HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 8-3-18i
i
Planning & Development Services
Building j& Code Regulation Division
2300 Virginia Ave
.Fort Pierce, FL 34982
772-462-2172 Fax 772_ -462-6443
SCANNED
BY
St Lucie County
CERTIFICATE OF TERMITE TREATMENT
Dice
PERMIT #: ) 301- 07 q!? Ji
BUILDER/CONTRACTOR: TX)
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: JB17
We, the undersigned, hereby certify
subterranean termites in accordance
Square feet if area treated:
Percentage of solution:.05%
Date /f Treatment:
Footin
(1st Treatment
Re -Treat
Driveway
1s� Treatment
Re -Treat
CTION SOIL TREATMENT
iB ADDRESS: i_VS 'I11< Owl ee
I'c���vg
EVICT-A-BUG TERMITE & PEST CONTROL INC.
F75
we have pretreated the above described construction for
the standards of the National Pest Control Association.
Chemicals used: DOMINION 2L
Other
1st Treatment
Re -Treat i
Note. There must be a completed form ,for eac
site to be picked up by the inspector at time of
fee charged.
Total gallons used: 'go O
Time of Treatment: ` 00
VSlab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
PerirrOter for Final Inspection
of Exterminator
rid treatment or re -treatment and this form must be on the job
inspection or the scheduled inspection will fail and a re -inspection
F13C104.2.6 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 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 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
RFC
Planning & Development Services p OCj2 Fo
Building & Code Regulation pivisian S �tti,, �018
_ a Fort Pierce, 2300 Virginia
F 34982 t <4�e�o'0a'2`r�
10 772-462-2165 Fax 772-462-6443 4ty .?t
Request for 30-Day Temporary Power Release
Dale: ,Sep!—Qmber .4 2018 Permit Nurrite e�i
D
PrOlect Adar-ss: --51 5-P.almeao-Dr--FL-Nerte----_ n
O M,
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED �
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS "<
AND EQUIPMENT IN PREPARATION FOR A FINAL I=NSPECRON. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
-—.-itzs vA�rt9'm. a1y po vlr rCleilSL' IS: ccj+lAS:ed-tOr ;h-ai7cW-SCJu;C-,7u'%tk5sc!.ruily�il.'31-.rfre_,S;N be no
0=pancy of any t-,pe, oth x than that p�rmiZed it/ can tre.izaun during v::; ^me pe::ec:. — — — --- — - - — - -
2. As witness by ocv slg:raturr_s, %%e I`.Lr try agr _t to at -,de by aij terms inc c::r>rrr of ttcrs ®yrn�qvr'm - - — - - -
ira& ding 8uidcn:: OMSior, Pa r,/, wmcl: rs inccrporat'h: her&n by r=?ference.
3. Ail Canditinnc aril requi•E:rn nM listed :n n.- attactr_A coeimert zM,i 4�j 'A:rj-.irynE.v:ts frc 30 Cr y
Poway ."or Tes,,M' ha•:e bLw. r0fgh:0 and the p tm,s: is ready for %:ipecte^_r.
A. All (cq.PLNtS for an ecters:cn neyo: A 30 days Must !>, made in wr1r; to c}:N @uidm; O.'.rcf,+,t R:::hg
V"e reason for tlx: mqL,xt. lower m7y t� removed hem the srtt are[V : STp '/:p; % {ttkz: iss rs� it
ttt' Final Ifwx: dfoo hLs rc{ btt:n a0 rrov cl wittu: 30 days. A f@<- of f i90.00 v,i•1 b„ rmq,;;r -.d to ii;;
tf . Stcp We* Urrl�- .
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF Af fY TYPE OF NATURE 1+fHtCf MAY ARISE NOW Or; lrf THE FUTtjRE OUT
OF THIS TRA=NSA ON, INCLUDING ANY DAMAGE WHICH AIRY BE IYCURP.E DUE Tt7 THE
OFSt'.O' NE N O �LE SVER I � EVE�tiT OF ViOIAT`Or1 OF 15 i1>;,sP.GC'Mt:'IT,
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