321 Ahern RES17-0275 Form Board /c /- �-i
FORM BOARD ELEVATION CER CATS
DATE: 14 h9 Jib
PERMIT
NUMBER: RE5/ 7- 0-274, RLS f7 - 087s, RES/7- 0.7
ADDRESS: �g. Szl, ` Sr3 4, "r3
Xc-I�Caf rL 3 ZZ 33
REQUIRED SLAB ELEVATION ON CITY #
APPROVED SITE PLAN: 12 Z7 ,BLd 1
ACTUAL ELEVATION OF FINISHED FLOOR OR
FORM BOARD: /c L 2
SURVEY COMPANY
NAME: Clam& Associates, Inc
3830 Crown Point Road
Jacksonville FL 32257
SIGNAT/URF��i�
❑136 norm one orae ❑5951 Adln9tor Evan away
UG/■�. 11 SL Augustire,FL 32095 JarksormVe,FL 32211
OUT �Nu ee L32097 Road 200 �Ja�t�n Fa MM 1-877-BUG-U-0UT
SERVICE a„d„a�Bei,Ft 32250 �70m0Jper 1a,FL 334480 ww.BugoutSm icexorn
TERMITE TREATMENT RECORD / CERTIFICATE OF COMPLETION
Bug Out Service,LLC verifies to the Builder,Building Inspector,Homeowner,and Lending Institution in compliance
with Florida State Law(Chapter 482-226),this building has received a complete treatment for the prevention of
subterranean termites.Treatment is in accordance with the rules and laws established by the Florida department of
Agriculture and Consumer Services.An annual inspection and renewal of the annual termite protection contract is
necessary for continued protection.
4 �(Sseryp 6/
Location of i)
Lot Block
If termite infestation should occur within one year from the date of treatment in this building.Bug Out will retreat the
structure using the standards in effect at the time of retreatment.The property owner shall have the option of extending
the limited warranty beyond the first year for no less than four addition years. if during the term of this guarantee,
additions or alterations are made which affect the structure and create new termite hazards,or interfere with the
treatment method used,this guarantee will become null and void.
Soil Treatment: s S Technician Treatment Treatment
t�r
Recturd Date Record Trane
Chemical Used— Remise Other BigE> /i 0:0,)Gallons applied //r✓./ Metlwd ofApplicadon Presswe spreyed Sail nodded �j_t' 1 �
Square footage of soil area treated
Tubs
Linearft of Mawnry Voids trcaredC
Tubs and Traps�� •�
Final Soil Treatment
Wood Treatment:
Chemical Used—Remise Pre
Chemical Used_Remise Pre
Chemical UsedRemise Pre
Baiting System:
QSentricon
Product Used Sentricon Colony Elimination System Linear Feet:
Monitoring System:
Product Used_Linear Feet
Builder.
By(Signature): Date: Tick:
Whine-Job Site Canary-Bug Out msun an'rrrwroi+mr-ra.
lF g• 1
FORM BOARD ELEVATION CERTMCAYE
DATE: 10 �19 ho
PERMIT
NUMBER: RE51o.2aB,RE517- oa» 0 RE517- 0.17.3
ADDRESS: 313I 115, � 3/7 /j//ce.J S r
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: 10. 33 Linz
ACTUAL ELEVATION OF FINISHED FLOOR OR
FORM BOARD: 16, 31
SURVEY COMPANY
NAME: Clarry 8, Associates Inc
3830 Crown Point Road
Jacksonville FL 32257
SIGNATURE
136 North One Drive 05951 Arington Expressway
St.Augustine,FL 32095 Jed senville,FL 32211
18 UG �� O 46350
0fEe32W Road 200 Jacasomaen9FL 322M 1-8776uc-u ouT
SERV/CE 4530W Mmeet T10 Jurper aaad info@Wgouservice.com
JadisornWe Beach,FL 322M oala.FL 3180 www.8ug0%dService.com
TERMITE TREATMENT RECORD / CERTIFICATE OF COMPLETION
Bug Out Service,LLC verifies to the Builder,Building Inspector,Homeowner,and Lending Institution in compliance
with Florida State Law (Chapter 482-226), this building has received a complete treatment for the prevention of
subterranean termites.Treatment is in accordance with the rules and laws established by the Florida department of
Agriculture and Consumer Services.An annual inspection and renewal of the annual termite protection contract is
necessary for continued protection.
Location of Property Street Address,City and State) Lot Block
If termite infestation should occur within one year from the date of treatment in this building.Bug Out will retreat the
structure using the standards in effect at the time of retreatment.The properry owner shall have the option of extending
the limited warranty beyond the first year for no less than four addition years.if during the term of this guarantee,
additions or alterations are made which affect the structure and create new termite hazards,or interfere with the
treatment method used,this guarantee will become null and void.
Soil Treatment*. . v%C. �' Technician Treatment Treatment
.�o � /�� Record Date Q Treat ent
Chemical Used
rem Othe 1U �U
Gallo"applied L�Method ofAppliation_—;s;sum Soilnodded �j_� GY(1
Square footage of soil area treated Z. y f' linear i of Masonry Voids trea we-
Tubs and Traps
Final Soil Treatment
Wood Treatment:
Chemical Used—Premise Pte
Chemical Used_Premise Pre
Chemical Used Premise Pre
Baiting System:
QSettrhm
Product UsedSwtricon Colony Elimination System—Linear Fee[_
Monitoring System:
Product Used Linear Feet:_
Builder.
By(Signature): ! Date: ! Title:
white-Jobsite Canary-Bug Out mini on'ww.aertmmaw
_1� 8936 Western Way,Suite 12
Jacksonville,FL 32256
F Meskel 6 Associates Engineering Office:(904)519-6990
Geotechnical r Environmental r Inspection r Testing Fax:(904)519-6992
meskelengineering.com
Report of In-Place Soil Density(Asphalt or Soil) Tests or Coring for Thickness (Circle One)
Project. 1 0 (-
Client: (h,. II �M. �n —n - 3 Page------j_
of
Re orted o: Location on bY: Report N:
-i
Location: �21 117 1A Project 9: L:4 I)-pool
Material: ljr`vv P„�,. . Course: Gauge#: 1740~
Date Tested: II- 5 Spec.Requirements: He Method: ASTM D6938
Test Base
Test Location Elev. s Dry Moisture Proctor %of Pass/
No. / phaltDensity % No. Max Fab/
Depth Thickness Density Retest
1 ( tt 2 12 loo. L `i ? P
Z zz 12 loo. 1
1716
« Z 2 '1
Id Pn
1 P
...,.»- L I A d I m C4 l y
P=Test Meets SpedBcation Requirements F=Teat Fails m Meet SpedOcation Requirements R=Retreat
Proctor Description Maximum Dry Optimum Moisture
No. p Density Cmitent
To Be Completed in Fiel
Employee Name
Time Standby Approval
start1star, Tmvel Stand ob
Superintendent Printed Name
Superintendent Signature
Office use
white copy-office use yellow copy-personal use pink-client use