HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
Planning & Deyelopment Seruices BY
Building & COdq Reguial;wrt Division _19t Lude COUP '
2300 Virginia Ave
Fort pierce, FL 34962
772-462-U7Z Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
1_0y OB ADDRESS: 107 a L 0
PEST CONTROL CONTRA(
PEST d0'NTROL LICENSE
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 f
let if area treated: 4-00 Chemicals used:
Percenta
___
a of solution:— Total gallons used:
Date of
i
reatment: 1 j—M—L L Time of Treatment: o _
Slab
Fo
g ist Treatment it Treatment
Re -Treat Re Treat
Driveway
Pools
a ill Treatment —lu Treatment
IhI Treat Re -Treat
_Re
>1er Perimeter for Final In pection
1 Treatment
Re -Treat
signature rminator
Note: ere must be a completed form for each required treatment or re-bwirnent and this farm must be on the Job
site to b picked up by the Inspector at trine of each rnspectlon or the scheduled inspecffon will fall and a,r&lnspecdon
fee char
F�C104!.�ere Certificate of Protective Treatmentforpleevendon oftermltes A weatherrewtantJobsrte post/ng board
shall be rovlded to receive duplicate Treatment
as each required Prot ve treabnent Is completed,
providin a cnpr for the person the permit is issued .to and anottrer copy for the bulldlnq permit files Me Treatment
Certlfica shall provide the product used, identity of the applicator, time and date of the treatment, site !oration, area
treated, emica! used, percent concentrailon andnumberofgallons used, to establish a verifiable record of
ratectl treatment: If the soil chemical barrier metW for termite prevend'on Is used, final exterior treatment shall
be coin eied prlor to final building approval.
St l ucle County requires for the final inspection for CO, a Permanent Sticker to be placed On
the $le ctrical panel box cover; listing all the treatments and dates of applications,
SCANNED
BY
St Lude county
Planning a Dwelopment Seraices
Building & code "uiation Dihrisiona
ZMW Virginia Ave
Fort Piorce}, Ft. 34982
772-462-2172 Fax 772-4624443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
CONTROL_ CONTRACTOR:
CONTROL LICENSE #:.,.:9i
undersigrW, hereby certify that we have pretreated the above described construcrion for
nean termites in accordance with the standards of the National Pest Control Association.
feet if area treated: �1 c� ----
of Treatment:
Chemicals used:
Total gallons tel: t ;
Time of Treatment: t K
_Slab
� -is' Treatment
Re -Treat
Pools
1* Treatment: V Treatment
---f?)--T-ea Re -Treat
Other =_r_�, -
Perimeter f Final spec ion
V"Treatment
gnature inamr
There mast be a mmp/eted from for awl, lequk& &&Vn" orrl tta*nwt end bbtss form mWbe on t- jab
bepb adup by We fnWOC rat lime of god, lnspMAV? Jar dw schaovled lnspImbbri rrl/lW o0da ie-/nspe14an
rM-
_1" Treatment:
Re -Treat
FS i .2 6 Ce1WmteOfl tt&0 rreatmeitt fbrpn� bbnof.6PjmMm A.rs�aiher rttjohF&pmffhgboard
N be 0r0trfded 0 rec&& dupli a Treatmtarlt G6rdfttes as aach regu1fedPMM0fv6 tWtmantis cnmpletea;
proa copy Mrthe person the permit is &twto and anodw cupyfor Me &jt<dV permltildes. The Treatment
cete sAyl gnw* tiie pmdure wed, Identity of ttre appl/catnr, t/me and date of 0,e treatment, sOl=0a ams
c*emleal usad, pwrPnxcnncerrrratfonandnumbarofgallons used, to esbbi h a table regard of
treeli»ent. ift9:e ,null chetr kW tt u*r metfiiad for termite prewnVW is used, AW aftilor & mtmu7t• shall
Lae ,' p/et�' pr%r to final buiA&W approval
St +ucle County requires for the final Inspection for CO, a Permaneant Sti+doer #o be planed on
th1 el l panel boor cover,, I!Wng all the btatmentsr and dates of applications.
MEL-RY CONSTRUCTION, INC.
JOB
DATE
RECEIVED DEC 0 7 2016
I
• TerA-nte,piPs action _ yes cnr-�stl'•s�or �`���-�i2�-%��'�
• Term to Pretreatment , fvid'A40 Toil Free:1-877-365-9990 =
• Pest Control Termite Fax: 772-340-5990 .
• Rode�Pt Service Pest Email: Evictabug@gmail.com
• FireI,fly
nt Lawn Service . nc. Control,
• Whit Treatment inc: 2373 SW Woodridge St.
•'Lice sad &Insured
Lie. JB1757, . Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC)104.26. and Broward County Chapter FBC 105,2.2)
PEST P4VENTItON l FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I VVHITEFLY i KtA i MtN t
DATE OF S RVICE I' �" i E�" TIME �f
DEVELOP l ENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTU IE ADDRESS (LOTBLOCK) CITY STATE, ZIP CODE COUNTY'
1 � � ii �. -"1 l✓) { .�?(;�b'� , ..rye, •t . ��;:A. 1.1, �,)�k I•.{, 3C `'
NOTES
TR TMEN rTYP R
*LOATIN�j ❑ MONOLITHIC ❑ PATIO
❑ CUTOUTS C] FOOTER ❑ FRONT ENTRY
❑ TAMP &,EAT TREAT ONLY ❑ FINAL
Q GARAGE ❑ DRIVEWAY ❑ STEM WALUF00TERS ❑ ADDITION
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS '
❑ POOL DECK ❑ OTHE
WBASELI II ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
Q OTHER
ACTIVE IN REDIENT ❑ IMIDACLAPRID)FBIFENTWRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
ONCE
M.0
06% 0 .12°% ❑ ,25%
YES
RYES
❑ NO
❑ .05% Q• 23% ❑ 9% ❑ OTHER
LINEAR FOOTAGE
MEASURED OR VERIFIED PER PLANS
❑ NO DETAILS
0 rn
GALLONS APPLIED
r
rrl
As per 104. i6 FBC - If soil ohemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to fine] building approval.
&ertificate Compliance: The building has received a complete treatment forte prevention of subterranean termites. Treatment is in accordance with rules and laws esteblishe
by the R " Departrnent of Agriculture and Consumer Servicas. (Per the Florida Building Code.)
If this noticeir for the final exterior treatment, initial and date this line
FINAL STIC ER ^'
❑ ELECT I AL PANEL ❑ WATER HEATER ❑ OTHER
Payment T EmE. Payment due at time of service. Yr >
Date Applicator, .(Evict A Bug Termit est Control, Inc.)
C
Date Customer (Property Owner orAgent) G�G`
' R www.evictabugpestcontrol.com