HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 3-6-19I
PlanniAbLIP'16061boif>t"ent Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 .p
772-462-2172 Fax 772-462-6443
I
CERTIFICATE OF TERMITE TREATMENTSF<Gc�9�P ��Or9
CONSTRUCTION' SOIL TREATMENT PSG
PERMIT #: 1804-0290
Lei i b0
BUILDER/CONTRACTOR: WYNNE DEVELOI
PEST CONTROL CONTRACTOR: EVICT
PEST CONTROL LICENSE #: JB175775
144 MEDITERRANEAN BLVD N PORT SAINT LUCIE, FL 34952
TERMITE & PEST CONTROL INC.
We, the undersigned, hereby certify that we havelpretreated -the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: 210 LF
Percentage of solution: .05%
Date of Treatment: 01-16-2019
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 125
Time of Treatment: 1:00
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR pao:201g.11.01,'4; 00.0400'' 03-06-19
Signature of Exterminator 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. 1
FBC104.2.6 Certificate of Protective Treatm
shall be provided to receive duplicate Treatm
providing a copy for the person the permit is
Certificate shall provide the product used, ide
treated, chemical used, percent concentration
protective treatment. If the soil chemical baj
be completed prior to final building approval.
St Lucie County requires for the fina
the electrical panel box cover, listini
Revised 7/24/2014
�t for prevention of termites A weather resistant jobsite posting board
nt Certificates as each required protective treatment is completed,
,sued to and another copy for the building permit files The Treatment
� y of the applicator, time and date of the treatment, site location, area
and number of gallons used, to establish a venflable record of
%er method for termite prevention is used, final exterior treatment shall
inspection for CO, a Permanent Sticker to be placed on
all the treatments and dates of applications.
01-10-' 19 11: 38 FROM -
17728787656 - T-946 P0002/0002 F-886
Planning :8>K t evelo . ment Services �
8uiidr'n'&'Code RgulAtion Divisions
/3y�0}0DV;rygi�yni Ave FL Q
772-4G21-21+ Fax 772-462-6443
Request for 30-Day
Date:
Project Address:
THE UNDERSIGNED HERESY REQUEST RELEASE OF I
PROPERTY, FOR A. PERIOD NOT TO EXCEED THIRTY
AND EQUIPMENT IN PREPARATION FOR A FINAL IN:
REQUEST WE' HERESY ACKNOWLEDGE AND AGREE �
1. This temporary power release is requested for
occupancy of any type, other than that permit
2. As�witness by, our signatures, We hereby agree
indudillg Building Division Policy, which is inco
3. All conditions and requirements listed in the at
Power for Testing' hcWe been fulfilled'and the'.
4. All requests for an ettension beyond 30 days n
the reason far the request. Polder may he rerr
the Final Inspection has not been approved wh
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMI
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF .NA
OF THIS TRANSACTION, INCLUDING ANY DAMAGE
DISCONNEMON OF ELEC MCAL POW IN THE is
OWNER
CONTRAC 11OR
Power.Release
Number:cao\ 0.
a
E=CAL POWER TO THE ABOVE DESCRIBED
0) DAYS, FOk THE PURPOSE OF' -TESTING SYSTEMS
CTION. IN CONSIDERATION OF APPROVAL OF THE
FOLLOWS:
the above sued purpose only, and there W11 be no
ad by cwnstructlon during this time period.
to abide by all terms and -conditions of this ,agreemerit,
porated herein by reference,
ached document entitled "Requirements for 30 Day
)remise is ready for compliance inspection,
lust be made in writing to the Building :Official stating
Dved `f rn the site and/br a Stop Work Order issued if
tin 30 days. A fee of $100.00 will be required to lift
S . LUCIE COUNTY, AND THEIR F_MPLOYM FROM
WINCH MAY ARISE NOW OR IN THE FUTURE OUT
:H -MAY BE INCURRED DUE TO THE
OF VIOLATION OF THIS AGREEMENT
DATE
DATE `
DATE