HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESRUG-22-2006 14:53 FROM:LOURRN BLDR 7723365845 70:4626443 P:2/3
l
St Lucie County Inspections RECEIVED
2300 Virginia Avenue
Ft Pierce, FL 34982 AUG 2 2 2006
(122) 462-2172 BY:
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL MATAMNT
Pri,R IT # Man l6i' a JOB ADDRESS 5609 Sunset Blvd Fort Pierce, PI, 34982-7569
,BUMDER LowanBuilders_ Inc. — - SCANNED
BY
PEST CONTROL CONTRACTOR Hulett Enydn:ommputal Services St i ude County
PEST,CONTROL LICENSE it M000180
We, the undersigned, hereby cerft that we lave pretreated the above -described construction for subterranean
termites in accordance with the standards of the National Pest Control Association.
Square feet of area. treated: 1770
Pementage of solution..50%
Date of treatment: 06/29/06
❑ Footing
❑ Ist Treatment
El Re -treat
® Slab
M 1st Treatment
I] Re -treat
❑ Driveway
01st Treatment
❑ Re -treat
0 Pools
❑ 1st Treatment
❑ Re -treat
Chemaic4s wed: Cvoarmethrin
Total gallons good: 89
Timo of treatment: 10:00 AM
N'BC1M.6 Ccrdficoie eproft*e Dealmetttforpremmilon e6mzkm
A weather resistant fobstte pwvng board shall be pravfded to receive
duplicate TFernmem Certiifleates as mach relufredprotective treatment is
compltted providxng a eapy far the person the poermtt is trued to and
another copy for Mx butldtag permir fda. The D'eamena Cer0cata aha17
provide the product used ldexW of the applfcotor, time and date of cite
treatment, alto location area treated chemical used percent conaennradon
and noWler q(gallow used to esrabllsh or verifiable record ofproWdve
treament. If the sail chemical barrier methad for armiteprevendon is used,
final errertor weaonenr shall be completed prior to final building approwal
St Lude County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electri al panel box cover, listfmg all the
treatments and daW of applications,
❑tither
01st Treatment
0 Ra-treat
❑ Perimeter for Final Inspection
Sl &Lure of exterminator
MOTE.- Dan trust be a confloledfotmfor each regtdr&keaanent or redreattnetu aadthisfonn num be on the
fob site to be picked up by the ittspeaaor at tLtte of each inapeelion or the scheduled ltupe6&n wk7fm7 and a
re ftpedlon fee chaWA
l 'd LZCON
tNdtS: G 9001'ZZ '90tl
RUG-22-2006 14:53 FROM:LOURQN BLDR 7723365845 70:4626443 P:3/3
T
Pre -Construction Termite Treatment SCANNE®
1-800-285-7378 St. Luce county
Property Information (Builder/Contractor /� �('
'Ymmm%Dam &:. r.t'�i�hme `�-1meo£Hafl�ar /(Jt �/1�'
Lot / mock
Su/ //
b��divisionN=t WU Contmeft
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,]yam Sumf CddCWSOflmoaa)
il
�9 Mmlol#dflc FlaatinRmstemn.'sll
City solo Zip Dtivew
Paso r. Envy_� aY
O=tr Nme ofkomw)
ProdgiJTreatment Information
Treatment Type: We&* Patio/1)dvmay
Other
WoodTreatnaeut ,_„_
Froduch Disc = Oclaborate (Moracare) Ptobuiid TC Cypermefhxin
� )
Concewm im I S 0Other n MixedProducrApplied LOOS_
Square Feet Treated t✓ Linear Peet Treated
o If this box is checked, then Final Perimeter treatment has
been completed and the following statement is applicable:
Certificate of Compliance, Tltis building has received a complete treatment for the proventior~ of
subt==eaa termites. This treatment is in accordance with the rules and laws established by the
Florida Depat4meat of Agriculture and Consumer Services.
qrian��
Applicator's Name (please print) Applicator's Signature
Has-reo�� wNosro6
E 'd L ,ON ®Hutenaavbaea�ws�,ua
NdW§ 90OZ'b my
St Lucie County Insp _ `'lions
2300 VirginiaiAvenue`r
+%fflFt Pierce, FL 34982 RECEIVED
(p�10Q' (772) 462-2172 AUa 2' 9'x006
BY:
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT .
/ V
PERMIT ,�!f !j 1R ADDRESS b � Fl or c S I> J / AP-TE
PEST CONTROL CONTRACTOR —A tJ %q1J . ,S-r o. _ BY
PEST CONTROL 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 feet of area treated: Chemicals used:
Percentage of solution: d•ER�5- `
Date of treatment:
❑ Footing ..
❑ 1st Treatment
❑ Re -treat
❑ Slab
1st Treatfnent
rive' y
❑ Re -treat
❑ Pools
❑ 1st Treatment
Total gallons used: [ 1.
Time of Treatment:_ 3 • . �'
FBC104.2.6 CerlificateofProtectiveTreatmentforpreventionoftermites.
A weather reslataJi't 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
bnbther copy for the building permit files. The Treatment Certificate shall
provide the-produgt used,"identiry'of the applicator, time and date ofthe
tieatii ent atte location area rreared chemical used, percent cohcentration
and namber ojgallons used,, to establish a verifiable record ofprotective
iij4tment If the soil chemical barrier method for termite prevention isused,
finalexkiior tieptment shall be completed prlorto final building approval.
..St Lucie county requires for thelinal inspection for CO, a Permanent
Slicker7to,'.be.placed on the elecfrical panel box cover, listing all the
. i - -- .. I., e- _
Re -treat
0 Other
0' 1st Treatment" •- ,' ,• ' ' -
❑ Re -treat
Perimeter for Final Inspection
i Signature of evarminator
NOTE:
There must be a.completed form for each required treatment or re -treatment and this form must be on
X 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.
Re,ved 6/13/02 dmg
F /
RUG-31-2006 08:24 FROM:LOL. ',BLDR 7723365845
--0:4626443 P:4/4
�Frtl:lulikq„ 11G,��S(,p—.S?4S"
St Lade County Tnspectlons
2300 Virginia Avenue
Ft Pierce, FL 34982
(722)462-2172
CERTNICA T- F, OF TERMITE TREA'TMMNT
CONSTRUMON SOM TREATMENT
—CEIVEI�
AUG 11 7noR
BY;�_
PTIRMXX C11 , JOB ADDMS 5609 Sutlset Blv i?ort Pierce FL 34982 7369
BUILDER LAHMn %,iTAa.., r_-
PEST CONTROL CONTRACTOR
PEST CONTROL LICE1VSE # JFC
L'l7
tvl the undersigned, e vdtjxy to gtaxtify that we aaVe ,Pretreated the above.&spib construction for subterranean
txartaltas in accordance wit]- the standards of the National Pest Control Association
Squ.9re feet of area treated- 1770
Percentage of solution:.so%
Date of treatment-. 06/29/06
Q Footing
El 1st Treatment
F-I Re -treat
® Slab
®1st Treatment
❑ Re�jzmt
11 Driveway
❑ 1st Treatment
Retreat
0 Pools
❑ l.st Treatment
C7 Re -treat
❑ Other
❑ 1 st Txea eatt
0 Retreat
Chemicals used: exmetiuin
Total gallons usek 89
Time of troatwent: 10:00 AM
CIO4.2.6 Certifuafe ofProtecuve �irariaent ar r
dae-M4tuntjobsttepostingboardrhaltbep yid eevemloft eevvE ems
cdupl t e atment cerfificatas as each rerluiredprotecttm treatment is
P , Providing a dopy far the person the poemar it rued to and
117
anothereopyfo"M-baildbegParrnftfles. neTreaanantCergSeatPshad
provide the product used, identify of the applicator, time and date of the
t'eatmen�, site l0aatlon, araa treated, Chemical used, pemew comenyotion
and ,umber ofgatloW used, to establish verl able record ofProtective
treatment IftheSo"ChMkalbX7IAr etitodfrterrnitepravenal0muused,
final ederfdP treament shall ba completed prier to fna building approval,
St Lueie CoaatY requires for the that tnspeef9on for CO. a Perinanenf
Stickw to be placed an the elech1W panel boar. eovorl listing all t>Ae
trtcatments and dates of applications.
:1 Perimeter for Final inspection
'C%r, 3' 1, Z
sipatare a£extoml ator
VOTk: 27fere must be a completed form for cash required treatment or re-iraalttt,8nt and this orna tttrr
lob site to be picked up by the irWector at time ofeaelt f st be oa the
re-irtapeaOn fee charger[ laspecffon or the acheduted lospec6a wilt fa and a
---- I �--1 'd_BWON
6 9:6 9001'66 MV
,, RECEIVED
H�iJLET�T
Pre -Construction Termite
1-800-285-7378
Property Information
Treatment Date _/�� Time Z - Q
Lot_ __. Block
JAN 3 12007
Public Works
St. Lucie County, FL,'
Treatment
SCANNED
BY
Builder/Contractor
Name of Builder
Subdivision Name r— r / Shell Contractor
��,�-���?1 Con§truction Type
StreetAddr�fknown) f" i//
Monolithic _ Floating/Stemwall
a rc_
City State Zip
Patio _ Entry _ Driveway _
Owner Name (If known)
Product/Treatment Information
Treatment Type: Underslab Patio/Driveway Final
Other
Wood Treatment
Product: Disodium Octaborate (Boracare )
Other
Concentration t Z
Square Feet Treated
Probuild TC Cypermethrin
Mixed Product Applied �c I,/
Linear Feet Treated / ;�v
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
subterrranean termites. This treatment is in accordance with the rules and 1 ws es hed by the
Florida Department of Agriculture and Consumer Services.
Applicator's Name (please print) Applicator's Signature
HES-TE0I9 Rev OS/06
®Hulett Enviromnental Services
Pre-Constru
1.
F2EGEIVF l
JUL i 3 '1006" .
' aEl BY:
HULETT ,
.. rnrip�rawenwl
ction Termite
1-800=285q-7378
TreatmeWNNE®
BY
-St. Lucie County
Property Information Builder/Contractor
Treatment Date 9' oG Time 16 • 3o
Name of Builder
`Lot%' Block
7e
Subdivision Namet Shell Contractor
SGd9 �e)415r T Construction Type
Street Address (If known) J
Monolithic I/ Floating/Siemwall
/ P FC
City State Zip
,Patio_ � Entry Driveway
Owner Name (If known)
Product/Treatmen# Information
Treatment Type: Underslab >� Patio/Driveway Final
_ r ,
Wood Treatment
Product: Disodium OS;;[aborate (Boracare) Probuild TC Cypermethrin >/
Other __ p /J
Concentration 15 Mixed Product Applied
�1
Square Feet. Treated 770 Linear Feet Treated
o; If this box is -checked, then Final Perimeter treatment has
beer' completed and the following statement is applicable:
Certificate of Compliance: This building Aas received a complete treatment for the prevention of
subterrranean termites. This treatment is iti_accordance with the rules and laws established by the
Florida Department of Agriculture and Consumer Services.
App�cator's Name (please print)
Applicator's Signature
HES-TE019 Rev 12/05
®Hulett Environmental Services