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HomeMy WebLinkAbout06060182 i-_~_i~ 1) . MAR 1 '.1 Z007 I~::1 ):> , ~__l æ: . --- -._._--~ .------------,---,-- - --='- ---=-:::-=::::::::...-::--=:::,~_: -". ObOb-OI L{J-- Pre-Construction Termite Treatment 1-800-285-7378 . HULETT ..~_...... .......1 to-.... Property Information Builder/Contractor Treatment Date!:> -L 4~ime I () ! ~ D {~'c~rlön r7C0£h;-¡ "" Name of Builder Lot Block Subdivision Name Shell Contractor 55'S-V 5, (is '"1, Street Address (If known) ~L (<- State Zip Ttruction Type Monolithic _ Floating/Stemwall _ Patio - Entry _ Driveway_ Owner Name (If known) Product/Treatment Information Treatment Type: Underslab L Patio/Driveway _ Final _ Other - Wood Treatment - / Product: Disodium Octaborate (Boracare ) Probuild TC Cypermethrin Concentration " <> Other Mixed Product Applied ten ( ~~ Square Feet Treated 2( áCO Linear Feet Treated o If this box is checked, then Final Perimeter treatment has been completed and the following statement is applicable: Certificate of Compliance: This building has received a complete treatment for the prevention of subterrranean termites. This treatment is in accordance with the rules and laws established by the Florida Departtnent of Agriculture and Consumer Services. .ihb \3-etJ Srk,-- Applicator's Name (please print) HES- TEO 19 Rev 05/06 ©Hulett Environmental Services S PUblic Works t. Lucl. CO"'n Request for 30-Day Temporary Power Release tv, FL St. Lucie County Buildi~g.& Zoning Depart~CE'V 2300 Virginia A venue E D Fort Pierce, FL 34982 AJAY 772-462-2165 PIR 0 1 2007 Fax 772-462-6443 Date: 0'-/ -() 7 Property Address: 5'0.$- Ò Permit Number: ¿:9~¿7V' -o/¿f,.? ß~'cJ..s ~¿/ ßaJ¡;:Z , THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRmED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is requested for the above stated purpose only, and there will be no occupancy of any type, other than that permitted by construction during this time period. 2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including Building Division Policy, which is incorporated herein by reference. 3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day Power for Testing" have been fulfilled and the premise is ready for compliance inspection. 4. All requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to lift the Stop Work Order. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. .- ) l-? (- ç ), } D DATE . ~/-'ð7 DATE sf¡ 10) /JA TIt GEN RAL CONTRACTOR SIGNATURE ~--4 ~ ELECTRICAL CONTRACTOR SI ATURE A. M. ENGINEERING AND TESTING, IN~ECEIVED 590 N.W. MERCANTILE PLACE MAR 1 5 2007 PORT ST. LUCIE, FLORIDA 34986 OFFICE: (772) 924.3S7~ FAX: (772) 924-3580 Public WO'ks St Lu · · cia County, F'L DENSITY OF SOIL IN PLACE Contractor: Site: Leighton McGinn Company 1983 PGA Boulevard, Suite 104 North Palm Beach, Florida 33408 Client St. Lucie County Cancer Center, Port St. Lucie St. Lucie County, Florida Interior Slab Density for Building 2 Report Date: Project No.: Lab No.: Technician: March 15, 2007 Client: Page No.: Permit No.: 203 M. MacAdie R. Lewis / P. Koch 1 of 1 06060182 Field Test Results Proctor Compaction Eleva- Max Test Date Location tion Dry Probe Dry In Min Pass/ No. Tested (ft) HCP H2O Density Depth Density Place Req'd Fail % (pet) (in) (pet) (0/Ó ) (0/0 ) 1 3/14/07 Northwest Corner o - 1 60 10.6 111.3 12 115.5 96.4 95 P 2 nn 1 - 2 80 95+ 95 P 3 Center Area 0-1 60 12.1 112.4 12 115.5 97.3 95 P 4 nn 1-2 80 95+ 95 P 5 Southeast Comer 0-1 45 10.9 110.4 12 115.5 95.6 95 P 6 nn 1-2 45 95+ 95 P Remarks: · Elevations are below bottom of slab. · Field density tests were performed in general compliance with ASTM D2922, Density of Soil in Place by Nuclear Method~ · Hand Cone Penetrometer (HCP) tests, in conjunction with information about the soil type, are empirically correlated to the relative density of the subsurface soils. · Laboratory Proctor maximum dry density was determined in accordance with ASTM D1557. Distribution: Client - 3 Reviewed by: A. . ENGINEERING AND TESTING, INC. PCM/sc F:\Fort Pierce OfficeWetAppslAM DATAlLeighton McGinnIS!. Lucie County Cancer Centerl203 - Interior Slab Dens, Bldg 2