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DocuSign Envelope ID: 7CA23390-D38F-4A93-B76C-6A783781542B <br />679113 <br />Owner/Agent: Indian River County Er Phone: (772) 226-1931 Date Inspected: 02/10/2021 Job Date: <br />Property Address: 12973 83rd Ave. City: Roseland State: FL Zip: 32958 <br />O Spray Foam <br />Cubic Ft.: Linear Ft.: 158 Square Ft.: Type of Insulation: o Blown In <br />0 Batts <br />Customer is Replacing Roof <br />Key Symbols <br />_ <br />_ _ <br />Possible Hidden amage <br />O Floating Slab <br />- But there is evidence of <br />IAIK <br />- -- <br />I <br />Drywood Termites. <br />[Ates. 64 ftqV <br />O Supported Slab <br />DWT <br />Drywood Termites <br />LAR <br />12ft <br />24ft 1 fist <br />Monomolecular Surface Film . <br />X <br />Denotes Subterranean <br />- <br />E ' Termite Damage <br />Earth -to -Wood Contact <br />O Hollow Block <br />M <br />Moisture <br />O Solid Concrete <br />p CBS O Wood Frame <br />O Open (Piers Only) <br />O W/F Stucco W W/F Stucco <br />below grade <br />Infested Area <br />Location Type <br />Attic <br />Girders <br />EU BH <br />rea: 468 ftp te) <br />CLUBH <br />[Area. 936 ftq <br />Finished Floor <br />:. <br />Sub Floor <br />- <br />'-i-tom: <br />Interior Frames <br />Floor Pulled up <br />Door frames <br />Open to Ground <br />Exterior <br />Electricity Available <br />O Yes ❑ No <br />Live Termites <br />O Yes O No <br />Install Plumbing Access <br />CI Yes O No <br />_= <br />12ft <br />24 1'i <br />- O Yes O No <br />- - <br />7 Yes O No <br />Remove Form Boards <br />1P. -TT. ;- ?—- !-? ; ! i h -f : i - + = Scalei`i <br />Earth -to -Wood Contact <br />fTi �2 FT �3 FF <br />TERMITE <br />Construction Type <br />Key Symbols <br />W Crawl <br />PHD <br />Possible Hidden amage <br />O Floating Slab <br />TX <br />Evidence of Infestation <br />O Monolithic Slab <br />ST <br />Subterranean Termites <br />O Supported Slab <br />DWT <br />Drywood Termites <br />LAR <br />PPB <br />Powder Post Beetles <br />Monomolecular Surface Film . <br />WB <br />Wood Borers <br />Foundation Type <br />E/W <br />Earth -to -Wood Contact <br />O Hollow Block <br />M <br />Moisture <br />O Solid Concrete <br />p CBS O Wood Frame <br />O Open (Piers Only) <br />O W/F Stucco W W/F Stucco <br />below grade <br />Infested Area <br />Location Type <br />Attic <br />Girders <br />Sills <br />Finished Floor <br />Sub Floor <br />Interior Frames <br />Door frames <br />Window Frames <br />Exterior <br />Electricity Available <br />O Yes ❑ No <br />Live Termites <br />O Yes O No <br />Install Plumbing Access <br />CI Yes O No <br />Debris <br />O Heavy O Light <br />Gas On <br />- O Yes O No <br />Shrubs Need Trimming <br />7 Yes O No <br />Remove Form Boards <br />CI Yes O No <br />Earth -to -Wood Contact <br />7 Yes O No <br />Type of Roof: <br />LAWN & SHRUBS <br />Special Instructions: Please leave Floors Open for Treatment <br />Indian River County would have to agree to no continuous <br />Wood to Ground Contact. Such as Wooden Footers would <br />Have Concrete between them and the Structure. <br />Kevin Mears #02850 02/10/2021 <br />Ll Itepresevta lm Date <br />HVA <br />Customer/Authorized Agent Signature y�� Date ox��krAr�ravc-yc.0 <br />www.bugs.com Hulett Environmen3/2019 HES-SA019 <br />3/2019 HES-SA003 <br />Key Symbols <br />LX <br />Existing Damage <br />SCI <br />Sprinkler Coverage Issues <br />UNC* <br />Uncontrollable - See Below <br />POW <br />Powerline Interference <br />STB <br />Specific Treatment Boundaries <br />*List Uncontrollable Species: <br />Special Instructions: Please leave Floors Open for Treatment <br />Indian River County would have to agree to no continuous <br />Wood to Ground Contact. Such as Wooden Footers would <br />Have Concrete between them and the Structure. <br />Kevin Mears #02850 02/10/2021 <br />Ll Itepresevta lm Date <br />HVA <br />Customer/Authorized Agent Signature y�� Date ox��krAr�ravc-yc.0 <br />www.bugs.com Hulett Environmen3/2019 HES-SA019 <br />3/2019 HES-SA003 <br />MOSQUITO <br />Key Symbols <br />RAST <br />Resting Area Barrier Treatment <br />TWR <br />Temporary Water Retention Areas <br />PWR <br />Permanent Water Retention Areas <br />AC <br />Artificial Containers <br />PTN <br />Perimeter Treatment Needed <br />LAR <br />Larvicide <br />MMSF <br />Monomolecular Surface Film . <br />Special Instructions: Please leave Floors Open for Treatment <br />Indian River County would have to agree to no continuous <br />Wood to Ground Contact. Such as Wooden Footers would <br />Have Concrete between them and the Structure. <br />Kevin Mears #02850 02/10/2021 <br />Ll Itepresevta lm Date <br />HVA <br />Customer/Authorized Agent Signature y�� Date ox��krAr�ravc-yc.0 <br />www.bugs.com Hulett Environmen3/2019 HES-SA019 <br />3/2019 HES-SA003 <br />