIIElizabeth De Leon Stolkowski 123 Cypress TRCE Royal Palm Beach; FL 33411-47089/30/2019 3529-223-0002-200-4 9885 S INDIAN RIVER DR Carrie L Keske 1.642837 0100 - SF Res0002 - Saint Lucie CountyCarrie L Keske 9885 S Indian River DR Fort Pierce; FL 34982-7847 9/19/2018 3529-223-0003-000-9 9905 S INDIAN RIVER DR Carol J Schultz 1.500803 0100 - SF Res0002 - Saint Lucie CountyCarol J Schultz 9905 S Indian River Dr Fort Pierce; FL 34982 5/4/2006 3529-223-0004-000-6 9909 S INDIAN RIVER DR Robert J Brokaw and Jacqueline J Arahill1.633196 0100 - SF Res0002 - Saint Lucie CountyRobert J BrokawJacqueline J Arahill 9909 S Indian River Dr Fort Pierce; FL 34982-7828 9/15/2011 3529-231-0001-000-0 9917 INDIAN RIVER DR Sabio Development LLC 1.198393 0000 - Vac Res0002 - Saint Lucie CountySabio Development LLC 2021 NE 211th TER North Miami Beach; FL 33179-16365/10/2004 3529-231-0003-000-4 10003 S INDIAN RIVER DR Robert Ishman and Karen Ishman 1.774656 0100 - SF Res0002 - Saint Lucie CountyRobert IshmanKaren Ishman 10003 S Indian River DR Fort Pierce; FL 34982-7845 12/13/1995 3529-231-0004-000-1 10005 S INDIAN RIVER DR Darcey M Caldwell 0.992401 0100 - SF Res0002 - Saint Lucie CountyDarcey M Caldwell 10005 S Indian River DR Fort Pierce; FL 34982-7845 10/4/2017 3529-231-0005-000-8 10007 S INDIAN RIVER DR Hayley Albert and Luke Albert 0.990978 0100 - SF Res0002 - Saint Lucie CountyHayley AlbertLuke Albert 6715 Lakeside RD West Palm Beach; FL 33411-26193/11/2021 3529-231-0006-000-5 10009 S INDIAN RIVER DR Charles A Proulx and Christina A Proulx1.494904 0100 - SF Res0002 - Saint Lucie CountyCharles A ProulxChristina A Proulx 10009 S Indian River DR Fort Pierce; FL 34982-7845 1/30/2020 3529-233-0003-000-0 S INDIAN RIVER DR FEC RR 9800 - CNTRLY ASSED0002 - Saint Lucie CountyFEC RR 7150 Philips HWY Jacksonville; FL 32256-6802 1/1/1900 3529-231-0007-100-3 10101 S INDIAN RIVER DR Dr Kelly Smith Inc 1.805005 0100 - SF Res0002 - Saint Lucie CountyDr Kelly Smith Inc 2045 SE Avon Park DR Port St Lucie; FL 34952-779810/15/2015 3529-231-0008-000-9 10151 S INDIAN RIVER DR Denise Rigdon (TR)2.367516 0100 - SF Res0002 - Saint Lucie CountyDenise Rigdon (TR)10151 S Indian River DR Fort Pierce; FL 34982-7829 3/8/2019 3529-231-0008-100-0 TBD Tr Int Imp Trust Fund 6.93 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 6/1/1977 3519-801-0097-000-7 TBD Tr Int Imp Trust Fund 5.184137 9000 - LSHLD INTER0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 4/25/1991 3529-231-0006-010-8 TBD Tr Int Imp Trust Fund 4.27 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 6/1/1977 3529-231-0007-000-2 TBD Tr Int Imp Trust Fund 4.4 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 10/1/1983 3530-111-0001-000-5 TBD Tr Int Imp Trust Fund 5.5 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 6/1/1978 3530-111-0002-000-2 TBD Tr Int Imp Trust Fund 2.73 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 1/1/1979 3530-111-0003-000-9 TBD Tr Int Imp Trust Fund 2.99 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 8/1/1977 3530-113-0001-000-1 TBD Tr Int Imp Trust Fund 12.12 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 5/1/1978 3530-141-0001-000-8 TBD Tr Int Imp Trust Fund 4.42 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 12/1/1977 3530-141-0002-000-5 TBD Tr Int Imp Trust Fund 6.8 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 5/1/1978 3529-221-0004-010-3 TBD Tr Int Imp Trust Fund 3.15 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 7/1/1977 3529-221-0005-100-8 TBD Tr Int Imp Trust Fund 3.25 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 7/1/1977 3529-222-0010-000-8 TBD Tr Int Imp Trust Fund 4.3 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 5/1/1977 3529-223-0003-100-0 TBD Tr Int Imp Trust Fund 3.86 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 12/1/1977 3529-223-0004-100-7 TBD Tr Int Imp Trust Fund 3.98 8200 - FRST PRKS0002 - Saint Lucie CountyTr Int Imp Trust Fund 3900 Commonwealth Blvd Tallahassee; FL 32399-6575 12/1/1977 3519-122-0001-000-4 FEC Page 53 of 196 Page 54 of 196 Page 55 of 196 Page 56 of 196 1 PLANNING & DEVELOPMENT SERVICES DEPARTMENT Planning Division DEVELOPMENT REVIEW COMMITTEE (DRC) Pre-Application Report Greystoke Estates Applicant/ Property Owner: Paul Jackson & Linda Ash-Jackson Agent for Applicant: N/A County Project Coordinator: Kristopher McCrain, Associate Planner Assistant Director: Benjamin Balcer, AICP Assistant Planning Manager: Kori Benton, AICP County Project Number: PreApp – 4202126023 Application Type(s): Pre-Application Site Address: 9809 S. Indian River Drive, Fort Pierce FL 34982 Parcel Identification Number(s): 3529-223-0001-000-5 Date Pre-Application Submitted: April 27, 2021 Staff Review Comment Due Date: May 19, 2021 Pre-Application Meeting Date: June 3, 2021 DRC Report Date: June 18, 2021 DESCRIPTION OF REQUEST This Pre-Application request with the St. Lucie County Development Review Committee (DRC) is regarding a proposed subdivision of the 3.93-acre parcel located at 9809 S. Indian River Drive in Fort Pierce. The applicant has concurrently submitted a Lot Split application with the Planning and Development Services Department to subdivide the parcel in half, from west to east. An existing single-family dwelling (Constructed in 1940) and an accessory guest home and detached garage (Constructed in 1953) are currently located on the property; however, the applicant has expressed an interest to demolish the structures. Due to the potential historic relevance of these structures, the Historical Commission has requested review and determination for historical designations. The property is located within the RE-2 (Residential, Estate – 2du/ac) Zoning District, and designated by the RS (Residential, Suburban) Future Land Use. The project is located within the Urban Service Boundary (USB). The comments in this report are based on the above information and the pre-application materials received and date stamped by the Planning and Development, Planning Division on Tuesday, April 27, 2021, and the discussion held at the pre-application meeting on Thursday, June 3, 2021. A. Review Assessment The specific comments of each review agency related to this request are identified in Sections B through L of this report. These comments are provided to assist you with the submission of a development application(s) and/or building permit(s). If you need more information or further clarification on any comments in a specific section as noted below, please feel free to contact the reviewer listed. Page 57 of 196 Project Name: Greystoke Estates Project File No.: PreApp-4202126023 2 Sec. Department Reviewer Phone Email B Planning & Development Kris McCrain 462-1265 McCrainK@stlucieco.org *Planning Manager Linda Pendarvis 462-1562 PendarvisL@stlcuieco.org C Business Navigator Thondra Lanese 462-2548 Laneset@stlucieco.org D County Surveyor Contact David Hays 462-1721 HaysD@stlucieco.org E Environmental Resources Jenn McGee 462-3862 McgeeJ@stlucieco.org F Public Works David Hays, P.E. 462-1491 HaysD@stlucieco.org G Property Acquisitions Kayla Chidgey 462-1725 ChidgeyK@stlucieco.org H Ft. Pierce Utilities Authority Martha Kerr 466-1600 mkerr@fpua.com I St. Lucie County Utilities Ray Murankus 462-5221 MurankusR@stlucieco.org J St. Lucie County Fire District Capt. Wayne Boyer 621-3322 WBoyer@slcfd.org K Building/Permitting Doug Harvey 462-2186 HarveyD@stlucieco.org L St. Lucie County School District Marty Sanders, P.E. 216-5755 Marvin.sanders@stlucieschools.org B. Determination of Compliance with Land Development Code and Comprehensive Plan Requirement – Planning & Development Services Department 1. Pursuant to Land Development Code (LDC) Section 11.02.02(B), any division of land into less than ten (10) parcels but more than two (2) parcels require the submittal of a Minor Site Plan in accordance with the provisions of LDC Section 11.03.00. a. Pursuant to LDC Section 11.03.01, where a proposed Minor Site Plan includes the subdivision of land, a condition of the Final Development Order requires approval by the Board of County Commissioners of a plat conforming to the site plan. The plat requirements of this Section require review and approval of construction plans, a preliminary record plat and a final record plat. b. LDC Section 11.02.09. details the submittal requirements for Minor and Major Site Plans. i. The project requires concurrency analysis to verify adequate Public Facilities are available to serve the proposed project. A Traffic Statement, accounting for the existing Level of Service of the adjacent roadway link, will be requested. c. The Planning and Development Services Department applications and a fee schedule can be found on the St. Lucie County website at http://www.stlucieco.gov/planning/applications. 2. Upon the submittal of a Minor Site Plan application, each lot shall meet the minimum dimensional requirements for the RE-2 (Residential, Estate – 2du/ac) Zoning District as outlined in LDC Section 7.04.01 - Lot Size and Dimensional Requirements, and other applicable ordinances. (See Table 7-10 Below) Table 7-10 Lot Size and Dimensional Requirements Zoning District Min. Lot Size (ft2) Min. Lot Width Min. Road Frontage Minimum Yard Front Rear Side Side @ Corner RE-2 (Residential, Estate- 2du/ac) 15,000 ft2 100 ft 100 ft 25 ft 15 ft 10 ft 20 ft Page 58 of 196 Project Name: Greystoke Estates Project File No.: PreApp-4202126023 3 3. Pursuant to LDC Section 7.05.03 (Table 7-15), the minimum right-of-way width for the private roadway shall be 70 feet. 4. Pursuant to LDC Section 7.08.01, all new development shall be served with underground electric, cable television, telephone, and similar wire service. Please provide a note to this effect on the site plan sheet. 5. The applicant has expressed an interest to demolish the existing single-family dwelling, accessory guest home and detached garage. The Historical Commission must review these structures for historical significance prior to the issuance of a demolition permit. Advisory Note: • Pursuant to LDC Section 7.10.04, the RE-2 (Residential, Estate – 2du/ac) Zoning District allows for guest homes as an accessory use, provided that upon receiving a building permit for this use, the property owner sign a notarized statement to the effect that under no circumstances shall the guest house be used for rental purposes seasonal or annual. • The applicant shall coordinate with the St. Lucie County Health Department regarding the potential to permit additional wells and septic systems for the proposed lots. C. Determination of Compliance with Business Navigator – Planning & Development Services Department St. Lucie County has a Business Navigator to provide businesses with assistance in navigating the internal and external regulatory processes, and to act as a liaison between County staff, outside agencies, and other business entities to provide high-quality customer service experience. If you need further assistance with regulatory processes, please contact our Business Navigator, Thondra Lanese with the Planning & Development Services Department at (772) 462-2548 or Laneset@stlucieco.org D. Determination of Compliance with County Survey Requirements – Engineering Division, Public Works Department All comments are based on the current Standards of Practice, established by the Board of Professional Surveyors and Mappers, Chapter 5J-17, Florida Administrative Codes, pursuant to current Section 472.027, Florida Statutes, per 5J-17.050 thru 5J-17.052. 1. The survey will be reviewed at time of a formal application submittal. E. Determination of Compliance with Environmental Requirements – Environmental Resources Department Background: The Environmental Resources Department (ERD) is responsible for protecting and preserving the County’s natural resources through compliance with the County’s Comprehensive Plan and Land Development Code. The following information is preliminary based upon the information provided for your pre-application meeting and is intended to assist you in submitting a complete site plan application. Additional comments may be provided at time of site plan submittal based upon additional information received. We encourage you to communicate the project constraints, timelines, etc. to ERD so we may better understand your needs and work together to meet the intent of the Land Development Code and Comprehensive Plan and ensure a sustainable environment for all citizens of St. Lucie County. Findings: The following items will be required at time of site plan submittal: 1. A landscape plan consistent with Land Development Code 7.09.03 and 7.09.04 including but not limited to the following: Page 59 of 196 Project Name: Greystoke Estates Project File No.: PreApp-4202126023 4 a. A minimum 15 ft. landscaped buffer along road right of ways where applicable per LDC 7.09.04(A). b. Where applicable, screen vehicular use areas from adjacent properties within a 10 ft. wide landscape buffer consisting of one (1) native shade tree every 30 linear ft. and a 48” continuous native hedge per LDC 7.09.04(B); c. Interior vehicular use area calculations and required landscaping per LDC 7.09.04(C). Surface parking and other vehicular use areas shall have at least one (1) square foot of interior landscaping for every eighteen (18) square feet or major fraction thereof of off-street parking and vehicular use area. Each separately landscaped area shall contain a minimum of one hundred eighty (180) square feet and shall have a minimum width of at least ten (10) feet and shall include at least one (1) shade tree of an appropriate species with the remaining area adequately landscaped with shrubs, ground cover, or other authorized landscaping material not to exceed three (3) feet in height. d. A shoreline planting plan consistent with LDC 6.02.02 2. A tree survey consistent with Land Development Code 11.02.09(i). This requirement may be waived if the alternative 25 percent habitat set aside option is utilized consistent with LDC 6.00.05(D)(3)(b). 3. A tree mitigation plan consistent with Land Development Code 6.00.05(D) 4. A boundary survey per LDC 11.02.09(A). This survey shall include any jurisdictional wetlands onsite, including but not limited to fringe wetlands along the Indian River Lagoon. 5. A site plan including Shoreline buffer requirements outlined in LDC 6.02.02.C 6. An Environmental Impact Report consistent with Land Development Code 11.02.09(A)(5) is required per LDC 11.02.09(A)(5)(a)(1) as the subject site is included within the Inventory of Native Ecosystems for St. Lucie County. This shall include, but is not limited to, the following: a. The subject site contains habitat suitable for state and federally listed species including but not limited to gopher tortoises and Florida scrub jays. Species specific surveys for all potential state and federally listed species shall be provided by a qualified environmental professional consist with state and federal survey guidelines. b. An assessment of the impacts upon onsite vegetation and wildlife, and onsite and off-site natural resources; a description of the planned approach that will be used to minimize these impacts; a description of the proposed alterations or disturbances to any of the areas identified in response to Sections 11.02.09(A)(5)(b)(1)(c) and (d) above; and the mitigation that will be provided. c. A shoreline protection plan including a native shoreline planting plan consistent with LDC 6.02.02 Riverine Shoreline Protection Standards. Staff Recommendations: Though not required by code, ERD recommends the following: 1. Incorporate low impact development features, such as: landscaping dry detention areas with native vegetation, creating curb-cuts to direct stormwater into landscape islands, utilizing rain barrels/cisterns to collect water for irrigation, and preserving/planting native vegetation in lieu of sod; for more information regarding low impact development, please visit: http://www.lid-stormwater.net/lid_techniques.htm. Please contact the Environmental Resources office at (772) 462-2526 if you need additional assistance or have any questions. F. Determination of Compliance with Engineering & Water Quality Requirements – Public Works Department The following comments are offered based on plans dated 6/26/18: Page 60 of 196 Project Name: Greystoke Estates Project File No.: PreApp-4202126023 5 1. A Site Plan and Plat will likely be required. 2. Provide a site plan showing the proposed roadway with dimensions and the driveway connection to Indian River Drive with radius of return. 3. Provide a tabular breakdown of existing and proposed impervious areas by type. 4. Provide the flood zone and FIRM panel for this location on the Site Plan. 5. Identify on the Site Plan where the stormwater treatment area(s) will be located. 6. Provide typical pavement sections for the internal roadway. The internal road will be required to be paved with asphalt or concrete. 7. A cul-de-sac will be required at the end of the proposed roadway. 8. A Site Development Permit is required prior to performing site improvement activities. Following DRC approval, the applicant may submit the required documents to Grant Chambers, P.E. in the Engineering Division. Documents are to include, a Site Development Permit application, two sets of plans, one copy of the stormwater report and other appropriate information. The Site Development Permit application can be found on the County’s website under the Public Works Department link. In accordance with the permit and Land Development Regulations, the applicant shall retain the EOR for site inspections and final certification. 9. For plat approval prior to completion of required improvements, a Subdivision Improvement Agreement and appropriate bonding is required. For discussion regarding these comments, please contact David Hays at (772) 462-1491, haysd@stlucieco.org or Grant Chambers at (772) 462-2741, chambersg@stlucieco.org. G. Determination of Compliance with Property Acquisitions Requirements – Property Acquisition Division, Legal Department The Parcel has the following frontage: 1. Indian River Drive is a 30’ County owned and maintained right-of-way. 2. The rear of the property abuts the Florida East Coast Railway. H. Determination of Compliance with Utilities Requirements – Fort Pierce Utilities Authority 1. Water & Wastewater Engineering: a. The subject parcel is more than two miles south of the southern boundary of the Fort Pierce Utilities Authority water and wastewater boundary. b. Water and wastewater services are not available to serve the subject parcel. 2. Electric & Gas Engineering: a. Electric and Gas Engineering Department have reviewed the application. b. The property is not in the FPUA electric service area. Located in FPL service area. I. Determination of Compliance with Utilities Requirements – St. Lucie County Utilities Department 1. There is no water or wastewater infrastructure available for this project. J. Determination of Compliance with Fire Requirements – St. Lucie County Fire District The Fire District has a separate application form. Please submit a completed application for Development/Site Plan Review (St. Lucie County Fire District Development & Site Plan Review Application). This form is available on- line at www.slcfd.org. Questions may be directed to Captain Wayne Boyer at (772) 621-3322. Page 61 of 196 Project Name: Greystoke Estates Project File No.: PreApp-4202126023 6 1. Security gates must either be manned 24 hour/day or provide an access control key switch on the control panel to allow for Fire Department entry in an emergency. Security gates must maintain a clear width of 12 feet when open and provide a means to open the gates manually upon loss of power. 2. Minimum roadway pavement width (two-way traffic) shall be twenty (20) feet. 3. Minimum roadway pavement width (one-way traffic) shall be twelve (12) feet. 4. Dead end roadways serving commercial or residential occupancies must include a cul-de-sac when the roadway length exceeds one hundred-fifty (150) feet. "Y" or "T" type turnaround arrangements are permitted. 5. The minimum acceptable cul-de-sac radius is 50 feet to the edge of pavement. 6. Per NFPA 1114 Chapter 9, Section 1.3. Prior to the final occupancy of any building, the permitted water supply for fire protection, including fire hydrants and fire suppression systems, shall be installed, tested, and acceptable to the AHJ (SLCFD). 7. Since there are no water mains or other means of water for fire protection, a 13D sprinkler system would be acceptable per the Fire Marshal. This system runs off of the owner’s domestic water supply (well). County Building Official Doug Harvey needs to know this as well so he can be on the lookout for this in the plans. The 13D system installs shall be in the developer’s agreement to be installed in all four homes once they are constructed. K. Determination of Compliance with Florida Building Code Requirements – Building/Permitting Department To facilitate your commercial Building Permit application through the permitting and plans review process, we recommend a pre-development permit application meeting with the applicant, the Building Official, Chief Plans Examiner and Fire District Plans Examiner to discuss your project and answer any questions you may have. In this way, key components of your project will be discussed, and you will be aware of pre-submittal permitting and Building/Fire code review requirements: this will serve to expedite your project to achieve a building permit. 1. No comments received at this time. L. Determination of Compliance with St. Lucie County School District Requirements – St. Lucie County School District 1. No comments received at this time. M. Attachments 1. Existing Lot Configuration Exhibit 2. Proposed Lot Configuration Exhibit Page 62 of 196 Project Name: Greystoke Estates Project File No.: PreApp-4202126023 7 Existing Lot Configuration Exhibit: Proposed Lot Configuration Exhibit: Page 63 of 196 HISTORICAL COMMISSION ST. LUCIE COUNTY, FLORIDA Regular Meeting August 9, 2021 Convened: 4:00 pm Adjourned: 5:19 pm 1.CALL TO ORDER The meeting was called to order at 4:00 PM by Chair McAfoos. 2.PLEDGE OF ALLEGIANCE Pledge led by Chair McAfoos. 3.ROLL CALL Present Chair Richard McAfoos, Commission Member Krissta King, Commission Member Mike Menard, Construction Judy Biglin, Commission Member Betty Starke Absent Commission Member Mike Middlebrook, Vice-Chair Melanie Trewyn Others Present STAFF: Caroline Valentin, Asst. County Attorney, Kori Benton, Historic Preservation Officer, Nadege Pierre, Acting Staff Secretary. APPLICANT: Dr. Linda Ash-Jackson 4.ANNOUNCEMENTS None. 5.PUBLIC COMMENT None. 6.MINUTES Page 64 of 196 Historical Commission Monday, August 9, 2021,4:00 PM 2 | P a g e A.Approval of the June 22, 2021 Historical Commission Meeting Minutes RESULT:APPROVE MOVER:Commission Member Betty Starke SECONDER:Commission Member Mike Menard AYES:Chair Richard McAfoos, Betty Starke, Mike Menard, Krissta King, Judy Biglin NAYS:None ABSTAIN:None 7.ITEMS FOR ACTION / CONSIDERATION A.OLD BUSINESS None. B.NEW BUSINESS 1.Request for Demolition of the Structures at 9809 South Indian River Drive, Fort Pierce. STAFF PRESENTATION: Kori Benton, SLC Planning Assistant Manager, made a presentation. The applicants are requesting to demolish the primary residence, guest house and garage to pursue a redevelopment project including subdivision. The applicant met with the St. Lucie County Development Review Committee (DRC) to explore subdivision of the roughly 3.93-acre parcel into two (2) or four (4) lots. The applicant has presented preliminary plans for redevelopment, however; their viability has not been verified. A private street, paved to county standards – including a cul-de-sac or similar is presumed to be required to serve four (4) lots, with frontage. A “Lot Split” application, to divide the parcel into two lots is active with St. Lucie County. A copy of the 2021 Pre-application Report for the proposed redevelopment is attached for review. Staff recommends the Commission evaluate the historic significance of the subject structures, and consider whether to pursue designation of the structures as historic or release the request for demolition. COMMISSION DISCUSSION: Mr.. Benton provided clarification to the suggested motions. Mr. Menard inquired about an ingress/egress on the north side of the lot and doing a lot split in the back. Mr. Benton responded that the two new lots would require a minor site plan unless the site is historically designated. One additional flag lot in the rear preserving the structure may be viable although discouraged in the Indian River Drive Area. APPLICANT PRESENTATION: Page 65 of 196 Historical Commission Monday, August 9, 2021,4:00 PM 3 | P a g e Dr. Linda Ash-Jackson, applicant, gave an overview of her history of living in Florida. Stated that it is impossible to restore the structure and tried to mortgage the property because of the roof. They also explained that they would like to preserve materials. Wanted to move the house and guest house with bids as high as $300,000. The main house cannot go up Indian River Drive. Hoping to demolish the garage and main house and keep the guest house to use it as an office or art studio. In the lot split, the goal is also so that all can have great views. Maybe we will look into splitting into four in the future, depending on demand. Mr. Menard inquired if consideration was made to make it a historical designation. She responded that they would like to split the lot. A lot of research had been done and she met with a land use attorney. Many issues were brought up regarding lot width. Mr. Benton clarified that the structure is eligible to be historically designated but not currently designated as an application and a process is required to do so. Ms. Starke made a statement about providing a historical designation, the termite infested garage, impacts to scrub area/potential habitat and maximizing development profit. The applicant emphasized that although there would be a profit involved, she is doing her due diligence in staying environmentally friendly. COMMISSION DISCUSSION: Chair McAfoos stated that our focus is to decide on a motion for this petition. Mr. Benton clarified that the second motion would allow for demolition of the main structure and to keep the garage and additional structure. Ms. Starke would want to preserve the primary home instead of the accessory home and the garage. Mr. Benton responded that the applicant is requesting today to demolish all three structures. The primary structure had such significant renovations that the historical features are no longer there to preserve. COMMISSION MOTION: Ms. Biglin advanced a motion to disapprove: “After considering the application documents, the staff report, staff comments & testimony presented during the public meeting and the standards set forth in sections 4.11.06. - designation process and procedure and 4.11.07. - emergency actions of St. Lucie County Land Development Code, I hereby move that the St. Lucie County Historical Commission disapprove the demolition request(s), in favor of initiating an emergency action to designate the subject structure(s) with a recommendation that the owner is able to divide the subject parcel to allow an additional home / proposed infill project while precluding demolition to this historic resource. The motion is intending to support reasonable dimensional and design criteria concessions necessary to preserve the structure(s) because the owner wants to remove them to add additional homes.” RESULT:DISAPPROVE MOVER:Commission Member Judy Biglin SECONDER:Commission Member Betty Starke AYES:Betty Starke, Mike Menard, Krissta King, Judy Biglin NAYS:Chair Richard McAfoos Page 66 of 196 Historical Commission Monday, August 9, 2021,4:00 PM 4 | P a g e ABSTAIN:None Mr. Benton stated that as a result of this Commission, staff will request an emergency designation and the project will be presented again before the Commission prior to being presented before the Board of County Commissioners. It would not be designated historic unless there is action by the Board of County Commissioners. Mr. Benton encourages Sunshine rules to be adhered to by the members as this petition may be returned to the Commission. 2.Review application to name a proposed Artificial Reef in St. Lucie County - Blake Charron Memorial Reef STAFF PRESENTATION: Kori Benton, SLC Planning Assistant Manager, made a presentation. The request is to name a new Artificial Reef, the deployment of the Tug Singleton, in recognition of the Blake Charron Foundation and the $25,000 contribution for the project. Staff recommends the Commission forward an approval recommendation to the Board of County Commissioners based upon the financial contribution presented for this new artificial reef, in accordance with the St. Lucie County naming policies enclosed. COMMISSION DISCUSSION: Ms. Biglin inquired about the cost. Mr. Benton excused Mr. Alan Charron, the applicant that would have more information in this regard. It depends on the vessels, from $5,000 to $100,000, based on the vessel. The applicant provides updates in an email newsletter and requests a lot of community outreach. COMMISSION MOTION: Ms. Biglin advanced a motion for approval: “After considering the application documents, staff comments & testimony presented during the public meeting and the policies set forth in Resolution 19-201, I hereby move that St. Lucie County Historical Commission forward a recommendation to the Board of County Commissioners to approve the artificial reef naming request.” RESULT:APPROVE MOVER:Commission Member Judy Biglin SECONDER:Commission Member Betty Starke AYES:Chair Richard McAfoos, Betty Starke, Mike Menard, Krissta King, Judy Biglin NAYS:None ABSTAIN:None Page 67 of 196 Historical Commission Monday, August 9, 2021,4:00 PM 5 | P a g e 8.MEMBER MATTERS Mr. Benton announced that Assistant County Attorney Ms. Heather Young is now retired and that Assistant County Attorney Ms. Caroline Valentin will be the Commission’s attorney. 9.DISCUSSION None 10.ADJOURNMENT Meeting Adjourned at 5:19 pm. RESULT:APPROVE MOVER:Commission Member Mike Menard SECONDER:Commission Member Krissta King AYES:Chair Richard McAfoos, Betty Starke, Mike Menard, Krissta King, Judy Biglin NAYS:None ABSTAIN:None Page 68 of 196 Historical Commission Monday, August 9, 2021,4:00 PM 6 | P a g e Page 69 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 1 of 8 Insured/Applicant Name: Paul & Linda Jackson Application / Policy #: Address Inspected: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Actual Year Built: 1953 Date Inspected: 2/11/2021 Minimum Photo Requirements: Dwelling: Each side Roof: Each slope Plumbing: Water heater, under cabinet plumbing/drains, exposed valves Main electrical service panel with interior door label Electrical box with panel off All hazards or deficiencies noted in this report A Florida-licensed inspector must complete, sign and date this form. Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected. Electrical System Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician. Main Panel: Type: Circuit breaker Fuse Total Amps: 100 AMP Is amperage sufficient for current usage? Yes No (explain) Second Panel: Type: Circuit breaker Fuse Total Amps: Is amperage sufficient for current usage? Yes No (explain) Indicate presence of any of the following: Cloth wiring Active knob and tube Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring): *If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided. Connections repaired via COPALUM crimp Connections repaired via AlumiConn Hazards Present Blowing fuses Tripping breakers Empty sockets Loose wiring Improper grounding Corrosion Over fusing Double taps Exposed wiring Unsafe wiring Improper breaker size Scorching Other (explain) Incomplete labeling / open knock outs General condition of the electrical system: Satisfactory Unsatisfactory (explain) Double taps, incomplete panel labeling, and open knockouts in the panel should be addressed. Supplemental Information Main Panel Panel age: Unknown Year last updated: 2015 - whole house re-wired Brand/Model: Gould Second Panel Panel age: N/A Year last updated: Brand/Model: Wiring Type Copper MN, BX or Conduit Page 70 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 2 of 8 HVAC System Central AC: Yes No Central heat: Yes No If not central heat, indicate primary heat source and fuel type: Are the heating, ventilation and air conditioning systems in good working order? Yes No (explain) Date of last HVAC servicing/inspection: Unknown Hazards Present Wood-burning stove or central gas fireplace not professionally installed? Yes No Space heater used as primary heat source? Yes No Is the source portable? Yes No Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area? Yes No Supplemental Information Age of system: 13 years Year last updated: 2008 (Please attach photo(s) of HVAC equipment, including dated manufacturer’s plate) Plumbing System Is there a temperature pressure relief valve on the water heater? Yes No Is there any indication of an active leak? Yes No Is there any indication of a prior leak? Yes No Water heater location: Interior closet - not fully accessible (behind staacked washer / dryer) General condition of the following plumbing fixtures and connections to appliances: Dishwasher Refrigerator Washing machine Water heater Showers/Tubs Satisfactory Unsatisfactory N/A Toilets Sinks Sump pump Main shut off valve All other visible Satisfactory Unsatisfactory N/A If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.) Master bathroom shower apparently leaks around the shower curtain - walls had soft spots on both sides of the shower. Consider installing a full shower door. Supplemental Information Age of Piping System: Original to home X Completely re-piped Partially re-piped (Provide year and extent of renovation in the comments below: Whole house was re-plumbed in 2015. Type of pipes (check all that apply) Copper PVC/CPVC Galvanized PEX Polybutylene Other (specify) Page 71 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 3 of 8 Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.) Predominant Roof Covering material: Asphalt composition shingle Roof: age (years): Unknown - appears to be 2004 / 2005 Remaining useful life (years): 3-5 years Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Visible hail damage Any visible signs of leaks? Yes No Attic/underside of decking Yes No – No attic access Interior ceilings Yes No Secondary Roof Covering material: Modified bitumen Roof: age (years): Unknown - appears to be 2004 / 2005 Remaining useful life (years): None Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Loose cap sheet Any visible signs of leaks? Yes No Attic/underside of decking Yes No – No attic access Interior ceilings Yes No Additional Comments/Observations (use additional pages as needed) No re-roof permits were on file for this property. Extensive remodeling was completed in 2005 including all new wiring and plumbing. Flat roof cap sheet was peeling up / loose at the edges. All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct. Inspector Signature Licensed Home Inspector Title HI 8824 License Number 2/11/2021 Date National Property Inspections Company Name Home Inspector License Type 772-220-1268 Work Phone Page 72 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 4 of 8 Special Instructions: The 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable. Photo Requirements Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include: • Dwelling: Each side • Roof: Each slope • Plumbing: Water heater, under cabinet plumbing/drains, exposed valves • Open main electrical panel and interior door • Electrical box with the panel off • All hazards or deficiencies Inspector Requirements To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include: • A general, residential, or building contractor • A building code inspector • A home inspector Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.) Documenting the Condition of Each System The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies. Additional Comments or Observations This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection: • Updates: Identify the types of updates, dates completed and by whom • Any visible hazards or deficiencies • Any system determined not to be in good working order Note to All Agents The writing agent must review each 4-Point Inspection Form before it is submitted with an application for coverage. It is the agent’s responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies. Page 73 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 5 of 8 PHOTO PAGE Page 74 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 6 of 8 PHOTO PAGE Page 75 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 7 of 8 PHOTO PAGE Page 76 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 8 of 8 PHOTO PAGE Page 77 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 1 of 11 Insured/Applicant Name: Paul & Linda Jackson Application / Policy #: Address Inspected: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Actual Year Built: 1940 Date Inspected: 2/11/2021 Minimum Photo Requirements: Dwelling: Each side Roof: Each slope Plumbing: Water heater, under cabinet plumbing/drains, exposed valves Main electrical service panel with interior door label Electrical box with panel off All hazards or deficiencies noted in this report A Florida-licensed inspector must complete, sign and date this form. Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected. Electrical System Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician. Main Panel: Type: Circuit breaker Fuse Total Amps: 200 AMP Is amperage sufficient for current usage? Yes No (explain) Second Panel: Type: Circuit breaker Fuse Total Amps: 50 AMP Is amperage sufficient for current usage? Yes No (explain) Indicate presence of any of the following: Cloth wiring Active knob and tube Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring): *If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided. Connections repaired via COPALUM crimp Connections repaired via AlumiConn Hazards Present Blowing fuses Tripping breakers Empty sockets Loose wiring Improper grounding Corrosion Over fusing Double taps Exposed wiring Unsafe wiring Improper breaker size Scorching Other (explain) Incomplete labeling / open knock outs General condition of the electrical system: Satisfactory Unsatisfactory (explain) Panels need to be properly labeled. Garage sub panel had double tapping, non-brand breakers, an open knockout, and neutral and ground wires were shared on the same buss bar which is not allowed. Supplemental Information Main Panel Panel age: 6 years Year last updated: 2015 - whole house re-wired Brand/Model: Square D Second Panel Panel age: Unknown Year last updated: 2015 Brand/Model: GE Wiring Type Copper MN, BX or Conduit Page 78 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 2 of 11 HVAC System Central AC: Yes No Central heat: Yes No If not central heat, indicate primary heat source and fuel type: Are the heating, ventilation and air conditioning systems in good working order? Yes No (explain) Heat function not working, system may have low voltage wiring improperly completed. Evaporator coil needs service. Date of last HVAC servicing/inspection: Unknown Hazards Present Wood-burning stove or central gas fireplace not professionally installed? Yes No Space heater used as primary heat source? Yes No Is the source portable? Yes No Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area? Yes No Supplemental Information Age of system: 4 years Year last updated: 2017 (Please attach photo(s) of HVAC equipment, including dated manufacturer’s plate) Plumbing System Is there a temperature pressure relief valve on the water heater? Yes No Is there any indication of an active leak? Yes No Is there any indication of a prior leak? Yes No Water heater location: Laundry room General condition of the following plumbing fixtures and connections to appliances: Dishwasher Refrigerator Washing machine Water heater Showers/Tubs Satisfactory Unsatisfactory N/A Toilets Sinks Sump pump Main shut off valve All other visible Satisfactory Unsatisfactory N/A If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.) Washing machine was not hooked up at the time of inspection and was not tested. Toilet(s) that are loose at the base should be secured or re-set as needed. Hall bathroom tub stopper assembly needed to be replaced. Supplemental Information Age of Piping System: Original to home X Completely re-piped Partially re-piped (Provide year and extent of renovation in the comments below: Whole house was re-plumbed in 2015. Water heater was updated in 2013. Type of pipes (check all that apply) Copper PVC/CPVC Galvanized PEX Polybutylene Other (specify) Page 79 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 3 of 11 Page 80 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 4 of 11 Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.) Predominant Roof Covering material: Asphalt composition shingle Roof: age (years): Unknown, appears to be 2004 / 2005 Remaining useful life (years): 3-5 years Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Visible hail damage Any visible signs of leaks? Yes No Attic/underside of decking Yes No Interior ceilings Yes No Secondary Roof Covering material: Modified bitumen Roof: age (years): Unknown, appears to be 2004 / 2005 Remaining useful life (years): None Date of last roofing permit: No permit on file Date of last update: Unknown If updated (check one): Full replacement Partial replacement % of replacement Overall Condition: Satisfactory Unsatisfactory (explain below) Any visible signs of damage / deterioration? (check all that apply and explain below) Cracking Cupping/curling Excessive granule loss Exposed asphalt Exposed felt Missing/loose/cracked tabs or tiles Soft spots in decking Loose cap sheet Any visible signs of leaks? Yes No Attic/underside of decking Yes No Interior ceilings Yes No Additional Comments/Observations (use additional pages as needed) No re-roof permits were on file for this property. Extensive remodeling was completed in 2005 including all new wiring and plumbing. Flat roof cap sheet was peeling up / loose at the edges. Wood rot and staining at the soffit on the downhill side, as well as soft spots in the decking, would indicate the flat roof is leaking. All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct. Inspector Signature Licensed Home Inspector Title HI 8824 License Number 2/11/2021 Date National Property Inspections Company Name Home Inspector License Type 772-220-1268 Work Phone Page 81 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 5 of 11 Special Instructions: The 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable. Photo Requirements Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include: • Dwelling: Each side • Roof: Each slope • Plumbing: Water heater, under cabinet plumbing/drains, exposed valves • Open main electrical panel and interior door • Electrical box with the panel off • All hazards or deficiencies Inspector Requirements To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include: • A general, residential, or building contractor • A building code inspector • A home inspector Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.) Documenting the Condition of Each System The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies. Additional Comments or Observations This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection: • Updates: Identify the types of updates, dates completed and by whom • Any visible hazards or deficiencies • Any system determined not to be in good working order Note to All Agents The writing agent must review each 4-Point Inspection Form before it is submitted with an application for coverage. It is the agent’s responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies. Page 82 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 6 of 11 PHOTO PAGE Page 83 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 7 of 11 PHOTO PAGE Page 84 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 8 of 11 PHOTO PAGE Page 85 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 9 of 11 PHOTO PAGE Page 86 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 10 of 11 Photo Page Page 87 of 196 4-POINT INSPECTION FORM Sample Form Insp4pt 01 18 Page 11 of 11 Photo Page Page 88 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 1 of 7 Uniform Mitigation Verification Inspection Form Maintain a copy of this form and any documentation provided with the insurance policy Inspection Date: 2/11/2021 OWNER INFORMATION Owner Name: Paul & Linda Jackson Contact Person: Paul & Linda Jackson Address: 9809 S Indian River Drive (Guest House) Home Phone: City: Ft. Pierce Zip: 34982 Work Phone: County: St. Lucie Cell Phone: 775-219-5764 Insurance Company: Policy #: Year of Home: 1953 # of Stories: 1 Email: lashjack@msn.com NOTE: Any documentation used in validating the compliance or existence of each construction or mitigation attribute must accompany this form. At least one photograph must accompany this form to validate each attribute marked in questions 3 through 7. The insurer may ask additional questions regarding the mitigated feature(s) verified on this form. 1. Building Code: Was the structure built in compliance with the Florida Building Code (FBC 2001 or later) OR for homes located in the HVHZ (Miami-Dade or Broward counties), South Florida Building Code (SFBC-94). A. Built in compliance with the FBC: Year Built . For homes built in 2002/2003, provide a permit application with a date after 3/1/2002: Building Permit Application Date (MM/DD/YYYY) / / B. For the HVHZ Only: Built in compliance with the SFBC-94: Year Built . For homes built in 1994, 1995, and 1996 provide a permit application with a date after 9/1/1994: Building Permit Application Date (MM/DD/YYYY) / / C. Unknown or does not meet the requirements of Answer “A” or “B”. 2. Roof Covering: Select all roof covering types in use. Provide the permit application date OR FBC/MDC Product Approval number OR Year of Original Installation/Replacement OR indicate that no information was available to verify compliance for each roof covering identified. 2.1 Roof Covering Type Permit Application Date FBC or MDCProduct Approval # Year of Original Installation or Replacement No Information Provided for Compliance 1. Asphalt/Fiberglass Shingle / / Appears to be 2004 / 2005 2. Concrete/Clay/Tile / / 3. Metal / / 4. Built Up / / 5. Membrane / / 6. Other Rolled composition / / Appears to be 2004 / 2005 A. All roof coverings listed above meet the FBC with a FBC or Miami-Dade Product Approval listing current at time of installation OR have a roofing permit application date on or after 3/1/02 OR the roof is original and built in 2004 or later. B. All roof coverings have Miami-Dade Product Approval listing current at time of installation OR (for the HVHZ only) a roofing permit application after 9/1/1994 and before 3/1/2002 OR the roof is original and built in 1997 or later. C. One of more roof coverings do not meet the requirements of Answer “A” or “B”. D. No roof coverings meet the requirements of Answer “A” or “B”. 3. Roof Deck Attachment: What is the weakest form of roof deck attachment? A. Plywood/Oriented strand board (OSB) roof sheathing attached to the roof truss/rafter (spaced a maximum of 24” o.c.) by staples or 6d nails spaced at 6” along the edge and 12” in the field. -OR- Batten decking supporting wood shakes or wood shingles. -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that has an equivalent mean uplift that required for Options B or C below. B. Plywood/OSB roof sheathing with a minimum thickness of 7/16” attached to the roof truss/rafter (spaced a maximum of 24” o.c.) by 8d common nails spaced a maximum of 12” in the field. -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that is shown to have an equivalent or greater resistance than 8d nails spaced a maximum of 12” in the field or has a mean uplift resistance of at least 103 psf. C. Plywood/OSB roof sheathing with a minimum thickness of 7/16” attached to the roof truss/rafter (spaced a maximum of 24” o.c.) by 8d common nails spaced a maximum of 6” in the field. -OR- Dimensional lumber/Tongue & Groove decking with a minimum of 2 nails per board (or 1 nail per board if each board is equal to or less than 6” in width). -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that is shown to have an equivalent or greater resistance than 8d common nails spaced a maximum of 6” in the field or has a mean uplift resistance of 182 psf. Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Page 89 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 2 of 7 D. Reinforced Concrete Roof Deck. E. Other: F. Unknown or unidentified. G. No attic access. (No straps / clips visible from area of loose soffit). 4. Roof to Wall Attachment: What is the Weakest roof to wall connection? (Do not include attachment of hip/valley jacks within 5 feet of the inside or outside corner of the roof in determination of WEAKEST type.) A. Toe Nails Truss/rafter anchored to top plate of wall using nails driven at an angle through the truss/rafter and attached to the top plate of the wall, or. Metal connectors that do not meet the minimal conditions or requirements of B, C, or D Minimal conditions to qualify for categories B, C, or D. All visible metal connectors are: Secured to truss/rafter with a minimum of three (3) nails, and Attached to the wall top plate of the wall framing, or embedded in the bond beam, with less than a ½” gap from the blocking or truss/rafter and blocked no more than 1.5” of the truss/rafter, and free of visible severe corrosion. B. Clips Metal connectors that do not wrap over the top of the truss/rafter, or Metal connectors with a minimum of 1 strap that wraps over the top of the truss/rafter and does not meet the nail position requirements of C or D, but is secured with a minimum of 3 nails. C. Single Wraps Metal connectors consisting of a single strap that wraps over the top of the truss/rafter and is secured with a minimum of 2 nails on the front side and a minimum of 1 nail on the opposing side. D. Double Wraps Metal connectors consisting of 2 separate straps that are attached to the wall frame, or embedded in the bond beam, on either side of the truss/rafter where each strap wraps over the top of the truss/rafter and is secured with a minimum of 2 nails on the front side, and a minimum of 1 nail on the opposing side, or Metal connectors consisting of a single strap that wraps over the top of the truss/rafter, is secured to the wall on both sides, and is secured to the top plate with a minimum of three nails on each side. E. Structural Anchor bolts structurally connected or reinforced concrete roof. F. Other: G. Unknown or Unidentified H. No attic access 5. Roof Geometry: What is the roof shape? (Do not consider roofs of porches or carports that are attached only to the fascia or wall of the host structure over unenclosed space in the determination of roof perimeter or roof area for roof geometry classification.) A. Hip Roof - Hip roof with no other roof shapes greater than 10% of the total roof system perimeter. Total length of non-hip features: feet; Total roof system perimeter: feet B. Flat Roof Roof on a building with 5 or more units where at least 90% of the main roof area has a roof slope of less than 2:12. Roof area with slope less than 2:12 sq ft; Total roof area sq ft C. Other Roof Any roof that does not qualify as either (A) or (B) above. 6. Secondary Water Resistance (SWR): (standard underlayments or hot-mopped felts do not qualify as an SWR) A. SWR (also called Sealed Roof Deck) Self-adhering polymer modified-bitumen roofing underlayment applied directly to the sheathing or foam adhesive SWR barrier (not foamed-on insulation) applied as a supplemental means to protect the dwelling from water intrusion in the event of roof covering loss. B. No SWR. C. Unknown or undetermined Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Page 90 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 3 of 7 7. Opening Protection: What is the weakest form of windborne debris protection installed on the structure? First, use the table to determine the weakest form of protection for each category of opening. Second, (a) check one answer below (A, B, C, N, or X) based upon the lowest protection level for ALL Glazed openings and (b) check the protection level for all Non-Glazed openings (.1, .2, or .3) as applicable. Opening Protection Level Chart Place an “X” in each row to identify all forms of protection in use for each opening type. Check only one answer below (A thru X), based on the weakest form of protection (lowest row) for any of the Glazed openings and indicate the weakest form of protection (lowest row) for Non-Glazed openings. Glazed Openings Non-Glazed Openings Windows or Entry Doors Garage Doors Skylights Glass Block Entry Doors Garage Doors N/A Not Applicable – there are no openings of this type on the structure X X X X X A Verified cyclic pressure & large missile (9-lb for windows doors/4.5 lb for skylights) B Verified cyclic pressure & large missile (4-8-lb for windows doors/2 lb for skylights) C Verified plywood/OSB meeting Table 1609.1.2 of the FBC 2007 D Verified Non-Glazed Entry or Garage doors indicating compliance with ASTM E 330, ANSI/DASMA 108, or PA/TAS 202 for wind pressure resistance N Opening Protection products that appear to be A or B but are not verified Other protective coverings that cannot be identified as A, B, or C X No Windborne Debris Protection X A. Exterior Openings Cyclic Pressure and 9-lb Large Missle (4.5 lb for skylights only): All glazed openings are protected at a minimum, with impact resistant coverings or products listed as windborne debris protection devices in the product approval system of the State of Florida or Miami-Dade County and meet the requirements of one of the following for “Cyclic Pressure and Large Missile Impact” (Level A in the table above). • Miami Dade County PA 201, 202 and 203 • Florida Building Code Testing Application Standard (TAS) 201, 202, and 203 • American Society for Testing and Materials ASTM E 1886 and ASTM E 1996 • Southern Standards Technical Document (SSTD) 12 • For Skylights Only, ASTM E 1886 and ASTM E 1996 • For Garage Doors Only; ANSI/DASMA 115 A.1 All non-glazed openings classified as A in the table above, or no non-glazed openings exist A.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level B, C, N, or X in the table above A.3 One or more non-glazed openings is classified as Level B, C, N, or X in the table above B. Exterior Opening Protection - Cyclic Pressure and 4 to 8-lb Large Missle (2-4.5 lb for skylights only): All glazed openings are protected, at a minimum, with impact resistant coverings or products listed as windborne debris protection devices in the product approval system of the State of Florida or Miami-Dade County and meet the requirements of one of the following for “Cyclic Pressure and Large Missile Impact” (Level B in the table above): • ASTM E 1886 and ASTM E 1996 (Large Missile – 4.5 lb.) • SSTD 12 (Large Missile – 4 lb. to 8 lb.) • For Skylights Only: ASTM E 1886 and ASTM E 1996 (Large Missile – 2 to 4.5 lb.) B.1 All non-glazed openings classified as A or B in the table above, or no non-glazed exist B.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level C, N, or X in the table above B.3 One or more non-glazed openings is classified as Level C, N, or X in the table above C. Exterior Opening Protection – Wood Structural Panels meeting FBC 2007: All glazed openings are covered with plywood/OSB meeting the requirements of Table 1609.1.2 of the FBC 2007 (Level C in the table above). C.1 All non-glazed openings classified as A, B, or C in the table above, or no non-glazed openings exist C.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level N or X in the table above C.3 One or more non-glazed openings is classified as Level N or X in the table above Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Page 91 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 4 of 7 N. Exterior Opening Protection (unverified shutter systems with no documentation): All glazed openings are protected with protective coverings not meeting the requirements of Answer “A”, “B”, or “C” or systems that appear to meet Answer “A” or “B” with no documentation of compliance (Level N in the table above). N.1 All non-glazed openings classified as Level A, B, or C, or N in the table above, or no non-glazed openings exist N.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level X in the table above N.3 One or more non-glazed openings is classified as Level X in the table above X. None or Some Glazed Openings: One or more glazed openings classified as Level X in the table above. MITIGATION INSPECTIONS MUST BE CERTIFIED BY A QUALIFIED INSPECTOR Section 627.711(2), Florida Statutes, provides a listing of individuals who may sign this form. Qualified Inspector Name: Jon Stetson License Type: State of FL Home Inspector License or Certificate#: #HI8824 Inspection Company: National Property Inspections Phone: 772-220-1268 Qualified Inspector – I hold an active license as a: (check one) Home inspector licensed under Section 468.8314, Florida Statutes who has completed the statutory number of hours of hurricane mitigation training approved by the Construction Industry Licensing Board and completion of a proficiency exam. Building code inspector certified under Section 468.607, Florida Statutes. General, building or residential contractor licensed under Section 489.111, Florida Statutes. Professional engineer licensed under Section 471.015, Florida Statutes. Professional architect licensed under Section 481.213, Florida Statutes. Any other individual or entity recognized by the insurer as possessing the necessary qualifications to properly complete a uniform mitigation verification form pursuant to Section 627.711(2)(f), Florida Statutes. Individuals other than licensed contractors licensed under Section 489.111, Florida Statutes, or professional engineer licensed under Section 471.015, Florida Statues, must inspect the structures personally and not through employees or other persons. Licensees under s.471.015 or s.489.111 may authorize a direct employee who possesses the requisite skill, knowledge and experience to conduct a mitigation verification inspection. I, Jon Stetson, am a qualified inspector and I personally performed the inspection or (licensed contractors and professional engineers only) I had my employee ( ) perform the inspection and I agree to be responsible for his/her work. Qualified Inspector Signature: Date: 2/11/2021 An individual or entity who knowingly or through gross negligence provides a false or fraudulent mitigation verification form is subject to investigation by the Florida Division of Insurance Fraud and may be subject to administrative action by the appropriate licensing agency or to criminal prosecution. (Section 627.711(4)-(7), Florida Statutes). The Qualified Inspector who certifies this form shall be directly liable for the misconduct of employees as if the authorized mitigation inspector personally performed the inspection. HOMEOWNER TO COMPLETE: I certify that the named Qualified Inspector or his or her employee did perform an inspection of the residence identified on this form and that proof of identification was provided to me or my Authorized Representative. Signature: ___________________________________ Date: ________________________________ An individual or entity who knowingly provides or utters a false or fraudulent mitigation verification form with the intent to obtain or receive a discount on an insurance premium to which the individual or entity is not entitled commits a misdemeanor of the first degree (Section 627.711(7), Florida Statutes). The definitions on this form are for inspection purposes only and cannot be used to certify any product or construction feature as offering protection from hurricanes. Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Page 92 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 5 of 7 Front Right side Rear Left side Roof views / no re-roof permit on file / age of roof unknown Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Page 93 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 6 of 7 No hurricane protection at any openings Strap view attempted through loose soffit(no attic access) No straps or clips visible through loose soffit Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Page 94 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 7 of 7 No straps or clips visible through loose soffit Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Guest House) Page 95 of 196 FDACS 13645, Rev 10/15 Page 1 of 2 WDO3.docx Florida Department of Agriculture and Consumer Services Division of Agricultural Environmental Services WOOD-DESTROYING ORGANISMS INSPECTION REPORT Section 482.226, Florida Statutes and Chapter 5E-14.142, F. A. C. SECTION 1 – GENERAL INFORMATION Inspection Company: SOUTHCOAST PEST CONTROL INC. Business License Number: JB184207 Inspection Company Name 2872 EAGLES NEST WAY Phone Number: 772-370-4120 Company Address PORT ST. LUCIE, FL. 34952 Date of Inspection: 2/11/21 Company City, State and Zip Code Inspector’s Name and Identification Card Number: DAN SALICA JF7827 Print Name ID Card No. Address of Property Inspected: 9809 S. INDIAN RIVER DR. FORT PIIERCE, FL. 34982 Structure(s) on Property Inspected: RESIDENCE Inspection and Report requested by: JON / N.P.I. Name and Contact Information Report Sent to Requestor and to: Name and Contact Information if different from above SECTION 2 – INSPECTION FINDINGS – CONSUMERS SHOULD READ THIS SECTION CAREFULLY THIS REPORT IS MADE ON THE BASIS OF WHAT WAS VISIBLE AND READILY ACCESSIBLE AT THE TIME OF INSPECTION AND DOES NOT CONSTITUTE A GUARANTEE OF THE ABSENCE OF WOOD-DESTROYING ORGANISMS (WDOs) OR DAMAGE OR OTHER EVIDENCE UNLESS THIS REPORT SPECIFICALLY STATES HEREIN THE EXTENT OF SUCH GUARANTEE. This report does not cover areas such as, but not limited to, those that are enclosed or inaccessible, areas concealed by wall-coverings, floor coverings, furniture, equipment, stored articles, insulation or any portion of the structure in which inspection would necessitate removing or defacing any part of the structure. This property was not inspected for any fungi other than wood-decaying fungi, and no opinion on health related effects or indoor air quality is provided or rendered by this report. Individuals licensed to perform pest control are not required, authorized or licensed to inspect or report for any fungi other than wood-destroying fungi, nor to report or comment on health or indoor air quality issues related to any fungi. Persons concerned about these issues should consult with a certified industrial hygienist or other person trained and qualified to render such opinions. A wood-destroying organism (WDO) means an arthropod or plant life which damages and can reinfest seasoned wood in a structure, namely, termites, powder post beetles, old house borers, and wood-decaying fungi. NOTE: This is NOT a structural damage report. it should be understood that there may be damage, including possible hidden damage present. FURTHER INVESTIGATION BY QUALIFIED EXPERTS OF THE BUILDING TRADE SHOULD BE MADE TO DETERMINE THE STRUCTURAL SOUNDNESS OF THE PROPERTY. Based on a visual inspection of accessible areas, the following findings were observed: (See Page 2, Section 3 to determine which areas of the inspected structure(s) may have been inaccessible.) NO visible signs of WDO(s) (live, evidence or damage) observed. X B VISIBLE evidence of WDO(s) was observed as follows: 1. LIVE WDO(s): (Common Name of Organism and Location – use additional page, if needed) ____________________________________________________________________________________________________________ 2 X EVIDENCE of WDO(s) MAIN HOUSE WOOD ROT: FASCIA AND SOFFIT NEAE FRONT ENTRY AND REAR WALL. GARAGE SUBTERRANEAN TERMITES: STUDS, HEADER, ROOF RAFTER AND SIDING. Common Name, Description and Location – Describe evidence -- use additional page, if needed) ____________________________________________________________________________________________________________ 3X DAMAGE caused by WDO(s) was observed and noted as follows: SEE WOOD ROT AND SUBTERRANEAN TERMITES #2 Common Name, Description and Location of all visible damage – Describe damage -- use additional page, if needed) THIS IS PAGE ONE OF A TWO PAGE REPORT SECTION 3 – OBSTRUCTIONS AND INACCESSIBLE AREAS: The following areas of the structure(s) inspected were obstructed or inaccessible. NO INFORMATION on the status of wood-destroying organisms or damage from wood-destroying organisms in these areas is provided in this report. NICOLE “NIKKI” FRIED COMMISSIONER Page 96 of 196 FDACS- 13645, Rev 10/15 Page 2 of 2 In addition to those areas described in consumer information on Page 1, Section 2; the following specific areas were not visible and/or accessible for inspection. The descriptions and reasons for inaccessibility are stated below: Attic X SPECIFIC AREAS: AT EDGE OF MAIN HOUSE AND COMPLETE GUEST HOUSE REASON: TO LOW AND NO ENTRY ______________________________________________________________________________ Interior SPECIFIC AREAS: REASON: _______________________________________________________________________________ Exterior SPECIFIC AREAS: REASON: _______________________________________________________________________________ Crawlspace X SPECIFIC AREAS: GUEST HOUSE REASON: TO LOW ________________________________________________________________________________ Other: SPECIFIC AREAS: REASON: SECTION 4 – NOTICE OF INSPECTION AND TREATMENT INFORMATION EVIDENCE of previous treatment observed: YES NOX If Yes, the structure exhibits evidence of previous treatment. List what was observed: (State what visible evidence was observed to suggest possible previous treatment – use additional page, if needed) __________________________________________________________________________________________________ NOTE: The inspecting company can give no assurances with regard to work done by other companies. The company that performed the treatment should be contacted for information on treatment history and any warranty or service agreement which may be in place. A Notice of Inspection has been affixed to the structure at: Electrical Panel (State the location) This Company has treated the structure(s) at the time of inspection YES NO X If Yes: Common name of organism treated: (Common name of organism) Name of Pesticide Used: Terms and Conditions of Treatment: Method of treatment: Whole structure Spot treatment: Specify Treatment Notice Location: SECTION 5 – COMMENTS AND FINANCIAL DISCLOSURE Comments: IF NEEDED ESTIMATE TO TREAT GARAGE FOR SUBTERRANEAN TERMITES IS $650.00. Use additional pages if needed ____________________________________________________________________________________________________ Neither the company (licensee) nor the inspector has any financial interest in the property inspected or is associated in any way in the transaction or with any party to the transaction other than for inspection purposes. Signature of Licensee or Agent: Dan Salica Date: 2/11/21 Address inspected: 9809 S. INDIAN RIVER DR. FORT PIERCE, FL. 34982 Inspection Date 2/11/21 THIS IS PAGE TWO OF A TWO PAGE REPORT Page 97 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 1 of 8 Uniform Mitigation Verification Inspection Form Maintain a copy of this form and any documentation provided with the insurance policy Inspection Date: 2/11/2021 OWNER INFORMATION Owner Name: Paul & Linda Jackson Contact Person: Paul & Linda Jackson Address: 9809 S Indian River Drive (Main House) Home Phone: City: Ft. Pierce Zip: 34982 Work Phone: County: St. Lucie Cell Phone: 775-219-5764 Insurance Company: Policy #: Year of Home: 1940 # of Stories: 1 Email: lashjack@msn.com NOTE: Any documentation used in validating the compliance or existence of each construction or mitigation attribute must accompany this form. At least one photograph must accompany this form to validate each attribute marked in questions 3 through 7. The insurer may ask additional questions regarding the mitigated feature(s) verified on this form. 1. Building Code: Was the structure built in compliance with the Florida Building Code (FBC 2001 or later) OR for homes located in the HVHZ (Miami-Dade or Broward counties), South Florida Building Code (SFBC-94). A. Built in compliance with the FBC: Year Built . For homes built in 2002/2003, provide a permit application with a date after 3/1/2002: Building Permit Application Date (MM/DD/YYYY) / / B. For the HVHZ Only: Built in compliance with the SFBC-94: Year Built . For homes built in 1994, 1995, and 1996 provide a permit application with a date after 9/1/1994: Building Permit Application Date (MM/DD/YYYY) / / C. Unknown or does not meet the requirements of Answer “A” or “B”. 2. Roof Covering: Select all roof covering types in use. Provide the permit application date OR FBC/MDC Product Approval number OR Year of Original Installation/Replacement OR indicate that no information was available to verify compliance for each roof covering identified. 2.1 Roof Covering Type Permit Application Date FBC or MDCProduct Approval # Year of Original Installation or Replacement No Information Provided for Compliance 1. Asphalt/Fiberglass Shingle / / Appears to be 2004 / 2005 2. Concrete/Clay/Tile / / 3. Metal / / 4. Built Up / / 5. Membrane / / 6. Other Rolled Composition / / Appears to be 2004 / 2005 A. All roof coverings listed above meet the FBC with a FBC or Miami-Dade Product Approval listing current at time of installation OR have a roofing permit application date on or after 3/1/02 OR the roof is original and built in 2004 or later. B. All roof coverings have Miami-Dade Product Approval listing current at time of installation OR (for the HVHZ only) a roofing permit application after 9/1/1994 and before 3/1/2002 OR the roof is original and built in 1997 or later. C. One of more roof coverings do not meet the requirements of Answer “A” or “B”. D. No roof coverings meet the requirements of Answer “A” or “B”. 3. Roof Deck Attachment: What is the weakest form of roof deck attachment? A. Plywood/Oriented strand board (OSB) roof sheathing attached to the roof truss/rafter (spaced a maximum of 24” o.c.) by staples or 6d nails spaced at 6” along the edge and 12” in the field. -OR- Batten decking supporting wood shakes or wood shingles. -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that has an equivalent mean uplift that required for Options B or C below. B. Plywood/OSB roof sheathing with a minimum thickness of 7/16” attached to the roof truss/rafter (spaced a maximum of 24” o.c.) by 8d common nails spaced a maximum of 12” in the field. -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that is shown to have an equivalent or greater resistance than 8d nails spaced a maximum of 12” in the field or has a mean uplift resistance of at least 103 psf. C. Plywood/OSB roof sheathing with a minimum thickness of 7/16” attached to the roof truss/rafter (spaced a maximum of 24” o.c.) by 8d common nails spaced a maximum of 6” in the field. -OR- Dimensional lumber/Tongue & Groove decking with a minimum of 2 nails per board (or 1 nail per board if each board is equal to or less than 6” in width). -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that is shown to have an equivalent or greater resistance than 8d common nails spaced a maximum of 6” in the field or has a mean uplift resistance of 182 psf. Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 ( Main House) Page 98 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 2 of 8 D. Reinforced Concrete Roof Deck. E. Other: F. Unknown or unidentified. G. No attic access. 4. Roof to Wall Attachment: What is the Weakest roof to wall connection? (Do not include attachment of hip/valley jacks within 5 feet of the inside or outside corner of the roof in determination of WEAKEST type.) A. Toe Nails Truss/rafter anchored to top plate of wall using nails driven at an angle through the truss/rafter and attached to the top plate of the wall, or. Metal connectors that do not meet the minimal conditions or requirements of B, C, or D Minimal conditions to qualify for categories B, C, or D. All visible metal connectors are: Secured to truss/rafter with a minimum of three (3) nails, and Attached to the wall top plate of the wall framing, or embedded in the bond beam, with less than a ½” gap from the blocking or truss/rafter and blocked no more than 1.5” of the truss/rafter, and free of visible severe corrosion. B. Clips Metal connectors that do not wrap over the top of the truss/rafter, or Metal connectors with a minimum of 1 strap that wraps over the top of the truss/rafter and does not meet the nail position requirements of C or D, but is secured with a minimum of 3 nails. C. Single Wraps Metal connectors consisting of a single strap that wraps over the top of the truss/rafter and is secured with a minimum of 2 nails on the front side and a minimum of 1 nail on the opposing side. D. Double Wraps Metal connectors consisting of 2 separate straps that are attached to the wall frame, or embedded in the bond beam, on either side of the truss/rafter where each strap wraps over the top of the truss/rafter and is secured with a minimum of 2 nails on the front side, and a minimum of 1 nail on the opposing side, or Metal connectors consisting of a single strap that wraps over the top of the truss/rafter, is secured to the wall on both sides, and is secured to the top plate with a minimum of three nails on each side. E. Structural Anchor bolts structurally connected or reinforced concrete roof. F. Other: G. Unknown or Unidentified H. No attic access 5. Roof Geometry: What is the roof shape? (Do not consider roofs of porches or carports that are attached only to the fascia or wall of the host structure over unenclosed space in the determination of roof perimeter or roof area for roof geometry classification.) A. Hip Roof - Hip roof with no other roof shapes greater than 10% of the total roof system perimeter. Total length of non-hip features: feet; Total roof system perimeter: feet B. Flat Roof Roof on a building with 5 or more units where at least 90% of the main roof area has a roof slope of less than 2:12. Roof area with slope less than 2:12 sq ft; Total roof area sq ft C. Other Roof Any roof that does not qualify as either (A) or (B) above. 6. Secondary Water Resistance (SWR): (standard underlayments or hot-mopped felts do not qualify as an SWR) A. SWR (also called Sealed Roof Deck) Self-adhering polymer modified-bitumen roofing underlayment applied directly to the sheathing or foam adhesive SWR barrier (not foamed-on insulation) applied as a supplemental means to protect the dwelling from water intrusion in the event of roof covering loss. B. No SWR. C. Unknown or undetermined Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Page 99 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 3 of 8 7. Opening Protection: What is the weakest form of windborne debris protection installed on the structure? First, use the table to determine the weakest form of protection for each category of opening. Second, (a) check one answer below (A, B, C, N, or X) based upon the lowest protection level for ALL Glazed openings and (b) check the protection level for all Non-Glazed openings (.1, .2, or .3) as applicable. Opening Protection Level Chart Place an “X” in each row to identify all forms of protection in use for each opening type. Check only one answer below (A thru X), based on the weakest form of protection (lowest row) for any of the Glazed openings and indicate the weakest form of protection (lowest row) for Non-Glazed openings. Glazed Openings Non-Glazed Openings Windows or Entry Doors Garage Doors Skylights Glass Block Entry Doors Garage Doors N/A Not Applicable – there are no openings of this type on the structure X X X X X A Verified cyclic pressure & large missile (9-lb for windows doors/4.5 lb for skylights) B Verified cyclic pressure & large missile (4-8-lb for windows doors/2 lb for skylights) C Verified plywood/OSB meeting Table 1609.1.2 of the FBC 2007 D Verified Non-Glazed Entry or Garage doors indicating compliance with ASTM E 330, ANSI/DASMA 108, or PA/TAS 202 for wind pressure resistance N Opening Protection products that appear to be A or B but are not verified Other protective coverings that cannot be identified as A, B, or C X No Windborne Debris Protection X A. Exterior Openings Cyclic Pressure and 9-lb Large Missle (4.5 lb for skylights only): All glazed openings are protected at a minimum, with impact resistant coverings or products listed as windborne debris protection devices in the product approval system of the State of Florida or Miami-Dade County and meet the requirements of one of the following for “Cyclic Pressure and Large Missile Impact” (Level A in the table above). • Miami Dade County PA 201, 202 and 203 • Florida Building Code Testing Application Standard (TAS) 201, 202, and 203 • American Society for Testing and Materials ASTM E 1886 and ASTM E 1996 • Southern Standards Technical Document (SSTD) 12 • For Skylights Only, ASTM E 1886 and ASTM E 1996 • For Garage Doors Only; ANSI/DASMA 115 A.1 All non-glazed openings classified as A in the table above, or no non-glazed openings exist A.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level B, C, N, or X in the table above A.3 One or more non-glazed openings is classified as Level B, C, N, or X in the table above B. Exterior Opening Protection - Cyclic Pressure and 4 to 8-lb Large Missle (2-4.5 lb for skylights only): All glazed openings are protected, at a minimum, with impact resistant coverings or products listed as windborne debris protection devices in the product approval system of the State of Florida or Miami-Dade County and meet the requirements of one of the following for “Cyclic Pressure and Large Missile Impact” (Level B in the table above): • ASTM E 1886 and ASTM E 1996 (Large Missile – 4.5 lb.) • SSTD 12 (Large Missile – 4 lb. to 8 lb.) • For Skylights Only: ASTM E 1886 and ASTM E 1996 (Large Missile – 2 to 4.5 lb.) B.1 All non-glazed openings classified as A or B in the table above, or no non-glazed exist B.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level C, N, or X in the table above B.3 One or more non-glazed openings is classified as Level C, N, or X in the table above C. Exterior Opening Protection – Wood Structural Panels meeting FBC 2007: All glazed openings are covered with plywood/OSB meeting the requirements of Table 1609.1.2 of the FBC 2007 (Level C in the table above). C.1 All non-glazed openings classified as A, B, or C in the table above, or no non-glazed openings exist C.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level N or X in the table above C.3 One or more non-glazed openings is classified as Level N or X in the table above Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Page 100 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 4 of 8 N. Exterior Opening Protection (unverified shutter systems with no documentation): All glazed openings are protected with protective coverings not meeting the requirements of Answer “A”, “B”, or “C” or systems that appear to meet Answer “A” or “B” with no documentation of compliance (Level N in the table above). N.1 All non-glazed openings classified as Level A, B, or C, or N in the table above, or no non-glazed openings exist N.2 One or more non-glazed openings classified as Level D in the table above, and no non-glazed openings classified as Level X in the table above N.3 One or more non-glazed openings is classified as Level X in the table above X. None or Some Glazed Openings: One or more glazed openings classified as Level X in the table above. MITIGATION INSPECTIONS MUST BE CERTIFIED BY A QUALIFIED INSPECTOR Section 627.711(2), Florida Statutes, provides a listing of individuals who may sign this form. Qualified Inspector Name: Jon Stetson License Type: State of FL Home Inspector License or Certificate#: #HI8824 Inspection Company: National Property Inspections Phone: 772-220-1268 Qualified Inspector – I hold an active license as a: (check one) Home inspector licensed under Section 468.8314, Florida Statutes who has completed the statutory number of hours of hurricane mitigation training approved by the Construction Industry Licensing Board and completion of a proficiency exam. Building code inspector certified under Section 468.607, Florida Statutes. General, building or residential contractor licensed under Section 489.111, Florida Statutes. Professional engineer licensed under Section 471.015, Florida Statutes. Professional architect licensed under Section 481.213, Florida Statutes. Any other individual or entity recognized by the insurer as possessing the necessary qualifications to properly complete a uniform mitigation verification form pursuant to Section 627.711(2)(f), Florida Statutes. Individuals other than licensed contractors licensed under Section 489.111, Florida Statutes, or professional engineer licensed under Section 471.015, Florida Statues, must inspect the structures personally and not through employees or other persons. Licensees under s.471.015 or s.489.111 may authorize a direct employee who possesses the requisite skill, knowledge and experience to conduct a mitigation verification inspection. I, Jon Stetson, am a qualified inspector and I personally performed the inspection or (licensed contractors and professional engineers only) I had my employee ( ) perform the inspection and I agree to be responsible for his/her work. Qualified Inspector Signature: Date: 2/11/2021 An individual or entity who knowingly or through gross negligence provides a false or fraudulent mitigation verification form is subject to investigation by the Florida Division of Insurance Fraud and may be subject to administrative action by the appropriate licensing agency or to criminal prosecution. (Section 627.711(4)-(7), Florida Statutes). The Qualified Inspector who certifies this form shall be directly liable for the misconduct of employees as if the authorized mitigation inspector personally performed the inspection. HOMEOWNER TO COMPLETE: I certify that the named Qualified Inspector or his or her employee did perform an inspection of the residence identified on this form and that proof of identification was provided to me or my Authorized Representative. Signature: ___________________________________ Date: ________________________________ An individual or entity who knowingly provides or utters a false or fraudulent mitigation verification form with the intent to obtain or receive a discount on an insurance premium to which the individual or entity is not entitled commits a misdemeanor of the first degree (Section 627.711(7), Florida Statutes). The definitions on this form are for inspection purposes only and cannot be used to certify any product or construction feature as offering protection from hurricanes. Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Page 101 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 5 of 8 Front Right side Rear Left side Roof views / no re-roof permit on file / age of roof unknown Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Page 102 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 6 of 8 No hurricane protection at any openings Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Page 103 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 7 of 8 Plywood over battens / additional roof bracing added ½” plywood on battens / no SWR at rood deck 16d nails through plywood and battens Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Page 104 of 196 *This verification form is valid up to five (5) years provided no material changes have been made to the structure or inaccuracies found on the form. OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 Page 8 of 8 Nailing pattern at roof deck Home updated / framing re-enforced / “clips” added Inspector Initials: JS Property Address: 9809 S Indian River Drive, Ft. Pierce, FL. 34982 (Main House) Page 105 of 196 Page 106 of 196 Page 107 of 196 Page 108 of 196 Page 109 of 196 Page 110 of 196 Page 111 of 196 Page 112 of 196 Page 113 of 196 Page 114 of 196 Page 115 of 196 Page 116 of 196 Page 117 of 196 Page 118 of 196 Page 119 of 196 Page 120 of 196 Page 121 of 196 Page 122 of 196 Page 123 of 196 Page 124 of 196 Page 125 of 196 Page 126 of 196 Page 127 of 196 Page 128 of 196 Page 129 of 196 Page 130 of 196 Page 131 of 196 Page 132 of 196 Page 133 of 196 Page 134 of 196 Page 135 of 196 Page 136 of 196 Page 137 of 196 Page 138 of 196 Page 139 of 196 Page 140 of 196 Page 141 of 196 Page 142 of 196 Page 143 of 196 Page 144 of 196 Page 145 of 196 Page 146 of 196 Page 147 of 196 Page 148 of 196 Page 149 of 196 Page 150 of 196 Page 151 of 196 Page 152 of 196 Page 153 of 196 Page 154 of 196 Page 155 of 196 Page 156 of 196 Page 157 of 196 Page 158 of 196 Page 159 of 196 Page 160 of 196 Page 161 of 196 Page 162 of 196 Page 163 of 196 Page 164 of 196 Page 165 of 196 Page 166 of 196 Page 167 of 196 Page 168 of 196 Page 169 of 196 Page 170 of 196 Page 171 of 196 Page 172 of 196 Page 173 of 196 Page 174 of 196 Page 175 of 196 Page 176 of 196 Page 177 of 196 Page 178 of 196 Page 179 of 196 Page 180 of 196 Page 181 of 196 Page 182 of 196 Page 183 of 196 Page 184 of 196 Page 185 of 196 Page 186 of 196 Page 187 of 196 Page 188 of 196 Page 189 of 196 Page 190 of 196 Page 191 of 196 Page 192 of 196 Page 193 of 196 Page 194 of 196 Page 195 of 196 Page 196 of 196