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Pre-Construction Termite Treatment
1-800-698-7998 License #4439
Property Informationn Builder / Contractor Information
Treatment Date Time: ! e
me of Builder
Lot Block
Shell ntractor
Subdivision Name legeJ
Construction Type
. s
eeAddress (if known) Monolithic Floating/ Stemwall
Patio Entry Driveway
City State Zip Poe
Owner Name if known
LC
Product / Treatment Information
Treatment Type (Must check one): Initial Under-Slab Supplemental Wood Treatment Final
Product applied: Bifenthrin Ora-Care- Other-
Concentration: Other
Concentration: % Mixed Product Applied: Gallons
Square feet treated: Linear feet treated:
If box is checked, then either a final perimeter liquid treatment has been completed or a wood treatment is
completed and the following statement is applicable:
CERTIFICATE OF COMPLIANCE: The building has received a complete treatment for the
prevention of subterranean termites. Treatment is in accordance with the rules and laws
established by the Florida Department of Agriculture and Consumer Services.
JAIL
Applicator's Name (Please Print)
Advantage is a Full Service pest control company offering inside pest control, termite control,
and lawn & ornamental insect protection and fertilization programs. We offer discounts to our
Termite renewal customers! Call 1-800-698-7998 for more information.
2800 NW 22°d Terrace, Pompano Beach, FL 33069 (954) 968-7717 fax(954) 968-2922
www.advantagepest.com
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Pest Related Services
- onstruction Termite Treatment
1-800-698-7998 License #4439
Property Information Builder / Contractor Information
Treatment Dateg-l Time:
Lot Block Name of Builder n
Shell Contractor
Subdivision Name
` L �.� Construction
Street Address (if known) Monolithic / Floating/ Stemwall
Patio Entry Driveway
City State Zip
Owner Name (if known)
Product / Treatment Information
Treatment Type (Must check one): Initial Under-S laSupplemental Wood Treatment-Final
Product applied: Bifenthrin NZBora-Care Other
Concentration: % Mixed Product Applied:�Gallons
Square feet treated: Linear feet treated:
❑ If box is checked, then either a final perimeter liquid treatment has been completed or a wood treatment is
completed and the following statement is applicable:
CERTIFICATE OF COMPLIANCE: The building has received a complete treatment for the
prevention of subterranean termites. Treatment is in accordance with the rules and laws
established by the Flori Department of Agriculture and Consumer Services.
Applicator's Name (Please Print
Advantage is a Full Service pest control company offering inside pest control, termite control,
and lawn & ornamental insect protection and fertilization programs. We offer discounts to our
Termite renewal customers! Call 1-800-698-7998 for more information.
2800 NW 22nd Terrace, Pompano Beach, FL 33069 (954) 968-7717 fax(954) 968-2922
www.advantagepest.com
I �
Planning &Development Services
Building &Code Regulation Division
® 2300 Virginia Ave
p Fort Pierce,.FL 34982
772-462-2172 FaX 772-462-6443i
: CERTIFICATE OF T ERMITE TREATMENT
CONSTRUCTION SOIL.TREATM7; ENT jill�av,
PERMIT #: D JOB ADDRESS:
BUILDER/CONTRACTOR-
PEST CONTROL CONTRACTOR:Ad V I
PEST CONTROL LICENSE #:ZbLi L4 1H I
We, the undersigned, hereby certify that we have pretreated the abg ie described construction for
subterr nean termites.in accordance_with: he standards of the Natio al Pest,Control Association.
i chemicalsu; aeif area treated: sed 11!131�4517qkht
Percentage of solution: Total gallons used:; 2 f
Date of Treatment} 2 `� 2(� Time of Treatme t: (/ '
Footing: Slab
i
15t Treatment 1�t ITreatme nt BAR
Re-Treat Rei neat
Driveway P o
5
1t Treatment 1 ,Treatment
Re-Treat Treat
.Other er` e r for Final inspection
ist Treatment
Re-Treat
Sign t , e'of xt rmina'or ate
tr a merit or re-'tteatme�t and this form must.be on the job
Note; There must be.a completed form for each required e i I , j
site to be picked up by the inspector at time.ofeach inspection or the sche u/ed inspection will fail and a re inspection
fee charged.
FBCi.04.2.6 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 kn the building permit files The Treatment
Certificate shall provide the product used, identity of the applicator', time a d datel of the treatment,site location,area
treated, chemical used,percent concentration and number ofgal/ons 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 Pe 'anent Sticker to be placed on
the electrical panel box cover, listing all the treatments an i dates;of applications.
Revised 7/24/2014
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APPROVED