HomeMy WebLinkAbout06070129
TERMITE PRETREAT SPECIALIS
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FAX 800-837-8311
TermitePretreat.comMA Y
State License JB94495'
DILIGENT
Environmental Services
PEST PREVENTION I LAWN & ORNAMENTAL CARE I TERMITE SERVICE
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
SERVICE ORDER NUMBER
OSQUITO ABATEMENT I RODENT & NUISANCE WilDLIFE EXCLUSION & REMOVAL
TIME
WEATHER CONDTIONS
DEVELOPMENT NAME (PROJECT)
CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK)
73 ¿.. I
CI~ STATE, ZIP CODE
COUNTY
TREATMENTTYP~AREA
o FLOATING
o CUTOUTS
CJ MONOLITHIC
CJ FOOTERS
CJ PATIO
CJ FRONT ENTRY
CJ GARAGE
CJ DRIVEWAY
o STEM WALL
o ADDITION
CJ EXTERIOR PERIMETER FOR RENEWAL 0 OTHER
TREATMENT TYPE
o TAMP & TREAT 0 TREAT ONLY
~FINAL
o RETREAT
CJ BORA CARE TREAMENT
o BAIT STATION
~~~~~LD TC 0 DRAGNET
A TIVE INGREDIENT
CJ DEMON TC
CJ TERMIDOR TC
o BORACARE... ~
_Q OTHER
~NCENTRATlON
1.25% 0 .5%
o .23%
o OTHER_
GALLONS APPLIED
'?ÍJ
SQUARE FOOTAGE
,¡ ~i)
LINEAR FOOTAGE
,º5D
SQUARE FOOTAGE VERIFIED
DYES
CJ NO
CJ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
CJ YES
DNO
DETAILS
SAFETY CONDITIONS
As per 104.2.6 FBC - If soil chemical barrier method for termite p" ntion is used. Final e terior treatment shall be completed prior to final building approval.
Certificate of Compliance: The building has received a com te treatment for the pre ention of subterranean tennites. Treatment is in accordance with rules and
laws established by the Florida Department of Agriculture an Consumer Se · r the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this I
{TERMITE MONITOR INSTALLED 0 YES 0 NO}
FINAL STICKER
o ELECTRICAL PANEL
o WATER HEATER
OTHER
Payment Tenns: Customer's payment in f at time of initial service. Customer agrees that a finance charge in the amount of 18% per annum will
be assessed on all unpaid balances th are not sa sfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance t foil wing fees will be a essed i but not limited to: collection service fee, attorney's fee, finance charges and non-sufficient funds
paymen ee. ustomer will be ponsible fo' yin all costs associated with any collection process.
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BOO-DiliGENT
800Diligent.com
Date
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Customer (Property Owner or Agent)
Corporate 3100 NW Boca Raton Blvd. I Suite 106 I Boca Raton, Florida 33431 I 800.487.8190
05/04/2007 07:56
5613935882
PAGE 02
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TERMITE. PRETREAT SPECIALISTS
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(/ÍJILIG iNT~~)
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S66-PRE- TREAT
'f!.~g~@~ .
SUIte Lieense J89449!5
MAY
Notice 0; Preventative Treatment for Termites
(as requited by Florida Build.inø Code (FBC) 104..2.6 aDd Brøward County Chapter FBC 105.2.2)
ÞUT PREVENTION I LAWN' ORNAMENTAL CARE I TERMITE SERVlC!!S 1 MOSQUITO ABATEMENT J FlOOENT. NUISANCE wrLD
SERVICE OACER NUMeER SERVICE DATE 5'. Z... 7; TIME ' WEATHER OONOrlONS
DEVELOPMENT NAME (pROJEC1)
COJ1TRl'GTOR'S NAME
CÓf'Ý~O
CONTACT PERSON
CONTACT PHONE NUMBER
crrv; STATE, ZIP CODE
~L,
COUNr1
STRUC1\IRE ADDRESS (LOTJBLOOK)
NOTES
TR~TMENT~
C FLOATING - MONOLfn-IIC
a CUTOUTS CJ FOC>TERS
~
a PATIO
CJ FRONT ENTRY
Q GARAGE CJ DRIVEWAY tJ STEM WALL
tJ EXT1!FtIOR PSRIMETEA 'FOF( RENEWAl C OTHER
C ADDmON
~gnø~NT TYPE '
, CI T~P & TAeAT ~ iREJI\r oNLY
r:J t=INAL
C RETREAT
~ BORA CARE TREAMENT '
C BAIT STATtON
¥==n.n TC
ACT1VEINGREDIENT
o DRAGNET
~ DEMON TO
C TEAMrOOR TC
tJ BORACARE
tJ O-rnER
trC~N
25" C .5C)fs
tJ .29"
(] cm-fER ~
GA~ONS AF'PL.fED
šCJ
...~-·.4..
..... ~.ENJ: .....
.. _4.0 .....,.4.~.. ..
· -~-.. 0 .. v~.:.
.-1;'. ... · " 4 ...~ ..
: .. 0 ..... ~ ~
· · EA· \~.
,'V¡ :" .. *'
~. .. j
~ ~ .~.6 'f:.e ~ :
.ii\.." ~ .--. ..~.
.. t?e> ',~ 0 R \ ""., .W.I .'
... ..... ..... ...
..... -tt. ...
,a·.It....~.··
SQUARE ~o~
>~-c5D
LIN~ft ~E
~QUARE mOTAGE: VERIFIED
tJ yeS 0 NO
L) ~UR£O OR VERIRED PiR PLANS
',,:~~
JOB REAqx çðNDmONS MET
CYES [JNO
DETAILS
~A~ CONnITIONfi '
Afj þer 104,2,8 FeC · rf toil chemlcaf blniør method for te.",lte pt'8Vêntlon Is used,. Flnalexterfor tre8bnent shin be completed prior to 11".1 buUClMg apprDVslR
Certlftcøtø of Compliance: The burldlng has received a compt8t8 tr8a1ment for the prevention of aùbtB~ne." termites. 1rMtrnent 1s In aeeordance with rules and
laws esœbnshed ~'tne Ronda Deøartment of Agricuttu", ."d Consumer SBrv~."" (per tho Flortda Bulldlrtg COde.) ,,~~/'ri
If ttll$ notice Is fOr the fInIIllI!(tel'lClr treatment. initial Met date1:~1B line {TEAMITE MONITOFllNStALLED IJ ves CJ NO} ~
1=INt~ m1ek';~
CJ ELeCTRICAL PANEL.
C WATER HEATER '
OTHeR
I " :""..., ;"1. ai' 'I
p.....' Tenn.: Custom"'" P'eymenl_~uI=at time of tnftløl ~lNVtoe. Customer agrees iIIat. ftn8nce charge In the 8111ðQ"t of 11~ per annum wIll
Þe ~,....d on III unpaid bø.nc.Mftifare not sftecI by the due datB.. .n the event I colloctlol't proce.. becomes necê8a8tYm rlBcover'lIft unpaid
bal.nee the fðqowlng fees wiD '~!I!le!llled 1no1u<l ta t limited to: co'~ectlon aervlell feet attorney.. te8, finance charge, (and non-&umclenl funds
~M'lt _. ~";r win reapðMlble 10 51 aI _ 8aoclatød wtIh any collection ørocøü. ' .
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~ I I ~œtDr (DI . rorm.nbII ~ InC.), '
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Corporate 3100 NW Boca Raton Blvd. I Suite 106 I Boca ~ton, Florida 33431 r 800,487.8190 '
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800-DI'-IGENT
, SOODiligent.cOm
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Custðmer (Pro1*1\t Owner ar Agent)
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CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of the Florida Building Code certifying that at the
tiß1e of issuance this structure was in compliance with the various ordinances of St. Lucie County
regulating building construction or use. For the following:
I Building Permit No. - 0607-0129
ParcellFolio Nbr: 1335-801-0028-000/3
Lot # 1 Block:
Subdivision: Kings Highway Industrial Park Unit 1
Occupancy: Storage - moderate hazard
Building Address: 7321 COMMERCIAL CIR
Legal Description: KINGS HIGHWAY INDUSTRIAL PARK UNIT ONE BLK CLOT 1
Permit Job CONSTRUCT NEW BUILDING, WITH MEZZANINE AND ADJACENT
Description PARKING AND SIDEWALKS
Permit Finaled: 05/18/2007
Contractor
JACQUIN MICHAEL E
POBOX 4343
PAUL JACQUIN & SONS INC
Ff PIERCE, FL 34948
(561) 465-2475
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Christopher Lestrange
Building Official
Friday, May 18, 2007
Date Printed
NOTE:
This Certificate of Occupancy is issued to the above named, for building at the above named location only upon the express provision that
the applicant will abide by and comply with all the conditions of the Zoning Ordinances and all Ordinances or Building Codes of Saint
Lucie County pertaining to the erection, construction or remodeling of buildings or structures.
This also certifies that the electrical wiring and/or equipment, and the plumbing work have been inspected and approved. The issuance of
this Certificate grants permission to occupy and use the property described herein only for the use indicated. Any change in use will
require a new Certificate of Occupancy.
POST IN A CONSPICUOUS PLACE
TRANSMISSION VERIFICATION REPORT
TIME
NAME
FAX
TEL
SER.#
05/18/2007 09:24
SLC INSPECTIONS
7724626443
7724622165
BROE5J278862
DATE, TIME
FAX NO./NAME
DURATION
PAGE(S)
RESULT
MODE
05/18 09:23
94662806
00:00:25
01
OK
STANDARD
ECM
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CERTIFICATE 'OF OCCUPANCY
This Certifica.te is issued. pu.rsuant to the requirements of the Florida Building Code certifying that at the
time of issuance th.is stnIcture was in ~ompJian,ce w;'tb the various ordinances of St. Lu.cie County
reguJating building construction or use. For the following:
I Building Permit No. - 06?_?_:~~~?"."
ParceJlFoJio Nbr: 1335-801-0028-000/3
Lot # 1. Block:
Subdivision: Kings :Highway Industrial Park Unit 1
Occupancy: Storage - moderate hazard
Building Address: 7321 COM1\1ERCIAL CIR
Legsl Description: KINGS HJGHW A Y INDUSTRIAL PARK UNIT ONE ELK C LOT I
Permit .Job CONSTRUCT NEW BUILDING, WITH l\J1EZZANINE AND ADJACENT
Descdption PARKING AND SIDEWALKS
Permit Finaled: 05/18/2007
Con tra.c r:ot JACQUIN MICHAEL E PAUL JACQUIN & SONS INC (561) 465~2475
POBOX 4343 Fr PIERCE, FL 34948
:L~~ïld.: :i~.:~~~I"~~~===:::""'"ñi.~L/-=· ~JJ~ -~= .: =- i::~-",-i ~ [~~;l ~l lJ, _ ;n~~~':;~J ~.=~~==:==-~~:
Christoph.er Lestrange
---'··1···...--
Building Offi c; al
Friday, May 18,2007
Date Printed
F
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CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of the Florida Building Code certifying that at the
time of issuance this structure was in compliance with the various ordinances of St. Lucie County
regulating building construction or use. For the following:
I Building Permit No. - 0607-0129
ParcellFolio Nbr: 1335-801-0028-000/3
Lot # 1 Block:
Subdivision: Kings Highway Industrial Park Unit 1
Occupancy: Storage - moderate hazard
Building Address: 7321 COMMERCIAL CIR
Legal Description: KINGS HIGHW A Y INDUSTRIAL PARK UNIT ONE BLK CLOT 1
Permit Job CONSTRUCT NEW BUILDING, WITH MEZZANINE AND ADJACENT
Description PARKING AND SIDEWALKS
Permit Finaled: 05/18/2007
Contractor
JACQUIN MICHAEL E
POBOX 4343
PAUL JACQUIN & SONS INC
Ff PIERCE, FL 34948
(561) 465-2475
.. .......~~..:
Christopher Lestrange
Building Official
Friday, May 18, 2007
Date Printed
NOTE:
This Certificate of Occupancy is issued to the above named, for building at the above named location only upon the express provision that
the applicant will abide by and comply with all the conditions of the Zoning Ordinances and all Ordinances or Building Codes of Saint
Lucie County pertaining to the erection, construction or remodeling of buildings or structures.
This also certifies that the electrical wiring and/or equipment, and the plumbing work have been inspected and approved. The issuance of
this Certificate grants permission to occupy and use the property described herein only for the use indicated. Any change in use will
require a new Certificate of Occupancy.
POST IN A CONSPICUOUS PLACE
May 07 07 01 :17p
05/ß7/2007 07:87
772, J443
SLC INSPECTIO~
p.1
PAGE al/01
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COde Com planoe Oivfsloft
_0 VIrgiN. AvenutI
f:t. P'erce~ Fl 34912
P~one: (772) 482-1553 Fa.: (T/2.) 46'.1148
httD~/l.~tluoleCð~ DØN/c
INSPECTION CA D
I
Ponnit #I SLG- 0607.0129 ConI II 6:30
Js.tIed 1 Q/0912006 Insp Area
Job Locatlar 7321 COMMERCIAL C R
Jurisdiction: 81. Llfcie COunty
Parcel: 1335-80 '-0028.000/3
Owner: UNIFIRST CORPORATJON
Project
Job Description
CONSTRUCT NEW BUflOrNG. WITH MEZZANINE AND ADJACENT PA KING AND SIDEWALKS
· JACQUIN MICHAEl ë · PAUL JACQUIN & SONS rNC I (561) 465..2475 i~
POBOX 4343 FT PIERCE FL 34948 I, . . s::
UNIFIRSf CORPORATJON I (978) 658-8888 II Þ
68JONSP'N ROAD WILM'NGTON MA. 01B87 L-<
Setback. l~ 95.50 Right 16.00 FrOn1 90.00 I RNr 23.20 II :: ~:~~!!
'nspøction Notes: .--- PlAN REVISION: NEEC MANUFACTURES TRUSS DRAWINGS M1UST BE REVIEWED ../1 ~ <'Ìi
AND APPROVED BY DESIGN PERSON .......- L ~ ~I
: SUB-PE~MIT! J If ~I
~rmil , Stslm fI Cera, DBA Owner ~ Build... Job D 8crlDtio, L__,.~
Oß07-Ð129-01 ISS EÞ 42'61 JOE'S ELECTRIC OF Sf LUCI I
0607.0129-02 ISS ÞP 1S1SO UNDQUfST PU"IM8ING & SlJ~
0507-0129003 ISS ME ~26 G~IMes HEATfNO & AICITHFf '0I?11.2096 c~"ge ðf Ç()n'~r .
rlQm 828310 ...2tj S9
I
I'n~
Oe07'..01S 380 Mechanical Fnal
nUl
Sehøduled: Thu May 3 17:17:15 EOT2-007 wllh"8IUB~ I1\.IU
SchedI.A/eCf; Tl1u May 3 17:17':56 EDT 2007 whh VDluø: null
0607'.(]129 996 Final Tormíte Trearme-nt 1 0510412001
OS07-Q12!1 280 electric Fll\al 2 osro~,
n:J 'I
~esul!ed: Frj May 4 08:25:22 EOT 2007
Rg~ltød: Fri MIY 4 08:25;38 EDT 2007
AeeultBd; Frl Me)' 4 08:2B~02 EDT 2Of11
OB07·C12S 480 Plumbing Final
Canlt.cto.
Properly OWne
permfU B!g Ðøscrlat¡or
0807-0129 261 30 Day e-~'et1
0607-0129 165 Handicap ~estrootns
607-0'2& 808
land.9caprngfrrøes
0607·0129 115 S.~ab
R.-in~p8C~jon 4
080"·0129 121 Termrte Spray
~..r"SJ)eC!ian ..
a807-o1~ 121 TetmitB SøtllV
rSSINQ TERMITE TREATMENT FOR I.OA
\ .4¡O~ÎOV~
-.-..-
Type: Building Comm$f'~ial
Master Nbr.:
City FORT pr~RCe
Lot 1 810ek
Subdiv~ KJngs Highwa~ Industriar Park Unit 1
Flood X B.v~
Doubte Fee No
Flood Map: 115F
tNSPECTIONS - For Requests, Call: (772) 462.1:1!
I!r Cite Sc~ed J3g Descriøti.Q[
7 05124/2007 0 Pending
7 0510712007 0 Pending
r" . ........."'... -.I ... '
t;/ . .
Date IVR
~
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r-PI
c::I
7
0510712007
{)5JO 41200 7
0 ParufJng
go ApProved r 05/0412007
90 Ap~roved
27 05/04;2007
90 A~ø I
19 05l0dl2C07
2
2
0.510412001
90
90
Approvsd
Approvgd
27 0510412007
~7 05lO~OO7
~ 0412412007
~. 0/7
2
05Ir)412007
3
05/0412007
go
AøÞfO\I8d
3 04/2AJ200," 81 Cisapprov~'
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A. M. ENGINEERIN& L_~ffi TESTING, INC.
3504 INDUSTRIAL 33RD STREET
FT. PIERCE, FLORIDA 34946
LOCAL OFFICE: (772) 461-7508 FAX: (772) 461-8880
DENSITY OF SOIL IN PLACE
]
Client:
Contractor:
Site:
Paul Jacquin & Sons, Inc.
Client
U nifirst
Stripped Surface
~- . - _.~.-:-- ---,
¡ }tl~CEl\i~l~t) I
I 0 C T I 0 2006 I
lB~~
Report Date:
Technician:
Permit No.:
10/10/06
J. Ashburn
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Field Test Results Proctor Compaction
Eleva- Max
Test Date tion Dry Probe Dry In Min Pass/
No. Tested Location (ft) HCP H2O Density Depth Density Place Req'd Fail
°ÆÞ (pet) (in) (pet) (%) (%)
592 10/5/06 Map Location 1 o - 1 7.7 117.3 12 122.0 96.1 95 P
593 " 1 - 2 45 12 122.0 95+ 95 P
594 Map Location 2 o - 1 8.2 118.0 12 122.0 96.7 95 P
595 " 1-2 50 12 122.0 95+ 95 p
596 Map Location 3 0-1 7.1 117.5 12 122.0 96.3 95 P
597 " 1-2 35 12 122.0 95+ 95 P
598 1 0/6/06 Map Location 4 o - 1 7.8 118.4 12 122.0 97.0 95 P
599 " 1-2 35 12 122.0 95+ 95 P
600 Map Location 5 0-1 8.0 118. 7 12 122.0 97.3 95 P
601 " 1-2 35 12 122.0 95+ 95 P
602 Map Location 6 0-1 7.9 116.9 12 122.0 95.8 95 P
603 " 1-2 35 12 122.0 95+ 95 P
Remarks:
All elevations are below stripped surface.
The field density tests were perfonned in general compliance with ASTM D 2922, Density of Soil in Place by Nuclear Methods.
The Hand Cone Penetrometer (HCP) test, in conjunction with infonnation about the soil type, is empirically correlated to the
relative density of the subsurface soils.
The laboratory Proctor maximum dry density was detennined in accordance with ASTM D 1557.
Distribution:
Client - 2
Reviewed by:
A. M. E GINEERING AND TESTING, INC.
~, to}t/06
Paul C. Martin, P.E.
Florida Registration No. 65051
I \Server-ameIcompanylFort Pierce OfficeINetAppslAM DATAIPaul Jacquin and Sons I Unifirst1592-603 Density
A. Mil ENGIXEERI~G A~D TESTI~"G, INC.
3504 I..'lJL-STRlAL 33~ STREET
FOR r PIERCE~ FLORm_~ 3"9~6
, (772) '..161-7508 OFFICE - (ill) ..,61-8880 F.-\..\:
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9
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DATE FILED: '0 II t tOLD
RE"-ISION FEE: 50·
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PEn~ ·IT #. '., , , '. " , '."'... L '" ." '.\., ",.",
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ST. LUCIE COUNTY
DEPARTMŒNTOFCO~TYDE~~LOPMŒNT
BUILDING & ZONING
2300 VIRGINIA A VENUE
FORT PIERCE, FLORIDA 34982-5652
772-462-1553
APPLICA TION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCA TION/SITE
ADDRESS:
2. DETAILED DESCRIPTIONS OF PROJECT Sü '
REVISIONS: r \-tAM.bE \ Ll t\0AL PcC)~T~:
DsrA
3. CONTRACTOR INFORMATION:
ST. OF FL REG/CERT ,: e 0 0 ST. LUCIE COUNTY CERT #=
BUSINESS NAME: -\ SC"'-\S - -.-
'QUALIFIERS NAME:
ADDRESS:
CITY: , i 'f"C..G_STATE Ç~ZIP: ,-~1-'ò-ß~3
PHONE (DA YTIME): . :1J~-+taS- ~±"JS _FAX' 77ó1- ~- 4tß~
4. A RCHITfENGI1'ŒER:
NAME:
ADDRESS:
CITY:
PHONE (DA YTlME):
12/19/02
J!;'.
ST. LUCIE CO:UNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: '-{ L..J L b
State of Florida Certification Number (Ifapplicable): 'K fi - 0 CJ I alOI
(~f' " me..s H-eQJ.l ~ i, c> Il, r- ~ð nc\ . k ~ 0 .1, V1 'j
(Company NamelInd·vidual Name)
have agreed to be the
HVAL
(Type of Trade)
sub-contractor for F2\ ~L\ --:];(~~I n >7-,SnrJ"'\
(Primary Co ctor)
for the project located at
(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 Byilding 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)
UI'RED
, ',~(\. '(1\~_S F (~r ~ rn e S
PRINT NAME
10- 16- 0(-,
DATE
City/State/Zip:
Phone:
(7(' I (1)e. 3 ~~QJ,; ~3 rJ A Ie
/~o-s4 N l~ S J
F + PiËr~( ~ FL,
772- - y~ ).- ð~--7 I J
Business Name:
Address:
email:
G,. 'j' fn ~s c'- ~ (~ 0...0 \ · Q C)ry)
\
OFFICE USE ONLY:
I PERMIT # I
ISSUE DATE
_.5£':-- /:tu:~è ¿:;'~t?~~".~,".
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
http://stlucieco.gov/ce
Building
Recei pt
Date: 11 October 2006 Receipt #: 0000046159
Job Address: 7321 COMMERCIAL CIR 'ermit Number: SLC- 0607-0129
Received By: bushs Amount: $50.00
--_._--~-~_._---
Paid With: CK =redit Card Number:
Check Number: 18836
Paid By: PAlJL JACQlJIN AND SONS Sign:
St Lucie County Inspections
2300 Virginia Avenue
F~ Pierce, FL 34982
(772) 462-2172
CERTIFICATE OF ,TERMITE TREATMENT
CONSTRUCTION SOIL TREA Tl\1ENT
PERMIT # D~o 7... is 1.2~ JOB ADDRESS "73Z/ (' o·'-'~e.-L" .''''1 I e. '-'r
BUILDER ~O,?~C> - ß.t ..JA L &. vi AJ
PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES, INC.
PEST CONTROL LICENSE # JB 9 449 5
We, the undersigned, hereby certify that we have pretreated the above-described construction for
subterranean termites in accordance with the standards of the National Pest Control AS$ociation.
Square feet of area treated: 7/0ð CheinicaIs used: ad~·t-r.,' I~ ~
Percentage of solution:
~ 2 Õ ~~
Total gallons used:
?/ð
Date of treatment:
/I~ - :J ~. ð¿:
Time of Treatment:
7~4Òð .
...~",:,~-----......
~oti~
GI" 1 st Treatment
o Re..;treat
~._. --- - ," . "-, " . - .
Lð Slab ..
~ Treatment
ORe-treat
o Driveway
; 0 1 st Treatment
ORe-treat
o Pools
D 1 st Treatment
ORe-treat
o Other
o 1 sf Treatment
ORe-treat
o Perimeter for Final Inspection
FBCI04.2.6 Certificate of Protective Treatmentfor prevention of termites.
A weather resistant jobsžte posting board shall be provided to recežve
.. duplicate Treatment Certificates as each required protective. treatment is
completed, providing a copy for the person the permit is issued to and
another copy for-the building permit files. The Treatment Certificate shall
provide the product used, identity of the appUèator, time and date of the
treatment, site location, area treated, chemical used, percent concentration
and number of gallons used, to establish a verifiable record ofprotective
treatment. ]f the soil chemical barrier method for termite prevention is used,
final exterior treatment shall be completed prior to final building approval.
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 this fonn 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.
Signature of extermin~tor
Revised 6/13/02 dmg
A P r 1 3 200 7 1 0 : 5 7 A M _. I-f P , ~ A S E R JET F A X
PERMIT NlJMB£8.:
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REQUEST FOR. :10 DAY T!MPOIlARY POWER RÊL' ¿OO?!
DATE: L.j _ J ).. -CJI'1 n. WOE: COUNTY BLDG. . ZO / I
- -r 2301 VIRGINIA. AVE ~ II:
PORT PIERCE. FL Mt52~f6U
ft. (561) 4Ðo-l1Ø 1
FAX. (561) .t6Z-11a
01
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04/06/2007 14:03
PROPERTY ADDRESS:
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13a\ c,W\ÞV\~~l~_ C~'çlt I rv.t B~ct) FL.
TIlE UNDDSlGNFJ) ~IlaY UQUEST ItEI..EAIE OF ELICI1UCAL POWEIt TO
TIlE ABOVEDDCIUBI:D PROPDn'Yt FOR A. PDUOD NOT TO EX.CUJ) TIIIIlTY (38)
DAys' lOa TIIB .VItPOU OF TIS11NG SYSTEMs AND EQIlIPMENT IN
PlŒPABATIOH lOR PINAL INSPEcnON. IN CONSmERAnON OJ' APPROV ÄL OJ'
TIlE IŒQIŒ8T WE Aq1r9Y ACKN'OWLIDC& AND ~q AS JOLLO\VS:
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WE BERDY RÞ ~üE AND 4GRD TO BOLD JIUUf as. STir LOCU COUNI"Y.
AND .IJIQK DIPIDYII:S nOM ALL LIAIII.I.nII:s AND aAJMS OF ANY nPE OP
NATUItB WBlar MAY AlUSE NOW OR IN ra J1TroItE our 011' nus
ft.&NSA~IMCUJDING ANY D.AMAGIS WlDCB M,t.y 81, DICUBIIED DtŒ TO
11IE M OBD..EC.TRICAL JIOWl'JtINTllEÞDrr œ'VIOI..ATIONOI'
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