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Building&Code Regulation Division
® 2300 Virginia Ave
IMM"IM; D Fort Pierce,FL 34982
772-462-2112 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SGRL TREATMENT
PERMIT #:�70q' (--Z,6D JOB ADD ESS: -Pj&K'IW-ron L
BUILDER/CONTRACTOR: a -rAl
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST- CONTROL LICENSE #: JBI75775
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: 3 Chemicals used: BASELINE
Percentage of solution: •05% Total gallons used: , b
Date of Treatment: Time of Treatment:
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
DrivewayPools
1st Treatment _ist Treatment
Re-Treat Re-Treat
Other Perimeter for Final pection
15t Treatment �` J
Re-Treat �9 /7'
Signature of Exterminator Date
Note. There must be a completed rnrm for each requlred treatment or re-treatment and this form must be on the fob
site to be picked up by the inspector at time of each Inspectlon or the scheduled Inspection will fall and a re-Inspection
fee charged,
Fj3(Cj04.2.G Cerffr7cate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive dupllcate 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 bullding permit Arles The Treatment
Certlflcate shall provide the product used, Identity of the appllcator, time and date of the treatment,site location, area
treated,chemical used,percent concentration and number of gallons used, to establish a verltlable record of
protective treatment if the soil chemical barrier method for termite prevention Is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucia County requires for the final inspection for CO,a Permanent Stocker to be placed on
the e0ectdcall panel box cover, listing alli the treatments and dates of apPliications.
Revised 7/24/2014
I. i
Soil Nuclear Gauge Client: Project:
---Report Date:513.1/2017 American Pools&Spas 14-2337.00
Test Method:ASTM D 6938 7320 Narcoossee Rd American Pools-Various Projects
�fRNAT��P
Part St.Lucia Orlando, FL
FBPE CA#4930 -
521 NW Enterprise Drive
Port St.Lucie,FL 34986
Phone:772-924-3575 1 Fax:772-924-3580
Test Results
Optimum Maximum In Place In Place Probe Min/Max
Retest Test Soil Moisture Dry Density Moisture Dry Density Depth Percent Comp.
Test# Of Date Proctor ID Method Classification N (pef) N (pcf) (in) Compaction N Remark
• 384 5/31/17 P-8 N/A 12.3 106.1 9.2 107.6 12 101 98/105 Pass
385 5131/17 P-8 N/A 12.3 106.1 9.7 106.8 12 101. 98/105 Pass
386 5/31/17 1 P-8 N/A 12.3 106.1 9.6 107.2 12 101 1 98/105 Pass
387 5/31/17 1 P-8 NIA 12.3 106.1 9.8 106.8 12 101 1 98/105 Pass
Test Information
Gauge
Test# Test Location Elevation Reference Make I Model/SN Field Technician
384 Pool Deck:6799 Dickinson Terrace,Port St Lucie,West side of pool deck(PERMIT NO. 0-1 Troxler 3430 24039 Grimes,John
1704-0260
385 Pool Deck:6799 Dickinson Terrace,Port St Lucie,East side of pool deck(PERMIT NO. 0-1 Troxler 3430 24039 Grimes,John
• 1704-0260)
386 Pool Deck:6799 Dickinson Terrace,Port St Lucie,North side of pool deck(PERMIT NO. 0-1 Troxler 3430 24039 Grimes,John
1704-0260)
fi 387 Pool Deck:6799 Dickinson Terrace,Port St Lucie,South side of pool deck(PERMIT NO. 0-1 Troxler 3430 24039 Grimes,John
1704-0260
Remarks Comments
Pass:Tests results comply with specifications Tests are"Direct Transmission"(Method A)unless probe depth is noted as
"Backscatter".Gauge calibration data on file with the testing agency.
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a 05/3 f/26.fJ E'E�l �;��' I f4 0l
Donald W. Moler,P;E. : LU JUN 19 '20117
Professio 1�4glneer 5
°RSfate of Florida ;` �_ Lucie CouI-
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Test Reports shall not be reproduced,except in full,without the written approval of GFA International Inc. Page 1 of 1
Digitally signed printed copies of this document are not considered signed and sealed and the signature must be verged on any electronic copies.