HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESl gVa-- V 5°1
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 "
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PERMIT #: 5�' lS�z - JOB ADDRESS: Woe . -(�0.„ d <f auce,6� 3yf47
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: T916 7 M0
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:
Percentage of solution: ' O S 6/0
Date of Treatment: l L
Chemicals used: I,mVR-L4tcc»ti 2-,
Total gallons used: 7� �—
Time of Treatment: "5-? 2,O 3�VVA
Footing --�L§lab n i r(Aw
1 -
Treatment 1 Treatment /+cA
Re -Treat Re -Treat
Driveway Pools
11` Treatment 0 Treatment
Re -Treat Re -Treat
Other P rim erj.rFinal Inspectio1" Treatment
Re -Treat
Sig ature of Yerminator Date
Note: There must be a completed form for each required eatrnent or re-treabnentand 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-inspecton
fee charged.
FBC104.2.6CertficateofProtective Treabnentforpreventionoftermites Aweather resistantjobsiteposbngboard
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 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 the treatments and dates of applications.
Wmnma
NOTICE OF INSPECTION I � IZ oho
and/or TREA
Dab of I7
ection FEB 0 5 2019
Z ST. Lucie County, Perm
Date
P ticideUsed
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t
Il7n,
Active In edient r
c{o rt C!
Percentage
a
g
Volume Used
Wood Destroying Organism Treated
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r ,r
Pursuant to Chapter 482 lorida Statues,482.226, When a wood -destroying organism in-
spection is provided ikg&ordance with subsection (1), the licensee shalt post notice of
such inspection immediately adjacent to the access to the attic or crawl area or other
readily accessible area of the property inspected. In addition to the notice required by
subsection (4), any licensee who performs control of any wood -destroying organism shall
post notice of such treatment immediately adjacent to the access to the attic or crawl
area or other readily accessible area of the property treated. It is a violation of this
F.D.A.C.S. License JB267390
ProControl Management Services Inc.
(772) 579-0230
1914 SW Diamond Street
Port St. Lucie,FL.34953
RECEIVED
Planning & Development Services
Building & Code Regulation Division FED 0 5 2019
2300 Virginia Ave
Fort Pierce, FL 34982 ST. Lucie county, Permitting
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: LL' Ig►Z - O OB ADDRESS: /4DZ ,l-Iariman F h�.u,t'� 3Y747
BUILDER/CONTRACTOR: ", 5� �e S
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: TRae'73go
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: Chemicals used: \oyi4 vx arV u'
Percentage of solution: O3 `/a Total gallons used: s• O A!a=a
Date of Treatment: k Z Time of Treatment: �?v%Jk
_Footing
_S#Treatment
Slab /r L
41stTreatment Ac(d(-6oO
_Re Treat
_Re -Treat
_Driveway
_Pools
1st Treatment
1s Treatment
_Re -Treat
-Re-Treat
Perimeter f Final Inspection
_Other
_Re Treatment
/�� / T
Re -Treat
_3 l
Sig ature of erminator Date
Note. There mustbe a completed farm foreacb required tmentorre-treabnentand this form must be on thejob
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.
FBC104.2.6 Certificate of protecVve Treabnent for prevention of termites. A weatherresistantJobsite pasting board
shall be provided to receive dupllcate Treatment Cedlfirates as each required protective treatment is completed,
providing a copy for Me person fire permit is issued to and another copy for the building permit fmles. The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment, site ldcatlon, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barber 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 the treatments and dates of applications.
Revised 7/24/2014
custom(
Service
Billing
Specializing In:
(772) 579-0230 iffi Termites -Rodents -Pest Control
www.procontrolservices.com Bees - Mosquitoes - Flea and Tick
Bed Bugs - Trapping
Service Invoice ❑ Commercial 0. Residential
A Tess RECEIVED City State_Zip
FEB 0 5 2019 11 Time In : -130 Time Out: (o . / &te of
Dcrmittinn11 Scheduled Time and Date of Follow Up Ser%icc(s)
MateriaLUsed _
Amount
Material Used
Amount
(_ 26
05'. 50gal
Treatment
❑ General Pest
Induds: While Footed Ants, GhostAots, Pharaoh Ants, Argentine Ants, Crory Ants, Thief Ants, Acrobat Ants, Pyramid Ants, Fire Ants,
Pavement Ants, American Roach, Brown- BandedRoach,Oriental Roach, Smokey Brown Roach, Florida Woods Roach, Saver Fish, Bmwigs,
Wasps, Mud Daubers, CmUpedes, Millipedes, Drain Flies, Phorid Flies, House Flies, Black Widow spiders, Daddy Long Legs - Harvester Spiders,
House Spiders, Spinybadmd Orb Weaver Spiders, Wolf Spiders, and Imnping Spiders.
Special Service(s)
11 111 Carpenter Ants El Big Headed Ants 0 German Roaches El Asian Roaches El Sanitation
Bed Bugs Fleasrricks Mosquitos Bees ❑ Vector
Mice ❑ Roof Rats ❑ Raccoons -UM
Description Of Service(s)
.y
Thank You For Your Business. Additional Equipment S
Remember, receive $25.00 for any referral Payment Options Total Due $
with annual agreement. ❑ Lash —
ProControl nagement Services Amount Paid $
1914 S . Diamon Street ❑ Check #
Po S . Lt�cie,F1%, ❑ Credit / Debit (receipt # ) Amount Due $_ 1%
X 7 l/ �/ � X
froControl Rebresentative Accepted by: ❑ owner ❑ Agent ❑ Lessee