317 Ahern St RES17-0273 Blower Door T,. ®UNIVERSAL *-� 7 ENGINEERING SCIENCES Permit #: I �1 _, 0 l 7
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5561 Florida Mining Blvd.S 904-759-5278
Blower Door Test Form
Job Information
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Builder: oz,4,/ / / K4�%/ (1 / �i- f A/
Community: Lot#:
Address: (}/ / XI/1[4A/ Unit#:
City,State,Zip:,42z,9rtm/CS El-W-14/ (/
Air Infiltration Test Results (�
CFM(50) = Volume,
�3 /, ')- cC 9k'
ACH(50 =CFM(50)X 60/Volume = ti 77 I
Pass ❑ Fail Passing results must be 7ACH(50)or less
Certification of Test Results
R402.4.1.2 Testing.The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 7 air changes
per hour in Climate Zones 1 and 2,3 air changes per hour in Climate Zones 3 through 8.Testing shall be conducted with a blower door at a
pressure or 0.2 inches w.g. (50 Pascals). Testing shall be conducted by either individuals as defined in Section 553.993(5) or (7),F.S. or
individuals licensed as set forth in Section 489.105(3)(f), (g), or (h) or an approved third party. A written report of the results of the test
shall be signed by the party conducting the test and provided to the code official.Testing shall be performed at any time after creation of
all penetrations of the building thermal envelope.
Authorized Third Party
I hereby certify the above results and that I hold the below certification:
/Class Class A or B A/C contractor or Mechanical contractor License No. 6.66----243-Z
RESNET approved HERS Rater or Residential Field Inspector Certification No.
BPI approved Building Analyst or Energy Auditor Certification No.
Professional Engineer License No.
Mechanical ventilationtihastebeen added: Yes
No_
Signature: &�'�4_ .7t /
Printed Name: /f/C,,,s 7Z.,„&tH E Alm Date: AZ 6/45(7.(1/6/
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0 136 North One Drive 0 5951 Arlington Expressway
a SL Augustine,FL 32095 a Jacksonv heft Blvd.
32211
463509 E.State Road 200
BUG
OUT 6972 Elan
1=� .FL 32097 Jacksonville.FL 32244 1-877-BUG-U-OUT
S SER V/CE � N.3d Sh eet Q 7710 Juniper Road info@bugoutservice.com
Jaresonvdle Beath.FL 32250 Ocala,FL 34480 www.BugOutService.com
TERMITE PRETREATMENT 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 agreement is
necessary for continued protection.
ft/keg-I-) 47-/- 7 #
Property Address(street,city and state) Los _ Block
If termite infestation should occur within one year from the date of treatment in this building,Bug Out will re-treat the
structure using the standards in effect at the time of re-treatment.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 conducive conditions,or
interfere with the treatment i.-.•: ... n's warranty will become nu t. void.
Soil Treatment: A G4-,et 1 •(7,6. 7 Technician Treatment Treatment
Record Date Record Time
Chemical Used xrts.- _ Other ,r1 -_-•-_
Gallons applied
lethod of Application re sprayed Soil rodded
Square footage of soil area treated near t.of Masonry Voids treated:
Tubs and / /a. ' _441/ 1 /O'O(Q
'nal Soil Treatment !r•
tt• . 'n:
Chemical Used: Bora-Care Concentration 1:1 Solution
Framing area treated 24 inch barrier treatment
Method of A
PPlicatilmPressure sparayed Gallons Applied
Baiting System:
Product Used Sentr'con Colony Elimination System_Linear Feet:
Monitoring System:
Product Used_Linear Feet:
Builder:
By(Signature):
Date:
_ - ' Tide:
White-Job Site Canaryl-Company
B0S-U17 tt/17 R,o.a.,W3F aa1.657.74�.
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`J BUG OUT INSPECTION DIAGRAM wfo .bugoutservice.com
www.bugolrtservice.com
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SERVICE
,��ff'' • J ) /�flii-�
OWNER'S NAME VW(>Tlt N PHONE � Yr J�EMAILT
SERVICE ADDRESS ?l 3—'3(1 7 t CITYi. 4.. -jC'-f:WRI STATE P 4- ZIP 31 a al 3
REALTOR'S NAME R.E.OFFICE LL/L CELL PHONE
E-MAIL INSPECTED BY /1.1241.0-.094/ / INSPECTION DATE 1I,`()11 01
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SCALE: CI 1:1 0 SUBTERRONEAN TERMITES-K O PONDER POST BEETLE.PPB O CARPENTER ANTS-CA
CUBIC FEET: 0ORYWDODTERMrtES-K 0WOOD BORING BEETLES.WB 0CEILULOSEDEBRIS-CD
TO
ON'
UNEAR FEET: 0 0007
-Z 0 FUNGUS-F 0 EXCESSIVE MOISTURE.EM
SQUAREF ET: __EVIDENCE
-Dame 1 pAMKRE-® 0 WELL CISTERN.W/C 0 FAULTY GRADE-FG
0 4DRYrf06ANTEm ITES-c. - -- _ . __- 0 Przacrw F HIDDEN DAMAGE-PHD- 0 EARTH.wOOD CONTACTTs-.g5y.
Cirded Symbol Represents ❑INACCESSIELE AREAS:IA
baa ftel•RNs Pest(6rampp®.�.ete.)
TYPE OF CONSTRUCTION 0 CRAWL SPACE 0 BASEMENT 0 MONOLITHIC SLAB 0 FLOATING SLAB 0 SUPPORTED SLAB
TYPE OF FOUNDATION: 0 HOLLOW BLOCK 0 SINGLE BRICK 0 DOUBLE BRICK 0 STONE 0 PIER/BEAM 0 CONCRETE 0 OTHER
Property has:
1. Well 4.......0 Yes 0 No 6. Plenum A/C Heat System...._.........__.._....0 Yes O No 11. Wood Post or Partition Nodded In Coaoatt..„O Yes O No
2. Cistern .i....—.0 Yes CI No 7. Radiant Neat...__......._...„_„..._..._.„._„..0 Yes 0 No 12 lnaccessble Crawl Space._.__._..__...„O Yes 0 No
3. Stmip Pump 0 Yes 0 No B. Ylsatle Pond,Lake,Stream or Waterway.0 Yes 0 No 13. Wood Debris m Crawl Space........._....._CI Yes O No
4. French Drain ....._.._.„..„.„.......D Yes 0 No 9. Wood-Earth Contact..._....„.„.._„.,.,__.....0 Yes 0 No 14. Inadequate Ventilation in Crawl Space....0 Yes O No
5. A/C Heat Duds in or Below Stab...0 Yes 0 No 10.Siding less than 6'From Grade 0 Yes 0 No 15 Electricity Available._...........___..._.__...._0 Yes 0 No
INSPECTORS STATEMENT OF VISIBLE DAMAGE:
—
Addl existig agreements:O Pest M.8 0 0 Other Completed WOO CI Yes O No ---- —
0 Pre-Construction 0 Post-Construction 0 New Homeowner 0 Previous Liquid 0 Previous Other Bad 0 Previous Sentrioon with other company
INSPECTOR SIGNATURE DATE:
THE ABOVE GRAPH,AND THE AREAS CONTAINING VISIBLE ACTIVITY OR DAMAGE,HAVE BEEN DESCRIBED TO ME AND ARE AFFIRMED BY ME AS OWNER
OR AGENT OF THE ABOVE PROPERTY.I ALSO AFFIRM THAT I UNDERSTAND THAT BUG OUT SERVICE,LLC.IS NOT LIABLE FOR HIDDEN DAMAGE WHICH IS
CONCEALED,OBSTRUCTED OR INACCESSIBLE TO THE INSPECTOR.
HOMEOWNER SIGNATURE I DATE.
SERVICE PROFESSIONALS STAWE ENTOF VISIBLE DAMAGE:
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SERVICE PROFESSIONAL SIGNATURE /he'll '9/1 r GATE / /C I/
HOMEOWNER SIGNATURE ON REVISED COPY: DATE((( c r
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