HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESAug 31 2011 10:29AM HP LRSERJET FAX P.1
.y
2300 Virginia Avenue C110i
Ft Plerce, FL 34982
(772) 462.2172
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOEL TREATMENT
pERWr $,. 11070267~ JOB ADDRESS c1 t NW Winters Creek Road Palm City, FL
BUII DER Watley Cangtruotion
UM CONTROL CON R&CTOR Patr; ck E3rterminatina
PEST CONTROL LICENSE # t SbL
We, the tudersig:edr hereby certify that we have pretreated the above -described construction for
sobterrenma termites in accordance veith the standards of the National Pest Control Association.
Square feet of area treated: 39n T.; rear
Persentage of solution:
Date of treatment: 8.1,3njl
❑ Footing
❑ 1st Treatment
❑ Re aew
0 Slab .
❑ istTmatinmr
❑ Re. -treat
D Driveway
❑ 1st Treatment
❑ R"eat
❑ Pools
❑ istTreatment
Chemleals used: Demon Max TO
Total gallons used• 128
Time of Treatment- 3.00
FEM04,24 CatWcafeofPnNeetive7YeatmerdforptsvendonOftermtres.
A weather redaram$ j0Ar to petting board shall be pmvidedso reeme
daplieara Treatment Grrjfuatet as each required proreMve. treatmau is
mmprated, providmg a copy forrho person rhepe~, is tasted ro and
anmherropyforthebrfldingpermirjiies. TheTmam,emCaVleweshdl
provide thePradaes used, identify of the applicator, time and date of the
beomtenx sire iocaiuur area treated chemktrl wed, percent rafcemmHon
• and numberofgallaa used, to establish a verUlaOk record of protective
trearmenc !f the soil chemical barrier merhod for teradre prevemion is used,
find averior treaMunt shall be complered prior ro fmal boil ft aoravaL
Sttarcie County requires for the final tngmd 6n for CO, a Fermuneot
Sacker to be placed an the eb ctriW panel box cover, listing Ail the
tszetments and dates otappltoations.
❑' Re -treat
❑ Other
❑ istTroatnent
❑ Re -treat
M Perimeter for Final Inspection
P
Signattire of exterminator
NOTE.
There must be a completed faint for each rrgpired treatment or re-tr fmot and this form must be on
the job site m bepicked up by the inspector at time of each laspeation or the scheduled inspection wX
fat? and a re -inspection fee charged
r.�arcnrmdAr
St Lucie County Inspections
Ft Pierce, FL 34982
(772) 462-2172
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # JOB ADDRESS 5_h 0 LA` 6j `
PEST CONTROL.
PEST CONTROL LICENSE # Lf1?'C9`A
LI
We, the undersigned, hereby certify that we have pretreated the above -described construction for
subterranean termites in accordance with the standards of the National Pet! Control Association.
Square feet of area treated: �Z� Chemicals used: ' I-,-
Nr4C'q A/FD
Percentage of solution: �s Total gallons used: t O Ole CO
4n11r
Date of treatment: 2� Time of Treatment- I '
❑ Footing
❑ 1sr Treatment
❑ Re-trear
❑ Slab
❑ 1st Treatment
❑ Re -treat
Q Driveway
❑ 1st Treatment
❑ Re}treat
❑ Pools
■❑
❑ 1st Treatment
❑' Re -treat
Other
FEC104.7.6 Cer0cateofProtective7Yeatmentforpreventionoftermifes.
A weather resistant jobsite posting board shall be provided io receive
duplicate Treatment Centlticares at each required prorecrive treatment is
completed, providing a copy for the person rho permit is issued to and
another eopyfor the building permit files. The Treamtenr Cerntilcam shall
Provide the product used, identity of the applicator, rime and date of the
treatment. site location, area treated, chemkal used, percent cancentratioa
and number ofgallont used, to establish a verifiable record of prorecrive
treannenr. if the soil chemical barrier merhod fortermite prevention is used,
Anal exterior treatmenr shall be completed prior ro fral building approval
St Lucie County requlres for the final taspee ion for CO, a Permanent
Sticker to be placed on the electrical panel box cover,'Isdaaallthe
treatments and dates orappr=tions.
❑ 1st Treatment
0 Re -treat
Perimewr for Final Inspection
NOTE.
There must be a completed form for each required treatment or re -treatment and this form must be on
the job site to bepicked up by the inspector at time of each inspection or the scheduled inspection will
A.viu#QR3/0dmp
fail and
. a re -inspection fee charged
TERMITE PRETREAT SPECIALISTS Ms PRETREAT
800-DILIGENT
FAX 800 837.031
' 'TermitePretreat.cam $(�
State License JB94495 ANNr .
-Notice of Preventative Treatment for Termites St. cuceCo(; .,,
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I LAWN S ORNAMENTAL CARE I TERMITE SERVICES 1 MOSQUITO ABATEMENT I RODENT & NUISANCE WILDLIFE EXCLUSION S REMOVAL
SERVICE ORDER NUMBER- — --- SERVICE DATE R - f Z —07 TIME O.SUNNY ❑ CLOUDY _ _
DEVELOPMENT NAMES(PROJECT) CONTRACTOR'S NAME CONTACT PERSON Lke A
STRUCTURE ADDRESS (L T/BLOCK) CITY; STATE, ZIP CODE COUNTY
tiw _ L
CONTACT PHONE NUMBER NOTES `
a5— - na (7
TREATMENT TYPE/AR
)(FLOATING XMONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY
0 STEM WALL ❑ADDIRON
❑ CUTOUTS ❑ FOOTERS
❑ FRONT ENTRY
❑ EXTERIOR PERIMETER FOR RENEWAL
O OTHER
TREATMENT TYPE
TAMP & TREAT ❑ TREAT ONLY
'
❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT
0 BAR STATION
PRODUCT
BASELINE OPROBUILDTC
Cl DRAGNET ODEMONTC
❑TERMIDOR TO ❑BORACARE
❑OTHER
ACTIVE INGREDIENT
CONCENTRATION
X06% ❑.12% 0.25% '10.5% ❑.23% ❑OTHER— GALLONSAPPUED
SQUARE FOOTAGE O \ LINEAR FOOTAGE
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
Np P
%. •....... 1
1. • A p O q q••
SEAT.,
W
As per 1042.6 FBC - If soil chemical barter method for termite prevention Is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance: The building has received a complete treatment for the prevention of subtemmean temiltes. Treatment is in accordance with rules and
laws established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
[TERMITE MONITOR INSTALLED 0 YES 0 NO)
Payment Tema: Customer's payment In full is due at time of initial service. Customer agrees that a finance charge in the amount of 18% per arum will
be assessed on all unpaid balances that are not satisfied by the due date. in the event a collection process becomes necessary to recover an unpaid
balance the following fees will be assessed Including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment fee. Customer will be responsible for paying all costs associated with any collection process.
Date APPIi or (Diligent Lawn and Peat Control, Inc.)
�r� Pc. yak ' • •
Date Customer (Property Owner or Agent)
„ , 1� 800-DILIGENT
800Diiigent.com
Corporate 3100 NW Boca Raton Blvd. I Suite 106 I Boca Raton, Florida 33431 1 800.487.8190
2300 Virginia AvenueFt cgiyNF
Fl a (7 zszPierce, E 34982 Sp e4eie cov
ov
CERTIFICATE OF TERMITE T EA-T- LENT
CONSTRUCTION SOIL TREATMENT
PERMIT 5c0, O 79s D 31
MOB ADDRESS 6"CL ✓ 1
BUILDER �" r
PEST CONTROL CONTRACTOR
PEST CONTROL LICENSE #
We, the undersigned, hereby certify that we have pretreated the abov&described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: _.-O 1-I 1
Percentage of solution: . oz. �e
Date of treatment: 9- / e - 0 7
❑ Footing
❑ Ist Treatment
❑ Re -treat
A,Slab
91stTreatment
Re -treat
❑ Driveway
❑ 1st Treatment
❑ Re -treat
❑ Pools
❑ IstTreatment
❑ Re -treat
❑ Other
❑ 1st Treatment
❑ Re -treat
Chemicals used: �1;14e
Total gallons used:/D
Time of Treatment:
1713004.2.6 CeruftcateofProtectiveTreattacIdArpreventionoftermites.
A weather resistant 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
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 ofgallons used, to establish a verifiable record ofprotective
treatment. !f 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 fioa[ inspection for CO, a Permanent
Sticker to be placed on the electrical panel box cover, listing all the
treatments and dates of applications.
❑ Perimeter for Final Inspection
NOTE-
Signat re of exterminator
There must be a completed form for each required treatment or re•treatment and this forin 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.
Revlted 6/13102 dxg