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HomeMy WebLinkAboutinspectionPlanning & Development Services Building & Code Regulation Division r 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: Q _'t3!5_ JOB ADDRESS: _ �- Ut-&A BUILDER/CONTRACTOR. RYS r.01 PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE #: 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: Percentage of solution:�.- Date of Treatment: i ( ZO Footing 1't Treatment Re -Treat Driveway 1' Treatment Re -Treat Other 1' Treatment Re -Treat Chemicals used: Cry Total gallons used: 1 Time of Treatment: _1,7� -_,)QSlab r 1t Treatment Re -Treat Pools I' Treatment Re -Treat imeter for nal Inspection 11014 Note; There mus - �5e a completed form for each required treatment or re -treatment and this form must be an thejob 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, FBC 104.2.6 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 Arles. 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 1 the Nance of inspectionlTreatment guys880 SW Biltmore St. Phone:772-336-0 6 Date Waal DesfiT in Organism Chemical Used Inspector —Insp. T e form #: BG5-0710 PURSUANT TO: Chapter 482 Florida statues 10062152 Net Contents: i Gallon LEsc© #2915A8 k To control pests indoors and outdoors on residential, institutional, public, commercial, and industrial buildings, greenhouses, food handling establishments, and lawns, ornamentals, parks, recreational areas and athletic fields, When used as a termiticide, individuals/firms must be licensed by the state to apply termiticide products. States may have more restrictive requirements regarding qualifications of persons using this product. Consult the pest control regulatory agency of your state prior to use of this product. Provides up to 1 month residual control of house files. Kills fleas for up to 3 months. EPA Reg. No. 279-3206-10404 KEEP OUT OF REACH EPAEst70815-GA-001 OF CHILDREN Active Ingredient: 8y % CAUTION �y N Bifenthrin' ............. . .... 7.9°lo v Other Ingredients: .............. 92.1 % 100.0-A See inside booklet for additional precautionary information. LESCO CmssChect Plus Multi -insecticide contains 'h pound active ingredient per gallon. Distributed By: 'Cis isomers 97% minimum, trans isomers 3% LESCO, Inc. maximum. 1385 East 38th Street Cleveland, Ohio "114-4114 v 15134503 the bwjwguys TM 880 SW Blltmore St., Part St Lucie, Florida 34983 Phone: 772-336-0676 SERVICE SLIP / INVOICE BILL TO: [112595] Jeff Tison 122 QUEEN CATHERINA CT HUTCHINSON ISLAND, FL 34949-8363 Work Date Time Target Pest ORDER: 150381 WORK DATE: 11/13/2020 Friday pay online www.thebugguyS.Corn WORK LOCATION: [1125951 772-834-4879 Jeff Tison 122 QUEEN CATHERINA CT HUTCHINSON ISLAND, FL 34949-8363 Technician a Time In: I Time Out: t„j 11/13/2020 12-2 MARTINEZJ Jeffry Martinez Notes: PAYMENT DUE Service Description Total SOIL TREAT Pre Construction Treatment JB203471 150.00 soil treat SUBTOTAL $150.00 TAX $0.00 Pesticide/Product EPA REG # Ounces used TOTAL $150.00 1- Advance 3888 (Borax) 499-492 PRIOR BALANCE Woo 2- Alpine WSG 499-561 AMOUNT DUE $150,00 3- Avert Dry Bait Formula 1 499-294 ❑FLAG ❑ WEBSTER ❑ WELCOME LETTER Site Treated Or Inspected. 4-Avert Gel res. Cockroach 499-410 p ace 5-Tem rid SC (Crack and Crevice) 432-1483 BBat Bathroom(s) throom(s) 8- Contrac Blox (BELL) 12455-79 Exterior Per 9- Intice Fine Granular Bait 73079-2 _Garage 10- Blindside 279-3411 Next Service: Jan Jul Feb Aug Mar Sep Apr Oct May Nov Jun Dec Shed/Utili 11- Dominion 2L 53883-229 Landscaped Areas 12- Phantom (Spot Treat) 241-392 Living Areas 13- PT 565 Plus XLO 499-290 Kitchen Patio Areas 14- Suspend SC 432-763 15- Termidor SC 7969-210 Dining/Seat Area 16-NyGuard Plus 1021-2580 Offices 1 -Cross Check Plus 127M20&10404 Bait Station 18- the PLEASE PAY FROM THIS INVOICE ❑ CASH $ ❑ CHARGE $ ❑ CHECK $ Check # i hereby acknowledge the sa isfactory completion of all services rendered and agree to pay the cost of Services as specified above. x Customer Signature