HomeMy WebLinkAboutCertificate of Termite TreatmentPERMIT
Planning & Development Services
Building & Code Regulation Division
2360 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
>LCZOO I- 856 JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: Ev
PEST CONTROL LICENSE #: JB175775
6® /P br-
TERMITE & PEST CONTROL INC.
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: -?AFY
Percentage of solution:.05%
Date of Treatment: '3�- 67-20
1't Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: r
Time of Treatment: 9!' 5,9
S alai b,,—
la Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
P rimeter for Final Inspection
01 g n a tu reCoWxterm1nator Date
Note: There must be a completed form for each required treatment orre-treatment and this form mustbe on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -Inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite posting board
shall be provided to recelve dupllcate Treatment Certificates as each required protective treabment is completed,
providing a copy for the person the permitis Issued to and another copy for the building permit fi/es The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the teatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment, If the soil chemical barrier method for termite prevention is used, fina/exterior treabnentshall
be completed prior to final bur/ding approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
` Headquarters `ENGINER6
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M�Img ,
01345 U S ,Highway 1
PO, Box 7`8-1377
SSebashan FL f32958
x iY AND TESTINu'
Sebashan FL' 32978'
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Orlando
-
Phone 772 589-0712=,
i `723-Progress Way, ;idlL'COMPAdl6r
REPORT C'A 5683°
r Sanford, FL `327771ASTN1 D 1557 anil ASTM D 6938f. 'fCSMengineenrig n t
tDATEiTESTED . February 2T; 2020:
KSM J08'k s 200966 itl/MH/jg
PERMIT#:'. 20010502
N'UC# �630:
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' • CONTRACTORS 7Nynne Development-._
lNuc Modeh MC`10R P'"
t iOB?CO_ Ck710N 1D Gulf Drly"e;
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Nuc SerraLJ `?p6304"
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`Spanish Lakes i-
' $ort St'Lud6; Flodda .
E _
ITEM E t ti.e
' =`TESTED:. Eill� - • .. ,.
- _..;CompactedFounryation
TEST LOCATION, iPEN i
ERCENT
OF SAMPLE
DE
READ-
DENSITY' -PROcrok LUE (P
C F) COMPACTION•...,•,
I 1r aS E..
10859 113;3.' 961%r
150`-'
110.6%.
,98 3%:
s �4' N E'4,+ 50`
3093:
150
i QSoil Descrl Pt ion
1't5 0'.
Br`own.Sand with'traces:of"
`4
..� F
rClay Shell Fragmehfs,
and l'
i In Place Moisture:.
I I (, I I,
e
*64orO0gmq Moisture%
Proctor Max'D_ryiDensity P,C F.0
1133',
112.0't-
l= 1_—• i :-I i
@ Test�Locations the Density & �
rl
fl
. •
Penetr,'ometerreadingsindicateittie,
I
1=
I 1'•
t `—"je
'
Degree of Compaction Meets D
,1I1:0
" •,
;-
Minimum+Required y>
I I. P h t
rfarIi'StakedFoundation,
11'
.•-;7
8. g;, 10" 11. 12- E13, 14'•-
Respectfully Submitted .
I, v ,11l11l1lUgl�,,
�.�J�,EE kRe��•,
Moisture:'-%of'Dry`Weight'.-
CE '
' 4t. NSR'
;'` :•
Disclaimer Contractor5s:responsible to<mainfain.
. v,
•. No 58366 '`
the; tested area In the condition, that ISM
' .;•,
completed the'ihdicated passed compactlon;test
•. S q
k M+is not responsible if the tested area has, been_
F
altefed from the approV,a:ins'06de'd conditidn'.,.
• !r
President ".
.
366, 2%28%2020•
%Et St Lucie'Buildirig Departme_hf.
• Proudly,5erping Flojida since`-1990 ti: _