HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEled -oc �-q
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 #: M6 Z JOB ADDRESS:
BUILDER/CONTRACTOR: -c✓44`� C.
PEST CONTROL CONTRACTOR: a v�
PEST CONTROL LICENSE #: �r5 uv 73qD
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: 4450 7 Chemicals used:
Percentage of solution: 5X Total gallons used: era
Date of Treatment: S 2/ Time of Treatment: ��Y1D �•�"� -
Footing
>�_ls'Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1'` Treatment
Re -Treat
7! Slab
?< 1't Treatment
Re -Treat
Pools
1'` Treatment
Re -Treat
Perimeter f Fin I Inspection
Signature of Exterminator Date
SCANNED
BY
St. Lucie County
Note. There must be a completed form for each required treatment or re-treabnent 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.
FBC104.2.6Ce/tif/cateofProtectiveTreatmentforpreventionoftermites. Aweather resistantjobsitepostingboard
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 venriable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, rinal 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.
KeVISea //24/ZU14
I,go2-o t.w
COUNTY
F L O R I D A
Planting & Developrnettt SWAM
& M M & Cote Repulatlon 0141 on
'IM.Vbglnb Ave
Post WOO FL 349U
"I-462-2W Fax M 46Se6g43
RECEIVED
DEC 2 6 ; q
ST. Lucie County, Permitting
- - CERTIFICATE -OF TERMITE TREATMENT
-
CONSTRUCTION SOIL TREATMENT -
C
Sf 4 "),
u°i° �OUntY
PERMIT*; -- k JOB ADDRESS Igp,5—' 2 Pui-P.Lltp_
01 M r cnAAKFFDAC' M. It _ (_ /`. _ -1- r.
'We, the undersigned, hereby oerdfy that we have pry the above described construction for
subt uranean.tPm►iCes In accordance with.the standards of the NaWml.Pest Control Association.
Square fed tf area treated:.
Percentage of solution: ' . o °/o
. Chemicals used: t�opiluv�,av� ZC
Total gallons used: al`i
Date ofTreabbent:. /2. -us-of Tfrne of Treatrimt - I :b O KA - __
FBC04.2.6 CeiWcaW afftbzgwTieaa attfof off ndw Ammftrms&WtjdsftP&qft&wd
sbal/be ptovrded m recldl� drrp>� Treabrretit"Cer6 as eadi �ulied beabna�t Ammer
pmWDingacdpyfartheP&%mftpe'mitlslsaiedtoaodmoff iwpyfwdwbWkDgpermitAe&7henw&nW
Cevtl/aWshal/pmðeprod&lead,Id&?Wofb/--,,bmandaateafthebaMreal,atebwffw,area
Ox�ated, alt�nira/rtsad,. peraentmrtmrbattonarad numttar�'g31/onsr� to ea�ish a tarY,�Je�axd of
,pmtai7tvebaaknent Ifthesolld�trfca/barr�rmethadliuferm/leprevent�nlsrsvd,Amalar�ntfr6eatrrtrerftslra/l
be aunp/etadprfor to ffiW rdlr Wapp m1.,
St Lucie Coui ft-metuhm for the final Inspection for CO, a Permanent Slhk karthq be placed on
the electrical panel box cwjw,, llstng all the t iMments and dates of applications`
,Revised 7/24t1014
etls#..v '! j
and/or Applicators Ivitpme
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k i� a- u'. v !"l9 Y � J
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fume Usk _
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Purwaiit to apter 42 F
spect on is.provided in acc
such inspection immediat
readily accessible area of
subsection (4) any licerise
post. notice of such treatn
. area or otfiii readily aca
r,.
itues,402;226, WhEr1 a wood=datrayring,otganism in -
with sutflebsection. (1). the l cefisee shall posf riotfoe.of
ent to, access to the attic or crawl area.or other
erty inspected.,ln addition to the notice recWted, by
rforms control of any wood-destraying n shalt
ediatel�r adjacent to the,aacess to the attic or, crawl .
+a elf the hih&ir treated it #s a WMeti� aE tl,#s
me-odher dion-the+ trroaerty awrier to -hair ifi such
F.D.AC.S.. License JB267390
221 N.E. Prima Vista. Blvd, ' `
Port Si. Lucie, .1,34983
www.piocontrolservices.com
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Procaritir'
laement SwAces
Sepce Inspect onSeport
ORDER *. 11964
womme> /yzylsl
Timalm. IZTW19 2:12 PH
-T0 Od148 LOCATION 1�148 nmeout: IZW/192:14PM
1
Heritage Contracthg:SerAces Heritage Contracdn9:Services d esigrunue
Paul Kuhn Paul Kuhn
4960.Con1eY-P1--- - - - — 4900 ConWPi - - -
Fort Pierce, FL 34951-3225 Fort'Pierce, FL 349S1-3225
NstUrtir�r'Is WMaliahle to sign
Dhare: 7TL-2161612 NOW.,712-216fi612 TedMkkn.Si9DXb"
7omph.Maml
Lkm #—. FL-]92,M90
m
L
S�mh/ 50.00
?mr 400
Total -Due: 5-0.00
Tmge2Pesw (None),
PEST ACRVITY - #Areas #Devices Pest Totals
NoxN W.
DEVICE IN9PECFiONSYIMMARY
I
Printed: 1ZIM19 Pager 1/1
Planning & Development Services
Building &Code Regulation Division F, SCANNF_O
2300 Virginia Ave
Fort Pierce, FL 34982 B Y
772-462-2172 Fax 772-462-6"3 St, Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION -SOIL TREATMENT - -
PERMIT*: JOB ADDRESS: IyflS Lovu2(�u,e 1�� Fll�1�n� 1'l3N18Z
BUILDER/CONTRACTOR:Cnw-Loe-huzs
PEST CONTROL CONTRACTOR: roCrar�1, nl ramr9 ca o w� o Y. «'rp S t Kc -
PEST CONTROL LICENSE #: rtS�aC�3gh
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:.. /t/a
Percentage of solution: ' f 0 S /a
Date of Treatment 1 I q 1
Footing
1" Treatment
Re -Treat
Driveway
1s Treatment
e-T at
Other R(� L S l..a. b
�1�` reatment
Re -Treat
Note: Theremustbea completed fomh foread)
site to be picked up by the inspector at time of
fee charged.
Chemicals used:
Total gallons used: qed
Time of Treatment
Slab
ll Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
/z It if
Of
nentorre-beatmentand this form mustbe on the job
orthe sdieduled inspection wilt fait and a rednspecton
FBC104.2.6CertBoteofProtective Tieatmentforpreventonoftermites Aweatherresistantjobsitepostngboard
shall beprovided to rewhe duplicate TreatmentCertificates as each required protective bwimentts completed,
providing a copy for Me person the pann/tIs'sited to and another copy for Me building pemrltNes The Treatment
Cert ate shall provide the product used, idenftyofthe applicator, tme and date of Me treatment; site location, area
(rued, chemical used, percent concentrabon and number ofgallons used, to establish a veriAabie record of
protective treatment if the soil c harnicalbarnermethod for termite prevention cs used, final aviviortreabnentshall
be completed prior to final building appwal.
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
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
TREATMENT ---
OW-1 aw-WIWA�z-own; awl,
SCANNED
By
St. L'Cie County
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:.7257) Chemicals used: /orr /4/6y/L
Percentage of solution: ' O 5 /, Total gallons used: a /
Date of Treatment d' z d Time of Treatment 9-W
Footing
1� Treatment
Re -Treat
Driveway
1 Treatment
Re -Treat
Other
1 Treatment
Re -Treat
Slab
'k Treatment
Re -Treat
Pools
Is' Treatment
Re -Treat
_Pert r for Final Inspection
zo
Sgnature of Exterminator at
Note: There mustbe a completed form for each required trealmentorre-beabnentand this form must be on the -fob
site to be picked up by the inspector at time of each inspection or the scheduled Inspection W11 fail and a re -Inspection
fee charged.
FBC304.2.6CertificateofprotectiveTreatment fmrprevendonoftermites Aweatherresislantjobsitepostingboar d
shall be provided to receive duplicate TreatmentCertificates as eat* requiredprotedke treatment Is completed,
providing a ropy for the person the permit is issued to and another copy for Me building pennitfi/es. Tire Treatment
Certificate shall provide the product used, identity of the applicator, time and date of Me treatment, srTe location, area
treated, chemical used; percentmncentrvdon and number ofgallons used, to establlsh a verifiable record of
proteoWe treatment Ifthe soil ahemicalbamermethcd fortemrite prevention is used, final eetworhm nrentshall
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