HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESr:
BUI
PES
Planning & 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
IT Q.3��J B ADDRESS:
)ER/CONTRACTOR: L Cott 3 d--
SCANNED
St Lucie County
CONTROL CONTRACTOR: �� l�G� . tiS 5 � , � tC' e'
CONTROL LICENSE #: Z13 1 L 277_ 92
We, �he 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: Chemicals used: � f -yf'A n �f
Percentage of solution: OLI
otal gallons used: � 0
�%Je111ti11Date of Treatment: % ime of Treatment: 9�,G'{Q�,
da "p......�
Footing Slab o`o •'���n••'��'
rt 15t Treatment= : '�' ; rrn
1 Treatment _ . g3�./ �, •
Re -Treat Re -Treat = w ' O ; y
Driveway Pools '•.N, ��`•.?�
1't Treatment 1't Treatment 1�i��'�....�„..��'�a-a.``�
Re -Treat Re -Treat ,4N3W3��"-'N
Other Perimeter for Final In ection
1st Treatment _
Re Treat
ignature of erminator 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.
FBC�04.2.6 Certificate of Protective treatment ror prevention or rermires s+ wearner resrszanc juusne pusuny uuviu
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
prow mg 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 �jQf pplications.
7/24/2014
JUL 2 2019
Permitting Department
St. Lucie County, FL
0Sa47
Awd -A�l A -fjjjjjjj& �' I=
Pre,- Construction Termite Treatment Contract.
and Final Treatment Certificate
Everglades Pest Management, Inc. is a full service company offering Pest control, lawn & ornamental
spraying and fertilization, and termite control. For more information, please call 866-414-PEST. Specific
term and conditions regarding this contract appear on the back of this page. Should holder have any
quesi ions with reference to this contract, please contact our office at the number or address noted below.
This ontract is transferable and is for the primary structure noted below. It does not include, unless
specified in writing, fences, detached structures, decks and additional construction provided after the date
contract is issued. Reference to termites applies to subterranean termites, including Formosan termites.
This (�contract does not provide for protection of any other wood destroying organism, insect or pest.
Treatment Notice posted on hot water heater or electric panel.
Trea
Com1pany agrees to warranty the structure for an initial period of 12 months from the date of the initial
treatment. If termite infestation occurs at anytime during this period the company will inspect property
and provide remedial treatment (s), spot or full, with liquid termiticide as required to eliminate or control
termites. Should termite damage be noted through inspection, company or subcontractor(s) chosen or
approved by company, will repair damage caused by termites. For an annual fee specified below, holder
may extend this warranty / contract for a maximum period of four years as specified in paragraph two of
terms and conditions noted on the back of this page.
Residential Treatment Information
tments provided are for preventative purposes and was requested by the contractor or builder
below. "This building has received a complete treatment for the prevention of subterranean
slabs treated subsequent to the initial treatment date.
Final Treatment: 6/28/2019 Builder: S&D / Gale Constivu&IRG®��z<
v.. Olt"
Initial Treatment: 1/24/2019 Subdivision: n/a •;••,,,, s
U j� v'� / n '� •0
Pro[�erty Address: 7003 S. Indian River Drive GARAGE Lot: n/a = :,q
/- m=
Trez tment Cost: Billed to Contractor Homeowner: n/a
Renewal Fee: $135.00-365.00 (varies) Treatment Area: 2680 sq. ft. Chemical: Imidacloprid A'
ill 1 1111
This ontract not valid without a final treatment date and signed by authorized agent. The contract is initiated through vcrMa� request as
perm, tted by Florida Administrative Code, section 105.2K These treatments meet or exceed Florida Building Code 1816.
Authorized Agent LicenseSo
RECE11 &ED
11192 47th Road North / 561-333-8777 / 866-414-PEST
JUL 2 2019
Permitting Department
St. Lucie County, FL
s
FILE COPY �,
EVVV� Pta M44.4�, f4,W,.
"Considering Your Environment"
State License Number 114708
11192 47th Road North Royal Palm Beach, FL 33411
561-333-8777 / FAX 561-333-8999 / Toll Free 866-414-PEST
pu- Tom, T
RECEIVED
JAW2_8 1019
Permitting Department
St.' Lucie County
Property Information
Subdivision: C Lot: Block: Section:
Address 0 S • .�'-N7 T/a�-� 1'�.
City & Zip
Owner
Name of Builder:
Shell Contractor:
Builder / Contractor Information
2—
Construction Type
Monolithic: Floating/Stemwall: Patio: Entry:
Driveway:
Addition: Other:
Product / Treatment Information
Treatment Date: f 2 cI / '� Time: C�-- / S-Technician:
Treatment Type (mist check e) Initial Under Slab: Sup lemental:
Product Applied: Cy#rin: Premise 75 er
Concentration: - O� Mixed Product Applied: Z Gallons
Square Footage Treated. G'VG Linear Feet Treated:
If this 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. TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES.
(Florida Building Code (FBC)1816.1.7)
Applicators Name (Please Print)
SCIN ED
tj r Count,