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HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE:USE ONLY: DATE FILED: J PLAN REVIEW FE RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: 7 �;SINUMBER:1In CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED YN TO HE ACY' FPTF n PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue F` Ft. Pierce, FL 34982-5652 c.� 5 772-462-1553 one iaek 4 P1 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITYMONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS`:: 60.1 �Eiu-I t1 IZcQ �Cnl� �; tf C` �r,� i ld 2. PROJECT NAME_F_I Az-ec4� 1-1e��e SITE PLAN NAME: c` �AO V- s -e- 3. PROPERTY TAX ID #: _ � ( Y 0061 000 l 41 ----SCANNED 4. LEGAL DESCRIPTION (attach extra sheets if necessary): _ By St. Lucie County 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 5511 l'�2•L40�� ` l -- 9. PARCEL SIZE (ACRES/SQ FT.): _LrELOT DIl�AENSIONS: 2 so X 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: C Arm 0_rj, 1 e-KOL) Lklons +C> VALJ0.h1P1\ -or R0_(t% 14nuc Lz1 11. SETBACKS (ACTUAL) FRONT: 5-7- A" BACK:Z i l +` RIGHT SIDE: 65, q r LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [5q EXPANSION/ADDITION k{J INTERIOR RENOVATION [xj RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: I \ e_S : Gl't? ►J 155.k41-*rD 15C 14. SQ. FT OF CONSTRUCTION: r P' b 5 r 16. VALUE OF CONSTRUCTION: $ / V 1� , `80 5a• - © C, (-er%0L CtAk)n 15. SF. FT 1st FLOOR: G 20 S 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 $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNIER INFORMATION NAME: ©bed A-sse-( 1 _ ADDRESS: _(� G OW t\ CITY: Lke-c E i6d- 1 R Je e_ STATE: y O v K ZIP: - I% 0 q' 7 _ f PHONE (DAYTIME): ( � �) % S � - (r (10 Email: t-cxs5e(6b c ,;; , C t'E�l�U e�'e�oQrriPAI c�r.� IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW FEE SIMPLE TITLEHOLDER: ADDRESS: [$ 1110a PHONE (DAYTIME): (_ ) CONTRACTOR INFORMATION STATE: ST. of FL REG.CERT #: C G C- BUSINESS NAME: ZIP: ST. LUCIE COUNTY CERT #: C- QUALIFIERS NAME: - ADDRESS: %-- CITY: � '_ �� ; L L: i STATE: —_ ZIP: PHONE (DAYTIME): 772. 87 -?- iq0 FAX NO. ` • 43 j - 0 i 10 Email: off? r� �c & ARCHIT/ENGINEER: ?e-C'-C.-0C L 4- Le-0-1 `� s ADDRESS: ::)- 1 a - A Se-c of x S+rt --*Et CITY: F4W - ' R c of c� STATE: E [ , ZIP: 317 S-0 — PHONE (DAYTIME): Q12 BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER - ADDRESS: CITY STATE: STATE: VA19 ZIP: EUPORTANT 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: r r 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. 1 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 IlVIPROVEMENTS 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. v v OWNER OR CONTRACTO GNATURE CONTRACTORSIGNATURE, STATE OF FLORIDA\ , COUNTY OF 4�k The foregoing instrument was acknowledged before me this SRt day of �p\J 20 V� who is personally known or has produced 6k o as identification Signature of Notary Commission No ,r'= Y`�fSNtAAO�tUTHERi "? AA ISSION # DD796i30 EXPIRES June 09, 2012 (401)3W-0153 Florldallolary&eivlmoom STATE OF FLORIDA COUNTY OF The foregoing instrument.was acknowledged before me this 'CN\day of �,4 c % �. , 20 \- by who is personally known or has produced as identification. S tore of Notary Commission No�'� 14;p GA 'P PAYAISSION # D796� 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. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. r,-,� OFFICE USE ONLY BP #: V2-CMB SECTION O1 TOWNSHIP L RANGE 4c) MAP NO. ` ZONING nr V; G LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # A� f /' V 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER i7\C 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 (RADON) LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE FEE NERAL SCHOOL ROAD CREDIT Y N LAW ENF IMPACT IMPA 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 REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE \ RECEIVED � j DATE COMPLETED INITIALS Lydia Galbraith From: Kara Wood Sent: Wednesday, December 29, 2010 8:47 AM To: Lydia Galbraith Cc: Paula Bushby; Robin Meyer Subject: RE: 6101 S Indian River Dr. Lydia, I already reviewed the plans for everything you listed below and signed off on the permit the day he submitted. Unless he has submitted revised plans for the porch, windows and doors there's no need to look at it again and he's all set. Thanks for checking. Kara Wood Planning Manager Planning and Development Services 462.1589 From: Lydia Galbraith Sent: Wednesday, December 29, 2010 8:43 AM To: Kara Wood; Paula Bushby; Robin Meyer Subject: 6101 S Indian River Dr. Importance: High Hello Kara, We have permits in for above location. You have already reviewed part of it when they came in for demolition. The main house is eligible for historic designation and you told us they were allowed to re -roof and replace the siding. But beside the reroof and siding they are remodelling the kitchen and they are going to add a 18.66'x8.33' front porch, replacing a window and a door. Please let me know if any of the other activities requires a review from your department. Thanks, LlUdLa g cJaL&OlLth Planning Technician Planning and Development Services Phone: (772) 462-1555 Fax: (772) 462-6448 Email: galbraithl cDstlucieco.om Please Note: Florida has very broad public records laws. Most written communications to or from County officials regarding County business are public records available to the public and media upon request. it is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and / or copying. Your e-mail communications will be subject to public disclosure unless an exemption applies to the communication. If you received this email in error, please notify the sender by reply e-mail and delete all materials from all computers. Please Note: Florida has very broad public records laws. Most written communications to or from County officials regarding County business are public records available to the public and media upon request. It is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and / 04 V.2011 04:36 772589Er V, K.S.M.ENG. PAGE 01/03 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) 845-7446 www.ksmengineeririg.net MELBOURNE (321) 768-8488 FAX (561) 845-8676 E-Mail, KSM@KSMENGINEERING.NEr ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 April 7, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Fort St. Lucie, FL 34983 Re: Asselberg Residence 6101 South Indian River Drive Fort Pierce Florida �Pelrrr it #: 1P�12-0038 KSM Project* 110277-3d Dear Sir: Enclosed, please find the nuclear density test results performed on the compacted foundation fill for the studio pad and garage pad at the above referenced project. '10\ti1ll l 11 r111 r1/11' any questions, please feel free to call. .- ,' R r ax to: St. Lucie County Building Department Fax to: 772-879-0110 JEK:km Ronald G. Keller, P.E.- 37293 / Si Lic, No.- a60 / Julie E. Keller, PE--. 68366 04/07/2011 04:30 7725891�" K.S.M.ENG. PAGE 02/03 KSM KELLER, SCHLEICHER & Mar-WILLIAM 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) 846-8876 E-Mail: KSMCDKSMENGINEERING.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 6, 2011 PERMIT #: 1012-0038 KSM JOB #: 110277-3d/ES/km CONTRACTOR: Certified Building Contractors JOB LOCATION: Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Brown Sand, Slightly Clayed ITEM TESTED: Compacted Foundation Fill for Studio Pad and Garage Pad -------------- TEST LOCATION ------- ---- ----- D>=PTH MOTS- ----------------�---- PEN DRY MAX, DRY - - PERCENT OF SAMPLE TUBE READ DENSITY PROCTOR COMPACTION VALUE Studio Pad 1, East 0" —12" 7.5 44 109.1 113.5 96.1 2. West 418.7 38 108.4 95.5 Garage_ Pad 3. N,E. 0"— 12" 7.6 44 110.7 113.5 97.5 4. N.W. 7.6 40 107.9 95.1 5, S.W. 4.4 42 108.7 95.8 6. S. E. 5.8 43 109.3 96.3 Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, I?E.; 68366 04/07/2011 04:30 7725891 K.S.M.ENG. PAGE .03/03 i r .K S M KELLER, SCHLEICHER & Mac1NILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (661) 845-7445 www.ksmengineering_net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E�Meil: K5lVl@KSMENGINEERING.NET $T. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: April 6, 2011 KSM JOB #: 110277-3p PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION_ Asselberg Residence 6101 South Indian River Drive Fort Pierce, Florida 114 -)----�__, I I I I I I I i I 1 I I I 1 i 1 I I I I 1 I I I I } I I I 1 I 1 I I 1 0 I I I I I I I I I `` !--I---I---� - — -J a I 1 I I I I I I I I I 1 I I I i I I I I I 1 I 1 I I 1 I I 1 I I I 110 --4---1 I I ( I I I I I I I I I I I I 1 I I I I I I 1 I I 1 [ 1Q9-- �------i------i----------i 6 7 8 9 10 11 12 13 14 Moisture - Percent of Dry Weight Soil Description: Brown Sand, Slightly Clayed Max. Dry Density: 113.5 P.C_F. Optimum Moisture. 11.4 Percent Julie E. Keller, P.E. Ronald G. Keller, P.E.: 37293 / SI Lic_ No.: 860 / Julie E. Keller, P.E.: 66366 flanping-4L,Development Services Departmenf '64ilding Sk Code Regulations Division '2300 Virginia Avenue FfPicke, Fl, 34982 Phone: 7.72- 462-216' � Fax:,772-462-2522 Request for 30-Day Temporary, Power�Releasip Date--.�C_ g D I Permit Number:: Z E) 2 & P. 3 Project Addregs: < THE UNDERSIGNED HEREBY REQUEST RELEASE OF'ELECTRICAL POWERIO THE ABOVE DESCRIBEI)TROY.ER-TYj FOR A PERIOD NOT TO EXCEED THIRTY--(30..)DAYS,, FOR THETURPOSE OUTESTING SYSTEMS AND EQUIPMENT IN PREPARAT'ION`*ORfINAL-, INSPECTION. IN CONSIDERATION OF APPROVAL OFTHE-RE QUESTWE-flE HEREBY AC",OW49DGE,.AND AGREE.ASYOLLOW.S: t. This t6mpbrary power release is requested for the above stated purpose only, and there-wilfSe no,ociupancy": of any type; other than that permitted by construction during this!.fime -period. .2. As witness by our signatures, we bereby'agree10 abide by all terms,and condifibiai of this:agreerfient, including.. Building DivisionFolicy, which'is, incorporated. herein byreference;. 3. All,condiflims and requirements,listed.in the attacheddGcument entitI.ed "Requirements f6r.30 Day-Poyveir for 4. Testing'? Have been fulfilled and the premik is ready for compliance inspectidii... All requests foi- an extension,be�yonA,30 days iriust be made in writing to, the Building;Of Officia I * stating i the 1*aSdfi for the quest. Power may, be removed . fromAhe iite,and/or.'i Stop'Work0rdci1ssu6dAfth6'Fiva1 Inspection has not been approved, within SO-day.s. A fee of$160.00 will be required to'lliftheStop *orkbrder. WE HEREBY RELEASE AND AGREE TO. HOED. IIARMLES8,:ST.LUCIE, COUN'T_Y,,AND THEIR EMPLOYE - ES FROM ALL LIABILITIES AND 'CLAIMS OF ANYTYPE OFNAT.URE WHICH MAY ARISE -NOW OR IN THE FUTURE,' OUT OF THIS, TRANSACTIONINCL&DINd ANY DAMAGE WHICH 'MAY; ,BEINCURRED DUE T0,THE DISCONNECTION OF ELECTRICAL POWER IN. THE EVENT :OF VIOLATION OF.THIS AGREEMENT. EnCT RICAL CONTRACTOPaIGNATMF DATE SLCPDSD itevised;06/14/1010 DEC 0 8 2011 C 05/16/2011 13:56 7728790110 CERTIFIED BUILDING PAGE 01 a-MM le -A a -Qgzq IL Customer Code: Cwstomer:Neme! C .. ,... .,'... ............... .,:...... .. a ber: rdl9r Code / 4 Data: 'RrolaI;t6btte: ;PrBjrlcf'•Nami4; t• " • , ..... „; r4JeeEr?;l7 •.Plumber, •. 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'FYI,,.. � o-!:'•; � � :,- •i" , �. .: (,:.�.n} S :f.Y : .. ....,.v t„ ,.51.�•. �1: :�Y:.- ..(.;:.:1;.5;!s. 4�., .'s�i�..$1•J•,. tiJ1 fy..i •"1� ..�Sr6�ldgil.db:y�r, $ItiMp; ��,; .,•:, TrUt11;1�1t�ffS�,r`'• '"j7VP' t � r 6 Q NNHS , r , •..�' Dda�fiNafne;. . �'hd gee: .,. Cup gULA.-T OR •:,v�„d ' ,(:t. wl1?1N`.tfiliri:i "• ' ." � lODUOTION ECRIPTION 0TPrRY gpTRP A>r qbRICE AIUf6UNT ;Mi�'4 . ` . , '•f u.�.%: r,,,�'. r..,.;, °,:.>•„ ..r..ri `,;ruL)i,1:,{a!?.�1: ':-a:�.�^ 3�°`•': ��tk�'•A :.I]y •;f-r�!;!;',�t• .1}� :,.�;. .�,;!;: 'iq•Sr;.:,i� '• . .. ''y�? ' V;.•�t•: ` ' ''� t'•t,,: ' :• }.l;!,-a�i°ra< "At ' '^..i.•hg7C'"Vi'�2�';k:4'.��h. 'JF �•a+'� '•F^', .;••',•'•;;!•.; 14 f";t'r ''v�;f ��, 1`y't• ,, �t.'1jt r: t"< j: :$r;' '�' t• .. ';a' jw�,•' r7 �`'. '1': �+r714i' ,.(:lJ�yl1. '� � : •.4•.r ,a/'i1; ill.•.• .?"..'�, ':�:;.,. .g[`�n IA'tSr'' •11• ,.q'i'i:;r :�..•�y:.. j.+','Y).;:' '•'' , .t lf:, •,4!1i'.y, �, , a S�Yu;, :. ...�i.;: •:. 'd��'-'.' 7777 '•:�::�a{�;n..;.! r�4:d�.cY,e:. :i,. ..R.�.NI� ` "4;; �:: ' );;. .'T. �y,r-:r,. .`• •:l§ti'' GheekYrlAtltli-i'o, hiI"ri�(U�li bi`Li!;I �'r;tE� r, _..$, I .,,�, •, . t etv _,�',':;�:+:, '•i CBBh ReCaived: D'OgBdrA W`r(G TOtaI COp;CDfl¢C! lfhoutstana d N 1lY ia",r'�ge,:. WATER ADDED: GX, YARDS IN DRUM: WHEN ADDED. SIQNATUR6 CURB LJNE CRV:a'rbD AT OWNEk'SlAGEN'i"S REQUEST: S IONATURE M CI'LOAD WAS TESTED BY: Nolipa: Our drlVara will make every effort li) place materials wYl0re ilia euejohier: d8dlynatee, but lha , 3RECIAL TERMS: Any water added is at customers own dsk. It Weber ie added bn 100, coligete strength ".t;dmpenyaeeumas no reaponalblilty for ddfflages insldm'curb or propeiry,'.Ih,.,'• cusk m,R,'d9r6he4d•Ube: is-nb longer guerantmed. WARNING: Frppuot may causq skln endlor eye Irritatigo. ijA1J71ijnt: Meterlal . Af rrtis bf:aste and delivery end eccepte concrete ails i9. Due to:Ihiooft'af t fapt+Jtrra!+blefj:Bte•put of 66n may be Itatardoua"ib your safely and health. Pleaea refer to the backside of thlb'tlpkrSl'toi Importent .:ponfmI after delivery, this Company will not abcapt any (-spd6elb1llfy.fgf•.tf b UIVa1+dtl:reiiiltsf• .NO Credit for sbfaly, handling i rmatiop, end to the rnatoriaj aafety data sheets for addltional lnforihefloh. •` Otuthed tbncrete. Duy&b-e)t&0trone and claims shell be deemed waived unlgss'rtrgt5e tp us In writing A' i'NORJZED SS ,NATVRE: .. Wlthih ortp buslnest; day ithat tha receipt of. roatedala. 4 „ dPQNjUERSAL 11 1J' L►'l �- 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 March 23, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re: 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0038 KSM Project #: 110277-2d Dear Sir: Enclosed, please find the nuclear density test results performed on the stemwall slab fill at the above referenced project. ��uuun cur � fro i"ny questions, please feel free to call. k L1�'rEiNi.S� ' •°� IVo. 68366 % die ESQ 01 � . ...... R `b Farfo:"`St'." L' Y6ie County Building Department 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 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: March 22, 2011 KSM JOB* 110277-2d/ES/km PERMIT * 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Dark Gray Sand ITEM TESTED: Stemwall Slab Fill --------------------------------------------------------------------- TEST LOCATION DEPTH MOIS- PEN DRY MAX. DRY PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION -------------------------------------------------VALUE --------------- 1. East 0" —12" 7.6 40 104.7 109.3 95.8 2. West 40 105.6 1196.6 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 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: March 22, 2011 KSM JOB #: 110277-2p PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida 110 T7---T----1----I----r---7----� 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 109IIIIIII IIIIIII IIIIIIII IIIIIII -- — — I --- VHx108 L — — — —— — — — -aIIIIII I I I I I I I I I I 107-----+----I----I----t-----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 I 106--------------------�---� 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Dark Gray Sand Max. Dry Density: 109.3 P.C.F. Optimum Moisture: 12.2 Percent Julie E. Keller, P.E. 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 MELBOURNE 321 768-8488 www.ksmengineering.net ( ) FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 March 9, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re: 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0038 KSM Project #: 110277-1 d Dear Sir: Enclosed, please find the nuclear density test results performed on the footers for the addition to the existing house at the above referenced project. �e«Illllllil!!!! / ., Sft�y%yLgykW W,@py questions, please feel free to call. fro. 68366 Fax to:VWgierce Building Department Fax to: 772-879-0110 f 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 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: March 9, 2011 KSM JOB #: 110277-1 d/SH/km PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray Sand ITEM TESTED: Footers for the Addition TEST LOCATFON DEPTH MOTS- PEN DRY MAX. DRY PERCENT OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION -------------------------------------------------VALUE --------------- 1. S.E. 0" —12" 8.9 50 106.1 110.3 96.2 2. North 44 106.5 96.6 3. West 40 106.3 96.4 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: March 9, 2011 KSM JOB #: 110277-1 p PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida 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 110-G----a-----�-- Soil Description: Gray Sand Max. Dry Density: 110.3 P.C.F. Optimum Moisture: 12.2 Percent Julie E. Keller, P.E. 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 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSM ENGINEER ING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-6469 March 23, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re: 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0038 KSM Project #: 110277-2d Dear Sir: Enclosed, please find the nuclear density test results performed on the stemwall slab fill at the above referenced project. Shou,�¢�i�101e>,�ny questions, please feel free to call. No rr Fax 0111@t ik kig County Building Department Fax to: 772-879-0110 JEK:km Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 K ►S M 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: March 22, 2011 KSM JOB #: 110277-2d/ES/km PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Dark Gray Sand ITEM TESTED: Stemwall Slab Fill TEST LOCATION ----- DEPT---H------------------- MOIS- PEN -D-RY ------ M-AX.----DRY ------P---ERCENT ------ OF SAMPLE TURE READ DENSITY PROCTOR COMPACTION -------------------------------------------------VALUE 1. East 0" —12" 7.6 40 104.7 109.3 95.8 2. West "1140 105.6 96.6 Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 y K S M 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: March 22, 2011 KSM JOB #: 110277-2p PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida 110 7---T----1----I----r---7----1 >_ 1094 IIIIII -----IIIIII--1-4— bIIIII — — — — IIIIII — — — 108 � I w I I I I 107.1-----F----i----I----j-----h----i I I I I I I I I I I I I I I I I I I I I I 1064----�---------------------� 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Dark Gray Sand Max. Dry Density: 109.3 P.C.F. Optimum Moisture: 12.2 Percent Julie E. Keller, P.E. Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, P.E.: 68366 03/23/2011 02:39 77258gP4�;9 K.S.M.ENG. PAGE 01/03 S1 Il KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 pp, BOX 78-1377 SEBASTIAN FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering_net MEL13OURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 G.A.; 5593 FAX (772) 559-6469 J March 23, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re, - 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0038 KSM Project #: 110277.2d Dear Sir: Enclosed, please find the nuclear density test results performed on the stemwall slab fill at the above referenced project. Shoed \Vdf l ll?A ,*py questions, please feel free to call. No, 68366 t\ nia Building Department Fax to: 772-879-0110 JEK:km MAR .2 3 2011 pul-:Iic. Works St_ Lucia. ^aunty. FL Ronald G. Keller, RE,: 37293 / SI'Lic. No.: 860 / Julie E, Keller, PE_: 68366 03/23/2011 02:39 772584",P9 K.S.M.ENG. PAGE 02/03 1, S M KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337.7755 RO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 569-0712 PALM BEACH (561) 845-7445 wwwAsmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 1=-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.: 5693 FAX (772) 589-0469 SOIL COMPACTION REPORT ASTM D 1557 and ASTM Q 2922 DATE TESTED: March 22, 2011 KSM JOB* 110277-2d/ES/kM PERMIT * 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Dark Gray Sand ITEM TESTED: Stemwall Slab Fill OF SAMPLE TURF READ DENSITY PROCTOR COMPACTION �-------------- --„__--------------------------VALUE --------------- 1. East 0" —12" 7.6 40 104.7 109.3 95.8 2. West 1. 1140 105.6 96.6 Ronald G. Keller, RE.: 37293 / 51 Lic, No.: 860 / Julie E. Keller. P.E.: 68266 a 03/23/2011 02:39 7725E? 9 K.S.M.ENG. _ PAGE 03/03 KSM KEL,LER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-137 7 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSMC&?KSMENGINEERING.NET ST. LUCIE (772) 229-9093 C.A.; 5693 FAX (772) 589-6469 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: March 22, 2011 KSM JOB #: 110277-2p PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida 110T- r_� _- ----I-- —---7-----I I I I I I I I I I I I I I r I I I I I I I I !1-4— d109a----—r-,------I108 r I r I I I I I I I 1 107-1-----t------ ----I------i-----F— -�--i I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Dark Gray Sand Max. Dry Density: 109.3 P.C.F. Optimum Moisture: 12.2 Percent Julie E. Keller, P.E. Ronald G. Keller, P.E.: 37293 / SI Lic. No.: 860 / Julie E. Keller, RE.: 68366 - :M/09/2011 03:08 77258WAa�9 K.S.M.ENG. PAGE 01/03 KSM KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND �TTa SA ING INC.0 MARTIN (772) 337-7755 PO, BOX 78-1377, SEBASTIAN, FL 32978-1377 PALM BEACH (561) 845-7445 www.ksmenglneeringmet MELSOURNE (321) 768-9488 FAX (561) 845-8876 E-Mail: KSWOKSMENGINEERING.NET ST. LUCIE (772) 229.9093 CA. 5693 FAX (772) 589-6469 • March 9, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Re: 6101 South Indian River Drive Fort Pierce, Florida Permit #: 1012-0038 KSM Project #, 110277-•1 d Dear Sir: Enclosed, please find the nuclear density test results performed on the footers for the addition to the existing house at the above referenced project. 11�llUil I I6JP1lJ/II• s i go�d�i,��ny questions, please feel free to call. ti L` C r= IV's No.68366 ""rilJ� 9I11 111s" Fax to: I'Of Pierce Building Department Fax to- 772-879-0110 JEK:km f Ronald G. Keller, P.E.: 37293 1 SI Lic, No.: 860 I Julie E. Keller, PE.: 68366 LEVITT HOMES MODEL A PERMIT #, 1 , 6 Nti i (o 2- LOT# .1 CONF ADDRESS': Q DATE DELIVERYY.,bATE CONTACT ORDERED- REQU,R . $ 1 T,­ ED PERSON FORMBD SURVEY -CALL LEVITT SUPER SLAB STEEL DELIVERY - SY'S (407)650.9911 Iq m �;2 ROUGH PLMB. INSP.-COUNTY ';4AZZ PRE -TREAT & TAMP-HULETT 800.285J378 r% le� DIA 1 7 N KA. SLAB INSP. COUNTY (407)836-2825 - INSP. 130 SLAB CONCRETE-RINKER (407)277-0589 c I SK q CRANE - BUCKET/ SLAB BEYEL (407)277-260q.,`V,41' SLAB -PUMP C & C (352)429.7807 BEAM STEEL-SYS (407)650.9911/ CAST311.15 , " CA ml (WI30 BLOCK / SAND & BAGS - RINKER (407�),6,11.2134 q,k)(A tD6 13 Q 10 (4 o, LINTELS - CAST CRETE (407)327-1f1+1`5 OQ127 164 0 h `3 0 10(4, BEAM INSP.-COUNTY (407)836.2825 INSP. 150 I OG D IR�d r BM CONCRETE ORDERED -RIN,.KMR(407)671-2134 OU I)RInh. 01-1 118 Tol PUMP - JDH 863.412,-,-,�7047 -BEAM rr I z 'cl, LUMBER & H DW.0 OX)324.="q644-S MYTH 291.2641 E)af 2- CC (5 FAB 2ND FL.R EXTo',P;A'NELS CBS 352.429-8760 -PRE CRANE - TRUSSES -ItO.9YEL (407)277.2600 1 ' RF SHEATHING, TO"/NAIL, WB W/COUNTY CD 189 —7.1 6 q. -Ira. IT)-i - Is I is - I A TREAT DRIVE/,GARAGE - HULETT 800.285-7378 1 r" h 1p I SIDE WALK/DRIVE WAY INSP. 121 jo �odt '5 1 b olov1cr4e, .03/09/2011 03:08 772589r-4.r-9 K.S.M.ENG. PAGE 02/03 K S KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND EB sSTIIAN (�G, INC2 MARTIN (772) 337-7755 pp, BOX 78-1377, SEBASTIAN, FL 32978-1377 PALM BEACH (561) 645-7445 www.ksmengineering.net MELBOURNS (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINI=ERING.NET ST. LUCIE (772) 229-9093 CA: 5693 FAX (772) 589-6469 SOIL COMPACTION REPORT ASTM D 1557 and ASTM D 2922 DATE TESTED: March 9, 2011 KSM JOB #: 110277-1dfSH/km PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray Sand ITEM TESTED: Footers for the Addition TEST LOCATION DE�'TH MO1S- PEN DRY MAX. DRY PERCENT - OF SAMPLE TURF READ DENSITY PROCTOR COMPACTION ---------------- VALUE --------------- --------------------------------- 1. S.E. 0" --12" 8.9 50 105.1 110.3 96.2 2, North " 44 ..w 106.5 96.6 3. West . - 40' 106.3 96A t Annnld G. Keller. P.E.: 37293 / SI UC. NQ.: 860 / Julie E. Keller, RE_: 65366 Stuart Paint & Supply, Inc. RT 707 Rio/Jensen Beach P.O. Box 1177 Jensen Beach, FL 34958 772-334-2700 FAX 772-334-2705 To: Certified Buils ding Contractor C. B.0 S ta ��'d`n t :1 1 W, 747 SW South Macedo Blvd 16 RI y Port St. Lucie, FL 34983 Date 3/4/2011 Date Item Transaction Amount Balance A 07/31/2010 Balance forward 0.00 225 SAGO PALM1T,,W.-'-"M AN- 02/10/2011 Invoice #08558. D 0/2011. 4,356.12 4,356.12 02/17/2011 Invoice #08790_6-05' 3/10/2011. 865.78 5,221.90 02/26/2011 Invoice #088 03/10/2011. 800.45 6,02235 02/27/2011 Invoice #088,4',;�,.,'"]Due 03/10/2011. 25483.89 8,506.24 W. 4.1 0 4 CURRENT 1-30 DAYS PAST DUE 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS Amount Due DUE DUE PAST DUE 8,506.24 0.00 0.00 0.00 0.00 $8,506.24 `Perms: Due 10th each montl- A Due after 15th. Account will be charged.a servi, arge of 1 1-2% per month (miniurnum of $2.00) 18% annually, for all past due invoices. 03/09/2011 03:08 7725896469 K.S.M.ENG. PAGE 03/03 . C ) KSM KELLER, SCHLEICHER & MaCWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7756 �Q, BQX 78-'1377, SEBASTIAN, FL 32978-1377 SEBASTIAN URNS (321) 569-8488 PALM BEACH (561) 845-7445 www.ksmenginearing.net MELBST. URNELUQIF_ (321) 768-8488 FAX (561) 845 8876 E-Mall: KSM(KSMENGINEERING.NET 9093 FAX (772) 589-6469 G.A.: 5693 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: March 9, 2011 KSM JOB #: 110277-1p PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida I 1 I I I I I I 1 I I 1 1 { I I 1 I I I 1 I l 1 I { -4 1 I I I I 1 y 109-----T— --1— �I—_ T----I C7 I I { I 1 I I I I I 1 I I I I I I I I I I I ( I I I cos-�---+----I-----�I---�—�--^---��----� I I I I I I I 107 I 1 I I 1 I I I I I I { 1 I I I I I I I 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Gray Sand Max. Dry Density: 11 D_3 P.C.F. Optimum Moisture: 12.2 Percent Julie E. Keller, P.E. n,,.. i C. Kollar PF.i :37293 / SI Lia. No..' 860 / Julie E. Keller, P.E.: 68366 Stuart Paint & Supply, Inc. RT 707 Rio/Jensen Beach P.O. Box 1177 Jensen Beach, FL 34958 -41.R 772-334-2700 FAX 772-334-2705 To: Certified Building Contractors Mi.' DBA C. B. C State i"kt ji'711 ,ij 110 747 SW South Macedo Blvd Port St. Lucie, FL 34983 Date /4/2011 Date Item Transaction mount Balance 07/31/2010 Balance f 0.00 1845 NE TIUCHAHO ­1 M 02/17/2011 Invoice #08792. Due 03-11. 19.17 19.17 02/17/2011 Invoice # 0 8 7 8 2. D u 0/2011. 42.26 61.43 02/17/2011 Invoice #08612.,Q,00,03/10/201 1. 870.94 932.37 02/24/2011 Invoice #088 e 03/10/2011. 91.63 1,024.00 02/24/2011 Invoice # ue 03/10/2011. 42.50 1,066.50 02/24/2011 Invoice . . . . . .Due 0' V 10/2011. 733.88 8 1,800.38 02/26/2011 Invoice 5. Due 03/10/2011. 1,327.99 3,128.37 02/27/2011 Invoice . . . . . . . Due 03/10/2011. S 8.52 3,136.89 02/27/2011 Invoice .,..V J;%. #09058. Due 0' )/10/2011. 1,023.56 4,160.45 02/27/2011 Invoice V #09090. Due 03/10/2011. 247.08 4,407.53 ,y CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS Amount Due DUE DUE DUE PAST DUE 4,407.53 0.00 0.00 0.00 0.00 $4,407.53 'Terms: Due 10th each mono_ Due after 15th. Account will be charged a servi' arge of 1 1-2% per month (milljuinurn of $2.00) 18% annually, for all past due invoices. KSLI3 KELLER, SCHL.EICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337.7755 pp, BQX 78.-1377, SEBASTIAN, FL 32978-1377 MEEBASTI R E NE (321) 59 -0712 PALM BEACH (561) 845-7445 www.ksmengineering.net ST. U(772) 788-6488 FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING_NET FAX (772) 22-9493 C.A.: 5693 9-9493 March 9, 2011 Certified Building Contractors, Inc. 747 SW South Macedo Blvd Part St. Lucie, FL 34983 Re: 6101 South Indian River Drive Fort Pierce, Florida Permit #,. 1012-0038 KSM Project #: 110277-1 d Dear Sir: Enclosed, please find the nuclear density test results performed on the footers for the addition to the existing house at the above referenced project. �C1�Np11if171:11/! g i ny questions, please feel free to call. .,:., , Ar No.6a36r3 13�. /.. "Iflefp °illl4,01" Fax to: Fort Pierce Building Department Fax to: 772-879-0110 JEK:km Ronald G. Keller. P.E.: 372921 Sl L'ic. No.: 860 / Julie E_ Keller, I?E.: 68366 60/10 39dd 'JN3'W'S'A 69b9689ZLL Z0:V0 TTOZ/60/E0 I � � \ K S M / KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTIING5S 07C12 MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 ME BASTIA E (772) 559-8488 PAI-M BEACH (561) 845-7445 www.ksmangineering.net ST. URNELUCIF (772) 768-8488 FAX (561) 845-6876 E-Mail: KSMcsKSMENGINEEk�ING.NE7 FAX (772) 589-6469 CA.: 6693 SOIL COMPACTION REPORT ASTM D 1557 and ASTM D 2922 DATE TESTED: March 9, 2011 KSM JOB #: 110277-1d/SH/km PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Florida MATERIAL: Gray Sand ITEM TESTED: Footers for the Addition TEST LOCATION ' DEPTM _ MOIS- PEN+ TURE READ DRY DENSITY MAX. DRY PROCTOR y PERCENT COMPACTION OF SAMPLE VALUE 1. S.E. 0" —121, 8.9 50 106.1 110.3 96.2 2.. North 44 106.5 96.6 S. West 40 105.3 96.4 Ronald G. Keller, P.E.: 37293 / SI LiC. No.: 860 / Julie E. Keller, P E.: 68356 E0/Z0 39dd '9N3'W'S'A 69b9689ZLL ZG:bO ZZOZ/60/E0 w K S M KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC. MARTIN (772) 337-7756 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712 PALM BEACH (561) 845-7445 www.ksmengineering.net MEL.BOURNE (321) 768-8488 FAX (561) 845-8876 E-Mail: KSM@K$MENGINEERING.NEr ST. LUCIE (772) 229.9093 FAX (772) 589-6469 C.A.: 5693 MOISTURE -DENSITY RELATIONSHIP MODIFIED PROCTOR (ASTM D 1557) DATE TESTED: March 9, 2011 KSM JOB #: 110277-1 p PERMIT #: 1012-0038 CONTRACTOR: Certified Building Contractors JOB LOCATION: 6101 South Indian River Drive Fort Pierce, Flprida I I I I I I l I l I I l ) I 1 l I I ! I 1 I I I I I I �—I er I I I I I I { I U ) l I I I ) l I I I I I ( I I l I I I I I I I I 108 +----+-----1----1�-- �t-----t —I I I I I I ( I I I l I I I I I I I 1 { I I 107----;----—r��--r_i---_-—�---� 9 10 11 12 13 14 15 Moisture - Percent of Dry Weight Soil Description: Gray Sand Max. Dry Density: 110.3 P.C.F. Optimum Moisture: 12.2 Percent Julie E. Keller, P.E. Ronald G. Keller, P.E.: 37293 / SI Lic. NO.: 860 / Julie E. Keller, P.E.: 58366 EO/EO 39dd 'JN3'W'S'71 - 69b9685ZLL Z0:170 ZTOZ/60/EO November 5, 2010 Project: Asselbergs Renovations & Additions Address: 6101 South Indian River Drive, Ft. Pierce, Florida Authorized Agent 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 referenced project. Robert Asselbergs — ner Date The foregoing was acknowledged before me this V-:s� of November, 2010 by Robert Asselbergs who is personally. known to me or produced,!�,y�` as identification and who did not take an oath. Notary Seal: =N; ` MY COPOK'Ii.iSiON 4t DD796130 ? EXPIRES June 09, 2013 (407)398.0153 Flnrf :,n �.•.ce...:.._ --_` 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. Tolliver J. Frazier, P.E. Vice President TF/fIC 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. 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, 3Yo1-3y'�°-000l-®£,�fv 6101 s,�Aq'idn j��r Dr. (Parcel Id#/Legal description/Address) FC , N etc e_ l ( . for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Numbe ,r,',:?y.3.'.6 1S33/, I acknowledge that as owner of the above described property, and 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. A LCi t' i-1,. Property Owner Name (Please Print) Z' /� 91 a ,.0/l"1-0l% Property er Signature S G/ STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BBEF\O'R\E` ME THIS \16\ DAY OF , 20 \\ BY`p� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED ���- AS IDENTIFICATION. "NA OF NOTARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 08/24/2010 TYPE OR PRINT NOTARY tr"YPV .; GAIICSRUTHERS MY COMMISSION V,jj1,;; # DD7966130 (ao��3se-o�ss EXPIRES June 09, 2012 Fla'WaNalaryggrvice.m AFTER RECORDING -RETURN TO: JOSEPH E. SF&TH. (Lr-r[K OF THE CIRCUIT COURT SAINT LUCIE COUNTY FILE # 3544369 12020/2010 at 04:25 PM OR BOOK 3254 PAGE 2957 - 2957 Doc Type: NC RECORDING: $10.00 PERMIT NUMBER: NOTICE OF Gy1yIlV F;iN a-'>;mj N-r The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. - 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER:3YN -39(Y-ooai-000A/ SUBIAIV}MSION BLOCK TRACT LOT BLDG UNIT 2. GENERAL DESCRIPTION OF.IMPROVEMENT•�p_5 ru cl -N�ca j'o I� l5mrrx . (� cie51 tk��ise Labca u' y��ew �-{ 3.OWNER INFORMATION: a. NameV 04,.P..1 ASI S v i b. Address to G: mw R .&"r -f . C,(�� s C -s� �T RA,- V . Q Y , t 09 17 c. interest in property[\r d. Name and address of fee simple titleholder (if other than owner) jj ( pp 4. CONTRACTOR'S NAME, ADDRESS PHONE NUMBER: CL'rT i csti l CJt i n o �� o: of S ' Lo S.uj. 1�' S� CLC.+e�cO 31 U +a . VA Sf, L L C-de— f �I 3'i983 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 01 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: 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: A*� NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specked) v , 20 -- CAL'.. Si caner or Print Name and Provide Signatory's Title/Office Owner's Authorized Officer/Director/Partner/Manager State of Florida County of C-4% �a. �►. The foregoing instrument was acknowledged before me this day of � ,.20 By "-k g�oQ�SwEVS , as .Q . - ( ame of person) ``\\-- -- (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For Iof P2 ��SEtB%0.4S (Name of party on behalf of whom instrument was executed) Personally Known or produced the following type of ID: GAIL CARRUTHERS My COMMISSION # DD796130 qt EXPIRES June 09, 2012 (Printed Name of Notary Public) (Signature of Notary Public) I407j § 8 0163 FloridallotaryServi�e.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 ewrdi i � 1 PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave - - Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY //�� ��� r .." C�G41t u, l r tS-l—rwifl be using the following sub -contractors for the (Company/Individual Name) n �j project located at ®l �: �1-F� i CtY1 a u e-r 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 1 11 ric�►��r ocs, Err— �a C P� ` l f-C 60033314 079 SW B; (f mOre Sf, 'Su' �r—;z PSL I K �YgILi Plumbing. A "OACJ cort 4- Pi 6LMW� I%s 2_3n =5 SW Kay WczU :Ave ,P.C' '2 t . 3 �S xVAC/ Arv�®t� A,Inc-, r- �►�t�-�ov.o��� Mechanical se60-S ,ccn? F g ��baS +can /32qs(s Roofing i Poa� P ct Co n3jr c�� i on + 207c cC 0S7686 190I S %k) TQ•�/L �'ke AY� Ft r Gas )FFICE`,USE' ONLY PERMIT ISSUE DATE: NUMBER: [10t Ca5B �J C Gy ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT F[OR1�P . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: Q `1' 3 c) gL State of Florida Certification Number (Inapplicable): Ze, ) Sag .331 6 3'r ft , 9 rCA') t491 �,�e1' old er.� �� have agreed to be the (Company Name/Individual Name) O e c-+d- i v- 0 L sub -contractor for Qt & , eb %?ct 1) L A CwA r , (Type of Trade) (Primary Contractor) for the project located at Street Address or Property Tax ID #) r. 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) ORIGINI AL SIGNATURES ARE REQUIRED o GNATURE PRINT NAME DATE Business Name: �) .ens C 4 &-t ar; l eq w+t- apC 4f&co -Th Address: b ` "a �a.0 'S" I 4- C City/State/Zip: �� (, Ir L .31.) g k V .Phone: % e% - a 7z - 9973 (5 email: CE USE ONLY: PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERNM SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 0 3 %'3 State of Florida Certification Number Of applicable): 0 l%l _ � 5 7 9 1 -a vt, + i-wi��1A have agreed to be the (Company Name/Individual Name) i�Lu �ra�ir� sub -contractor for,>Z�7z'gs (Type of Trade) (Primary Contractor) for the project located at g ) Ni pg 01 e� (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) QUALIFIER (Name of the Individual shown on the Contractor's License) INAL SIGNATURES ARE REQUIRED g.% - vi CI - A j I-ag-ate) rXm� PRINT NAME DATE Business Name: _� -g Address:) City/State/Zip: o— , 3 N 0 Phone: email: L. - t. OFFICE USE ONLY: PERMIT # ISSUE DATE ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 249,04 j� . State of Florida Certification Number (If applicable): C'A.C. l � 1 1 (j -[ '&� Annold Air Conditioning Inc: (Company Name/Individual Name) have agreed to be the M,echanical., . sub -contractor for Cer.tified Building Contractors., (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 QUAV4,k (Name of the Individual shown on the Contractor's License) GNATURES,ARE'REQUIRED cam'/ X �� fjrs� Steven A. Arnold 11/23/2010 SI ATORE PRINT NAME DATE Business Name: Arnold Air Conditioning Inc.. Address: 181 Sebastian. B'lvd'. City/State/Zip: Sebastian, Florida.32958 Phone: 7.72-589-1063 email: :arnoldairsebastian@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 9, G10-1 State of Florida Certification Number (If applicable): CL L 0 51 6" X `,31 r C,L� � �Yl 6r, 4J�_aA�CA ave agreed to be the (Company Name/Indivi al Name) oy o a sub -contractor for 9'%,k1 161 A r" Jor-5 (Type of Trade) (Primary Contractor) for the project located at 1©1 S, `_ h c1; CA,vn g l Q f t) r; (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 SIGNA URES ARE REQUIRED S-fGgATURE pp PRINT NA E DAT f— Business Name: i I►� r/�-,m5 z : , Address: 1 So 1 5 vi L �,' , ¢ City/State/Zip: 5-� ' '^ z 9 5� 31f Phone: '?79.1 v - Li 3.9Y email: 1-0a_ i•^ e(g) 9w11r.1 ► I-..L©b'-• OFFICE USE ONLY: PERMIT # ISSUE DATE