HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
. CONSTRUCTION SOIL TREATMENT
PERMIT #: 1712-0539 JOB ADDRESS: 18700 Mach One Drive 34987
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:- Home Paramount Pest Control
PEST CONTROL LICENSE #: JB203916
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: 240 LF
Percentage of solution: •06%
Date of Treatment: 8/22118
Footing
11t Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: TermidorSC
Total gallons used: 96 Gallons
Time of Treatment: 6:24 pm - 7:08 pm
xxxx Slab
1st Treatment
xxxx Re -Treat
Pools
1st Treatment
Re -Treat
� Perim er forr F�nspection
Si Exterminator Date
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job
s/te to be picked up by the inspector at time of each inspection or the scheduled Inspection will fall and a re inspection
fee charged.
FBC 104.2.E Certificate of Protective Treatment for prevention of termites A weather resistant jobslte posting board
shall be provided to recelve dupllcate Treatment Cert/ficates as each required protective treatment Is completed,
pro vlding 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 appl/cator, 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 bullding 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
Home Paramount - Branch 401
LIC: FL JB203916
6482 South East Federal Highway
Stuart, FL 34997
888-888-4663
ORDER #: 3452588
WORK DATE: 812418
- mom--Ewa=_��EN �...rxwu;�- 1g r Time In: 8 18 6:24 PM
8'a3GF n��" s Time Out: B 18 7:06 PM
WIII Hicks WIII Hicks Customer Signature
18700 Mach One Dr 18700 Mach One Dr
Port Saint Lucie, FL 34987-3235 Port Saint Lucie, FL 34987.3235
Phone: 561.628-5112
Ededor Treatment
Phone: 561-628-5112 Technician Signature
Aaron Derouen
LicenseM Fl.-JE266378
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None DUEUPON Termite No Warranty 1.OD 300.00
Subtola/ 100.00
Tax 0.00
Total Due: 100.00
MMINER
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Find Product Information at; httpi/Inplc.orst.edu/NPRO
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Material Lot # EPA # A.I. % A.I. Conc. Active Ingredient Finished Qty Undiluted Qty
Termldor SC 7969-210 9.1000% 0.0600 Fipronil 96.0000 Gallon 0.6330 Gallon
AreasApplled: Soil
Target Pests: Subterranean Termite
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Printed: 8123/18 Page: 1/2
Home Paramount - Branch 401
LIC: FL IB203916
6482 South East Federal Highway
Stuart, FL 34997
888-888-4663
ORDER #: 3452588
WORK DATE: 8/22/18
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Material A.I. % Finished Qty Application Equipment
Application Rate Time
EPA # A.I. Concentration Undiluted Qty Application Method
Sq/Cu/L Ft Lot #
Termidor SC 9.1000% 96,0000 Gallon Power Sprayer
7:02:42 PM
7969-210 0.06000000 0,6330 Gallon TRENCH
0/0/240
Target Pests: Subterranean Termite
AreasApplled: Sou;
Comment: Thank you for choosing Home Paramount Pest Control
Weather: On, 0 MPH
8/23/18 Page: 212