1763 Park Terrace Form board cert. Pre-treat . Density Cert. FORM BOARD/STEMWALL
ELEVATION CERTIFICATE
DATE PERMIT NUMBER
10/13/2022 22.01.22
PROPERTY INFORMATION
ADDRESS
1763 PARK TER E
LEGAL DESCRIPTION
LOT 8, BLOCK 14, SELVA MARINA UNIT No. 8 AS RECORDED IN PLAT BOOK 34, PAGE
85 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
ELEVATIONS
REQUIRED FINISHED FLOOR ELEVATION ON CITY APPROVED SITE PLAN & DATUM
9.89 (NAVD 88)
ACTUAL ELEVATION OF FORM BOARD, STEMWALL OR GRADE STAKE & DATUM
11.45 NAVD 88
SURVEY COMPANY CONTACT & SIGNATURE
BOATWRIGHT LAND SURVEYORS, INC - LB 3672 _
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7413�4 �
1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FL 32 0
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PHONE: 904-241-8550 ki
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SIGNATURE OF SURVEYOR: ��hp
JEREMY A HEWITT, PSM - LS 7413
Pest Raiders
an Arrow Exterminators'Band
922 8" Ave S
Jacksonville Beach, FL 32250
FL License #JB303103
Pretreat
Gifford and Gifford SERVICE INVOICE#
BUILDER NAME
PO#
$386.76
ACCOUNT#
AMOUNT
Notice of Preventative Treatment for Termites
(as required by Florida Building Code [FBC] 105.10 & 1816.17)
1763 Park Ten.E. Atlantic Beach,FL 32233
Treatment Address
(Or Lot—/Bloc—k/Unit oJ7Yeatment)
Date
10/18/2022 8-9 Daulton Jarrell
Time Applicator
Premise Pre Imidacloprid
Product Used Chemical Used Number of Gallons Applied qq��5
(Active Ingredient)
0.05% 3223 Linear Feet Treated
Percent Concentration Area Treated(Square Feet)
Stage of Treatment ri
(Horizontal, Vertical,Adjoining Slab, Retreat of DisturbedArea)
As per 104.2.6 treatmchemical barrier ent shall be completethod for ed prior to termite l building approval used,final exterior
If this notice is for the final exterior treatment, initial&date this line: �'C" 1 190-4"
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