HomeMy WebLinkAboutCERTIFICATE OFT TERMITE TREATMENT - 3-7-184
Planning & Development
erVICeS ,
Building & Code Regulation Division
w 2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
/ JOB ADDRESS: ........
y� ll �t ESL 3 Y
PERMIT # s
BUILDER/CONTRACTOR: jc
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: jB1 a
ion
We, the undersigned, hereby certify that we have pretreated the above described ndards of the National Pest Control gssoc`iat onor
subterranean termites in accordance with the sta
Square feet if area treated:
Percentage of solution: •05°1°
Date of Treatment: 4/4�
Footing
_ 41St Treatment
Re -Treat
Driveway
1st Treatment
Re Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 21.
Total gallons used: 2- f0
Time of Treatment: &-: o
E Slab
St Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
34a'tel
Si ure of Exterminator
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 w111 fall 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 recelve duplicate Treatment Cerdflcates as each required protective treatment /s completed,
provlding a copy for the person the permit is issued to and another copy for the building permit tiles 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
soil chemical barrier method for tencentration and number of rmite prevllons ention Isto aused, final elle record of
rior treatment shall
protective treatment: I royal.
be completed prior to final building app
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.
Rcviocd 7/24/2014
J 469 KSM ENGINEEPING PAGE 01/01
03 02 2018 15:57 77/ 8 6
Z%I JAVJL
KELLER, SCHLEICHER &. MacWILLIAM ENGINEERING AN17 TESTING, INC.
MARTIN (772) 337-7755 PO. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772..) 589-0712
PALM BEACH (561) $45-7445
FAX (56www.ksmengineering,net . MELBOURNE (321) 7G8-8488
C.A.: 56
9$ 845-5$76
FAX E-Mail; KSM@KSMENGINEERINC.NET ST. LUCIE (772) 229-9093
SOIL COMPACTION REPORT FAX (772) 589-6469
ASTM D 1567 and ASTM D 2922
DATE TESTED : March 2, 2018
PERMIT # 170"614
CONTRACTOR Southern Standard Builders
JOB LOCATION 7437 Gullotti Place
Port St Lucie, Florida
ITEM TESTED - ' Compacted Foundation Fill
KSM JOB # : 180739-1d/MH/ct
MAR , 2 2010
TEST LOCATION
DEPTH * PEN
DRY
MAX. DRY
PERCENT
OF SAMPLE
READ
DENSITY
PROCTOR VALUE
COMPACTION
1.
N.W.
0" -12" 56
116.4
118.9
97.9
2.
N.E.
It 55
116.7
IV97.3
3.
Center
50
114.0
If
95 g
4.
S.W.
68
118.7
of
9
5.
S.E_
It
54
116.5
99.8
.
Soil Description:
Brown Sand with
Shell Fragments
In Place Moisture:
7.4 Percent
Optimum Moisture:
11.6 Percent
Max. Dry Density:
118.9 P.C.F.
@ Test Locations The
Density & Penetrometer
Readings Indicate the
Degree of Compaction Meets
to Natural Grade.
ti
Le=le(a�pellsouth. net
Lucie C t
Moisture - % of Dry Weight
Sle Copy
PARTIAL.. APPROVAL
.,rr.. oun y Building Department
Ronald G. Kellrr. RE.: 37293 / 81 l ic. No.: 860 / Julie E. Keller, RE.: 68366