318 Oceanwalk Dr S Termite/Form Board '136 North One Drive []5951 Arlington Expressway
St.Augustine,FL 32095 Jacksonville,FL 32211
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OUT
E]463509 E.State Road 20et []6972 Blanding Blvd.
Cr�✓7 Yulee.FL 32097 Jacksonville,FL 32244 1 877-BUG U-OUT
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VICIE
30 N.3rd Street C377 r0 Juniper Road @ 9
Jacksonville Beach,FL 32250 Ocala,FL 34480 vnwv.Bug0ut5ervice.com
TERMITE PRE-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 agreement is
necessary for continued protection.
Property Address (street, city and state) Lot � Z Z lock
Z2i
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 method used, this warranty will become 11 and void.
Soil Treatment' /� Technician Treatment Treatment
Record ate Record Time
Chemical Used Premise Pre Other ; Z
Gallons applied
2-3 Method of Application Pressure spraye Soil rodded
Square footage of soil area treated Linea asonry Voids treated:
Tubs and Traps _
Final Soil Treatment — --
Wood Treatment:
Chemical Used: —Bora-Care Concentration 1:1 Solution
Framing area treated: 24 inch barrier treatment
Method of Application: —Pressure sparayed Gallons Applied
Baiting System:
40.Sentricon
Product Used Sentricon Colony Elimination System Linear Feet:
Monitoring System:
Product Used Linear Feet:
Builder:
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<By(Signature): l f - ^-_ Date: Title: -
White-Job Site Canary-Company
80S-U17 11/17 Reorder MBF 407-657.7414
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Jacksonville
7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970
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Brunswick
134 Newman Drive,Brunswick,GA 31520 P:(912)279 0085 F:(912)279-0086
ecslimited.com
' Work Order#:
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#:
` Re
Subdivision: Reported to: ort#:P
Location B Gauge#:
Unit or Parcel: Y�
Date Tested:
Lot#/Block: Contractor:
Street Address: City: `
Method: Course:
Material: Specific Requirements: -'
Pass/ Elev/ Base/LR/ o
Dry Max.Dry /o of Max Moist
Fail/ Location Depth Asphalt/ Density Density* Density %
Retest /Lift Thickness
*Source of Proctor(Project#and/or Work Order#)
P-Test Meets Specification Requirements F-Test Fails To Meet Specification Requirements R-Retest
To Be Completed In Field .---------------------------------
Standby Approval
Employee Name
Time Superintendent Printed Name
Start/Stop Travel Standby Job ;
Superintendent Signature
-----------------------------
(Oce use)
ECS-10(rev.01/18) white copy-office use yellow copy-personal use pink and goldenrod-client use Page—of
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FORM BOARD ELEVATION. CERTIFICATE
[DATE: i is f
PERMIT
NUMBER: jzg�6 A I R -o o 3 IL
ADDRESS: 0519 A) At,<
REQUIRE
D FNISH FLOOR ELE TION ON CITY
APPROVED SITE PLAN: 7 �-
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: °
- SURVEY_ COMPANY
NAME: 'DwRDW Su►RyE%AW is aND N'1aPP1K6- , lJC. "455-
125 8 3RD ST4 '_� . �,.,...�,..,,.,, ► t tzcnrtll �:L , 3225
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SIGNATURE OF SURVEYOR: