HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE1�ro
Pre -Construction SCABNNED
H>� EZT Termite Treatment LUC1e County '
servicoa
- 7670-Okeechobee-Blvd.,—West Palm-Beach,-FI 33411--
Phone: 1-800-285-7378 Fax: 561-684-0122
Property Information
Treatment Date Z Time % r✓ O
Lot
Block
Subdivision Name
Say/yu) Qic-410 'e Wa,,
Street Address (If known)
? /M ez
city State Zip
Owner's Name (If known)
Builder/Contractor
J.� 'mac i��e tvwe
Name of Builder
Shell Contractor
Construction Type
ft1Gronolithic OFloating/Stemwall OPatio
OEntry ODriveway OOther:
Product/Treatment Information
Treatment Type: 0 Underslab
❑ Wood Treatment
Product: ❑ Disodium Octaborate
D Iidacloprid
❑ Permethrin
Concentration osS _
Square Feet Treated `#83
❑ Patio/Driveway/Entry
❑ Bait System
❑ Cypermethrin
❑ Bifenthrin
❑ Other:
❑ Final
❑ Other
Mixed Product Applied /�/
Linear Feet Treated
❑ If this box is checked, then Final Perimeter treatment has
been completed and the following statement is applicable:
Certificate of Compliance: This building has received a complete treatment for the prevention of
subterranean termites. This treatment is in accordance with the laws and rules established by the
Florida Department of Agriculture and Consumer Services.
Applicator's Name (please print)
HES-TE019 09/12
App icator's Signature
Hulett Environmental Services® 2012
v �.
Pre -Construction
Termite Treatment "'BY' E
FP.f VYCCY -
St. Lucie County
767_0 Okeechobee Blvd., West Palm Beach;--Fl:-33411---
Plhone: 1-800-285-7378 Fax: 561-684-0122
Property Information
Treatment Date 12 1jt- Time y,' v C
Lot
Subdivision Name
Block
3037- nJW AKaj/;dn
Street Address (If known)
wt : 1 c 3 y 9a
Citv State Zip
Owner's Name (If known)
Builder/Contractor
Name of Builder
Shell Contractor
construction Typeti
21tionolithic OFloating/Stemwall OPatio
OEntry', i7Driveway OOther:
Product/Treatment Information
Treatment Type: ❑ Underslab
❑ Wood Treatment
Product: ❑ Disodiutn Octaborate
i midacloptid
❑ Pennethrin
Concentration . 0 3--
❑ Patio/Driveway/Entry
❑ Bait System
❑ Cypermethrin
❑Bifenthrin
❑ Other:
31inal;
❑ Other'
Mixed Product Applied ,9 '.97
Square Feet Treated Linear Feet Treated
If this box is checked, then Final Perimeter.treaftent•-has'
been completed and the following statement is applicable:.,.
Certificate of Compliance: This building has received a complete treatment for the,pre'vention of
subterranean termites. This treatment is in accordance with the laws and rules established -by -the
Florida Department of Agriculture and Consumer Services.
.acs G rg /,Q, -
Applicator's Name (please print)
HFS-TW19 OV14
Applicator's Signature
Hulett Fnviranmentat§eriices®?Al4
F° Pre-Construc�i�n
SCANNED '
�L Termite Treatmentt. Luce County
cnvironmcntut
»nrviccr
7670 Okeechobee Blvd., West P61r6-Beach, F1`. 33411
Phone: 1-800-285-7378 Fax:. 561-684-0122
Property Information
Builder/Contractor
Treatment DateJollu-- Time y. GG
Lot Block
Name of Builder
Subdivision Name
Shell Contractor
r rnn
3BOy .tIW /,a�!�7C
Street Address Of known)
Construction -Type -
O?Zo—nolithic OFloating/Sterfiwall` OPatio
city state zip
OEntry ODriveway ❑Other:
Owner's Name (If known)
Product/Treatment' information---��"-
Treatment Type: ❑ Underslab
❑ Patio/Driveway/Entry L rinal
❑ Wood Treatment
D Bait System 00thec
Product: ODisodium Octaborate
❑ Cypermethrin
2ytmidacloprid
® Bifenthrin
® Permethrin
❑ Other:
Concentration or
Mixed Product Applied 7$ m/ .
Square Feet Treated
Linear Feet Treated / `- 57
this box is checked, then Final Perimeter treatment has.
been completed and the following statement is applidable:'
Certificate of Compliance: This building has received a complete treatment for the prevention of
subterranean termites. This treatment is in accordance with the laws and rules, established by the
Florida Department of Agriculture and Consumer Services.
Applicator's Name (please print) Applicator's Signature
HES•TO19 02114 Hulett Envir0nmental'Semi=s®2014