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HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE DATE FILED: It PLAN REVIEW FEE: RECEIPT NO.: C�:);ERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue Ft. Pierce, FL 5652 Pc%:' 5-462-1553 1553 BY St" APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 2. PROJECT NAME: E � AreA `Ae>vL5 _ SITE PLAN NAME: G U 3. PROPERTY TAX ID #: q ()1 3 Yq 0061 C> 0 CCb / 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO r 8. LOT NO. -j)24k•LtC�/_ i , 9. PARCEL SIZE (ACRES/SQ FT.): ;� $cr�S_ LOT DIMENSIONS: ,2 $ Ot7 x 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: ^p �. � ?6c> nczE�a n� t` w esiso�r� S�oracu� room 4n4 iA�allPC 11. SETBACKS (ACTUAL) FRONT: / BACK:2S1"I RIGHT 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [iQ NEW CONSTRUCTION [ ] EXPANSION/ADDITION [Xf RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: 14. 16. LEFT SIDE: /" -i i [ J INTERIOR RENOVATION [ ] INDUSTRIAL SQ. FT OF CONSTRUCTION: (I i 15. SF. FT 1 st FLOOR: 3 -)Y SF VALUE OF CONSTRUCTION: $ :3 —i q 0 The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if -it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNIER INFORMATION NAME: i�1 LC 7p 6 N ri A- ss e-1 to c's `� - tk- ADDRESS: L C C OUJ t� ( E.Lr-t � CITY: C%e-sih'd \R;e'4 e- STATE: -Q&- J C oe-1 K ZIP: �'I O 4 7-i PHONE (DAYTIME): (227 5.2 - (r,( Cy 4 Email: t-aS_eA6eca';Ace�'e�ey IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: yowa PHONE (DAYTIME): L_, CONTRACTOR INFORMATION STATE: ZIP: ST. of FL REG.CERT #: C G C_ ST. LUCIE COUNTY CERT #: _ 2— Q BUSINESS NAME: LeV4 k C 4 , ► V. QUALIFIERS NAME: grtt�:4 -L] t c.l I� ---- - ------ — ADDRESS: % 9 �_. �c�ru % '�i c�C 15LA CITY: �n►-N_ �I; Li c � STATE: ZIP: _ -- PHONE (DAYTIME): 77Z 7 `j - ,7-Yq 6 FAX NO. `17 - S) 7 -- o i l 0 Email:6e-rl L L ARCHIT/ENGINEER: jR? c-C3e L -�- I_ e-w z� s ADDRESS: :�)- i c A Se-C_C' l S+r-e-s--r -- CITY: F©CI+ Pi erSTATE: _ ZIP: PHONE (DAYTIME): T7 2 BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: ZIP: ZIP: EMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail 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. O R OR CONTRACTOR SI ATURE STATE OF FLORIDA COUNTY OF &-\ The foregoing instrument was acknowledged before me this ��\N day of�, r;l 20 by \taxk who is personally known or has produced .%. Oko a as identification. Signature of Notary GAIL CARRU7"HER8 Commission M` %OMISSION # DD798130 EXPIRES June 09, 2012 40�1398 olss F10fidalloterySmIce.com SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument.was acknowledged before me this SNVy of by who is personally known ✓ or has produced as identification. Signature of Notary Commission No. � . ) CARRUTHER *e MY COMMISSION # DD796 EXPIRES June 09, 2012 NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE 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. OWNERBUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUH DER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY ti BP #: to 0 -nb SECTION TOWNSHIP RANGE 1 _o MAP N0. ZONING .. � ^ LAND USE ? C 1�7 LOT CVG %a TAZ NO. FLOOD ZONE FIRM MAP # t 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE " I (RADON) LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT r— FEE CORRECTION FEE FEE GENERAL ------------ SCHOOL CREDIT Y N LAW ENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE CO R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED ► rl2o DATE V2_(1 % COMPLETED INITIALS 4, jPV Contractor Services INSULATION INSTALLATI0N CERTIFICATE Gale Insulation s di BUILDER: C..yl7�3 ` '7C_ _ SUBDIVISION: JOB ADDRESS: ',,101 Is __.. ty' ITY: 1 PER AIT #: 6030 LOUBLOCK: "The undersigned hereby certifies that insulation has been installed in the above described property as follows: l.Exterior CBS walls has been insulated with y�e r l ( 0 to a "c ess of inches, which according t c e nl will y"eId an "R" value of ----,I Exterior frame walls has been insulated with to a thickness of __inches, which according to will yield an "R" value of 2. Ceilings (flat) has been insulated with Win.... to a thickness of �l inches, which accordinb to ' f will yield an "R„ value of � _. Ceilin(ys (vaulted) has been insulated with _to a thickness of inches, which according to will yield an "R" value of 3. Interior knee walls has been insulated with _ to a thickness of _inches, which according to __will yield an "R" value of. - Garage partition walls adjacent to conditioned living space has been insulated with a fiberglass Batt to a thickness of inches, which according to - will yield an "R" value of General Contractor/Builder Signature Insulation Contractors Signature Licenser CGC'1512179 THE AFFIANT, Paul W. Hash IS PERSONALLY KNOWN TO ME Sworn to and subscribed before me this s day of C', v_...,t _20 Notary Public, State of Florida- 61" ; "uaxa', 3601-A CROSSROADS PARKWAY a FT. PIERCE, FL 34945 FT. PIERCE (772) 465-9191 - VERO BEACH (772) 589-1514 • STUART (772) 283-3151 • FAX (77.2) 489-6758 L00/EOOIn NOIZVIMSNI HIM 85L969VZLL XV3 8Z:60 TTOZ/50/80 0 Contractor Services Gale Insulation CERTIFICATE OF CORE FILL JOB ADDRESS: Lpi () (,S -'Te,)di'6AP fvar Cr BUILDING PERNIM 10 IQ tk. p,,Zra CA-b/+n/A This letter is to certify that Gale insulation has installed square feet of Core Fill in accordance with Florida Building, Code. INSULATION CC # CGC1512179 4 Gale Insulation CERTIFICATION DATE: R - 5-- 1( Sk IS PERSONALLY KNOWN TO ME C, —, Sworn to and subscribed before the day ofFil" e 20-i Notary Public, State of Florid-,k_- .......... ... ....... . . 3601 -A CROSSROADS PARKWAY FT PIERCE. FL:"'49..'15 FT PIER if — VERO BEACH (772) 58c 151 -4 STUART (77'_:;"a i:'',-'? _ ! FAX ('/ 72) 489.6758 - L001V00 IM NOUMSM HIV9 86L9'68'V'9L'-L XV3 6'*9'*:-60­T­T"0Z/90/80 „05/16/2011 13:56 7728790110 CERTIFIED BUILDING PAGE 03 1 v 12 003<-, I 0 [.Z— 00A.'j zzc-c-wm0—'X 53378759 ,Plant: DogEn, #Aftq- To Job; Ardve Job: Sm Unload: FWA Unload: Lhttro .Ebb: Ran p4mt 092!/ a 098 i 7 =” FIt1`4BUILOINS CONTRACTORS ING- , "afM—MMD 300+w��' 4'9 04/21/11 Prowd�: Pm}od;rip"; R*dP.0,O ,lbac 0+✓I KAT1E Eb/Ai bT"b INDIFAN RIVER DR PAP PW m*p"wo *"W omMMV I" FAD EAST TO I-NDIAN RIVER DR THEN ASOUTH TU JOB "' "111EARN Inamobw 31630351 brCULEMM udusw .QU1' YLw Cb1W�Rfi'kl:' Q�14J 'NYIY1� b4117:aAalLg71018 PRO�A7G19Q04ABWCiRIPTPpN V0� UNITAAtGB AM01k1T . V,u .0- , . f YLIS 1.00 1847818 ='UEL SURCHARGE, 1.00. r. ' 1902749m ENV I RDNMENT9L-'CHAR1l3.E ' re C:tp, OMail r r M of D&W ADQW q Calk �C*Ih ftow-o - I Todd COD Ordw Ammm to C lmd 6i'1MCk ---]M\hOW SOItl18nj' Cnrpm thwo •C.dM1af11C WATER ADDED; GAL YARO81N DRUM: 4 "-t t r4-.i. J:1(a3� SIGti�ITUR@ t-� ; �; ��,�.c,,�. 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",p� /J Y r YY 68UrNV9FWAL ORIGfN,41L � . . *,05/16/2011 13:56 77,!ZP-790110 CERTIFIED P[ITLDING PAGE 05 zzcC.M: RL J � c- A 53378766 InIsh unlosid" Rolum Pi Ant o.,,&qW75 E e,JqnrrEU, :61NB CONTRACTORS "*tg Owe: AaHq.PfMM1 pmw. PA mwww" INDIAN RIVER DR. aaa mow; RD EAST -TO! INDIAN RIVER. X)R THEN SOUTH TO JOB ----------- — LMIAlepw- .4i 1.00 1247*8 18 - FULmL SURCHARGE -1.00 2202749 ENVIRONMENTAL r-MARISE '-To 1001,368 MINIMUM LOAD CHARGE, 17I'Y* 10. I 04,121 f 11 .,."Williamson 08 14 A*Cww WATER ADDED, GAL YARDS IN 6RUW_ aid yo:j 00 )cury ojvj!o W; 0a;&44 V*iEN ADDED, "In4t e-M j "O.W at punv? tuwe CURB LINE CROSSED AT MNER'SIAGENTS RgQU99T, "'A oondifijons to 0 LOAD WAS YE" BY, k0ak& oar domrs va milk &my offmi, b3 abm owWW waun ft commw o"Foo1w &g YAW MCALMUR: Mi , 004V" auuwm Fo MIPM6MMY bt dwmm hr d t'o'w W"*tV I- Cut— 49mm *3 N 41M0W&f0wff~. WARRIUM CAunw M"w lease aY.� WA 0" atd tr ae UnUV* as it. ON 10 ft9WMA %fts W" mv W of OW a" W h4wom b ww xf&1v md lwwbFw*m rAw 60 nu 40&jw of jAj &I'm K,-vd%*,r MOM fttftm I*umkgL End to %WW A" owAft kr bd&d" *Ammgkdn' J..W.MV ORIGINAL 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 April 19, 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 #: 1012-0039 —Guest House Permit #: 1012-0036 - Cabana KSM Project #: 110277-5d Dear Sir: Enclosed, please find the nuclear density test results performed on the guest house colurn„padrP„end cabana footers at the above referenced project. sd y questions, please feel free to call. Pay-7�7� Fax and Mail to: St. Lucie County Building Department - 772-462-6443 Fax to: 772-879-0110 JEK:km 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: April 18, 2011 KSM JOB #: 110277-5d/SH/km PERMIT #: 1012-0039 — Guest House 1012-0036 - Cabana CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray Sand ITEM TESTED: Guest House Column Pads and Cabana Footers --------------------------------------------------------------------- TEST LOCATION DEPTH MOTS- PEN DRY MAX DRY PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION -----------------------------------------------VALUE --------------- Guest House Column Pads 1. North 0" —12" 10.3 36 104.6 106.3 98.4 2. N. Center 37 105.7 99.4 3. S. Center 37 105.5 99.2 4. South 36 104.2 98.0 Cabana Footers 5. N.W. 0" —12" 10.3 37 105.2 106.3 99.0 6. N. E. " 11 36 104.5 1.98.3 7. S.E. 36 104.3 98.1 8. S.W. 37 105.9 99.6 Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 i 4 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 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: April 18, 2011 KSM JOB #: 110277-5p PERMIT #: 1012-0039 — Guest House 1012-0036 - Cababa CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida 107-r--T--7---I---I------T--�---� I I I I I I I I I I I I I I I I I 106L__1__1__J___I__ __1 _1__J I I I I I I I I I 0 105-1------- ----f--- — — — Lj� I I I I I I I I I U I I I I I I I I I o: ~ 104 I I I I I F I I I 2 I I I I I I I I I 1031----4---.4---.4 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---T--rt---1---I---I----t---t---1 I I I I I I I I I I I I I I I I I I 101 ---- ------------- -------4---4 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. Ronald G. Keller, P.E.: 37293 / SI Lie. No.: 860 / Julie E. Keller, P.E.: 68366 04/19/2011 04:23 7725896469 K.S.M.ENG. PAGE 01/03 KS K-ELLER, SCHLEICHER & MacWILLiAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 P.O. BOX 75-1377, SEBASTIAN, FL 32978-1377 SEBASTIiAN (772) 589-0712 PALM BEACH (561) 845-7445 wwwsmen 9_.kineerin _net--_ MELBQURNE (3_21) 708-8488 - -----PAX-(561)-845=8876 - --- _ - - - - — -- _ -_-- _E_Mail_KSMCa�KSMENGINI=ERING.NET�--------^----ST. LUC1E (772) 229-9093--- --�-- -------------------------FAX-(772)3HB=6469-------- - --Certified-Building-Contractors. -Inc. - - - -- 747 SW South Macedo Blvd Port St. Lucie, FL 34983 _-_ -- -- - — ___-- Re: __--AsselbergResidence 6101 South Indian River Drive_ ----- Fort Pierce, Florida Permit #: A012-0039 — Guest Howse Permit #:"v1'ff-1'-2'f00W6=Cwbana KSM Project #: 110277-6d Dear Sir: Enclosed,- please find the nuclear density test -results performed - on the guest house column pads and cabana footers at the above referenced project. Sholci��yli!f1�aN,any questions, please feel free to call. 618366 IN .FaxCounty Building Department Fax to 772-879-01-1 Q _ JEK: km - APR :19 2011 public Works St. Lucie County, FL Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 04/19/2011 04:23 7725896469 K.S.M.ENG. PAGE 02/03 KSM KELLER, SCHLEICHER & MaCWILLIAM ENGINEERING AND TESTING, INC, MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-13-77 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845.7445www:ksmengineering:net-------- --- - - ---- MELSOURNE-(321)-765-8488--- - - - EACH-- -- --- - - FAX (561) 845-8876 ' ___ _ _-..__I= _ -Mail__ ----- ------- KSM�KSMENGINEERING.NETS_T..LU_CIE_(77.2)_229-9093---------- FAX {772) 589-6469 - OIL- OMPACTION-'REPORT- - - -- - - - - - - =- DATE TESTED: April 18 2011 KSM`JOB #: 110277-5d/SMm - -- -- - - - • - --- - -- --'I d12=0039 = Guest -House--- -- -- - -- - . - - - - - - - --- 1.012=0i]36 -Cabana_ - - - - - - - - -- - - - - - -- CONTRACTOR: Certified Building Contractors JOB.LO_CAi ION: Asselberg Residence 6101-South Indian River -Drive Fort -Pierce, -Florida MATERIAL: - - - .Gray Sand - - - - -- ITEM TESTED:- Guest House Column Pads and Cabana Footers 51=15Tli M MOIS PEN f]RY � � MAX.DRY - - - - PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION --------------------------_-------- ------- ------VALUE --------------- Guest House Column Pads 1. North - 0" - 12" 10.3 " 36 104.E ' 105.3 98.4 2, N. Center " 37 105.7 99.4 3. S. Center 37 105.5 99.2 4. South 36 104.2 98.0 Cabana Pooters 5. N.W. 0" - 12" 10.3 37 105.2 106.3 99.0 6. N.E. 36 104.5 98.3 36 104.3 " 98.1 8 S-W. - ,� �� 37 1d5.9 " 99.6 Ronald G- Keller, PE., 37293 / Sl Lie. No.: 660 / Julie E. Keller, PE.: 68366 04/19/2011 04:23 7725859469 K.S.M.ENG. PAGE 03/03 K S 1►'l KELLER, SCHLEICHER & M,acWILLIAM ENGINEERING AND TESTING, INC, MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 _ PALM BEACH (567)845-7445__www.ksmengineering.net.----._—_-- MELBOURNE (321.) 768-8488 FAX ($61) 845.8876 E-Mail: KSM®KSMENGINEERING.NET ST. LUCIE (772) 229-9093 - -- -_- C�A:: 5693�----------------....__— - - _--MCI-STURE-DENSITY_RELATI0-NSHIP --- - _ -.-- MODIFIED PROCTOR-(ASTM D 1557) DATE TESTED: April 16, 2011 KSM JOB # 11-0277-5p - PERM1-T`#:- - ==1-012=0039- . _Guest=Douse= ---41012-0036 --Cababa - - - - -- -- --- - - - — CONTRACTOR; Certified -Building Contractors JOB LOCATION: Asselberg Residence 6101-South Indian River Drive Fort Pierce, Florida 107-r--r--7---I---I---r--7---T---i 106-1---1--1--j----J I I I I I I ! t r Q I I ! I I I I 1- ~ 104 x 1 I 1 I I I I 1 I 1034---a---_I-.--j---4--_ 1 I I t I I I I r I I 1 I I I I I I I I I I I I I I 102-r---r.-r--.-1---I---r----r---r---1 I I I I I I I I I 1oi4---4---4---4--.-1---I---4---4---I _ 7 - 8 9 10 - 1-1 -12 .-- 1.3 . .14 _ _ 15 .- _ - Moisture,- Peroent of Dry_Weight_ Soil Description: Gray Sand Max. ury Densi��r. rv6.'a P.C.F. Optimum Moisture: 12.4 Percent Julie E. Keller, P.E. Ronald G. Keller, P.E.: 37293 / SI Lic. No_: 860 / Julie E. Keller. R.E.: 68366 November 5, 2010 Project: Asselbergs Renovations & Additions Address: 6101 South Indian River Drive, Ft. Pierce, Florida Authorized ALyent To Whom It May Concern: This letter is to certify that Steve Torres and Bob McCreary of Certified Building Contractors, Inc. are hereby authorized agents to sign for and process all necessary permits for the above referericed project. ,"<� Robert Asselbergs — ner Date The foregoing was acknowledged before me this Ss\\t,_ of November, 2010 by Robert Asselbergs who is personally known to me or produced,!�,�\- k%%\\A as identification and who did not take an oath. ARRUTHERS Notary Seal: =N,A i = Pad` COPOIVIISSION 4t DWR6130 ' EXPIRES June 09, 2012 (407)388-0153_..:.._-- January 28, 2011 Mr. Don Bergman Peacock & Lewis Architects & Planners Second Street Station 210-A North 2nd Street Ft. Pierce, FL 34950-4406 Re: Asselbergs Residence Project No.: 447.454 We have received the wood truss shop drawings prepared by East Coast Truss. The shop drawings were signed and sealed by the specialty engineer responsible for the wood trusses. The layout and imposed loads on the supporting members are acceptable to us. The shop drawings were checked only for general conformance with the design concept of the project and the general compliance with the information given in the contract documents. Any comments made are subject to the requirements of the plans and specifications. The contractor is responsible for: dimensions, which shall be confirmed and correlated at the job site; fabrications process and techniques of construction; coordination of his work with that of all other trades and the satisfactory performance of his work. Please feel free to contact this office should you have any questions regarding this matter. O'DONNELL, NACCARATO, MIGNOGNA & JACKSON, INC. r� V � . Tolliver J. Frazier, P.E. Vice President TF/flc 321 LA Kirksey Street, Suite 200, West Palm Beach, FL 33401-2732 1 Tel: 561.835.9994 1 Fax: 561.835.8255 1 www.onmi.net Florida West Palm Beach Pennsylvania Philadelphia, Lehigh Valley New Jersey Princeton Washington, D.C. AFTER RECORDING -RETURN TO: '` JOSEPH E. SMITH, cLttiK OF THE CIRCUIT COURT l SAINT LUCIE COUNTY FILE # 3544369 12/20/2010 at 04:25 PM OR BOOK 3254 PAGE 2957 - 2957 Doc Type: NC RECORDING: $10.00 PERMIT NUMBER: NOTICE OF-COMM—EN UEMEIv -I- The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Ft6rida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 3YO i -3V t/ -ooO i— oCOlY SUBIRIV�SION _ BLOCK TRACT LOT BLDG UNIT 2. GENERAL DESCRIPTION OF.IMPROVEMENT•racl Alv-w - Z'o lie-r) ah 1 *�( h'"1 =�A wti1 a 3.OWNER INFORMATION: a.NameAss e b. Address 6 4(, 1^e9ln? R .�c�r'� f �',��5, L +��� i0la� . I� Y_ i o�i 7 7 c. interest in property(-P-- d. Name and address of fee simple titleholder (if other than owner) 11 n pp 4. CONTRACTOR'S NAME, ADDRESS PHONE NUMBER:rT i 4 i r±a cs i (fit i n '] Lo S kJ � S Y"l c�C O � i u a . Z, Sf . � ie— f1 3 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: N J A 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: IV ./ 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: , I NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: !It i /A 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) , 20 S, caner or Print Name and Provide Signatory's Title/Office Owner's Authorized Officer/Director/Partner/Manager State of Florida County of Czh �ya.•a. The foregoing instrument was acknowledged before me this day of 20 O By S�ealE�oQ.�rc.S , as AN . ( ame of person) `\- (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For_ `Si*N (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID: P� _ �GAIL, CARRUTHERS MY COMMISSION # D13796130 ��,� , 2012 (Printed Name of Notary Public) (Signature of Notary Public) EXPIRES June 09 (407) �96-�153 Flor(dallolaryService.com Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (section 92.525, Florida Statutes). f Owner or Owner's)' Authorized Officer/Director/Partner/Manager who signed above: By: By Rev. 08/30 mordi a PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, 6/o( S,�n�Qlan�it?>°r Dr. (Parcel Id#/Legal description/Address) F�, Pi epc e—, for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Numbefon,i a- 3S'36 x 3%, I acknowledge that as owner of the above described property, and III ordance 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� &Sert I/�)Tc-iSv'U 'R Lek L4-4, St.Z-ff-04CSG-L'iekgS Property Owner Name (Please Print) Z" / �- '(Z -� , t Property 04ner Signature s G( , STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BBEF\O.R`E` ME THIS DAY OF 120 `\ BY -a SSS&& � WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED N\\k � AS IDENTIFICATION. SIbNATORE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER A A� WRUTHERS MY COMMISSION # DD796130 EXPIRES June 09,2012 1:1"d0Nol� rYSbrvice.ccm SLCPDSD Revised 08l24)2010 i ✓f PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY r'd"C""J ue (d r t ,-l—rwi�l be using the following sub -contractors for the (Company/IndividualName) }� �j project located at 6! /o f 5: 1 r n i d, h 1 C' q fir— b r� U e , F�. (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical r j �e)l ►1iYl �,l�=Vf6C�Ull C.t1hT�OCSi .LV�Gt P :Z��©.� C 13W-3316 1179 SVJ �;�f-rxore S', Su��eao8 ., F(, 3yq ,6 q Plumbing c� �+� �. A-! f1c)1xG1,( WAlo 4PI LiMbiM1S _ L C'ni1 21:25 SW Ko-yworlk lt,e ���,�-'•, Ff. -3 q S 3 HVAC/ ArnoU A,r CD4', oh5�tTv\c, zq10 ✓CAC1`91 Mechanical � g � Se 6�xS't;a1x 1& V i. 'Se Gas ian? F ( , :3z4S`� Roofing i P �' i Jr— Co nS4r o-A i Wi 4- po� 2.2q a7 - cC 057686 3Y4S3 Gas )FFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: 1 0 12 DD ST. LUCIE COUNTY PUBLIC WORKS s� BUILDING & ZONING DEPARTMENT �ORI� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 'I `y 30 QL State of Florida Certification Number (if applicable): ft JD rCAm mg21 ,� ood_ have agreed to be the (Company Name/Individual Name) c} i <.& L sub -contractor for Cepjge� ��eg_ �, ����►�, (Type of Trade) (Primary Contractor) for the project located at ject Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED �IGNATURE PRINT NAME DATE Business Name: _®� ,� 16. Address: -4 S.a Aj 14- q m C I-)- ,54'C a& City/State/Zip: �PS L, L .Phone: email: USE ONLY: PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: z? 3 �_35 State of Florida Certification Number (If applicable): 0- F i'C <:�, 5 -7 i 1 + tAA,. have agreed to be the (Company Name/Individual Name) sub -contractor for (Type of Trade) (Primary Contractor) for the project located at Cto i S �� 1�)v �z r r'- f ;mot C� (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) USINESS QUALIFIER (Name of the Individual shown on the Contractor's License) SIGNATURES ARE REQUIRED S T PRINT NAME DATE Business Name: i—,.J t� L �.�: �C.. s , 1 ��s° y a7 tea t`�y3 j ti%�, Address: _;9 ) ; 2 S S i,4 to y City/State/Zip: rG L- , r L -3 N t; ,3 Phone: `? - 3kJ3 t ,"7 email: J M -., ;yi-z,c L; r—eC)I OFFICE USE ONLY: PERMIT # ISSUE DATE ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT F BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number:.24,914 0 State of Florida Certification Number (If applicable): C / /�C IT I Arnold Air Conditioning;Inc.. (Company Name/Individual Name) have agreed to be the Meclialucal sub -contractor for CertifiedBuildingContractors. . (Type of. Trade) (Primary Contractor) for the project located at 6101 S. Indian River Drive. Fort Pierce (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUAI,,Hfff�R (Name of the Individual shown on the Contractor's License) ORIGIN/4_kL SIGNATi1RES,ARE REQUIRED c.,i " Steven A. Arnold 11/23/2010 SI6WATlJRE PRINT NAME DATE Business Name: Arnold Air Conditioning,Inc. Address: 181 Sebastlan.Blvd: City/state/Zip: ` Sebastian, Florida 32958` Phone: 772 589-1063 email: arnoldairsebastial@gma OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 9 Rai ®_ State of Florida Certification Number (If applicable): (ice C L C& Ctjl��J �1�5' JV� lid (Company Name/Indivi al Name) agreed to be the sub -contractor for l ,� ct F,- ed E��, (61 vn �d n1 rc+ 1`5 (Type Trade) (Primary Contractor) for the project located at 1©` S . T_hC1 i a6n R, a Q f Dr ; (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIG NA IJRES ARE REQUIRED S-fG ATURE PRINT NAME DAT Business Name: !—i 3 ;CAL 1 - �" ��.9r�T •mot �—rW c Address: 1 SDk 5W t e dr" t¢ City/State/Zip: -34 ' ',, L , -3 �A Phone: ?7a,3� email: •�� �, 1'0 J-4' +.n �� 5vvnem ► OFFICE USE ONLY: PERMIT# ISSUE DATE