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_ Planning &Development Services
Building &Code Regulation Division
• 2300 Virginia Ave
0 o Fort Pierce,FL 34982-
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: ) 10 q—d 13'-) JOB ADDRESS:
BUILDER/CONTRACTOR: e 1 rep'
PEST CONTROL CONTRACTOR: EVICT A-BUG TE TE&PEST CONTROL INC.
PEST CONTROL LICENSE #:J13175775
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 Association.
Square feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Date of Treatment: _S__lme_of-Treatment;—— _�--`--
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat ,� Re-Treat
OtherIr~'U�Y�' �� lf' Per r Final Inspection
11t Treatment
Re-Treat
S' (Date
Note: There must be a completed form for each r treatment or re-treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspecdon will fail and a re-inspection
fee charged.
FBC 104.2.E Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treabment is completed,
providing a copy for the person the permit is issued to and another copy for the building penult files fie Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment,site location, area
treated, chemical used,percent concentration and number of gallons used, to establish a verifiable record of
protective treatment if 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.
Revised 7/24/2014
Planning & Development Services
J `$ Building & Code Regulation Division
2300 Virginia Ave
• Fort Pierce® FL 34952
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: 1l16/2018 Permit Number: JV 170L{ o 39
Project Address: 17900 Wagonwheel Larne, Fort Pierce
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A 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.
OvfNF4SIGN LIRt DATE
E SAL CON CT' R SIGNATURE DATE,
ELECTRICAL CONTRACTOR SIGNATURE DATE ° ;I
I
i
I
REC E
DD
JAN 11 20%
Permitting Department
St. Lucie County, FL
I
i
KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC.
MARTIN(772)337-7755 ' PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN(772)589=0712
PALM BEACH(561)845-7445 www.ksmengineering.net MELBOURNE(321)768-8488
FAX(561)845-8876 E-Mail:KSM@KSMENGINEERING.NET ST.LUCIE(772)229-9093
C.A.:5693 FAX(772)589-6469
SOIL COMPACTION REPORT
ASTM D 1657 and ASTM D 2922
Revised: July 13, 2017
DATE TESTED July 12, 2017 KSM JOB# : 172179-1 d/MH/cc
PERMIT# 1704-0139
CONTRACTOR Grande Construction
JOB LOCATION 17900 Wagon Wheel Lane
Fort Pierce, Florida
ITEM TESTED Compacted Foundation Fill - Re-test
TEST LOCATION DEPTH *PEN DRY -MAX. DRY PERCENT
OF SAMPLE READ DENSITY PROCTOR VALUE COMPACTION
1. N.W. 0"- 12" 50 105.8 109.5 96.6
2. N.E. 50 107.7 98.4
3. Center of50 107.0 of
97.7
4. S.W. of40 104.0 of
95.0
5. S.E. 50 104.1 95.1
Soil Description: 111.0I I I I I
Brown Sand W I I I I I
E I I I I I I
In Place Moisture: 1 110.0
8.0 Percent G I I I I I
H I I I I I I
Optimum Moisture: T
11.0Percent 109.0 •� _.j_.._.� _j._. �._.. ,.._..I_
P I I I I
Max. Dry Density: I I I I I I
109.5 P.C.F. c 108.0
@ Test.Locations The F I I I I I
Density& Penetrometer I I I I
Readings Indicate the 107.0
e��. °�311�S.gjnpaan
tl ion Meets R
�• � � 1 Y I I I I I
* t�pR106.0
eadAgs en to Natural Grade. g 9 10 11 12 13 14.
ff ®s m1 Moisture-%of Dry Weight
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Ron aid G. Keller, P.E.:37293/SI Lic. No.:860 / Julie E. Keller, P.E.:68366