Loading...
HomeMy WebLinkAbout09-8763 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8763 BUILDING PERMIT Permit Number: 8763' Address: 6553 TEAK CT Permit Type: ,ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: 02-26-21-021A-00H00-0020 Improv. Cost: 34,092.00 Date Issued: Name: FULTON, LILLIAN Total Fees: 100.00 Address: 6553 TEAK CT Amount Paid: 100.00 ZEPHYRHILLS, FL. 33540 Date Paid: 1/28/2009 Phone: (352)588-0910 Work Desc: FOUNDATION STABILIZATION OR REPAIR NEUMANN CONSTRUCTION BUILDING FEE 100.00 x N 1F N; C 39Q9 ve 'AiT) Rip FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site f) plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ,A c .cn n 7c' -. Date Received: /' 70 U / _ Site: 6 J3- 7k a Permit Type: 7rI��12 e: � � � T�U, �Z� Approved wino comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This co ent shee hall be kept with the permit and/or-plans. Kal S — lans Examiner Date Contractor.and/or Homeowner (Required when comments are present) 813-780-0020 0 1 6 3 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received I Phone Contact for Permitting 352 588 — 0910 Owner's Name Lillian Fulton Owner Phone Number 813-788-2556 Owner'sAddress 6553 Teak Ct. ,Zephyrhills, Fl. 33540 Owner Phone Number Sharon-813-783-1050 Fee Simple Titleholder Name Fee Simple Title Holder Owner Phone Number I Manager-Herb Sonnenberg Fee Simple Titleholder Address I Same as above JOB ADDRESS 6553 Teak Ct., Zephyrhills, Fl. 33540 LOT# I 0020 SUBDIVISION Driftwood of Zephyrhills 1 PARCELID# 02-26-21-021A-00H00-0020 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL x REPAIR PROPOSED USE SFR = COMM = OTHER I Residential TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL = OTHER DESCRIPTION OF WORK I Foundation Stabilization and/or Repair BUILDING SIZE Condo SQ FOOTAGE 1,127 HEIGHT I N/A El BUILDING $ VALUATION OF TOTAL CONSTRUCTION $34,092.00 N/A = ELECTRICAL 1$/A AMP SERVICE = PROGRESS ENERGY = W.R.E.C. El PLUMBING $ <t .S N/A El MECHANICAL $ N/A VALUATION OF MECHANICAL INSTALLATION V V" fti = GAS 0 ROOFING = SPECIALTY O OTHER ry FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =x NO N/A BUILDER / ] COMPANY W.A. Neumann Construction, Inc. SIGNATURE (J« REGISTERED I Y N I FEE CURRENT N Address 12630 Curley Street, Suite104,San Antonio Fl. License# C.ØC- O5 I_cS 33576 ELECTRICIAN COMPANY SIGNATURE N/A REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# PLUMBER COMPANY SIGNATURE N/A REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# MECHANICAL COMPANY SIGNATURE N/A REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I I License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) "" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscri d and swo o(o affirmed)before thi by Is by Who is/are personally known to me or has/have produced Who /`re onal� nnto a or as/have produced as identification. LLl jI lfyl as identification. Notary Public 'k Notary Public Commission No. Commission No.���32t� Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped NOTARY PUBLIC-STATE OF FLORIDA Bonita S. Tilton Commission#DD823762 \,,,,,./Expires: SEP.17,2012 5WtDZD r1Aty 41'&.M is sONDUQG CO.,INC. 1111111 11111 11111 11111 11111 11111 11111 11111 11111 11111 I I I I l I I 2009006461 Rept,:1221897 Rec: 10.00 DS: 0.00 IT: 0.00 01/15/09 Dpty Clerk PAULA S. 0'NEIL, PASCO CLERK &�CCOMPTROLLER 015980 PG 1 o1 ORBK L39 NOTICE OF COMMENCEMENT Permit No. Property Identification No. 02-2 6-21-021A-0 0H0 0-0 02 0 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. DRIFTWOOD OF ZEPHYRHILLS CONDO PHASE 1 PB 21 PG 53 UNIT 2 BLDG 1.Description of property(legal description:) H & COMMON ELEMENTS OR 4603 PG 90 a)Street Address: 6553 TEAK CT. , ZEPHYRHILLS, FL 33542-6627 2.General description of improvements: FOUNDATION STABILIZATION AND/OR REPAIR 3.Owner Information a)Name and address: FULTON LILLIAN 6553 TEAK CT. , ZEPHYRHILLS, FL 33542-6627 b)Name and address of fee simple titleholder(if other than owner) SAME As ABOVE c)Interest in property pF.F. CTMPT,F. TTTiF. MOT T) R Contractor Information W. A. NEUMANN CONSTRUCTION, INC. DBA C&N FOUNDATION TECHNOLOGIES, INC. a)Name and address: 12630 CURLEY STREET SUITE 104. SAN ANTONIO. FL 33576 b)TelephoneNo.: 352.588.0910 FaxNo.(Opt.) 352.588.0911 5.Surety Information a)Name and address: N/A b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: N/A Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one 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 OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager {— I f fa-N } /L 7O TY Print Name The fo ofp g instrument was acknowledged before me this-7day of _n1J ,20 6 by / i9 _> !?�DN as (type of authority ,e.g.o Icer,trustee,attorney in fact)for• (name of party on behalf of whom instrument was executed). Personally Known Produced Identification Notary Signature C2- Type of Identification Produced Name(print) e, J G ,' 7,&'CIC.t,-7" Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. iZ- F0RMSM0C,rvsa2007 gnature of Natural Person Signing Above THOMASLEr t:rvt�i:.ri+ I Notary Public,State of Ronda. My Commission expires September 7.2G. Commission No.DD46918O STATE OF FLORtOA 1 COUNTY OP PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND ND OFFICIAL SEAL THIS PAULA O'NEIL, ERK CO RO Y CL BY i ATTACHMENT NO. 3:' REMEDIATION ACTIVITIES SUMMARY REPORT Remediation Activities Conducted Permit No. 8763 SDII Global Corporation Contact: Christie Plauche Investigation Permit No. 4509 George Rd. , Suite 200 Parcel ID(s): 02-26-22-021A-00H00-0200 Tampa, FL 33634 Phone: 813-496-9634 Property Address: 6553 Teak Court Fax: 813-496-9664 Zephyrhills, FL 33542-6627 Owner(S) Name: Fulton Lillian C&N FOUNDATION TECHNOLOGIES, INC. Date(s) Remediation Conducted: 11/14/2008 to 2/11/2009 12630 CURLEY STREET Remediation Activities Conducted: Grout Injection Procedure SUITE 104 Only SAN ANTONIO, FL 33576 PHONE: (352) 588-0910 VP, OPERATIONS MANAGER - STEPHEN ODOM Materials, including quantities, used and cost of such materials and labor: Injection Pipe Installation Materials (783LF) = $6,389.28 Injection Pipe Installation Labor (783LF) = $6,921.72 Grout Injection Materials (97.6CY) = $8,526.44 Grout Injection Labor (97.6CY) = $7,870.56 Explanation of any differences in remedial activity recommended in Investigation Permit Findings and those conducted: The purpose of the grout injection was to treat the suspected sinkhole conditions beneath the foundation of the home by filling subsurface voids and compacting soft subsurface soils. SDII Global Corporation monitored the contractor's operations to verify compliance. C&N Foundation Technologies, Inc. installed 12 grout injection points around the perimeter of the residence with pipe depth ranging from approximately 52 to 93 feet for a total of 783 linear feet. The variance in the amount of grout ordered versus the grout used is due to the highly varied depths to the limestone surface and shifting porosity of the soil. Amount of any payment(s) by an insurer to the owner(s) pursuant to a claim for ground settlement on this parcel(s): $33,283.80 = balance due as of 3/2/2009 Number of pages of attachments to this report: 0 dv/sop605.5 /I DATE T /�� ALL WUKK SHALL CUMPLi Vv i I wt CITY® zEPHYRHIL Page 9 of 3 PREVAILING CODES,FLORIDA BUILDING RANG ��2I�1 ',ry CODE,NATIONAL ELECTRIC CODE AND _._ CITY OF ZEPHYRHILLS ORDINANCES SUBSIDENCE INVESTIGATION DRIFTWOOD OF ZEPHYRHILLS 6553 TEAK COURT ZEPHYRHILLS, FLORIDA Prepared For: AMERICAN STRATEGIC INSURANCE COMPANY ST. PETERSBURG, FLORIDA Claim Number: 93480-08 Prepared By: SDII GLOBAL CORPORATION SDII Project Number: 3018611 NOVEMBER 2008 November 14, 2008 SDII Global Corporation Mr. Bill Kull www.sdii-globai.com American Strategic Insurance Company 805 Executive Center Drive West, Suite 300 Tampa St. Petersburg, Florida 33702 4509 George Road Tampa, FL 33634 Subject: Final Report— Subsidence Investigation tel 813-496-9634 Driftwood of Zephyrhills - Zephyrhills, Florida fax 813-496-9664 Claim Number 93480-08 SDII Project No. 3018611 Gainesville 100 SW 75th Street Dear Mr. Kull: Suite#206 Gainesville, FL 32607 SDII Global Corporation (SDII) is pleased to submit this final report of tel 352-331-6771 our subsidence evaluation for the above referenced project. When fax 352-331-3299 conducting a subsidence investigation, SDII follows the general sinkhole- investigation protocols included in Chapter 627.707 Florida Statutes and Fort Lauderdale described in "Geological and Geotechnical Investigation Procedures for 7800 W. Oakland Park Blvd. Evaluation of the Causes of Subsidence Damage in Florida" (Florida Suite #B303 Geological Survey, Special Publication No. 57, 2005). Sunrise, FL 33351 tel 954-653-0415 Presented herein are the findings and conclusions of our investigation fax 954-653-0416 including geologic, geotechnical, and structural evaluations of the cause(s) of damage to the Driftwood of Zephyrhills. These evaluations are based on an extensive data collection and interpretation effort by our technical staff who have been trained in Florida subsidence investigation techniques and data interpretation, and supervision and review by the senior professionals who have signed and sealed the report. As the person responsible for training and assuring the quality of our investigations, I monitor all investigations and reports. SDII appreciates the opportunity to have assisted American Strategic Insurance Company on this project. The senior professionals who developed the opinions herein and signed the report and I are always available to help. If you have any questions or comments concerning this report, please contact us. Sincerely, SDII GLOBAL CORPORATION Sam B. Upchurch, Ph.D., P.G. Vice President and Principal Geologist Subsidence Investigation SDII Project Number: 3018611 Driftwood of Zephyrhills-Zephyrhills, Florida 3.0 STRUCTURAL EVALUATION 3.1 Scope of Structural Evaluation and Overview of Site Conditions The purpose of the visual, structural assessment of the Driftwood of Zephyrhills condominium unit was to help determine the probable causes that have contributed to the damage of the residence. In addition, the structural assessment provides critical information in determining the appropriate remedial actions for structures that may have been damaged by sinkhole activity. The homeowner, Ms. Fulton, was present during the field portion of the assessment. According to information provided by the Pasco County Property Appraiser's website, the multi- unit, single-story structure was built in 1984. There were no reported or observed additions. The residence faces generally east, is the northern-most unit in the building sharing a common wall with a unit to the south, and is constructed of masonry-block, exterior, load-bearing walls. The floor of the residence consists of a soil-supported, concrete slab-on-grade. The main roof structure was gable in design and was covered with asphalt shingles. A test pit (TP) excavation was performed along the perimeter of the main structure to directly observe the foundation construction and geometry. For approximate location of the test pit excavation see Figure 4. The results of TP-1 indicate that the foundation of the residence consists of a concrete slab-on- grade with a thickened edge monolithic footing. The footing was embedded 22 inches. The top of the slab was 7 inches above the existing ground surface for a total footing thickness of 29 inches. 3.2 Summary of Structural Damage The following paragraphs summarize the damage noted during the investigation. Approximate locations and photographs representative of the damage are illustrated in Figure 2. Interior Damage SDII observed that the master bathroom had multiple ceiling-to-wall tile/grout separations. The living room had multiple ceiling-to-wall separations. The dining room had a hairline to 1/16-inch wide ceiling crack. The southwest bedroom had a ceiling nail head protrusion. The Florida room had hairline to 1/16-inch wide ceiling and wall-to-ceiling crack. Exterior Damage SDII noted that the west elevation had a hairline to 1/16-inch wide horizontal wall crack. The north elevation had multiple hairline wide stair-step and vertical wall cracks. The east elevation had a hairline to 1/16-inch wide vertical and horizontal wall crack. The entrance walkway had a hairline to 1/16-inch wide slab crack. 3-1 Subsidence Investigation SDII Project Number: 3018611 Driftwood of Zephyrhills-Zephyrhills, Florida 3.3 , Relative Floor Elevation Contour Map The data for a relative floor elevation contour map were collected on October 20, 2008. The methods used to evaluate the floor configuration are described in Appendix A. The floor elevation map indicated that there was a total elevation difference of approximately 1.7 inches across the floor slab of the main living area of the residence. The highest elevations were recorded along the east central portion of the floor slab and the lowest floor elevations were noted in the bathroom. The normally accepted industry standard for total elevation differential across a concrete slab on grade is 1.5 inches. It should be noted that the overall elevation difference measured at the subject residence was greater than would be expected due to normal construction tolerances. Figure 5 depicts the contour map showing the relative elevations of the floors. Where carpeting, wood, tile, or other floor coverings exist, corrections have been made to obtain the top of slab elevations. 3.4 Evaluation of Structural Damage The observed damage on the exterior and interior of the residence is consistent with either the direct result or the collateral effect of differential movement of the foundation. The direct result of differential movement of the foundation occurs when a portion of the structure is damaged directly due to a loss of support of underlying soils. The collateral effect occurs when stresses resulting from uneven foundation settlement are redistributed through the structure. Differential movement results in the cracking of concrete, masonry and drywall, and in some cases results in the sloping of the floor slab. See Section 2.0 "Geologic and Geotechnical Evaluation" for further discussion of deleterious soil conditions encountered at the site that may have initiated the differential movement of the foundation. 3.5 Summary of Structural Evaluation It is the professional opinion of SDII that the observed damage on the exterior and interior of the residence is consistent with either the direct result or the collateral effect of differential movement of the foundation. 3.6 Remedial Recommendations The geologic and geotechnical investigations concluded that sinkhole activity is occurring at the site. It is our recommendation that the subsurface soils be stabilized to minimize further subsidence damage. Stabilization should be accomplished through grout injection to compact and densify the sandy soils beneath the residence. Grout injection is also intended to seal the top of the limestone surface to minimize future raveling. The grout stabilization should incorporate 12 injection points spaced approximately 10 feet on center around the perimeter of the structure. The grout points should be vertical and inclined as shown on Figure 6. 3-2 Subsidence Investigation SDII Project Number: 3018611 Driftwood of Zephyrhills-Zephyrhills, Florida The average depth of grouting, based on the field boring logs is likely to vary from approximately 40 to 56 feet. Typical compaction grout mix with a slump between 4 and 6 inches should be used, pumped at slow enough rates such that the grout will densify and not merely hydro-fracture the soil. The elevation of the structure should be monitored continuously during the grouting process to minimize unnecessary upward movement. The total quantity of grout required can vary based on site conditions, but is likely to be between 100 and 125 cubic yards (cy). The estimated cost for repair is based on the higher volume of grout. A list of estimated costs for recommended repair and engineering supervision is provided below. It does not include estimates for cosmetic repairs, which should be estimated by a qualified insurance adjustor or contractor. Cosmetic repairs should be postponed for 30 to 60 days after the grouting to allow any final ground movement to occur. A. Install grout pipes: 12 @48 feet (avg.) @ $17/ft...............................$9,792 B. Grouting: 125 cy @ $170/cy.............................................................$21,250 C. Monitoring and Certification........................................................... $3,060 Total .............$34,103 This cost estimate should be considered an "order of magnitude" estimate of actual construction costs, and therefore should not be construed as a bid for performing the work. Actual costs can only be determined through solicitation of bids from qualified contractors. Continuous monitoring by SDII personnel during remediation is suggested to verify compliance with these recommendations and to make necessary adjustments to the remediation program due to unforeseen site conditions. This will also allow the engineer who created the remedial design to certify that the remediation met design specifications. 3-3 Subsidence Investigation SDII Project Number: 3018611 Driftwood of Zephyrhills-Zephyrhills, Florida 4.0 CONCLUSIONS It is SDII's professional opinion that sinkhole activity as defined by §627.706 Florida Statutes exists at the Driftwood of Zephyrhills within reasonable probability. The pattern of declining N values through clastic materials and into the underlying limestone, including multiple feet weight-of-rod/hammer strength materials cumulatively indicate sinkhole activity at the site. Furthermore, based on the data presented herein, it is SDII's professional opinion within reasonable probability that a sinkhole loss, as described by §627.706, has occurred at the Driftwood of Zephyrhills. The observed damage on the exterior and interior of the residence is consistent with that caused by either the direct result or the collateral effect of differential movement of the foundation, likely associated with the sinkhole activity identified at the site. SDII recommends that the sinkhole conditions beneath the subject residence be remediated using grout injection to increase the density of the soils and cap the limestone. The estimated cost of remediation, monitoring and certification is approximately $34,103. SDII also recommends that the remediation program be monitored in order to verify that it is completed in accordance with our recommendations. 4-1 Subsidence Investigation SDII Project Number: 3018611 Driftwood of Zephyrhills-Zephyrhills, Florida 5.0 LIMITATIONS 5.1 Ground Penetrating Radar According to ASTM D6429, GPR is the preferred method for investigating "voids and sinkholes". This is because the method provides high-resolution data with a minimum of interferences. GPR has been used in similar investigations to help identify shallow subsurface conditions that are frequently associated with karst features. In many cases, a GPR investigation has resulted in the identification and mapping of the boundaries of karst features and has helped characterize their size and geometry. However, this method is limited to the ability of the GPR unit to collect interpretable data at the project site. There is a possibility that karst features may exist at the project site and not be detected by the GPR technique due to small size, subsurface soil conditions, or the occurrence of such karst features below the depth of penetration of the GPR signal. Note that many GPR anomalies are not sinkhole or karst features. The presence of an anomaly should not be construed to reflect sinkhole activity simply because of its existence. 5.2 Standard Penetration Test and Hand Auger Borings The determination of soil type and conditions was only done from the ground surface to the maximum depth of the borings. Any changes in subsurface conditions that occur between or below the borings would not have been detected or reflected in this report. The maximum depth of hand auger borings is 10 feet bls unless otherwise noted. Soil classifications are based upon identifiable textural changes, color changes, changes in composition, or changes in resistance to penetration at the intervals from which such samples were collected. Abrupt changes in soil type, as reflected in boring logs and/or cross sections, may actually represent gradual transitions. Depth to the water table is based upon observations made while advancing hand augers and SPT borings. This depth is an estimate and does not reflect the annual or extreme variations that occur in this area due to fluctuations in rainfall, pumpage, and rates of evapotranspiration. Low permeability soils or sediments may not allow water to freely enter the borehole and, therefore, the water table may not be evident or it may only represent a transient condition. The depths are estimated from the immediate land surface, which is not surveyed or tied to a known reference elevation. 5.3 Site Figures The measurements used for the preparation of the figures in this report were made with a fiberglass measuring tape or measuring wheel. Such measurements are usually accurate to within ±5 percent. Right angles were estimated from existing exterior walls at the house; such angles are usually accurate to within 5 degrees. Figures in this report were not prepared by a licensed land surveyor and should not be interpreted as such. 5-1 Subsidence Investigation SDII Project Number: 3018611 Driftwood of Zephyrhills-Zephyrhills, Florida 5.4 . Conditions Described in this Report Subsurface conditions and the construction and damage to the structure(s) investigated by SDII are subject to change. The conditions described in this report are, to the best of our knowledge, current at the time of the investigation, and they may not reflect historical or post-investigation conditions. 5.5 Use of This Report This report was prepared for the exclusive use of American Strategic Insurance Company and its assigns. Use by persons or groups without the permission of American Strategic Insurance Company is not authorized. 5-2 Subsidence Investigation SDII Project Number: 3018611 Driftwood of Zephyrhills -Zephyrhills,Florida 6.0 ENDORSEMENTS 6.1 Compliance with Florida Statute Title XXXVII Chapter 627.7073 This report followed the Statutory requirements that it be prepared by an individual qualified to determine the existence of sinkhole activity and that the tests performed be of sufficient scope to eliminate sinkhole activity as the cause of damage. SDII certifies that this investigation was of sufficient scope to determine the cause(s) of damage within a reasonable probability as specified in §627.7073 Florida Statutes. In accordance with Florida Statutes, the following individuals, who are licensed to practice in the State of Florida and are Principals of SDII, have supervised this investigation and report. SDII GLOBAL CORPORATION Monica L. Fowler, P.G. Senior Geologist Florida Registration Number 1388 Thomas H. Fisher, P.E. 1 Professional Engineer(Structural) Florida Registration Number 58027 6-1 955df'- d=_ = €a11v1ew HelghLsRa= — Pnce fir: ►d"Sl ctA_ nEstes f Ace — Ef �— LCD 1 L gi �}-1311,', s too ® —t G>iger Rd 't,If Noah APe ," _ tt�tkf - 1 -i11H oG JodrA a .. NOT TO SCALE PROJECT SITE LOCATION MAP AMERICAN STRATEGIC r DRIFTWOOD OF ZEPHYRHILLS INSURANCE COMPANY ZEPHYRHILLS, FLORIDA ST. PETERSBURG,FLORIDA ; DESIGNED BY: MDZ PROJECT NO.: 301861 I FIGURE CHECKED BY: SU DRAWING NO.: 8611-I 1 DRAWN BY: JMW DATE: 11/10/08 / _ /7 _ S THREE ADJACENT UNITS j \,\ NOT INCLUDED IN THIS REPORT ASPHALT DRNEWAY j N 0 APPROXIMATE LOCATION OF CRACKING/SEPARATION ON WALLS 0 20' ^" APPROXIMATE LOCATION OF CRACKING/SEPARATION IN CONCRETE SLAB APPROXIMATE LOCATION OF CRACKING IN CEILING SCALE SITE PLAN SHOWING APPROXIMATE LOCATION AND EXAMPLES OF OBSERVED DAMAGE AMERICAN STRATEGIC DRIFTWOOD OF ZEPHYRHILLS INSURANCE COMPANY ZEPHYRHILLS, FLORIDA ST. PETERSBURG, FLORIDA DESIGNED BY: MDZ PROJECT NO.: 3018611 FIGURE CHECKED BY: SU DRAWING NO.: 8611-2 2 CREATED BY: 1MW DATE: 11/10/08 TREE- .9 1 2 \ ? 4 FENCE 0 I �I / o THREE ADJACENT UNITS NOT INCLUDED IN THIS REPORT g CAR - J ASPHALT DRIVEWAY APPROXIMATE LOCATION OF GPR TRANSECT LINE ® APPROXIMATE LOCATION OF SUBSURFACE ANOMALY WITH DESIGNATION N ^I APPROXIMATE LOCATION OF AREA PARTIALLY OR TOTALLY INACCESSIBLE TO GPR SURVEY APPROXIMATE LOCATION OF CRACKING/SEPARATION ON WALLS 0 20' ^ �^ APPROXIMATE LOCATION OF CRACKING/SEPARATION IN CONCRETE SLAB APPROXIMATE LOCATION OF CRACKING IN CEILING SCALE SITE PLAN SHOWING APPROXIMATE LOCATION OF GPR SURVEY AND RESULTS AMERICAN STRATEGIC II DRIFTWOOD OF ZEPHYRLS INSURANCE COMPANY r HD,ZEPHYRHELLS, FLORIDA ST.PETERSBURG, FLORIDA DESIGNED BY: MDZ PROJECT NO.: 3018611 FIGURE CHECKED BY: SU DRAWING NO.: 8611-3 3 CREATED BY: JMW DATE: 11/10/08 TREE FENCE HA-4 giL S 8 HA-3 B-2 TP-1 ® W~ HA-2 R B-1 THREE ADJACENT UNITS NOT INCLUDED HA-1 IN THIS REPORT CAR ASPHALT DRIVEWAY CPT-1 O APPROXIMATE LOCATION OF MINI-CONE PENETROMETER TEST BORING WITH DESIGNATION TP-1 ® APPROXIMATE LOCATION OF TEST PIT EXCAVATION WITH DESIGNATION HA-1 ® APPROXIMATE LOCATION OF HAND AUGER BORING WITH DESIGNATION B-1 19 APPROXIMATE LOCATION OF SPT BORING WITH DESIGNATION APPROXIMATE LOCATION OF SUBSURFACE ANOMALY WITH DESIGNATION N IV APPROXIMATE LOCATION OF AREA PARTIALLY OR TOTALLY INACCESSIBLE TO GPR SURVEY APPROXIMATE LOCATION OF CRACKING/SEPARATION ON WALLS 0 20' APPROXIMATE LOCATION OF CRACKING/SEPARATION IN CONCRETE SLAB APPROXIMATE LOCATION OF CRACKING IN CEILING SCALE SITE PLAN SHOWING APPROXIMATE LOCATION OF FIELD TESTS INSURANCE COMPANY ZEPHYRHILLS, FLORIDA AMERICAN STRATEGIC DRIFTWOOD OF ZEPHYRHILLS ST. PETERSBURG, FLORIDA 1 DESIGNED BY: MDZ I PROJECT NO.: 3018611 I FIGURE CHECKED BY: SU DRAWING NO.: 8611-4 ,1 CREATED BY: JMW DATE: 11/10/08 `F NOTE: COLOR SCALES DENOTE RELATIVE ELEVATION IN INCHES 45x � x 40 eat 2Y �" 1.8 74 � 35 / 1 1.6 + ) 1.4 30 �r. 1.2 25 . 20 O 0.8 10 0.2 0•0 0 5 10 15 20 25 SCALE IN FEET + INDICATES POINT OF MANOMETER DATA COLLECTION � APPROXIMATE LOCATION OF MANOMETER N FFE FINISHED FLOOR ELEVATION OF MAIN LIVING AREA RELATIVE FLOOR ELEVATION CONTOUR MAP AMERICAN STRATEGIC DRIFTWOOD OF ZEPHYRHILLS INSURANCE COMPANY r; ZEPHYRHILLS, FLORIDA ST. PETERSBURG, FLORIDA '�' SURVEYED BY: LL PROJECT NO.: 3018611 FIGURE CHECKED BY: THE IDRAWINGNO.: 8611-5 J C DRAWN BY: OVS DATE: 11/14/08 TREE FENCE a � 4- - : THREE ADJACENT UNITS NOT INCLUDED IN THIS REPORT CAR ASPHALT DRIVEWAY O INDICATES VERTICAL GROUT POINT +0 INDICATES INCLINED GROUT POINT [ APPROXIMATE LOCATION OF AREA PARTIALLY OR TOTALLY INACCESSIBLE TO GPR SURVEY 0 20' SCALE SITE PLAN SHOWING APPROXIMATE LOCATION OF GROUT INJECTION POINTS AMERICAN STRATEGIC DRIFTWOOD OF ZEPHYRHELLS INSURANCE COMPANY ZEPHYRHILLS, FLORIDA ST. PETERSBURG, FLORIDA '" DESIGNED BY: THF PROJECT'NO.: 3018611 FIGURE CHECKED BY: THF DRAWING NO.: 8611-6 CREATED BY: JMW DATE: 11/10/08 6 z m N m -a a� U.g O aE aE E O 0 E E a T z CD �� C U)p Fno o > T ON T FC HC ØC U a7 OC ww F O VI U z ¢ , (I)Lt) Cl)> (/)> , � O— Z C p y a) N W Q V' W W W N Dacca } ≥m >-� cca } gym }gQ m m�` 0 (' ON -r >- Q 9 Q! O-N W O-N } � � V N Q rC G • � � 0 O)D 00c 0aa)i � �o)aa)) m 0 = 00o- a o- d> Q a> p' U_jE F 0 Q Q d Z ZQ 0 Q U) Z LU _ LU N N N N N F z Y J V1 6 Q C) N V CO a0 a- x 0 a a ty E E c c T �o oL) E E om m C a)� Q T Ec wm wm �' ~ a ap0 acv�' d- aCV) aC TN I U UJ ?2,a) o cncoc Cnd cncc -- >,00 _O c F 0cm cl m OE C)c m ON c X N ¢ z EN Z} z9 Z°0 z°D OO N U� < •.L <OO Q a) <c t ° < c`p) C w U)CO c U)�U U)C U)} U U)} V7 C C N = V z r pu') o 0 O4 O CL p C LoY m N 0 � Z Q3= Q3 x X03 � o U 3 3 C7 3 c U� Oa� OQ-0 <C� a) z FU CC } o > O > N- } Nca }a) ca } o .n m O n O J — J N N J J f0 N J(a LI) N r dal Q U m Q9 -92 C 0-N W-9 �l } O2m 0O;o 02 Oa0) 1, 0a -i. a 0 2J N Q._1Oc dm a> Q d> Q QJ o- N- - .r� O .. N N N N S18 W (4) H1d30 N v `° ao m -W' w z _ WW LU LL Q J m OQOa o ow � Q a a LU O O W W ~ V C z = N ZU) . O. Z O ZU Y m _¢ M o z CC E 7 Q E E Q N a0 O i 3 E E 2 v, z 0 W O p 2 2 ( ON O "' E c� ao acN ar- N E °> Z� ZcoO> Zcom wy d m Z CI)E2 Vi>d CIIi> ° 2 O.r O �f°co w� W�m p- m ^ z 0 mN 0� 0 ct p zNty �C � 03 �03 zu�m w0. a m a - �E SE �mN -jmw row c° O (7 GN W'c � a-9 0-N moo- N Q 81 me UJE dJN n > Q a> Q 00ur m _ Z z� U) 2 FV m O N N N N W N H Z 0 N 0 x O a a N c m yN E E o C 7 J C m > > E E > N o o a�i Fa- Iii m d' fnm Nw U)= M U W Zo Z, Z00 m a U c t9 Q Wv W W" 0 p 0 N o a J Q� V cam o,- C��aD �U' fl Q�Q � aci , Z c c '- Co- N �mN r aa>E }a °° O - � 9-N meaty W � ° Ud Q ZUm Q me O O Z,m O Z m <Z O m w JUz �Q im 02o0a) � rn O a> > , a> m 0 0 ch a m a> Q a> Q U 1D E F- a � c.O N N M N N SIG W UU,. ? a ( ) Hld3a O N v co co - J W w 2 W W Z 0 J m Da Oa a a a wOUww OwOw = z u) _ � $ J W COMMENTS = 1n m DESCRIPTION PENETRATION BLOW Water Table a m blows per foot C S OUNT > W Drilling Fluid Losses o U) Z ft, =ft, bls(typical) 0 POORLY GRADED SAND WITH CLAY(SP-SC): Hand auger boring from 0-4 ft. Pale-brown(10YR 6/3)fine to medium quartz sand with clay POORLY GRADED SAND WITH SILT(SP-SM): 5 Brown(10YR 4/3)fine to medium NoEV from 4-48.5 ft. quartz sand with silt 2/2/3/3 5 POORLY GRADED SAND WITH EFR @6 ft. @ 18 gpm SILT(SP-SM): Loose 4/2/3/3 5 Yellowish-brown(1 0YR 5/6)fine to medium quartz sand with silt 10 POORLY GRADED SAND WITH T 4/6/9/9 15 SILT(SP-SM): Loose Yellow(1 0YR 7/6)fine to medium quartz sand with silt POORLY GRADED SAND WITH SILT(SP-SM): 15 Medium dense 0040 60010 7/8/9 17 Yellowish-brown(10YR 5/4)fine to medium quartz sand with silt POORLY GRADED SAND WITH CLAY(SP-SC): Medium dense Light-brownish-gray(10YR 6/2)fine 20 to medium quartz sand with clay 9/11/11 22 CLAYEY SAND(SC): Medium dense Light-greenish-gray(5G 7/1)clayey fine to medium quartz sand with and orange oxide staining and approx.2.2%organics 25 POORLY GRADED SAND WITH 6/7/10 17 CLAY(SP-SC): Medium dense Light-gray(2.5Y 7/2)fine to medium quartz sand with clay,cemented sand,and orange oxide staining 30 0 20 40 60 8010 6/8/11 19 POORLY GRADED SAND WITH 35 SILT(SP-SM): • Medium dense 3/7/7 14 Very-pale-brown(1 0YR 7/4)fine to medium quartz sand with silt POORLY GRADED SAND WITH 40 CLAY(SP-SC): • Very loose 2/2/2 4 Ve -pale-brown(10YR 8/3)fine to medium quartz sand with clay CLAY(CL/CH): 45 Soft Brownish-yellow(10YR 6/8)clay 0 20 40 60 8010 2/1/3 4 _________________________ / _______________________________________________________ SPT BORING LOG SITE NAME: DRIFTWOOD OF ZEPHYRHILLS AMERICAN STRATEGIC SITE LOCATION: ZEPHYRHILLS, FLORIDA INSURANCE COMPANY DESIGNED BY: PRN PROJECT NO: 3O18611 BORING ST. PETERSBURG, CHECKED BY: MLF BORING DATE: 1O/31/O8 B-i FLORIDA DRAWN BY: MLF PAGE NO.: I OF 2 1 w COMMENTS _ m PENETRATION BLOW I- DESCRIPTION Q Water Table w m blows per foot COUNTS > Drilling Fluid Losses Z ft. =ft. bls(typical) LIMESTONE: FAS/WOH from 48.5-53.5 ft.,then 50 Weak to moderately strong 8/2/4,then SLO/WOH from 55-55.5 Very-pale-brown(10YR 8/4) WOH/WOH/WOH WOH ft.,then 4(all in same spoon) limestone gravel and granules,with calcareous clay RLOC @ 49 ft. is DB from 49 ft.to end of boring 55 �' 8/2/4 6 Drilled soft from 56-60 ft. MOD/WOH from 58.5-59.5 ft.,then 3, then MOD/WOH from 60-61 ft.,then 60 0 20 40 ! 60 8010 WOR/WOR/3 3 1,then MOD/WOH from 61.5-64 ft., then 1/2(all in same spoon) 65 WOH/1/2 3 Drilled soft from 65-68.5 ft. NoEV @ 68.5 ft. 70 + 3/5/1 6 75 0 20 40 60 8010 5/1/1 2 MOD/WOH from 75-75.5 ft. LIMESTONE: NoEV @ 78.5 ft. Weak to extremely strong 80 Very-pale-brown(10YR 8/2) } 2/12/16 28 limestone gravel and granules,with calcareous clay MOD/WOR from 83.5-84.5 ft. 85 WOR/WOR/3 3 NoEV @ 88.5 ft. 90 0 20 40 60 ' 8O10( 16/21/50 71 TOB @ 90 ft.bls Grouted borehole SPT BORING LOG SITE NAME: DRIFTWOOD OF ZEPHYRHILLS AMERICAN STRATEGIC ," SITE LOCATION: ZEPHYRHILLS, FLORIDA INSURANCE COMPANY DESIGNED BY: PRN I PROJECT NO: 3O18611 BORING ST. FLORIDA PETERSBURG, CHECKED BY: MLF BORING DATE: 1O/31/O8 IB-i DRAWN BY: MLF PAGE NO.: 2 OF 2 1 J W COMMENTS O PENETRATION BLOW Water Table ►- Cl) DESCRIPTION w m blows per foot COUNTS > Drilling Fluid Losses c Z ft. =ft. bis(typical) 0 POORLY GRADED SAND WITH SILT(SP-SM): Hand auger boring from 0-4 ft. Pale-brown(10YR 6/3)fine to medium quartz sand with silt POORLY GRADED SAND WITH SILT(SP-SM): NoEV from 4-38.5 ft. 5 Grayish-brown(10YR 5/2)fine to • medium quartz sand with silt 2/2/3/3 5 POORLY GRADED SAND WITH EFR @ 6 ft.@ 18 gpm • SILT(SP-SM): Pale-brown(10YR 6/3)fine to 4/5/7/6 12 medium quartz sand with silt 10 • POORLY GRADED SAND WITH 5/8/12/12 20 SILT(SP-SM): • Loose • Very-pale-brown(1 0YR 7/4)fine to • medium quartz sand with silt POORLY GRADED SAND(SP): Medium dense 15 Light-gray(10YR 712)fine to medium quartz sandi 0 20 40 ! 60 8010 7/7/7 14 POORLY GRADED SAND WITH SILT(SP-SM): Medium dense Light-brown(7.5YR 6/3)fine to medium quartz sand with silt and 20 • orange oxide staining and approx. 1.4%organics 6/8/13 21 POORLY GRADED SAND WITH CLAY(SP-SC): Medium dense Light-gray(10YR 7/2)fine to medium quartz sand with clay and 25 orange oxide staining 7/8/9 17 POORLY GRADED SAND WITH SILT(SP-SM): Medium dense Reddish-yellow(7.5YR 6/8)fine to • medium quartz sand with silt 30 POORLY GRADED SAND WITH CLAY(SP-SC): 0 20 40 60 8010 4/3/6 9 Medium dense to loose Very-pale-brown(1 0YR 7/3)fine to medium quartz sand with clay and orange oxide staining CLAY(CL/CH): 35 Medium stiff ♦ 2/3/2 5 Yelow(10YR 7/8)clay • CLAY(CL/CH): At 38.5 ft.,2,then MOD/WOH from 40 Very soft 39-40.5 ft.,then 3/2(all in same Yellow(10YR 7/8)clay with 2/WOH/WOH WOH spoon) cemented sand SRR from 40-42.5 ft. CLAY(CL/CH): Drilled soft from 42-55 ft. Very soft Light-greenish-gray(5G 7/1)clay MRR from 42.5-52 ft. 45 MOD/WOR from 43.5-45 ft.,then 0 20 40 60 8010 WOR/WOR/WOR WOR MOD/WOH from 45-48 ft.,then 1, then MOD/WOH from 48.5-49.5 ft., then 2,then MOD/WOH from 50-50.5 ft.,then 4(all in same spoon) SPT BORING LOG SITE NAME: DRIFTWOOD OF ZEPHYRHILLS AMERICAN STRATEGIC - SITE LOCATION: ZEPHYRHILLS, FLORIDA INSURANCE COMPANY DESIGNED BY: PRN PROJECT NO: 3018611 BORING ST. PETERFLORIDA SBURG, CHECKED BY: MLF BORING DATE: 10/31/08 B-2 DRAWN BY: MLF PAGE NO.: I OF 2 J w COMMENTS = rn O PENETRATION BLOW H - DESCRIPTION a Water Table w m blows per foot COUNTS > Drilling Fluid Losses Z ft. =ft. bis(typical) 50 i. WOH/WOH/2 2 LIMESTONE: Weak to extremely strong Very-pale-brown(10YR 8/4) RLOC @ 52 ft. limestone gravel and granules,with DB from 52 ft.to end of boring MOD/WOH from 54-54.5 ft. 55 3/WOH/50+ 100+ 50 blows for 5 inches of penetration @ 54.5 ft. Drilled hard from 55 ft.to end of boring NoEV @ 58.5 ft. 60 1i20 40 60 8010 10/17/13 30 TOB @ 60 ft.bls Grouted borehole 65 - 70 75 0 20 40 ` 60 : 8010 80 85 - 90 0 20 40 ! 60 8010 95 SPT BORING LOG SITE NAME: DRIFTWOOD OF ZEPHYRHILLS AMERICAN STRATEGIC SITE LOCATION: ZEPHYRHILLS, FLORIDA INSURANCE COMPANY DESIGNED BY: PRN PROJECT NO: 3O18611 BORING ST. PETERSBURG, CHECKED BY: MLF BORING DATE: 1O/31/O8 B-2 FLORIDA DRAWN BY: MLF PAGE NO.: 2 OF 2 • F O U N D A'I I 0 N 12630 Curley Street, Suite 104 352.588.0910 TECHNOLOGIES San Antonio, FL 33576 Toll free 877.351.8623 Soil Stabilization Pressure Grouting Underpinning Injection Piers Sinkhole Stabilization Proposal - Pressure Grout Procedure Fulton Residence 6553 Teak Ct., Zephyrhills, FL 33542 American Strategic Insurance Company Claim # 93480-08 No\,ember 20, 2008 Fulton Residence 653 Teak Ct. Zephyrhills, FL 33542 Dear Ms. Fulton: We are pleased to present the following proposal for your consideration. This proposal is based on the geotechnical engineering report provided by SDII Global Corporation. Objective In order to stabilize subsurface soils and voids, C&N Foundation Technologies, Inc. will be using the deep pressure grouting technique. This technique is used to seal off the top surface of the limestone and fill channels, voids, and cavities that result from sinkholes and unstable soil settlements. This deep pressure grouting can also support and lift settling foundation, increase load bearing capacity of soil prior to building and will significantly decrease the possibility of future displacements. Drilling and Grouting Process Grout injection pipes are drilled on an angle or vertically, in various locations with specially designed compact equipment. Locations and angles are determined by the SDII Global Corporation engineer's specifications. Locations may be subject to change due to utilities, obstructions or obstacles. Grout injection pipes are installed to prescribed estimated depths of 48 feet. As the injection pipes are installed, a low slump grout mixture consisting of sand, cement and fly ash will be injected under high pressure. The grout mixture used will typically obtain optimal strengths in excess of 1000 PSI in an average of 10 days. Grout pressures are monitored at point of injection with inline gauges. Structural movements are monitored at all times at various locations by the use of laser technology. As the grout injection pipes are extracted, grout displacement will achieve the project repair goal by sealing off the top surface of limestone and filling channels, voids and unstable soil settlements. { e;> Client Initials d- Officer Initials Page 1 �, . FOUNDATION TECHNOLOGIES Remediation Program Estimate - Pressure Grout Procedure Fulton Residence 6553 Teak Ct., Zephyrhills, FL 33542 American Strategic Insurance Company Claim # 93480-08 Description Estimated Quantity Unit Cost Extended Cost Survey Mobilization 1 Lump Sum $1,375.00 Demobilization 1 Lump Sum $1,375.00 Permitting 1 Lump Sum $550.00 Injection Pipe Installation 12 Grout Points 48 ft Depth 576 ft $17.00 per ft $9,792.00 Grout Injection* . 125 cy $168.00 per cy $21,000.00 Grout Delivered not used* $ 115.00 per cy Total Estimated Cost Range** $34,092.00 *Please Note: Due to unforeseen subsurface conditions, it is nearly impossible to give an exact estimate on drilling depths and grout quantity. **Final billing will be based on actual drilling depths and grout quantities used. ft ) Client Initials ( &N Officer Initials Page 2 FOUNDATION TECHNOLOGIES Contract Limitations and Conditions 1. We will have all underground utilities located before work begins. 2. Water for drilling casing, grout mixture and equipment cleanup will be reimbursed to the homeowner. The amount of reimbursement will be based upon the difference between the homeowner's average water usage and usage during work performed on the homeowner's property. 110 volt, 20-amp minimum electric service is necessary and is to be provided by homeowner. 3. It is imperative for us to have uninterrupted access to project repair location, if access is necessary from property other than the project address,permission must be arranged in writing by homeowner before work start date. 4. I/we authorize my insurance company to include C& N Foundation Technologies,Inc. on all payments issued for work performed by C & N Foundation Technologies, Inc. I/we understand that should I/we choose to cancel this contract, Uwe will remain responsible to pay C&N Foundation Technologies,Inc. all overhead and profit payments agreed to by the owner's insurance company,regardless of the quantity or completeness of work by C&N Foundation Technologies,Inc. 5. Due to the nature of this type of work some unforeseen conditions can arise including, hard rock, buried trash, unstable soil collapses, etc. If these conditions are encountered, additional charges shall be evaluated and agreed upon by/with the homeowner,insurance company and contractor before continuing the project repair. 6. Clay and clay materials are highly subject to volume changes due to climate conditions such as drought and heavy rainfall.These conditions are beyond our control and we will not be responsible for these types of changes. 7. We will make every effort to protect and preserve existing sprinkler systems, pools, pool equipment, sidewalks, walkways, driveways and underground utilities, etc. However, we will not be responsible for replacement or repair during or after the project repair. C&N Foundation Technologies, Inc. will be responsible for damage done to landscaping during remediation only, based on a comparative study of photographs taken before the beginning and after the end of the repair project. 8. Pressure grouting processes may adversely affect nearby wells; we will not be responsible for replacement or repair at or beyond project repair location. 9. Due to the nature of this type of repair, there is a possibility that any cracks or stress points created by the settlement may become apparent during any lifting or stabilizing procedure (usually minor). We will not be responsible for any cosmetic repairs. 10. We shall retain all rights conferred upon the lien status of any State, Federal, or other government. If C & N Foundation Technologies, Inc. is not paid in full within 30 days of completion, an interest of 1.5 % will be charged each month. If the account is referred to an Attorney for collection,the homeowner agrees to pay all fees and court costs incurred. Venue for all legal actions shall be in Pasco County,Florida. 11. All work to be performed according to contracted engineer's specifications (SDII Global Corporation) in a timely professional manner.All wofk to be performed during normal business hours. 12. This proposal may be withdrawn by us if not accepted within 90 days. Accepted By: HvL(' Sl ' Mr. Herb Sonnenberg to it- Client Initials fficer Initials Page 3 FOUNDATION TECHNOLOGIES Proposal Agreement This agreement is between C& N Foundation Technologies, Inc., 12630 Curley Street, Suite 104, San Antonio, FL 33576 and The Fulton Residence, 6553 Teak Ct., Zephyrhills, FL 33542 American Strategic Insurance Company Claim #93480-08 1. Services to be performed: Earth stabilization as outlined in proposal. 2. Payment: We, the undersigned, hereby agree and authorize that C & N Foundation Technologies, Inc. shall be the named party on all payments made by our lending institution and/or materials performed and/or supplied by C&N Foundation Technologies,Inc. pursuant to this agreement. 3. Invoices: C & N Foundation Technologies, Inc. will submit invoices of actual quantities for all services performed. 4. Change Orders: Any changes to original proposal by either C & N Foundation Technologies, Inc. or homeowner will require a signed change order and will include additional charges. 5. Employees: C&N Foundation Technologies,Inc. and its employees are fully insured. 6. Equipment and Supplies: C& N Foundation Technologies, Inc. will provide all equipment, tools and supplies(other than water and electricity)necessary to perform the above services. 7. Authorization: We hereby give consent to allow C & N Foundation Technologies, Inc. as a third party to coordinate payment transactions with our insurance co. and/or lending institution. Acce ted B : Accepted By: Agent, C& N Foundation Technologies, Inc. Mr. b Sonnenberg, Owner Date: Date: This proposal may be withdrawn by us if not accepted within 90 days. Client Initials ���N Officer Initials Page 4 FOUNDATION TECHNOLOGIES CONSTRUCTION LIEN LAW Florida State Statutes 713.015: Mandatory provisions for direct contracts. (1) Any direct contract greater than $2,500 between an owner and a contractor, related to improvements to real property consisting of single or multiple family dwellings up to and including four units, must contain the following notice provision printed in no less than 12-point, capitalized, boldfaced type on the front page of the contract or qn a separate page, signed by the owner and dated: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. (2)(a) If the contract is written, the notice must be in the contract document. If the contract is oral or implied, the notice must be provided in a document referencing the contract. (b) The failure to provide such written notice does not bar the enforcement of a lien against a person who has not been adversely affected. (c) This section may not be construed to adversely affect the lien and bond rights of lienors who are not in privity with the owner. This section does not apply when the owner is a contractor licensed under chapter 489 or is a person who created parcels or offers parcels for sale or lease in the ordinary course of business. Accepted and Approved: jet �tL� Y Mr. Herb Sonnenberg Date ft S' Client Initials C& fficer Initials Page 5 FOUNDATION TECHNOLOGIES Payment Authorization The undersigned give their authorization to have C & N Foundation Technologies, Inc. be paid directly from the insurance company/lending institution and be named as a party on all payments released by our insurance company and/or our lending institution for their services, including labor and/or materials, supplied by C & N Foundation Technologies, Inc., pursuant to this agreement. The undersigned also transfers and assigns to C & N Foundation Technologies, Inc., our claim to the proceeds from the insurance company and/or our lending institution, for the full amount owed to C& N Foundation Technologies,Inc., based on their final invoice. Accepted By: ` 7ti 'LIt�"r f V 08 Mr. Herb Sonnenberg Date Mortgage Company (if applicable): (Name) (Address&Phone) Account No: Last four digits of SSN: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of 2 by who is personally known to me/has produced identification. SEAL Notary Public Vr Client Initials ritials Page 6 eocu€ctc , Tee POWER OF ATTORNEY TO THE CITY OF ZEPHYRHILLS BUILDING DEPARTMENT AUTHORIZING PERSONNEL TO APPLY FOR, SIGN AND PICK UP CONTRACTOR LICENSING, PERMITS AND/OR INSPECTIONS IN CITY OF ZEPHYRHILLS I hereby authorize the following agents: Denise Solomon, Thomas Rinehart, Stephen Odom, Warren A. Neumann, Daniel Bonebrake, Robert Dodd, Liam O'Leary, Vicki Duffy, James McDaniel, Steven Grimes, Marlin Barnett and Clifford Dorr of W. A. Neumann Construction, Inc., Neumann Roofing, Inc. and/or C & N Foundation Technologies, Inc., to apply for, sign and receive any and all documents until further notice regarding contractor licensing, building permits and/or inspections in CITY OF ZEPHYRHILLS, Florida. This Affidavit supersedes and replaces all previous affidavits, whether on file or in the possession of any agent. W. A. Neumann Construction, Inc. 9 a� � 1/16/09 Jason Warren Neumann, Contractor Date STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged before me this 16t day f January, 2009 by Jason Warren Neumann, who is personall known tom / a rodu N/A identification. lvlelindaA.Che01 My Comm.exp.hug 19,2010 TDS657Y Notary Public P.O.Box 1207 San Antonio, FL 33576-1207 (813)782-9080 (352)588-0910 Fax(352)588-0911 �` :�%'•.rr'':%��y__—__ !%°i'i//% /' 1.I I''I' I ilh '' 1 rh'•F.9/' i ' ..%/_`_ _-___=__=r /•a v%%' �, I 'I I II rl'1'1 // / �'•_' I'•In I n. h I 111'1 �//.,,.'„/, I' I'Irq,'Ll tl.l lb r,'d,� / ' r ''" 111;''r,rill IIII' 'a ,//i/'r=__ /i iii=?__c',,.% jia 9. r I II i I:!!r L.IIII•!r I�I!!�����' �y ., %i. ,Il�rrnlrl I i /�__ ;/ ,;.T= ��/�/; Lil,.b-%�%' �J ��llnll,l ' li,///,'•o Irrrrrrr,'i. / o.%,/: r/%s iih< -,:.�:j/.s I1:I i'°:/ :�i .f Ir I /%/•, II,1.6' '//, r.�— _- ii''/ / / r'I"I'r //'....•, //. i�:14..I *e,/i II I nIp-r j%.`'•••.,. /'"' _—_ — O'/,,, , /,,,,,/'• r Ii,,.. / I Iii,.••,..,,,; ,, " l'I;fl 'I l'll ''!i 'I'II rI //y/. .r,l '%. ''; /'II (,{��I II(I % _ II�'I:III /,%%y6 ,..,u,,,.,..../ , j 'Ilu�� ;r ;� I ;.,rr' '/ // rrr ii%!!/y, � ' .' '' p r,� I 1 .II , ,,,.r/4/"'n, :a•%5,a. - -_ �'�liIl II: I I,L11 I I % %/3/ ' I•I Idl;rrnr ./�•�%�/iii�i�/;�■.% -_- iii'�a%..• J I ILILllhl L ./% i;J��llirl�ll. //•/.,,.i j-"ii`r///_==�/W/,ii,."' /,o,.�� I'Ir I,,, 1 ,1 %;,''%i /1� •lS:%/�•��I ✓/% /y/c __�/ ��rj Jlr lr'(I, � 1!"Iii i IIIIIIIu ,111 I' I l'• I f� I rl,ll l'Il ri/ri II " ��iiii,>•/ii.� %y;i � I'��I�I jll''j„/%i %',..% III O"IIII 1111111: y/ /.i. may.'%/ .`� fv.`:M1• s.:.a , •illj/ /i''..i/. JII' ;r;'I11:/1: 0 O �` ' a yr r I I 1 lir I M I M r V / ..J��. Irr IIII, 3:;.. .:+.:..,:r: :4:71 I 1'd II rr1i.`k .,f 1 y 1,. '$rA rN. 'iW 1, I II. 4'/•��y'girl' ,I I �:,+f,�vj:•1.;.>i�.%. .�.,a.� �''"' �'1 I Ii r I /.Is.:c ��l j rl Y+4 I 1 1r,.r� I / I' / I / 1 /' 1 %" I'. l• •I y 'll 1 / ro 1 yi. I Y ; F.'7 'I'~ •rrr�l II r• I / I I I ,YL•.� •..//,.:�' ' I • `'�+ "ick`�"�'."� /� 'I'IY,:4 .:..�r y.+� •. • � 1. ,11,1' i i ''"��'I ✓ii' ".i% /.III I I':��%.I' Yju".: ' — J /i i4 I.II:� } // /S '1I1 _1I 'IIII I II111 I SK "/ /u /, ','r ,A // ;%�,,II r / /. '. 1 III I IY r � 7 ��i% ll I��, J p•,rrl / �',I, 1111�J � / !;, ^'!'rl „ .'%';:,14:-'- ce/i /.i.'..,..,./ /y.lJ I !! j"i•-1 Ln 1 1 IrI '1'117,11, �%/�i, __-_-_=_--,%,,.:.J,.ai / i'y s��.i /c rIJI IIrAI(�Ir IIIPIi,,l9 �i j % — J�..'ri d'rl'I ;f ! / / l %� C1F', �/ ",,,.// //nom.,%•>.'- - -_/,�'4,,,/;/-, i�"//. 11�r, r. "J' II,' Ir' `•../ ' __ _- _.�ii.,G: %/%4 II IIrr�IFlrl,�lrli 1 / _ ",r/r IIII°j!•1;"III,'�I� • y is �:�-�/%„•.:.....,,.�,ii,%''y.�/,:,111. y����•5r !III I I�!I /•/„i i%; __/ ____ %..,.: „r . I,..//i.,:'..i/r'' __-_ _— — ' / Of' .'/i/, 11"'P'� '';'91 I I'bP L;✓',i/i' • G,,.,.;, /_ .//:•,y,% 111111 I� /:�/////%"•.;,—_____— :�.,"./i' /i,./,...,.,;:/' ,11111 ,,�,,, �O Z N W 0 O M z O COQ z M Ea) .. II .. I— oE VIA N CL N �fl WN Lu o ' ,WO CJ o 1"1 �l W u1_i LUC H o� 40= Q:�H wcoX CCt10 �2 cnw LLZO 001 OWQ H Z W '. m om Ca 62 H o 4 "'F �o C Co WHIZ CCJ C }WO ON4 00 cV c ill ' III4 : = aao m E i-i o tf�ui N . me = ;H _ a) O I F- I` of Z M F- M M vi: N I- 4 N J gym: NN Z -LL rn CLfl ZO — a or=1 WC) C%3 o' GGZN C o azoN =_ f°I Z 34NZ U W E -I O ( Qo. zO ?W)<Z N () 4Z o.4 U = vci =4�z aHiI Z an ovl ;�I CERTIFICATE NO./DATE ACOPtD CERTIFICATE OF LIABILITY INSURANCE14/9/2008006804 39PM PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Highpoint Risk Services LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14160 Dallas Parkway #500 HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Dallas, TX 75254 ALTER THE COVERAGE AFFQPDEI BY TI-'E P0'ICIES BELOW. (800) 632-5096 (972) 715-0959 INSURERS AFFORDING COVERAGE Fax: (972) 404-4450 INSURED: AMS 1/c/f: INSURERA W.A. NEUMANN CONSTRUCTION, INC. INSURERS: 12630 CURLEY ST. STE 105 INSURER0: SAN ANTONIO, FL 33576 INSURERD: (352) 588-0910 Fax: (352) 588-0911 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IN_jetIFD (R SR POLICY EFFECTIVE POLICY EXPIRATIO LIMITS TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any One Fire) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 04/01/2008 04/01/2009 X WCSTATU- OTH- EMPLOYERS'LIABILITY WC77779990601 1000000 E.L.EACH ACCIDENT $ A E.L.DISEASE-EA EMPLOYEE $ 1000000 E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER LIMITS $ LIMITS $ 1. This certificate remains in effect, provided the client's account is in good standing with AMS. Coverage is not provided for any employee for which the client is not reporting wages to AMS. Applies to 100% of the employees of AMS leased to W.A. NEUMANN CONSTRUCTION, INC., effective 04/01/2008. ***PLEASE SEE ATTACHED EMPLOYEE ROSTER.*** CERTIFICATE HOLDER I I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Zephyrhills -Building Dept 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Fax: 813-780-0005 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 33542 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97) ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OPID K DATE(MM/DD/YYYY) WANED-1 09 24 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Stahl & Associates Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oldsmar FL 34677 Phone: 727-784-8554 Fax:727-789-2823 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Mid-Continent Casualty Co. INSURER B: W. A. Neumann Construction Inc INSURERC: P.O. Box 1207 INSURER D: San Antonio FL 33576 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR NSRI TYPE OF INSURANCE POLICY NUMBER DATE MM/DD!YY DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 04GL000732087 09/28/08 09/28/09 PREMISES(Eaoccurence) $100,000 flCLAIMS MADE OCCUR MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS RE Jason Neumann FL Contractor Lic # CBC 058155 CERTIFICATE HOLDER CANCELLATION CITYZEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL BUILDING IF ZEPHYRHILLS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR DEPT 5335 8TH ST REPRESENTATIVES, ZEPHYRHILLS FL 33540 f 0 /- ACORD 25(2001/08) ©ACORD CORPORATION 1988 SDII Global Corporation February 25, 2009 www.sdil-global.com Mr. Bill Kull 4509 George Road American Strategic Insurance Company Tampa, FL 33634 805 Executive Center Dr. W. tel 813-496-9634 fax 813-496-9664 Suite 300 St. Petersburg, Florida 33702 Subject: Completion Report of Grout Injection Remediation Driftwood of Zephyrhills 6553 Teak Court in Zephyrhills, Florida Claim No. 93480-08 Remediation Contractor: C & N Foundation Technologies,Inc. Remediation Contractor Permit No. 8763 SDII Project No. 3018611A Dear Mr. Kull: SDII Global Corporation (SDII) is pleased to present this report summarizing the grout injection remediation performed at the Driftwood of Zephyrhills located at 6553 Teak Court in Zephyrhills, Florida. Figure 1 illustrates the project location. BACKGROUND INFORMATION SDII was retained by American Strategic Insurance Company to monitor and confirm that the grout injection was completed in substantial compliance with the recommendations made in our "Final Report — Subsidence Investigation" dated November 14, 2008, SDII Project Number 3018611. The purpose of the grout injection program was to treat the suspected sinkhole conditions beneath the foundation of the home by filling subsurface voids and compacting soft subsurface soils. SDII monitored the contractor's operations during the grouting to verify compliance with the intent of our recommendations. SUMMARY OF MONITORING SERVICES The following summarizes the activities we observed and documented at the site: • C & N Foundation Technologies, Inc. installed 12 grout injection points around the perimeter of the residence between February 4 and February 11, 2009. Pipe depths ranged from approximately 52 to 93 feet for a total of 783 linear feet. Completion Report of Grout Injection Remediation February 25,2009 Driftwood of Zephyrhills-Zephyrhills,Florida Claim No.93480-08 SDII Project No.3018611A • The contractor ordered 10 truckloads containing a total of approximately 100 cubic yards of grout mix to the site. Of this quantity, approximately 97.6 cubic yards were injected into the subsurface. • The grout slump tests conducted at the site indicated a range in slump of 5.0 to 6.0 inches. Based on the above information, it is our opinion that the deep injection grouting program was completed in substantial compliance with SDII's engineering recommendations and local grouting practices. This grouting procedure was implemented to stabilize the subsurface conditions related to sinkhole activity in the immediate vicinity of the foundation of the structure. This procedure may not preclude development of new sinkhole activity in the future, however. Table l in the Appendix summarizes the grout injection, including estimated grout volume injected and initial depth of each point. Figure 2 illustrates the location and numbering of the grout points. It is SDII's understanding that cosmetic repairs will be done following the grouting operations. Accordingly, any existing damage and/or collateral damage associated with the grouting operations should be repaired at that time by a qualified restoration contractor. CLOSING SDII appreciates the opportunity to be of service to you on this project. If you should have any questions concerning the contents of this report, or if we may be of further assistance, please contact us. Sincerely, SDII GL LII z 26 oq Thomas H. Fisher, P.E. Principal Engineer Florida Registration Number 58027 APPENDIX: Table 1 —Grout Point Injection Summary Figure 1 —Project Site Location Map Figure 2— Site Plan Showing As-Installed Location of Grout Injection Points Selected Site Assessment Photographs DISTRIBUTION: Addressee—2 C & N Foundation Technologies, Inc. - 2 File - 1 Completion Report of Grout Injection Remediation February 25,2009 Driftwood of Zephyrhills-Zephyrhills,Florida Claim No.93480-08 SDII Project No.3018611/i APPENDIX Completion Report of Grout Injection Remediation February 25,2009 Driftwood of Zephyrhills-Zephyrhills,Florida Claim No.93480-08 SDII Project No.3018611A Table 1. Grout Point Injection Summary Grout Point Number Initial Pipe Depth Approximate Grout Volume (feet) (Cubic yards) 1 76 1.8 2 61 0.5 3 63 20.3 4 69 11.5 5 76 20.5 6 52 0.5 7 62 6.1 8 59 10.8 9 60 5.4 10 93 18.4 11 55 0.9 12 57 0.9 TOTAL 783 97.6 V � h _� of s,�► 1 Y✓ ��" f "Ar ti� r-v t J�' ( �� C � u L t I I, uI 111LJ^� ₹ L J N NOT TO SCALE PROJECT SITE LOCATION MAP AMERICAN STRATEGIC DRIFTWOOD OF ZEPHYRHILLS INSURANCE COMPANY ZEPHYRHILLS, FLORIDA ST.PETERSBURG,FLORIDA DESIGNED BY: THE PROJECT NO.: 3018611 FIGURE CHECKED BY: THE DRAWING NO.: 8611-1 1 DRAWN BY: JMW DATE: 02/17/09 TREE FENCE 12 11 10 9 e ei D 4 , D7 6 L ) 5 2 TWO ADJACENT UNITS NOT INCLUDED IN THIS REPORT 4 3 CAR ASPHALT DRIVEWAY O INDICATES VERTICAL GROUT POINT E"O INDICATES INCLINED GROUT POINT N ' APPROXIMATE LOCATION OF AREA PARTIALLY OR TOTALLY INACCESSIBLE TO GPR SURVEY 0 20' SCALE SITE PLAN SHOWING AS-INSTALLED LOCATION OF GROUT INJECTION POINTS AMERICAN STRATEGIC DRIFTWOOD OF ZEPHYRHILLS INSURANCE COMPANY ZEPHYRHILLS, FLORIDA ST. PETERSBURG, FLORIDA IDESIGNED BY: THF I PROJECT NO.: 3018611A FIGURE CHECKED BY: THF DRAWING NO.: 8611-2 I 2 CREATED BY: JMW DATE: 02/17/09 Completion Report of Grout Injection Remediation February 25,2009 Driftwood of Zephyrhills-Zephyrhills,Florida Claim No.93480-08 SDII Project No.301861]A Selected Site Assessment Photographs Completion Report Of Grout Injection Remediation February 25,2009 Driftwood of Zephyrhills-Zephyrhills,Florida Claim No.93480-08 SDII Project No.3018611A ar, Completion Report Of Grout Injection Remediation February 25,2009 Driftwood of Zephyrhills-Zephyrhills,Florida Claim No.93480-08 SDII Project No.3018611A -'I, (k hr _ Completion Report Of Grout Injection Remediation February 25,2009 Driftwood of Zephyrhills-Zephyrhills,Florida Claim No.93480-08 SDII Project No.3018611A a