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HomeMy WebLinkAboutSUBMITTED PAPERSOFMM USE ONLY: CI �J j DATE FILED:. ' -) ( NUMBER: u n 2 oy T' PLANREVIEWFEE: '7 - RECEIPTNO.:--�,�-� a PERM[T CONCURRENCY FEE: RECEIPT NO.: —�1—" '"S CERT. CAP. NO.: -TST BE COMPLETE & FILLED INTO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING do CODE REGULATIONS DIVISION Avenue SCANNED FL Pierce, Fi 34982-5652 BY M-462-1553 -5t. L ude County �v 7; s ;�®c . APPLICATION for BUIULDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATIOwsrm ADDRESS: I narlc� n i 1S �� r'r U 2. PROJECT NAME. _ _ SITE PLAN.NAAM 3. PROPERTY TAX ID #: 3 D— T O o o ODO — Y I 4. .LEGAL DESCRIPTION (attach extra I sheets if necessary): 36 , D 1 0 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. S. LOT NO. 9. PARCEL SIZE (ACRE SISQ FT.): Imo+ Ae-re-s LOT DUMNSIONS:y0.t`c LS 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK.ACTIVITY- RP WQQA Cl i 33 11. SETBACKS (ACTUAL) FRONIIPW BACK: � ' RIGHT SIDE: LEFT SIDE:_ 2 6 12. TYPE OF CONSTRUCTION (Check�all appropriate boxes) [ ] NEW CONSTRUCTION EXPANSION/ADDITION [ ] Dn=ORRENOVATION [ ] RESIDENTIAL � ] COMMERCIAL L ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE- PS I 14. SQ. FT OF CONSTRUCTION: 1/00 SF 15. SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ ®®� The value of construction is used to determine the amdunt of permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstated that the submitted figures me -not Consistent with similar types of constaction activities. Ifthe value is MOD er more, a RECORDED Notice of Commencement must be submitted with ibis application SLCCDV Fount No.: 001-02 IUPDATED 05109 �f v OWNER INFORMATION NAME: , J A, 46, ft et � r: . ADDRESS: , ? CM W i1 �1�u r� CITY':�. s� kT (A g STATE: ZIP: ©Q 7 PHONE (DAYT ME): 323 ES S? Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROMTHE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIlRLE TITLEHOLDER 9V ADDRESS: Cny: STATE: ZIP: PHONE (DAYTIlVIE): V CONTRACTOR INFORMATION ST. of FL REG.CERT #: n ST. LUCIE CO CERT #: BUSINESS NAME: QUALIFIERS NA' /ME: rap-k n -ADDRESS: ,Z' 7 SW S' kacl�_-dra r(y CITY: P STATE: F ( < ZIP: 3 g PHONE (DAYTIME): (?z) 4( '? ' 2_V Y & FAX NO. I/f q ®t < 0 Email: ARCHIT/ENGINEER: ( Aj ADDRESS: 3 Z l L A' i r- CITY:.�� PHONE (DAYTIME): 56 C3 9- STATE: , ZIP: 33 y D BONDING COMPANY: ADDRESS: CITY' STATE: ZIP: MORTGAGE LENDER ADDRESS: CITY: STATE: ZIP: IWORTANT NOTICE: When a permit is issued and it is not picked up within 60 days aver notification it will be voided and returned to you by mail. :- BP OFFICE. USE ' ONLY :... _ ON T09VNSHIP ' . RANGE MAP NO M c,S ZONING. LAND -USE LOT CVG ®/o TAZ NO. FLOOD ZONE..FLRELV_. _ . - ._ :MAXHGT OCC TYPE MAJ-OCCUP -OF FLRS -CONST TYPE . _ -- WATER LOT -OF REG - Boral/1990 . _ '. -- .:Aflerl/I990 :- - REQUIf�ED APPROVED - REPORT HABITABLE II AREA . FEE ; _ ` „� LIBRARY PUBLIC BID BLD "PARKS . ILUIPACT BIPAGTT I141FACT IMPACT � CORRECTION FEE GENERAL, FEE SCHOOL ROAD CREii-T Y N ' LAw ENF BRACT BRACT ` BdPACT" FEE FEE. ,.. `FIRFJEMS DRIVEWAY '. .; N:. -DRIVEWAY 'ADMINISTRATIVE . . -IL4IPALT _ -REQUIItED:� :.: _ ... FEE VARIANCE FEE .... - FEE SPECIFY . MECHANIC RPM NON-CONFORMII�TG�CELa0U8 SUBS E Ecnur GAS _ ,LOT OF RECORD FEES REQUIItID PLUMBIN FEES = _ DATE SENT TO ADDRESSING: / REVIEWS FRONT ZONING SUPERVISOR . PLANS VEGETATION SEA TURTLE.. MANGROVE . CO REVIEW REVIEW REVIB W REVIEW REVIEW. ' _ DATE N RECEIVED l d -DA - 8 .-.COMPLETED ®m CERTIFICATION: This application is hereby made to obtain a permit to do the work -and installations as indicated, and to obtain a certificate of capacity, . if applicable, for the permitted work I certify that no work or installation has commenced prior to the issuance of a permit and that all Work will be performed to meafthe standards of all laws regulatingconstruction in this jurisdiction. I understand that separate permits may be required for. ELECTRICAL,. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR_CONDITIONERS,_FENCES, ETC., not otherwise included with this building permit application. St, -Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject stricture bylaws or an covenants.tbat may restrict or prohibit such which is in -conflict .with any_ -applicable Homeowner Association rules, byla y structure, please consult with your Homeowner's Association and review your deed for any restrictions which may apply. . �_ x.n,,.n;;;R u�.��iivo ni nit=annlicatians..are exemat--fhom=-undergping- a _full-:conewency review: room additions, accessory structures (all hypes); . .d ..4 1 se screen rooms, NOTICE -YOUR FAILURES T0:RECORDA NOTICE OF C6M NCE1l iT:MAY RE- PAYING TWICE FOR n PROVEMENTS TO YOUR PROPERTY. A NOTICE OF _ — --COM NCEMEN'Ti4IUS BE RECORDED -AND -POSTED . -17 E JOBSTTE BEFORE THE ---FIRST INSPEC-TION IF YOU -INTEND TO-OBTAIN_FINANCING, CONSULT_WITHYOUR_ _. LENDER OR A14 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMNCEMENT. - — - - - - - NOTICE TO APPLICANT: - IF TT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO -ATTACA11dENT:. AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN FAM To- DELIVER A COPY OF TEE CONSTRUCTION' LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT-- --- OWNER R CO CTOR SIGNATURE . CONTRACTOR SIGNATURE . STATE OF FLORIDA COUNTY -OF. The foregoing instrument was acknowledged before me t-b-b- - day of by ... who is is personally known or has produced as identification. &g-oiflire of Notary STATE OF FLORIDA COUNTY OF The foregoing bmtarument was acknowledged before me this day of • 20 . by who is personally known or has produced Signature of Notary as identification. Commission No.'�i \3 i1 5e2%A1 _ CARRUT6 BERS fOmmbsiOn No. (Seal) ,1PP41P�6 MY COMMISSION # D0796130 EXPIRES June 09, 2012 GF Ft• l (407) 398-0159 FloridallolaryService,com NOTE: TWO (2) SIGNATURES ARE REQUIRED• EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING, PERMIT AS AN OWNI;;" ,RS.^r'C, .;.s,Y Z nA E� A' SI^l: THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERMuELDER APPLICANTS. For specific instructions see appropriate permit checklist. oyi CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER OR COr#RACTOR SIGNATURE CONTRA C R SIGNATURE STATE OF FLORIDA COUNTY OF li�k The foregoing instrument was acknowledged before me this day of �.a� 20 \\ by �_;F F�c�FiA�J •h_olpersonally known or has produced as identification. Signature of Notary STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this �'� day of 20 �\ by SF1Rw�J uxis �personallkno�wn.or has produced as identification. Sig ture of Notary r.�P ��,,,,�� _ ` ;arP`e4o. GAIL CARRUTH Commission No.. ��o ;avbUa` �(SWIL CARRUTHERS Commission No.1����c -'b (►C OMMISSION P # DID -� *- EXPIRES June 09, 2 _ MY COMMISSION # DD796130 9•, •,� (407) 398-0153 FloddallotaryService.co ;IoFr�-; EXPIRES June 09, 2012 (407) 398.0153 FloridallolaryService.com NOTE: TWO F7= ATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. 30 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3620405 OR BOOIii .7 PAGE 646, Recorded 013/19/2011 at - .37 PM NOTICE, OF COMMENCEMENT Permit No.SLC 1012-0038 Tax Id No. 3401-344-0001-00014 State of Florida County of St Lucie The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of Commencement. 1. Legal Description of property and street address: 6101 Indian River Drive, Ft Pierce Lot 3 Subdivision 3401344 2. General Description of improvements: Addition and Renovation to Main House and Property Improvements. New generator enclosure, concrete patio and wood arbor. Construct New Pole Barn, Guest House, Cabana and Studio Buildings 3. Owner: Robert Asselbergs Address: 6 Crown Court, Chestnut Ridge, New York 10977 Interest in Property: Owner Fee Simple Title Holder (if other than owner): N/A 4. Contractor's Name, Address and Phone Number: Certified Building Contractors, Inc. 747 SW South Macedo Blvd, Port St Lucie, FL 772-879-2440 5. Surety's Name, Address and Phone Number: N/A 6. Lender's Name, Address and Phone Number: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7, Florida Statutes: N/A 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: N/A 9. Expiration date of notice of commencement (the expiration date if I year from the date of recording unless a different date is specified): WARNING TO OWNER: Any payments made by the owner after the expiration of the notice or commencement are considered improper payments under Chapter 713 Partl section 713.13 Florida Statutes and can result in your paying twice for improvements to your propert ommencement must be recorded and posted on the jobsite before the first inspection. If you intend to !Saou, lender or an attorney before commencing work or recording your notice of commencement. a -kZ3 0." a-6 . � e . Signature of Owner or Print Name and provide Title/Office Owner's Authorized Representative/Manager State of Florida County of St Lucie The foregoing instrument was acknowledged \before me this \AN day of�� 2011. By as V R . (Name of person) (Type of authority) For �o� AM (Name of party on behalf ot`whom instrument was executed) Personally known_)( or produced ID_ t+.� CJca�w tiy-5 : •�:etv -AIL CARRUTHERS (Printed Name of Notary) (Signature of Notary) aa'v r',>htt , SS;ON M D0796130 m 'r`IfiE1,June09. 2012 Under penalties ofperjury, I declare that I have the foregoing and that the facts in i.,o theknowledge and belief(section 92.525, Florida. Statutes)` -- -- Signatu wner(s) or Owi r(s) Authorized Officer/Director/Partner/Manager who signed above: By: STATE OF FLORIDA ST. LUtCIE COUNTY THIS tSTO CERTIFY T144TTHiS It A T'R1.1EAN r`1QREf,T"�-r�,,,1)F:TEIE i.i,`s' L.V tJ "uis l -D !, ,. ;�1; i i , rS + ; K Date: ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA A ;;�NVE FORT PIERCE, FL 39.9�82-5652 772-462-1553'` FILLED LANDS AFFIDAVIT I, the undersigned, am theowner a following dew oe roperry: yea-c (Tau ID/Legal descdptioiV_4 r_e for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. • � 0 7' �3 la-o � J Property Owner Name Property Owner Signature Date STATE OF FLORIDA. COUNTY OF. ACKNOWLEDGED BEFORE ME THIS S ]— DAY OF 20N-1s, BY �Jtiy WHO IS PERSONALLY KNOIVN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION- SI NATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY SI NA�TURE OF NOTARY (SEAL) NOTARY PUBLIC TM-E '��S-%-\� COMMISSION NUMBER a GAIL CARRUTHERS MY COMMISSION # DD796130 �9OFF�°:••�i EXPIRES June 09, 2012 (407)398-01=' a FloridallotaryService.com � K S M KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 August 31, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida Permit #: — Main House`$i KSM Project #: 110277-8d Dear Sir: Enclosed, please find the nuclear density test results performed on the footer for the back patio porch at the above referenced project. questions, please feel free to call. M Iff"IfltilllhJNJ'. Fax and Mail to: St. Lucie County Building Department - 772-462-6443 Fax to: 772-879-0110 J EK/Ics p �6r�ud� SEP - 6 2011 D Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 KSM KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 SOIL COMPACTION REPORT ASTM D 1557 and ASTM D 2922 DATE TESTED: August 30, 2011 KSM JOB #: 110277-8d/ES/Ics PERMIT #: 1012-0041 — Main House CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray Sand ITEM TESTED: Footer for Back Patio Porch on Main House --------------------------------------------------------------------- TEST LOCATION DEPTH MOTS- PEN DRY MAX. DRY PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION -------------------------------------------------VALUE --------------- 1. East 0" —12" 4.6 44 104.7 106.3 98.5 2. South 42 104.4 98.2 3. West 40 103.9 97.7 Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 KSM KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO, BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: August 30, 2011 KSM JOB #: 110277-8p PERMIT #: 1012-0041 — Main House CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida 107 T--- I------1---1---r---I---_r I I I I I I I I I I I I I I I I I 106L--.L__.1__J___I__ I I I I I I I I I 105-I---+-----i-- I---I---f-- --1 b I I I I I I I I I n I I I I I I I I I I __ I __ I __ ___I___I = 104 I I I I I I __ I I I w I I I I I I I I I 103 I---a------I---I---I---�---�--� I I I I I I I I I I I I I I I I I I I I I I I I I I 102-r--T' r---1---I---r--1---rt---� I I I I I I I I I I I I I I I I I I 101---------------�--- i----�---� 7 8 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Gray Sand Max. Dry Density: 106.3 P.C.F. Optimum Moisture: 12.4 Percent Julie E. Keller, P.E. President Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 S' M KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 September 29, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re: Asselberg. Residence 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0041 —Main House KSM Project #: 110277-10d Dear Sir: Enclosed, please find the nuclear density test results performed on the genet©rsla at the above referenced project. ise feel free to call. uilding Department - 772-462-6443 Fax to: 772-879-0110 JEK/Ics * C.., td.. °} OCT 0 6 2011 Public Works St. Lucie County, FL Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 KSM KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 SOIL COMPACTION REPORT ASTM D 1557 and ASTM D 2922 DATE TESTED: September 29, 2011 KSM JOB #: 110277-10d/ES/lcs PERMIT #: 1012-0041 — Main House CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray Sand ITEM TESTED: Generator Slab --------------------------------------------------------------------- TEST LOCATION DEPTH MOTS- PEN DRY MAX. DRY PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION --------------------------------------------------------------------- VALUE 1. East 0" — 12" 7:6 44 103.3 106.3 97.2 2. West 7.5 50 104.1 97.9 Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 KSM v KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO, BOX 78-1 377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 DATE TESTED PERMIT #: CONTRACTOR JOB LOCATION Soil Description Max. Dry Density: Optimum Moisture: Julie E. Keller, P.E. President MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) September 29, 2011 1012-0041 —Main House Certified Building Contractors Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida KSM JOB #: 110277-10p 107 T--T--7--7---I---I---7----r----I I I I I I I I I I I I I I I I I I 1061-__1__1__J___I__ I I I I I I I I I I I I I I I I I I I I I I I I I I 105+--- F---t---i-- I---F--f-- --� I I I I I I I I I I I I I I I I I I 104 -- I I I I I I I I I 1 I I I I I I I I I I I I I I I 1034---4--- -----I---I--- I----�---I I I zil I102rt---T_T---1---I---I--- I--- r---I I I I I I I I I I I I I I I I I I I 101 4------4---4--- 4---4 7 8 9 10 11 12 13 14 15 Gray Sand 106.3 P.C.F. 12.4 Percent Moisture - Percent of Dry Weight Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 10/06/2011 15:55 FAX [a 001/001 FEDERALENGINEERING & TESTING 250 SW 13th Avenue Phone: 954-784-2941 Pompano Beach, FL 33069 800-948-1919 federalengineeringaxidresting.com ` 1?ax: 954-784-7875 Field Density Tests of Compacted Soils Method D-6938 Cheer Groza Builders, Iac Date: September 28, 2011 Address: 511 SVV Port St. Lucie Blvd, fort Sr. Lucie, FL 34953 Project: Address: Area 'Tested; Order #: 11-1768/1414 proposed Residence Perrnit #: 1107-0084 2191 S. Brocl;:smith Road, Fort Pierce, FL Tech: Si Material Type: Building Pad Bzown Sand Compaction Req.: 95% Proctor Method: ASTM D-1557 Test # TEST' LC)C ATIC N 1'rnbc T)ePTI' Ili; '. hloi�t a /0 ty Density Kill Proctor , Value PCY Optimum /o Moisture ° Compaction p 1'asa 1 NH Corncr of l'ad 12" FG 6.9 106.1 107.5 12.5 98.7% Yes 2 (;enter' of 1'ad 12" FG 7.4 105.7 107.5 12.5 98.30/o Yes 3 SW comer of Pad 12" FG T 1 105.9 107.5 12.5 98.5u/o Yes 4 5 G 7 8 9 10 11 12 13 14 15 11� IteIllaYliS; J 0 H A� I.c};cnd For Illcvarion: Sv �'*CMA 1, , old, 3rd l ,ift' ; NO_ `icc%Sl. = Spnrlglille H. M killa TV I'ty T'1'Fi T.1 131.r1ivC f v7s7l � SG = Subgvadc BG = liclr 'Ciradc scm:% * : *PISfcgSional Rn;Ginccr #59394 FSaaccown BOO = Borrn�}e�Ipirc+rl$b�n y �L V1•I. is �r op r, of Authorization #5$71 TOP = Top of pipe lYi = lrlrlhec1_r<yrait C't71�� •�QRf DA �''�,� rnte of Florida �N� NAL E14.,� Al a murual pmracncm ro chonra, rho public and nUM'1&,aa rupniv are subm,Tred eu rho cnnfidcnoal p11*Q1jand aurhneicanno for puhlicminn of 6Wlcmv its, pnncluionr nv esrvarr$ from Ile regarding our rrpom ,s rcecrvcd FLnding our wnttcn apTUvRI, A dcmry ccl,c dl.rcnntncs The d,.lae° of cumpumon of the tustud Liver of marginal only. A duns,n doe+ not replace n soil buarmH capnciry demilliTnEloil. A frrr Ipying dnrmlinnr for a period of Du daps or after heavy min/ rmrmr, recusunx musr be performed on rhia work. KSM rat KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 September 29, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0041 — Main House KSM Project #: 110277-9d Dear Sir: Enclosed, please find the nuclear density test results performed on thetb�-E�at above referenced project. S, Wyw�°j{*,any questions, please feel free to call. • ,G E iV Ste'•-. ZZ zz No. 66366 Ix ryr�] Fax 61881fM1 lOtio: St. Lucie County Building Department - 772-462-6443 Fax to: 772-879-0110 JEK/Ics k 7"._' �:411 OCT 0 a 2011 Public Works St. Lucie County, FL Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P E.: 68366 KSM KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 SOIL COMPACTION REPORT ASTM D 1557 and ASTM D 2922 DATE TESTED: September 29, 2011 KSM JOB #: 110277-9d/ES/Ics PERMIT #: 1012-0041 — Main House CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray Sand ITEM TESTED: Back Patio for Main House --------------------------------------------------------------------- TEST LOCATION DEPTH MOTS- PEN DRY MAX. DRY PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION -------------------------------------------------VALUE --------------- 1. S. E. 0" — 12" 7.7 40 104.1 106.3 97.9 2. Center 8.1 38 103.7 97.6 3. N. W. 8.4 36 103.0 96.9 Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 S M KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: September 29, 2011 KSM JOB #: 110277-9p PERMIT #: 1012-0041 —Main House CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida 107T---T---f------I---F T---T 1 I I I I I I I I I I I I I I I I 106L--L-----J---1-- --1--1---1 I I I I I I I I I 1051--- I----}---i-- I ---I--- }--.— ----1 U I I I I I I I I I d I I I I I I I I I 104 I __ I __ I __ ___I___I __ I __ I __ I = I I I I I I I 1 I w I I I I I I I I I 103-1---a------1---I---f---a----4---4 L I I I I I I I I I 102 t---1---r—---I---r-- r---r---1 I I I I I I I I I I 1 I I I I I I I 101-----------------------�---� 7 8 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Gray Sand Max. Dry Density: 106.3 P.C.F. Optimum Moisture: 12.4 Percent Julie E. Keller, P.E. President Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 10/05/2011 14:55 772-67 :1110 IV/tiU/ZU I I 1G:04 I•AY, 7 rf���►160 I l�� CERTIFIED BLDC --NT CEMEH //CC-MGX PAGE 01/02 IM 001/002 53918617 I Cu � tl � Gu9 mdeN CyatOmerJobNumber E0075 �� • •G ff hr-rI ED ' IiU ILD* ING CONTRRCTQRe -4 NC Ord e roars: W04/ 11 ,P,� ProJval 4dtlat � ,ProJeot IWrmw: � Pro�ct P.O, Numeer; I .a � f�r� ' , 13UG�� " � �sohotogto: AEI Adtlwer 10/04/11 'M"' S INDIAN RIVER DR o Map Pages MaPROMODlunm: MID %%wi 1 I kam-son. Tlak@t NwMWi-. 316309�9 O-fv.hQo- • • slump: S. 00 --- T"`�ft�57,4 '111519�s DrI9 L DELATQRRE I Ensues: BLDN6: SLAB _J — ' LOAM QUANTITY LYE t QUANTITY aunNTRy CROHIMQUA?M ouAN'fITY MATDNIAL CODE Ppanuc wuN DMAIPTION VON UNIT Ptt10C AMOUNT I 10�r4U IQ. fl0 ,' 10a Q °rP'�236590 3000 RRP10,-W/-SAN0 7:, - , •;�I ' 1 -r- 1. R+J--P57631 MON13 FIBER-. SALE r ,:fle".IE47818 PURL -SJRCHRRSE�'32 .L GR I.,.�ENVIRONMENTAL CHARGE, Cash Gh..kit5ulh Cade: SlgnMum of Or{verRaoeMng Ceah CDah Rooalvad: TomI CCD ernar Amounito Cwleal • Chock ' Wllep,rt 8tendbr M.,..,. . — �U lb�ntify hZ2atds? WATERADD L YARDS IN DRUM: YOU use your gaggles when at pump? WHEN ADDED. , YOU use you Rut corlee? J YOU Cp �1� Bl�y;cf 4: SIONATUR rrivora? "' 0 to _�^- CURB LINE CROSSED AT 0WNER'SIAGENT'S REQUEST: orKs �� OICNATURR �J`1 ❑LOAD WAS Nadm: 3vi drhgta wIl maknQ� e((((990�� a ntetafl9ia whom the euetorner doi%rralea, but the SPECIAL TLRN IA It IturtoMIra own risk. It water Ia added en fob, aonmo4o eiranoth Company pcs r, ee ne rggpsnslbYJiy�}1>$nBoat IftWcr cud or property One. C,retmtler agrees to the le no forwr LNG: Product may cav" aWh endfor eye Inttedon. CA=uN: Makriar tetmo of Pala akd dailwty� l+ apla ebattraig Fin Is. Dun ID fmportonl faaans wnitm gro oul or our may be bar Pry and haelrh. FfeeoP ndor 1a a,e bRoolds al MIs Ncket for Impanwi comrol otter delivery, thin Cetr p"eny WI MT acwt aay reaperrelb(Iily Mr the Mlahaa roeub. Me 040Ibr safety he Ila Lis The matorlaf eerely data aheelr for addluonai In►ntmm(DA, roturnap coitcruke, Bviare exceptions aid emtmA shall bg dab -ad wafvad unlmmade 10 us Inwddng A wahln ada blulneaa dgy Baer Ike rocslpt Dinfaloriala. l REV TRK: �.� ,r';� M L,DRD' NUM 1 or3uralvaI;�Sat'C1 INAL 10/05/2011 14:55 772-87q-9110 I V41 Cull he: 34 tim I((k"- ISO J CERTIFIED BLDC -rf7NT CEMEX zzcclemax 0 PAGE 02/02 D 002/002 5391$9'20 ProGG�• •'BUIL'YfXN13' CONTRACTORS 'INC,.*,Cuelom.reobNlrmber o., o-20/04fti 1eatcade: �ra)eM Name; Plgjgbt PA flumi on r ' i Pid At�� . I , f • ""kM104►'11.•4elM eS INDIAN RIVER DR ' q"P"7i 'rAI a• a 1q.P ; e11h i . .. ,,. Dbpa�°�Wi 1. �.�.ams an , ' ` TlelletNumbafl u18.3133C� I. — .Slump; - 1.�_ rtin ra Ar. uaee•-y�� _ , --- Endllen: BLIiNI,a SI_t+IB y... TITT I QUAWNTY I gii.Zjt I' I UATPlm& Coon pAaoUCTrpN DwillipTrON UOM UNIT PRICE AMOUNT P'e� .7 1'3E1�200 " o FTBERME3H IS4 La �r• - 1. RJ}+a'.yvf �., ,. , , � ., , i��'7�1s FUEL s URCHARSE ^".rl+•r'� , •a $ 49 � 7 ZNV I RONMEN t CMnh CNCR 1z AUlh CVdff" Slgneluro of prNer Rbnlvinlr Ceeh; , Ohmck I Cwh Raoelved cal COe omarArlrottnt to Gbllact RI10 oherge le of utsdtteey ehnrgv�; safety? Comm.nlr -' use mir4aggr+�s when at Pump7 3 ydu use your SalBty cones? WATT GAL YARDS IN DRUM: ':,J you COMILI fate unsa;. cl�f,dt:�^.� WHEN ADDED. At�ch/other driven? SIGNATURC -- • CURB LINE CROSSED AY OWNrR,SlAGENT'S REOuEST; Nolleal Our rldyarn WM tnekq bbary effort le plea molerlefe where Ills aunramer da,lonAt� hul the 0 tut CGnpany IIBBume6 fie rM-Panefbinly far darnngam Ihelde curb or property Ilse. Cu0lmprer agmee Io the Po ro R,r Innne a BpIB vnd dell And eeCvpm vanofele M la. pun 10 )mpvrtmhl tmelem sahlttl ere bill miauf I^ny bn oonrfcl anerdeliverv, Inlsmpany will net eeaapl Any raepenelamlr far the IlmMud rvaulI. No at Dr ur aaialy MtiCnvd rpnGale. Euyor,, yMeeatlenlf and Gaima obeli 6e elaarrmd walroe �+n1g58 mama ro um In wdt-Ir All I wfthfn ena b—lnmeg dit Hoer tiro reaolml of malerlarn. SOUNNERSAL ORIGINAL MaNATMe WAS TE E BY; wem dal{ b atauelomefe adMr dek ItwelerisafJdon on b, mn e WA 4; Prod=regy cmwl) BRIM andfmr aye Initallon.�CAu77p Malerlal un t Y •nd hemN. Pleaaa reror ra Iha bftkotdb of rhl■ IIi*m ler Inn,mMnl IM n to 'S the mmaremr Berelydetw cheese tareddltlmnal inrefmallem. I Fan Plemk il. 3s2 772-"2-2172 FOX 772-"2-6i43 CERTIFICATIE OF TERMITE TREATMENT C4DH9MUCTI0N SOIL TREAENT IIIpIM,I0tx00Iq jojoivo361 10110,73 5', lof)oc39 PERMIT #: i 01 3013 ADDRESS: 67161 '�. rJd,,.►� ��•r- C' w / BUILDER/C3ONTRACTOR� PEST CONTROL CONTRAI PEST CONTROL LICENSE We, the undersigned, hereby Cw* that we have prefteat ed the above described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area boated:.3� y� Chemicals used: Pwm itage of solution: Total gallons used: Dtft of Treatnent; I a- q ao q Time of Treatment:. / .Fooft Treatment tie -Treat Driveway e Treatment R&Treat -Ottff e Treatment .Re -Treat b e Treatment Re -Treat Pools x, TreatnWI Re -Treat rl eter For Final Inspection No#e: There mat w a mvp0w fm wax* mqub�ed ,r or ► nEr c any► tiiIs rnrm mt6rGe on the J�ti .site to be pkked up by the brat lime of etti In or the sdWd *d *wp9cffon wf# fell and a re -In on fee dW_aad. PBCi04.2.6 CeMcy& of prowM a 7Mbnenr for prOWnUm ofterM&S A weeMr're5Lqtant,fab 5& Awwd shall be prod do r �Itrp"19 T►8abttent Cues es esd► r o'er dmatmentfs tawple W pr wft a cg yforbt e p tfie perm/!`is isseredto and another copy for i`he bulldbrg pertnit A lemon, a�a Comte shall p provA* the vdurt' �• A*ntl#Y of Me applicator, lame and &M of fbe bwbne# t7es�o, chelnk$f a a; per` cxxw a vdon and comber' of yallvns used; t» estabibb a veriReble re=d of pro ive lTea[rtlent. ;if tfte .W dtemhca/ h rAr #wM& d for t�ermrte plvm?ff i & used, fine/ exterior treatment shell Lae C0fiWAMdprlvr fV MWfAuOMW eppvovat. St Lucia County rmpk" for the final inspecOM for CO, a pmmnent emir to be placed on AOL IAAAc r zy ur sq7 1 Ticket Page 1 of 1 Tickel :f 1 of 1 re-gi.iesled Z/== a •5391M310 Pon0: Team I Aum"w. sl■eelmml PPol■6Yi/old: Ls�e.lsa6: ft■Ita11'MdE. ft&aMFJED BUIL'dlM CONTRACTORS INC Oomw +mnbw rhq�a�Oeak wgmw.e v"epo mow. -is/ i I a 6AQ&w , INDIAN RIVER OR owRoNii3m STAIRS a�11041v1.� 30/%6/i i. or�ilMli I1 iamea" 3i8�73�7 -�a� MM—z I al�v I wtow.00a I wlooua�sooe w non J u■ui_ I wr� I Sam I 1247818 FUEL SURCHARGE 1202749 ENVIRONMENTAL CHARGE looi369 MINIIMUM LOAD CHARSE, DIV 10 � - • • -9 do Your d� of s yo h Swihon dpjw you ups Yam i" calww Y w�unkag unefisw� d,�p�gNdllDt � was a■ ~ idmft ■m7 w • =low� arm nrnsao naoirll4 O any■ AM r /+IIt� I GIraA Isar M tll� m0 Arw� AIM �- mar M a as 11 eOMr■ fms � fmAa/A�/N aa�MIIPF�q�W��r��171�iM1 palm �sw tlgw wtill�Iw M r11m fir■ tr ulrre wNd u11� anM i1>a«rm�sw E����wo�+eK�rlrru. DOC13 TQ{[. S�iFI1VEfiBAL �� �. w� °rw1 • • WATERAD WMINDRuht_..._... a WHMADDED, 4p' w1u�n■. CURB UNE AT OMCKI StAWRA3 O LOAD WAS'd88M 81F. 11rR7oR �� na�w�e,■�a�rFr�yf■eM11►_aMll� �r r I�re� d t+r gib a� 1.r� wlrl�■r O�wb � i_�fM D Mw011R 09/30/2011 04:33 7725896469 K.S.M.ENG. PAGE 01/06 KSM KELLER, SCHLEICHER & MacWILLIANI ENGINEERING AND TESTING, MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 PALM BI=ACH (561) W-7445 wwwAsmengineering.net M1;LBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSNI@KSMENGINEERlNG.NET ST. LUCI.E (772) 229-9093 G.A.: 5693 FAX (772) 589-6469 September 29, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re; Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0041 —Main House OV41 KSM Project #: 110277-9d Dear Sir: Enclosed, please find the nuclear density test results performed on the back patio at the above referenced project. Mel free to call. ig Department - 772-462-6443 Fax to: 772-879-0110 RVA2ife Ronald G. Keller, RE.; 37293 / S1 Lic. No_- 860 1 Julie E. Keller, P.E.: 68366 09/30/2011 04:33 7725896469 K.S.M.ENG. PAGE 02/06 KSM KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmonginearing.net MELBOURNE (321) 768-8488 FAX (661) 845-8876 E-Mail: KSM@KSMF-NGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 SOIL COMPACTION REPORT ASTM D 1557 and ASTM D 2922 DATE_ TE$TECD: September 29, 2011 KSM JOB #: 110277-9d/ES/lcs PERMIT #: 1012-0041 — Main House CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray $and ITEM TESTED' Back Patio for Main House TEST LOCATION MQIS- m m PEN DRYMAX bRY - - PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION -----------.--------------------m,------------_VALUE ----------�--,- 1. S.E. 0" —12" 7.7 40 104.1 106.3 97,9 2. Center 8,1 38 103.7 97.6 3. N.W. 8.4 36 103.0 96.9 F onald G. Keller, P.E.: 37293 / 91 Lic. N¢.: 860 / Julie E. Keller. P.E.: 68366 09/30/2011 04:33 77258994159 K.S.M.ENG. PAGE 03/06 r r KSM KELLER, SCHLEICHER & MaCWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 PO, BOX 78-1377, SEBASTIAN, FL, 32976-1377 SEBA$TIAN (772) 589-0712 PALM BIRCH (561) 845-7445 wwwAsmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSMOKSMENGINEERING_NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED_ September 29, 2011 KSM JOB #: 110277-•9p PERMIT #: 1012-0041 — Main House CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida 1077---7--7---1—I---r---T _ ---1 I f I I I I I I I I i I I I I r I I 1 I I I I ( I t� Cj I r I I I ! I I I I I I I I 1 I = 104 --T- -- i --E --�--T-----I cD I I 1 1 I I I I 1 I I I I I I I I 1 1034--........—-—— a----G---a f I I I I 1 I I I I I f I I I I I I i I I I I I I I 102�-- T-------I---I—�--rt-- -I 1 I I I I I I I loi4----------I---1---�---�---��--f 7 8 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Gray Sand Max. Dry Density: 106.$ P.C.F. Optimum Moisture: 12,4 Percent Julie E. Keller, P.E. President Ronald G. Keller, P.E,- 37293 / SI Lic, No,: 860 / Julie E. Keller, P.E.: 68366 O'DONNEL4 NACCARATO, MIGNOGNA MACKSON, INC. 321 [A Kirksey Street, Suite 200 WEST PALM BEACH, FLORIDA 33401 (561) 835-9994 JOB /4*- SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE lLfq- Y59',,92- �kA15 0AV 40AX 6 - I- 4AY PA#V4- 461, 44 91. to p'e L L, tjpap s ?gyp. r 3x 17,X 31V0 A9 43JI�3H� ou vaidOld 'HDVIO Wltld P) 4 N 31tf0 A9 431b'1f mv:) OOZ 94inS 'paijS Aasdnd tll [Z£ 1 AO ONJ33HS ')NI "NOSAY2 VN90N91W say OIWV))VN IIINNOa.O O'DONNEL4 NACCARATO, MIGNOGNA & JACKSON, INC. 321 LA Kirksey Street, Suite 200 WEST PALM BEACH, FLORIDA 33401 (561) 835-9994 JOB �-'Twggm Liu i'1�� SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE 6� _�-'� r--�--� Tyr r-'r €--�r F---► a--, u 770.3X Ia S x8 0�'46awor�- 0 aor F"i i {� Ay r`,o, sr OTONNELI, NACCARATO, MIGNOGNA &JACKSON, INC. 321 LA Kirksoy Street, Suite 200 WEST PALM BEACH, FLORIDA 33401 (561) 835-9994 JOB SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE r��.Vv e"p (e a-'6 . q j( it fir, -5, tAX 6%S &'5 —1 ,,a 7r- 3xr 12- bfN12"