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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESa: Pre- Construction Termite Treatment ' anviron�nwntal �p7{N aP.9 7670 Okeechobee Blvd., West Palm Beach, F1. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 cPn Property Information Builder/Contractor B St Lucie Treatment Date Time Lot Block Name of Builder Subdivision Name `?60o AIK JIJ Shell Contractor ZI T�LV Street Address gf lmown.) AL )z . 3 �/s Z Construction Type ed onolithic 13Floating/Stemwall DPatio City State zip L7Entry ,ODriveway C70ther: Owner's Name (If known) Product/Treatment Information Treatment e: T'yp ❑ Underslab ❑ Patio/Driveway/Entry ❑Final ❑ Wood Treatment ❑ Bait System Other `JhIyCGu� Product: ❑ Disodium Octaborate ❑ Cypermetium IImidacloprid Bifenthrin ❑ Permethrin ❑ Other: Concentration j Mixed Product Applied &D Square Feet Treated Z 00 Linear Feet Treated ❑ If this box is checked, then Final Perimeter treatment has been completed and,the following statement is applicable: Certificate of Compliance: This building has received a complete treatment for the prevention of subterranean termites. This treatment is in accordance with the laws and rules established by'the Florida Department 'of Agriculture and Consumer Services. J%6 &?, J44 X/_� App icator's Name (please print) AppTicatoig Signature HES-TE019 02/14 Hulett Environmental Services® 2015 my / P//-62,3'? Ilia - an :.' Pre--Const ruct on *id Termite Treatment 7670 Okeechobee Blvd., West Palm Beach, Fl. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 _ . Property Information q Treatment Date Time / Lot Block i Subdivision Name `v o 4C/ A�Le'wle �a . Street Address gfknown) �'a L 3�,YsZ Uity State Zip Owner's Name (If known) Builder/Contractor St LLj ucie Name of Builder Shell Contractor Construction Tope onolithic '©Floating/Stemwall Matio Entry ElDriveway 170ther: Product/Treatment Information Treatment Type: ❑ Underslab ❑ Patio/Driveway/Entry ❑ Final 1 ❑ Wood Treatment ❑ Bait System -ZOther Product: ❑ Disodium Octaborate ❑ Cypermethrin /LJ ImidaelO rid I p � lOrvWnof Z L ❑ Bifenthrin . Permethrin ❑ Other: Concentration I Sgware Feet Treated 17, L:)o Mixed Product Applied & D Linear Feet Treated C7 If this box is checked, then Final Perimeter treatment has been completed and the following statement is applicable: Certificate of Compliance: This building has received a complete treatment for the prevention of subterranean termites. This treatment is in accordance with the laws and rules established by the Florid ia Department 'of Agriculture and Consumer Services. 3 �Ilim ie� . /&A� . . App lcator's Name (please print) ApplicatoP6 Signature 02114 Hulett Environmental Servj=O 2015 W ri 00 ,-4 V m U- ICU N .c L L O E -W M L �O Ln Port St. Lucie Building Department Certificate of Compliance (This Is a partial treatment only and not a guarantee or warranty) Permit Number:. This form is to be filled out by Pest Control Company SCANNED BY St Lucie County Location of Property: 3600 Red Tailed Hawk Dr, Port Saint Lucie, FL 34952-3023 Legal Description: Section Pest Control Company Timothy Hulett Company Owner - Please Print Signature 01/28/2019 President Date Title Soil Treatment Company Information Hulett Environmental Services Soil Treatment Company Name 7670 Okeechobee Blvd Address JB5562 Soil Treatment/DACS License # 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. A second treatment was done on (date) J_I as per manufacturer's specification. If the second treatment Is not required, a copy of the product label shall be Included with this certificate. Amy Lot Treatment Information Date of Treatment DOMINION 2L - PRETREAT Chemical Used ,1 Concentration 60 Gallons Used Driveway Abutment Method of Application (soil mixed, etc.) 1200 sq ft Linear Footage of Area Treated Second Treatment Information 01/28/2019 Date of Treatment Chemical Used Concentration Gallons Used Method of Application (soil mixed, etc.) Linear Footage of Area Treated Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstruction soil treatment attested to in the above. The purpose of this document Is to show that to the best of this department's knowledge, the builder has satisfied the requirements of the Florida Building Code for protection against termites. This form MUST BE RETURNED to the Building Department before your final Inspection Is scheduled[ W - 4-1 00 U m LL Port St. Lucie Building Department Certificate of Compliance (This Is a partial treatment only and not a guarantee or warranty) Permit Number: This form Is to be filled out by Pest Control Company SL ANNED BY St Lucie County Location of Property: 3600 Red Tailed Hawk_ Dr, Port Saint Lucie, FL 34952-3023 Legal Description: Section Pest Control Company Timothy Hulett Company Owner - Please Print Signature 01/28/2019 President Date Title Soil Treatment Company Information Hulett Environmental Services Soil Treatment Company Name 7670 Okeechobee Blvd Address JB5562 Soil Treatment/DACS License # 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. A second treatment was done on (date) _/_/ as per manufacturer's specification. If the second treatment is not required, a copy of the product label shall be Included with this certificate. Block Lot Treatment Information Date of Treatment DOMINION 2L - PRETREAT Chemical Used .1 Concentration 60 Gallons Used Driveway Abutment Method of Application (soll .mixed, etc.) 1200 sq ft Linear Footage of Area Treated Second Treatment Information 01/28/20,19 Date of Treatment Chemical Used Concentration Gallons Used Method of Application (soil mixed, etc.) Linear Footage of Area Treated Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstruction soll treatment attested to In the above. The purpose of this document Is to show that to the best of this department's knowledge, the builder has satisfied the requirements of the Florida Building Code for protection against termites. This form MUST BE RETURNED to the Building Department before your final Inspection Is scheduledl