HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESt Lucie County Inspc
2300 Virginia Avenue
Ft Pierce, FL 34982
(772)462-2172
APR 1 7 �007
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # U` 20 /-a3SO JOB
PEST CONTROL
PEST CONTROL LICENSE # ME %2 el"y
2
JSCANNED
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: 00% %
Percentage of solution: . d S
Date of treatment: '1r10 ^ a
❑ Footin
1st Treatment
❑ Re -treat
❑ Slab /
®'1st Treatment
❑ Re -treat
❑ Driveway
❑ 1st Treatment
❑ Re -treat
❑ Pools
❑ 1st Treatment
❑ Re-tre t
❑ Other
1st Treatment
❑ Re -treat
Chemicals used: ZgL_
Total gallons used: ! l
Time of Treatment: *0
FBC104.2.6 Certificate of Protective Treatment for prevention of termites.
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 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.
❑ Perimeter for Final Inspection
1
Signature of exterminator
NOTE:
There must be a completed form for each required treatment or re -treatment 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.
Revised 611.7102 Anse
7flL''-'03 S"o
Lo+- low
H eTeem
PEST tl EIENst-
New Construction Subterranean Termite Treatment
REC 0 7�
Au 7
Public Works
St. Lucie County, FL
This report is submitted for information purposes to the builder on (new) construction cases where treatment for prevention of
subterranean termite Infestation is required by the Florida Building Code, Section 104.2.6.
All contr .g.Ua for services are behiveen the Pest Control Operator and builder, unless stated otherwJae,
Section 1: Hometeam Pest Defense SCANNED
Company Address: 4356•A Fortune Place City, West Melbourne State: FL BY
32904- — - ....StODTE>✓OUrlt
Zip' 1532 Company Phone No,; 321-409.8489 Business License No.: JE20424 Y
Section 2: Builder Information -
Company Name; CENTEX HOMES - SE FLORIDA DIVISION
Phone No,: 561436-1000
Section 3: Property Information
Building Permit No.:
Location of Structure(s) Treated: 9427 VVINDRIFT CIR, FORT PIERCE, FL,
Type of Construction;. N Slab ❑ Basement ❑ Crawl ❑ Other
Approximate Depth of Footing: outside: Inside:,... Type Fill: DIRT
Section 4: Treatment Information
Dete(s) of Treatment(s): 08/10/2007 EPA Registration No.: 100-10DB
Brand Name of Product(s) Used: Probuild TO
Final Mix Solution:.5 Treatment Area Sq. Ft.: .,
Linear FI.210 Linear Ft. of Masonry Voids:
Total Gallons of Termiticide Applied: 42
Service Agreement Available?
N Yes
[]No
This building has received a complete treatment for the
Liquid treatment:
®Yes
[]No
prevention of subterranean termites. Treatment is in
Liquid Final exterior treatment:
R Yes
❑ No
accordance with the rules and laws established by the
Borate treatment;
❑ Yes
® No
Florida Department of Agricultural and Consumer
Bait in lieu of Pretreat:
❑ Yes
® No
Services. Initials '�—
Note: Some state laws require service agreements to be issued. This form does not preempt state law
Attachments (List)
Comments LOT 107
Name of Applicator(s): ADELLIS Certification No.: JF9204
Authorized Signature-4�� Date 08/13/07
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