HomeMy WebLinkAboutTermite Treatment I
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Planning &Development,Services
Building.&Code Regulati6n.Divi pion
2300 Virginia.Ave
Fort Pierce; FL 34982
- 772-4,6 -2172 Fax 772 462-64;0
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TRMTj ENT
PERMIT #:�?0'�fD Q� JOB ADDRESS: �EDCJ7 C C',�a?a.P (�
BUILDER/CONTRACTOR: P1OYO I I
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE
We, the undersigned, hereby certify that:.we have pretreated the ab jel described construction for
su terranean ter tes in accordance with the standards of-the Nation]I Pest!control Association.
e4eet if areal treated Chemicals used: tJ'i rl
Percentage,of solution:. Q Total;gall6ns use r
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2 2at .
Date of Treatment;: Time of Treatme I r t: /0.
Footing SIa6 sr
V't Treatment ] Treatment
Re-Treat Re-Treat
Driveway Pools ? ( MAR e 2
ist Treatment 1 treatment I z�l$
Re-Treat Re=Treat
Other P ri r for Final Inspection
1st Treatment < <.
Re-Treat V2 h 1
Signa re of Eicterminator bate
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Note. There must be..a.completed form for each required tre .ment or re I eatment 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 Certifcate of Protective Treatment forprevention,oftermites, A weather resisiantjobsite posting board
shall be provided to receive duplicate Treatment Cer!`ifrcates as,each requij d protective treat7ent is completed,
providing a.copy for the,person the permit is issued to and another.copy'fo the bui/ding 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 ofgal/ons used,)io establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite preve tion isj used,Seal exterior treatment shall
be completed.pror to Anal building approval.
St.Luae'County requires for the final.inspection for;CO, a Pe ptanent Sticker to be placed on
the electrical panel box cover, fisting all the treatments and dates of appli cations.
Revised 7/24/2014
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Planning &.Development Servi es,
Building &Code:Regulation Divas on
�g I 2300 Virginia Ave
o a Fort Pierce, F..L,34982
.772-462-2172 Fax 772-462-6443
i CERTIFICATE OF TERMITE TR ATMiENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: PA 059q JOB ADDRESS: I C� O�?c�� P,62
BUILDER/CONTRACTOR: � rid. % ! ,, !
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I
PEST CONTROL]CONTRACTOR:
PEST CONTROL! LICENSE #:
I
We,the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the Nationa Pest Control Association.
S`griare-fea if area treated: Chemicals used: I Y 1. K
Percentage of solution: o 0 Total gallons used. i '
Date of Treatment: ' Z Time of Treatmen i '
i
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-treat
Driveway ~, ools l
1st Treatment 15r T� atmerit
Re-Treat Re-Treat
Other P �i er for Final Inspection
1st Treatment ( !
Re-Treat
Sign tur �of er' inato� Date
Note: There must be!a completed form for each required treat e t or re-treatment land this form must be on the job
site to be picked up by the inspector at time of each inspection or the:sched1led inspection will fail and a re-inspection
fee charged. ! 1
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite 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 Ylie building permit files The Treatment
Certificate shall provide the product used, identity of the applicator,-time and; ate of the treatment, site location, area
treated, chemical used,percent concentration and number of gallons used, toIestablish 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
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*ADMN _.Mm, E--)
Pest Related Services
Pre-Construction Termite Treatment
1-800-698-7998 License #4439
Property Information Builder /Contractor Information
Treatment Date > Time:
Name of Builder
Lot Block
Shell Contractor
Subdivision Name
�f � l / ,a Construction Type
'Street Address (if known) �— Monolithic Floating/Stemwall
�nl_, Patio Entry Driveway
City State Zip
Owner Name (if known).
® i 78q 05jq
Product / Treatment Information
Treatment Type (Must check one): Initial Under-Slab— Supplemental Wood reatment—Final
Product applied: Bifenthrin__—�.ZBora-Care Other
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Concentration: % Mixed Product Applied:Gallons
Square feet treated: /p-Q4-3L_ Linear feet treated:
If box is checked, then either a final perimeter liquid treatment has been completed ox 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.
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
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owl Pest Related Services �-�Q`-� I
Pre-Construction Termite Treatment
1-800-698-7998 pcense #4439
Property Information Builder Contractor Information
a
Treatment Date Time:
Name of Builder
Lot Block 5 F1 W1 )1_
Shell Contractor \ b
Subdivision Name
Construction Type
.c 4- L
Street Address (if known) Monolithic Floatiing/ Stemwall
Patio Entry Driveway
City State Zip 440 V;&� v �
Owner Name (if known)
Product / Treatment Information
Treatment Type (Must check one): Initial Under-Slab-- Supplemental Wood Treatment Final
i
Product applied: Bifenthrin Bora-Care Other
Concentration: % Mixed Product Applied: ��� Gallons
Square feet treated: ���� Linear feet treated:
I
If box is checked, then either a final perimeter liquid treatment has been completed o;r 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 Floridan artment of Agriculture and Consumer Services.
n��
Applicator's Name (Please Print)
I
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 /