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St Lucie County Insp",;cti~......s
2300 Virginia A venue
Ft Pierce, FL' 34982
(7n) 462-2172
CERTIFICATE OF ,TERMITE TREATMENT
CONSTRUCTION SOIL TREA Tl\1ENT
PERMIT#G-=+u~3-UL~L JOB ADDRESS Q~-:}-3 CJ{0fYP Ç\,.~
\ .
BUILDER
~ ~:(\/l
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PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES, INC.
PEST CONTROL LICENSE # JB 9 449 5
Percentage of solution:
Square feet of area treated: Z ~ ~
·c ~--
4"2~:~
We, the undersigned, hereby certify that we have pretreated the above-described construction for
subterranean termites in accordance with the standards of the National Pest Control As~ociation.
Chemicals used: ~-) -9~'~\\cl i(--
Total gallons used: Zh
Date of treatment:
Time of Treatment:
D Footing
o 1st Treatment
D Re..;treat
Slã'l
FBCI04.2.6 Certifica~e of Protective Treatmentfor prevention of termites.
A weather resžstant jobsite posting board shall be provided to receive
.. duplicate Treatment Certificates,as.each required protective. treatment Ìs
completed, providing a copy for the person the pennit is issued to and
another copy for-the building permit files. The Treatment Certificate shall
provide the product used, identity of the applièator, time and date of the
treatment, site location, area treated, chemical used, percent concentration
and number of gallons used, to establish a verifiable record afprotective
treatment. .lfthe soil chemical barrier methodfor termite prevention is used,
final exterior treatment shall be completed prior to final building approval.
1 st Treatment
Re-treat
D Driveway
, 0 1 st Treatment
ORe-treat
D Pools
, CJ 1st Treatment
CJ Re-treat
D Other
o 1 st Treatment
ORe-treat
o Perimeter for Final Inspection
St Lucie County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electrical panel box cover, listing all the
treatments and dates of applications. .
NOTE:
There must be a completed form for each required treatment or re-treatment and thisfonn must be on
the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will
fail and a re-inspection fee charged.
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Signature of extermin~tor
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Revised 6/13/02 dmg
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RECEIVED
MAY 0 8 2007
S PERMITTING
t. Lucie C
O~FL
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
LILt 2-.0
7< A - 001 ~Oì I
State of Florida Certification Number (If applicable):
c) r'¡ me -3 Nea-J-; Yl~ 0. A- I c..
(Company NamelIndividua . ame)
have agreed to be the
J-+ V A- c..
(Type of Trade)
sub-contractor for ~ v e (:)0 0 e V) Nome '\
(Primary Contractor)
for the project located at
q ~ ) 3 0 r <Å V1j -é A Ij e F 't r~ e r- ( -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 81. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
IER (Name ofthe Individual shown on the Contractor's License)
~vY\-es F GÎ~ rne...)
PRINT NAME
S-8-07_
DATE
Address:
City/State/Zip:
Phone:
(-) \
'2 r" I rne ~ N~c'--"\'. nj Q-. Ft \ c..
,'3oç;-<.j AI L{ ~ l
Ft-: P. e Î( ~ PC '3 '·1 g'--j b
l.{ CQ I - '8-) J I email:
OFFICE USE ONLY:
PERMIT .,
ISSUE DATE
5tF h.~ff¿; ~~~~~~~
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
http://stl ucieco.gov/ ce
Building
Receipt
Date: 08 May 2007 Receipt #: 0000053938
~----~--------~----~----
Job Address: 9873 ORANGE AVE 'ermit Number: SLC- 0703-0282
Received By: HUMPHREY A Amount: $50.00
Paid With: CK :redit Card Number:
Check Number: 7643
Paid By: DA VE GOLDEN HOMES INC Sign:
KSM
KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC.
MARTIN (772) 337 -7755
PALM BEACH (561) 845-7445
FAX (561) 845-8876
P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377
C.Ä.: 5693 P.E.: 37293 S.I.: 860
E-MAIL KSM@KSMENGINEERING.NET
SOIL COMPACTION REPORT
ASTM D 1557 and ASTM D 2922
SEBASTIAN (772) 589-0712
MELBOURNE (321) 768-8488
ST. LUCIE (772) 229-9093
FAX (772) 589-6469
DATE TESTED
PERMIT #
CONTRACTOR
JOB LOCATION ·
March 23, 2007
0703-0282
JOB # : 700826-1 d/ES/elm
No Name Road
St. Lucie County, Florida
RECEIVED
APR 0 2 2007
Dave Golden Homes
Public \'Vorks
St. Lucie County, FL
ITEIV1 TES T~ED Compacted Foundation Fill - -18t Lift
TEST LOCA TION DEPTH * PEN DRY
OF SAMPLE READ DENSITY
1 . N.E. 0" - 12" 48 115.5
2. N.W. 56 114.6
3. S.W. " 44 114.3
4 S.E. 46 114.7
MAX. DRY
PROCTOR VALUE
116.4
"
PERCENT
COMPACTION
99.2
98.5
98.2
98.5
"
Soil Description:
Brown Clayed Sand With-'Shell
@ Test Locations The
Density & Penetrometer
Readings Indicate the
Degree of Compaction Meets
Minimum Required
For Unstaked Foundation
* Pen. Readings Taken to Natural Grade.
Respectfully Submitted:
118.0 1
W 1 I I 1 1 I
Ell 1 I I ·
117.0 +- - - - -1- - - - -t - - - - -1- - - - t - - - - + - - - - .
I I 1 I I 1 .
G 1 1 1 1 1 1
H 1 I' ·
T 116.0 .L - - - -1- - - - ...J - - -1- - - - - - - · .L · - - - ,
1 1 1 I 1 .
I I I 1 I I
P ¡Ii I i
. 115.0 -;- - - - -. - - - - I - - - - -. - - - - ~ - - - -;- - - - - .
C I V I ¡ I I
. I 1 . . ·
F 114.0 !... - · - - · - · - --! · - - - .!- - - - ! · - · - -- - - - - ,
I I I 1 1 I
. 1 1 1 I
D I I I I I I
113 0 ~ - - - _1- - - - ~ - - - - _1- - - - .!. - - - - ..!- - - - - .
R · I 1 I I I I
y 1 1 1 I I .
1 1 I I 1 1
112.0 ~ - - - -; - - - - ...; - - - - -; - - - - ; - - - - ..;.. - - - - I
In Place Moisture:
7.6 Percent
Optimum Moisture:
11.4 Percent
r'v1ax. Dry Density:
116.4 P.C.F.
8
9
10
11
12
13
14
Moisture - % of Dry Weight
~
. e er, P. .
-465-8439 '.2 ---~? ,- ~ 2
py To: St. ~ie County Building Department
Cl,JSr-I-'()i\1 l-iOMI~S
Rli~MODEl,ING
DAVE GOLDEN HOMES, INC.
License No. CBCI253198
4900 Indrio Road
Ft. Pierce, FL 34951
Office (772) 466-0829
May 14,2007
St. Lucie County Building Department
Fort Pierce, FL
This is a request to change roofing sub-contractors for permit #0703-0282;
9873 Orange Avenue, Fort Pierce, FL. Change from Local Roofing to Newland
Contracting, Inc. License # ~ 0 "5 f 0 J,/ ·
//
ST. LUCIE COUNTY PUBLIC WORKS
.' If
BUILDING & ZONING DEPARTMENT
BUILDING PER1\fIT
SUB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): (~¿e 0 <5 c(JO.J-./
--'J)t.i.i/ ¡Li 1\1" C,ç~"¡-7 ¡jul-it) , þµL have agreed to be the
(Company NamelIndividual Name; - (
í) b.
1< 0 {; "¡j:
I (Type o£ rade)
sub-contractor for ~ v ( ~ 1 J v;\.. 1J 'Üf1l PSI ;:; ~
(Primary Contractor)
for the proj ect located at
q f13 D/'ðr\~L .Ä;¿ .- r.µ Pìèf..-L í je.
(Project Street Addre or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation \vith the
above mentioned project, I will immediately advise the B\}ilding 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)
ORIGI~AL SIG~.Þ-\ TlíRES ..L\.IŒ IŒOlTlRED
~ ~ ~;l~a¡.~~ N,j~'
GNA TURE PRINT NAME
Business Name: rJ l.LJ lavt...{. e .I} f\ ·.J..t...a ut(\.t-J ' I' JJL--.
Address: ~ DO'! . ,C\-,v,()" ~ ç I!-ca.<-~· I
City/State/Zip: ~ f'¡ it(..~.~· *- 3 t/'Î 'J I
Phone: I)tJ J ,,5q 5 ..03: rù email:
S ¡'''/Oi}
DATE
OFFICE USE ONLY:
PERMIT #
ISSUE DATE