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` Building &Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
HERMIT #: I"loS - 65(ob JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE s PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
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: a065 Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: .a IS
Date of Treatment: �Ifr•-1 D Time of Treatment: Vo
Footing Slab
lst Treatment K1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 15t Treatment
Re-Treat Re-Treat
Other Perimeter for F' I Inspection
1st Treatment
Re-Treat
Signatur of Ext4mwTkor Date
Note: fiere must be a completed form for each required 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 inspection will fail and a re-inspection
fee charged.
FBC104.2.6 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 treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit fries The 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
Building &Code Regulation Division
• 2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
3�isl
PERMIT #: ) ?01'- o)(,o JOg ADDRESS: 7 L ` Irz ca . i'�oC+
BUILDER/CONTRACTOR: - cd"Icaal
PEST CONTROL CONTRACTOR: EVICT-A-1311GTERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
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.
L
Square feet if area treated: 2SoS1K 1,540 �� Chemicals used: DOMINION2L
Percentage of solution: .05% Total gallons used: / (7
Date of Treatment: 4/—z I Time of Treatment: 49' f o
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-T at Re-Treat
Other �ria X_,Perimeter for Final spx3stTreatment
Re-Treat . 2 7—1
Si nature of Exterminator Date
Note: There must be a completed form for each required 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 inspection will fail and a re-inspection
fee charged.
FBC104.2.6 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 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 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
10 \NN\�A 0'*-� -0�) -:�)
Professional Insulators of South Florida
FTC Insulation Installation Certificate
To. St Lucie Countv Date: November 7,2017
Re. Lot/Block:
Address: 6687 Lila Court Project:
The undersigned hereby certifies that insulation has been installed in the above described property as follows:
1. Exterior CBS walls have been insulated with: Spray-on Cellulose
Thickness in inches: lFiberglass Blankets
Manufacturer: Fi Foil lRock Wool Blankets
Density: X aluminum Foil
R-Value: R 4.1 Rigid Board
Polystyrene
Other
2. Ceilings(level)have been insulated with: Spray-on Cellulose
Thickness in inches: l l.l" X I Fiberglass Blown
Manufacturer: Climatepro Rock Wool Blankets
Density: Aluminum Foil
R-Value: R-30 Polyurethane
O en Cell SPF
Ceilings(Inaccessible) insulated with: Spray-on Cellulose
Thickness in inches: 9.5" X Fiberglass Blankets
Manufacturer: Johns Manville lIgnition Barrier
Density: Fiberglass Blown
R-Value: R-30 Cellulose Loose Fill
Open Cell SPF
3. Interior kneewalls have been insulated with: Fiberglass Blankets
Thickness in inches: Fiberglass Loose Fill
!Manufacturer: Rock Wool
Densitv: Fiberglass Blown
R-Value: Cellulose Loose Fill
Open Cell SPF
4. Garage partition walls of AX living area have X Fiberglass Blankets
been insulated with: I Rock Wool
Thickness in inches: 3.5" Polvurethane
Manufacturer: Johns Manville Spray-on Cellulose
Density: Open Cell SPF
R-Value: R-11
5. The following have been insulated:
4 �
,
WYNNE BUILDING CORP. w" —RArp
General Contract/Builder
?a . 2003
Competency '.,tp '•A70rI61•.
Professional Insulators of South Florida, Inc. ���r�±j��R��•`�,
Insulation Contractor
-?1 1 "4 w% - D
By: By:
•
---- Planning & Development Services
Em
Building &'Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Pourer Release
Date: \�l Permit Number: \\n 1�) V ��
Project Address;. ( �`
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 reieese is requested for the above stated purpose only,and there Ml 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 Polity,which is incorporated herein by reference,
3. Ali conditions and requirements listed in the attached document entitled"Requirements for 30 Day
Power fnr Testing"have been fulfiiled 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. WOE 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.
OWNER SIGNATURE DATE
GENIE CONTRACTOR WN DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE
8 LO-d Z000/LOOOd LL L-1 999L8L8ZLL -WOdd OZ:U L L,-9Z-U