HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEJUL 1 g 2006
St Lucie County Inspections-
2300 Virginia Avenue
Ft -fierce, FL 34982 POSTED
(772) 4(2-217z
CIsRTIFICATF OF TIERNIITIE TRE, ATN1TJNT
CONSTRUCTION SOIL TREATMENT
Pri I&fIT #1 d= oar- Odd /
U
JOB
R & F Pest CdntrQ1, Inc
PEST CONTROL CONTRACTOR 1856 SW Bayshore Blvd
Port St Lucie, FL 34984
PEST CONTROL LICENSE #1
SCANNED
BY
St. Lucie 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 of area treated: 10
Percentage of solution:
S �
Date of treatment:
❑ rooting
❑ 1st Treatment
❑ Re -treat
Slab
❑ 1stTreatinent
❑ Re -treat .
❑ Driveway
❑ 1st Ti•ealnil nt
❑ Re -treat
❑ Pools
❑ 1stTrentment
0 Re -treat
Cl other
❑ lst Treatment
Chemicals used:. l%YiD e�
Total gallons used: �s
Time of Treatment: /"' d ()
PBC104.2.6 Cerl(ficale of Protective Treatment forprevention of lernifes.
A rvealher resistant jobsile posving board shall be provided to receive
duplicale Treatment Certificates (is each requtred protective treaanent is
completed, providing a copy forlhe person the pennli Is issued to and
anoihercopy for the building permit files, The Treninieni Certificate shall
provide the product used, ideniity'offlie applicator, time and date of the
Irealnient, site IocaNan, area treated, chendcdl used, perceni concentralion
and number of gallons used, to esrablisli a verifiable record of proteclhm
lrenanent., If the soil chemical barrier method for termite prevention Is used,
final etlerlort-eatnentshall be completed priarto final building approval.
St Lucie Connly rogaires for the final inspection for CO, a Perinanent
sticker to be placed on (lie electrical panel box cover, listing all (lie
treatments anddates of appltca'lions.
❑ Re-h-eat
❑ Perimeter 'forFinal Inspection
NOTT:
There nnist he a conipleted form for each required treatment or re -treatment arul this form must be on
the jab site to be picked up by the inspector at trine of each inspection or the scheduled inspection hill
.fail mid a re -inspection fee charged.
,'FROM :SAILFISH ALUMINUM
)Sep. 16 2003 09:50AM P1
cases
Mesa
0/�
0
cv�®
NO. :772 343 7303
MAR 2 8 2008
Public Works THIS FORM IS TO BE FILLED'OUT
6Y CONTRACTOWI3UILDER
_Certificate _of P_recortstruction-
(This Is a partial treatment Only and not a guarantee or warranfy)
PERMIT NUMBER: 6 0;�_ D 361 SCANNED
BY
LOCATION OF PROPERTY: S� I p� t 'c•: ✓-c - � /J r _ e .
St. Lucie Count!
LEGAL DESCRIPTION: SECTION: BLOCK: LOT:
BUILDER NAME
SidhlATURE
DATE TITLE
S01L TREATMEINT COMPANY INFORMATION
SOIL TREATMENT COMPANY NAME
- -W/V OCl At-
ADQRESS
?%2;6, -
SOIL TREATMENTIOACS LICENSE #
All work was done in accordance with the manufacturer's
specifications and in accordance with all State and federal
laws governing pesticide application. A second treatment
was done on [Date] . ,1 ., / . , as per manufacturer's
specification. M Ike sscoHill r aisl®nt Is no! reaulredl�i
c - �prodact laha�if�jl bs imludod with this
Cartifie�e;
TREATMENT INFORMATION
bATE OF TRlATdARhIT '—
CHEMICAL USED
CONCENTRATION -.a.
t3ALLON$ USED "�
METHOD OF APPLIOATIONIRodded, Boil Mixed, 9TMJ
LINEAR FOOTAGE OF AREA TREATED _
DATE OF TREATMENT
CHEMICAL USED
CONCENTRATION
r�
GALLONS JSetD -�
METHOD O xPPLICATION(Roddsd, Soil Minod, M.)
,5�r
LINEAR FODTA(4E OF AREA TREATIEO
pleats NO%' The City of Part St. tulle does not guarantee or warranty the preconstrection soli treatment
attested to In the above. The purpose of this dutument 6 to show that to the best of this Department's
knowledge, the builder has satisfied the requlrements of the Standard Building Code and the One and Two
Family Dwolling Code for protection against termites.
KENDRICK PEST MGMT.
4914 ORLANDO AVE
WEST PALM BEACH, FL 33417-2832
561-688-1003,fax 688-9973
PHONE:
800-355-8144email:kendrickpest®covad.net
SCANNED
PEST MANAGEMENT SERVICE INVOICE BY
St. Lucie County
INVOICE #: 21646 CUS
ORDER: 5211 Palm
DATE:
BILL ACCT #: 178 TERMS:
CASH/CHECK
TYPE: RESIDENTIAL
AGREEMENT: 30 DAYS
ROUTE: 2
To: Andersen, John
& Eileen For:
John CALL! Andersen
5211 Palm Dr.
5211 Palm Dr.
Ft Pierce, FL
34982
Ft Pierce, FL 34982
CALL BEFORE!!!
PHONE:
PHONE: 772-465-6029
LAST SERVICE: 10/02/06 P.I.P.
PRODUCTS USED
Albert's SS
Plex 2
_Demon
20
_Uncle
Dust
_Agri
Atrazine 4L
_Empire
_Tempo Ultra
_Delta
Baygon Bait
_Manage
Kikker
NiBan FG
Pentathalon
Force R Gel & BS
Fertlzr
_Aerosol
ULD-100
_Max
Terro Ant Bait
_Dry
MaxForce/Accend Fire AB
_Feature
- 700
_Gentrol/Precor
Traps / Bait Stns
Merit 75
_LI
Lontrel
_Rat
_Talons Weatherblok
2falstar
_Spray Frtlzr
OTHERS:
METHOD OF APPLICATION
TAR ET PEST
AREAS OF TREATMENT
Actisol / Aerosol
ckroaches
Attic / Crawl Space
/ Dust Treatment
-Ants
Bathrooms
_Baits
B & G
iders
Carpeted Areas / Furnitur
Power Dusting
eas / Ticks
-Kitchen / Bar / Dining Rm
perimeter Spraying
�E'arwigs / Silverfish
!Garage / Utility
Lawn Spraying
/ Mice
-_Offices
Spreader
_Rats
Insects/Disease
/;gxterior Perimeter
_Lawn
Ornamental Spreader
_,.6dwn
I / D
Lawn
of Trees
_Ornamental
Needed
_Spraying
Shrubs or Ornamentals
_Fertilizer
Other
_Ornamentals
Other
PREVIOUS BALANCE:.................$0.00
P.I.P. ...........$100.00
AMOUNT DUE :.....................$100.00
di/le_
SERVICEMAN SIGNATURE
ADDED 'SERVICE $
AMOUNT DUE (if added ser)... $
AMOUNT PAID: ................ $
CUSTOMER SIGNATURE
DATE SERVICE DONE 09--7--07• TIME IN: 9,/'S TIME OUT:
***************************PLEASE PAY FROM THIS INVOICE*********************
INVOICES ARE PRINTED UP ON THE 1ST OF THE MONTH, PAYMENTS RECEIVED AFTER
THAT DATE WILL NOT BE REFLECTED ON THIS INVOICE****************************
NOTE: