323 Ahern RES17-0276 Form board FORM BOARD ELEVATION CER CATS
DATE: 101)91)6
PERMIT
NUMBER: /765 /9- 0.712�Sf7 0Z?S, RES/7- oa>G
ADDRESS: 3/gj Szl, -A-3z3 4yE,z,3 s.
Larrc 13Cla44 FL. 3ZZ3.3
REQUIRED SLAB ELEVATION ON CITY #
APPROVED SITE PLAN: 10. Z7 .32d 1
ACTUAL ELEVATION OF FINISHED FLOOR OR
FORM BOARD: /0 . zS
SURVEY COMPANY
NAME: Clary & Associates, Inc.
3830 Crown Point Road
Jacksonville, FL 32257
SIGNATURE/
❑,as Nona are onus O=A 595,7v�gma E,yeyway
BUG OUT at AuguFL 32095 Ja kaon Bb FL322 ,
uke,FL 3209b Roed 200 8972 Bbrd"eq Blar.
SERV/CE �7pJ t a n i-877-BUG-U-0UT
5a0 N.3rd Street fo@bugomsarvim.com
Jatloonvae Beach,FL 32250 Oub.FL34990
www.BtgOutService.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.
- �77ri [1�1rSt �J3 r� � ZZ
E
12 on of roperty( tr�et ddmsa,City and State) s Lot Block
If termite infestation should occur within one yew from the date of treatment in this building. Bug Out will mttreat 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: ar�j J Tech ktan Tmunent Treatment
Chemical Used Promise ...-.�--^ flak Record Time
///i? lhher�.g ,a /)
Gallons appliedl / MethoO oI Ressmnspmyed Soil nod0ed //_tea/' /�( '-o
Square footage of soN arts heated— t-F-'= Uneark of Masonry Voids veated:,fC�
Tubs and Traps , r- r''
Final Soil Treatment
Wood Treatment:
Chemical Used—Premise Pre
Chemical Used_Premise Pre
Chemical Used_Premise Pae
Baiting System:
Product Used—Senn icon Colony Elimination System_Linear Freer:—
Monitoring System:
Product Used_Linear FeeL—
Builder.
By(Signori e): / , "U Date: Title: uY
Whin-Jab Sae Cawy-aug Out aownrum a.oe.rroniram
FORM BOARD ELEVATION CERTMCAYE
DATE: 10 ))g /)b
PERMIT
NUMBER: SEs/7- 0�a8, RE517- OQ7/ , RPW7- 0273
ADDRESS: sr3 , 3IS, 31 -r /1/1CFJ
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: 10. 33 .BLgI. �Z
ACTUAL ELEVATION OF FINISHED FLOOR OR
FORM BOARD: /a- 3 (
SURVEY COMPANY
NAME: ClaU & Associates, Inc.
3830 Crown Point Road
Jacksonville, FL 32257
SIGNATURE
/' iciF�c i� w.ccrT r[�
BvY our ❑136 Nonh One Drive (]5851 Minglon L 32211 way
Sl.Augushre,FL 32095 JarkeonviOe,F El'oas
❑ FE.3 Raas 200 [16872 BkMmg Vso,
SERV/CE �J' °" FL3�a1977 BUG-U-0UT
530N.3m Sneel 77I0Jun Road inf bu outservice.com
Jacksonviae Bradt FL 322 pale.FL 3480
www.eugOtdgervice.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.
F� mil l ��S
�f ��t,:t:e)
.,�rroparress, ny anIiC
Lot gl
If termite infestation should ocem within one year from the date of treatment in this building.Bug Out will rcnreat the
structure using the standards in effect at the time of retreatment The properly owner shall have the option of extending
the limited warranty beyond the first year for no less than four addition years. if daring 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.
FSoil
tment: p Ute% 7kcpnician Treatment Treatment
Used rem Othe s' '�DateQ Record Than
ied `,Method afA
pplication_ ssure sprayed Soil nodded
e of soil area orated Linear ft of Masonry Voids treateQr't/
Traps f
reatment
=PMmiw
Treatment:
Premise Pre__Premise Preremise Pre
Baiting System:
Product Used_Sennim Colony Elimination System_Linrar Fac_s
Monitoring System:
Product Used_Linear Fmt:_.
Builder:
By(Signature):
Date: Tick:
White-Job Sin Cavy-Bug Out rown am ew.irassamor->.ta
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: 2,v Ica
Client: ann. if,. -0n,
Page I of
k:
Reported to: Lotion by: Report
Location: i�.., la .. 112 Pn..IN Project g: U2 �-pool
Material: �wk 5�.� Course: Gauge R: 17 t�01
Date Tested: Method: ASTM D6938
I I- S Spec.Requirements: g
Test Test V.,/Base Dry Moisture *DenWsfty
pass/
No Location Elev./ V.,/Base
Fall/
Depth Thickness Density % Retest
I _ IZPAd Y,
i
PA d 7 12 Y, loo.'/ 1 - Ya P
t I
a d l 1
P=Test Meets Specification Requirements F=Ten Falls to Meet Specification Requirements R=Retest
Proctor Maximum Dry Optimum Moisture
No Description Density Content
To Be Completed in Fiel
Employee Name
Standby Approval
Time
Start/StopStaft/Stop Travel Stmdby job
Superintendent Printed Name
Superintendent Signature
offle,use
white copy-office use yellow copy-personal use pink-clientuse