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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPre -Construction HULETT Termite Treatment m.vironmcn[nl FCrVlrl]F 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information 3 �J Treatment Date / r / Time ZCJ- Da Lot Block �D �CA'n'\©" So'nCL Subdivision Name s Dry Dr Street Address (If known) 3cs\s CN 1�e e �F— L 3`-mq City State Zip Owner's Name (If known) Builder/Contractor Name of Builder U SCANNED BY Shell Contractor CoonstZruction Type []Monolithic D loating/Stemwall []Patio []Entry []Driveway []Other: Prod t/Treatment Information Tlreatment Type: nderslab ❑ Patio/Driveway/Entry ❑ Wood Treatment ❑ Bait System Product: ❑ Ddium Octaborate ❑ Cypermethrin ❑ Imidacloprid ❑ Bifenthrin ❑ Permethrin ❑ Other: Concentration t U 5% Mixed Product Applied Square'Feet Treated �iI r. _� Linear Feet Treated ❑ Final ❑ Other ❑ 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 Consutr�er Services. Applicator's Name (please print) Applicator's Signature HES-TE019 02/14 Hulett Environmental Services© 2015 r 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 PERMIT #: ODa7 JOB ADDRESS: Nl24 3 00" vy, O243L„ Gear! FG BUILDER/CONTRACTOR: us I $4'7 PEST CONTROL CONTRACTOR: #Qk4A— PEST CONTROL LICENSE #: IITs 0000(o/N 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 feet If area treated: "ir)j 16 l'il`- Percentage of solution: Date of Treatment: Q f f l y _Footing SstTreatment _Re -Treat _Driveway 1`t Treatment Re -Treat ._Other _Ist Treatment —Re-Treat Chemicals used: 21 Total gallons used: /Z/ Time of Treatment: _Slab —1st Treatment _Re -Treat _Pools lst Treatment _Re -Treat Perimeter for Final Inspection jm,l &V'Ye ai/ Signature of Exterminatbr Date Note. 717ere must be a completed fort for each required treatment orre-beabnent and b7ls font must be on the Job site to be ploked up by the Inspector at time of eaa5lnspection or the sdreduled Inspection will fall and a re -Inspection ke dtarged. FBC104.2.6CertlficateoffrotecMeTreabnentforprot-entfonoftormItes AweatherreslstantJobslteposbng.boatd shall be provfded to receive dupllrate Trabnent Certiflcates as each mqulmd protectiva brabnentls completed, provIding a copy for the person the permit Is Lwad to and anodwr copy for die building penult files fie Treatment LetMate shall pmMe the product used, Identity of the appllcator, time and date of the treatment, site location, area heated, d5emlcal used, percent concentration and number ofgaflons used, to establish a verifiable record of protective treatment, if the soll chemical bartiermetlrod for tent/te preventlon Is used, final ededor treatmentshall be completed prior to final bullding 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 ..FINAL Radio Dispatched " 24-hour Service" Coaporato Center ®N Y, P.O. Box 220928, West Palm Braoh, PL 33422-0928 ` IEZ 1-800-285-PEST (7378) www.bugmum Owner lv "Ci"lv aA) Lot C�?-% Block Sub•Dmson olamond sands StrealAddfm 8124 8 Ocean br CRY Jensen 8eaoh, FL 34987-2192 Gen",Contm*r'U81 ConshcUon SeMcea;LLO Sub Conbador CoMmenla ACCOUNT #597665 - custom hm Final completed onsubterm omtemdtewMmagre ent)thatiscm=dbythesubtamrmnn gestmi-Astaa 7bmft) exclddlug NesuUtmmes costa8e Cfte 74.radto) wM be pa Puldtt HaVlceame 1W services win aunualtyrolnspoct the ptopedy only at you r be 000 (1) yWfrom 160ln(dal date of treana6at. 7b6 honuwWner shall have the a mmadlly (afterthe f tatyear) forno less then four(4) addltlonal yomwith ptymn I Bldg..# Date 09/07/2018 m moo ttgmc rent roan shall ading the service agmament raH'fgao 17W.3