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HomeMy WebLinkAboutTermite Treatment for 5045 N Kings Hwy.Planning & Development Services tL' Building & Code Regulation Division 2300 Virginia Ave m .w` Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: 2�OCx3 `d � 77 30B ADDRESS: Ai 6- s BUILDER/CONTRACTOR: C z-5 PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE #: ::75 .aoC' a E 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: i 5 Percentage of solution: ` Lf4 Date of Treatment: rf / 21 i 20 Z. Footing 1st Treatment Re -Treat _Driveway 1st Treatment Re -Treat Other 6 LA �3 G vim Pt Treatment Re -Treat Chemicals used: -1-26 V-1 ) H 6 0 IJ EL — Total gallons used: 3 Time of Treatment: R , _So A A Slab 1st Treatment Re -Treat Pools 1st Treatment Re -Treat Perimeter for Final Inspection Signature of orator Date Note: There must be a 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 provide 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 shall be completed prior to final building 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. Revised 7/24/2014 OwnerfAgent " L�y M f7r {J(T f J . j f//fz . ] re— a Phone ufnce Phone o e+, �+ i e` i S k- I kll. C k4—L l _ city P,4�-Z !LA% Florida. Zion-t`t—,-� CONSTRUCTION TYPE on Grade/Monolithic ❑Basement FOUNDATION TYPE ❑Hollow Block Wall ❑Piers with Brick Wall or Skirting VENEER TYPE Linear Feet ❑None ❑Stucco around structure 1;311l�b ❑Floating or Supported Slab OManufactured 1 Mobile Home ❑Solid Concrete ❑Crawlepece—#of Piers ❑Other ❑Double or Triple Brick Wall ❑Open (Piers only) ❑Other ❑Brick ❑Other Square footage ❑Stone house &garage INFESTATION STATUS: ❑Preventive ❑Presumptive (affected wood but no live termites) ❑Existing (affected wood and live termites ❑ Yes ilNo Drinking well within 25' ? ❑ Yes ❑ No J:2X€s ❑�Nq Etectrictty, available? ❑ Yes -2'IVo Install plumbing access? �,� ❑ Yes Debris 1/'I�o ^� ❑ heavy ❑ light ❑ Yes CVO 1_anhJwood contact Key: Frt-front Rt-right Infested Area I Yes L-left I No Clair -center I Comments Key Symbols ST Subterranean termites (evidence oft DWT Drywood termites PPB Powderpost beetles WDF Wood -decaying fungi MD Moisture damage FJW Earth and wood in contact PHD Possible hidden damage Exfer or Aide .foists Girders Gird ✓ S ` s Slis Finished Floor j c�=Nc• Sub Floor IntedorTdm Scale ft. ❑ 2 fL ❑ 3ft. (L) Before symbol indicates live activity M After symbol indicates damage Door Frames Window Frames = p 0' A y C -. ROACHES LOCATION American Australian Florida Woods German Asian Brown Banded Oriental ANTS LOCATION White Footed Pavement Carpenter Pharaoh Crary Ghost Fire ANTS LOCATION Thief Bed Bugs Crickets Fleas Mice Rats Silverfish Spiders Millipedes OTHER: Inspections are of visible, accessible areas only and should not be considered a guarantee of the absence of hidden or inaccessible damage. Technician Name & Number Date of inspection F YV4 U '41 yl 6 APPT. DATE TIME INSPECTOR TECH MEMO 0 m MIMIIM p p DATE TAKEN: Services, LLC 6—.;, Martin 772-287-8486 • St. Lucie 772-429-7716Oc'3r ��✓, Indian River 772-567-7392 • Palm Beach 561-746-7364 Corporate Office 400 1 Virginia Avenue, Suite A • Fort Pierce, Florida 34981 FOR FAST, PROFESSIONAL SERVICE CALL CUSTOMER INFORMATION ACCt. #,� ,. SERVICE REQUESTED t 1 4 NAME_ r ADDRESS^ L -- - FL ''S©URGE CITY STATE ZIP CODE/GRID "-4 �j /�,� CONTRACTS: HOME T L # WORK TEL DIRECTIONS PAYMENT / CREDIT CARD INFORMATION,— AUTHORIZATION SVC. AMT CARD TYPE CHECK /CARD.# / EX DATE AMT CODE DATE TIME 2. '.. L S / F 3. 4. TOTAL DUE TOTALAUTH. DEFERRED DATE CARDHOLDER NAME (If different from above) I AGREE TO PAY ABOVE TOTALAMOUNT ACCORDING TO CARD ISSUER AGREEMENT (Visa/MasterCard Customer Inquiries Call 1-800-920-1079). SIGNATURE: DATE: VALUED CUSTOMER COMMENTS: SALES TECH COMMENTS: .�'9 I�f j 1/� r C PEST CONTROL / F EAS / OTS TERMITE / FUME MATERIAL INSPECTED Evidence Treated MATERIAL TREATMENT SITES TREATED Name (°h) & Amt SITES (Y/N) (Y/N) Name (*/.) & Amount MulchFlowerbeds " I Sfi Foundation Wood Ile/Garbact Area Crawl Space t DoorsindowslEaves > Lr� Interior Walls Attic/Cr wt S,tace Door Frames r� Underne hi'Appiiances Window Frames Wall Voids/ se Bottoms Bath Traps Cracks/crevices Attic Drawers/Cabinets/Closets Other ='�% Oyler PESTS Tme/Beg: > 9Comp: TOT:hereon acknowledges receipt of and satisfaction for services rendered. I certify the above to be true and an accurate record of my operations. `7 ti CUSTOMERS SIGNATURE DATE EOUT TECEMCUN e-om: JAMES@wipeoutpests.com 'J'AMES WIPE � �7'?'ES T S.CO ubject: WIPEOUT SERVICES, LLC Transaction Receipt Date. Sep 28, 2020 at 3:16:00 PM To: crsplumbing@bellsouth.net WIPEOUT SERVICES, LLC 4 Your card sale is complete! Below is your receipt with all relevant transaction information. Transaction Receipt Sep 28, 2020 2:15:26 PM CDT Type Transaction ID Auth Code Billing Details CRS FL 34945 US Card Sale 5676480629 041527 Shipping Details DS Fmni $125.00