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W
' :- Building &Code Regulation Division
• 2300 Virginia Ave
s Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: Iq0 S_ ( 2=�S:h JOB ADDRESS: ,�� tL"o-] By-c(ksY)`1)'1-17 + /,
BUILDER/CONTRACTOR: 'F4
PEST CONTROL CONTRACTOR: L 167 1 acle f ' la' L1 `rfl1' f , r i
PEST CONTROL LICENSE #: ) '
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with he standards of the National Pest Control Association,
ry
Square feet if area treated: VAL-016 Chemicals used:
Percentage of solution; L� Total gallons used; ,
c Lj —
Date of Treatment: � Time of Treatment: `
Footing Sla ,
..- )
1st Treatment _4 �1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat ;Re-Treat
Other Perim ter/f r Final Ins o
15t Treatment
Re-Treat -� �; 4
P "tur9f,A=xteAi4 for Date
Note. There must bed completed form for each required treatment or re-treatment and this form must be 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 resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate shall pro vide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used,percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment
be completed prior to final building approval. 015101111
P A
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be pl�� rda
the electrical panel box cover, listing all the treatments and dates of applications.` .°°�. .oiNTE
ez ..
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Revised 7/24/201 uy
10
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Pre - Construction Termite Treatment Contract
and Final Treatment Certificate
Everglades hest Mariagement,tile. is a full service company offering pest control, lawn & ornamental
spraying and fertilization,and termite control. For more information, please call 866-414-PEST. Specific
terms and conditions regarding this contract appear on the back of this page. Should holder have any
questions with reference to this contract, please contact our office at the number or address noted below:
This contract is transferable and is for the primary structure noted below. It does not include,unless
specified in writing,fences,detached structures,deeps and additional construction provided after the date
contract is issued. Reference to termites applies to subterranean termites,including Formosan termites.
This contract does not provide for protection of any other wood destroying organism, insect or pest.
Treatment Notice posted oil hot water heater or electric panel.
General Conditions, Treatment & repair Warranty: Disclaimer on Back Side
Company agrees to warranty the structure for all initial period of 12 months from the date of the initial
treatment. If termite infestation occurs at any time(luring this period the company will inspect property
and provide remedial treatment(s),spot or roll,with liquid termiticide as required to eliminate or control
termites. Should termite damage he noted through inspection,company or subcontractor(s)chosen or
approved by company,will repair damage caused by termites. For an annual fee specified below,,holder
may extend this warranty/contract for a maximum period of four years as specified in paragraph two of
team(and conditions noted on the back of this page.
Residential Treatment Information
*Treatments provided are for preventative purposes and was requested by the contractor or builder
noted below. "This building has received a complete treatment for the prevention of subterranean
termites.This treatment is in accordance with the rules& laws established by the Florida Department of
Agriculture& Consumer Services and Pesticide labels. Treatments are in compliance with Florida
Building Code 181611". Abutting slabs treated subsequent to the initial treatment date.
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Final Treatment. 9/24/2020 Builder: owner Builder
Initial Treatment: 9/16/2019 Subdivision: n/a
Property Address: 1233 South Broclisinith [toad Ft. fierce Lot: n/a
Treatment Cost: Billed to Contractor Homcotrner•: n/a
Renewal Fee:$135.00-365.00(varies) Treatment Area: 2200 sq.ft. Cheniic al: Imidacloprid.ds.fin rn,��'r ' rn
w
Vhis contract not valid without it rival treatment date and simtrd In,authorized went. The contract is initiated throttgh tit�rdiitr'.fS itGsL°aS ° �t
permitted be Florida Administrative Code.section1f}5.21: Thesr treatments meet or etered Florida Rttildini(ndC 1Rl(b`®a. e'(tU7 m°
r * 9 ff �.
Authorized attest Liccnae tt t id70R
13S Valencia Street Royal Palm beach /561-333-877"/561-202-5625