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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE/ s/ - 2 Yoe Pre -Constructio �j rrrr/ Termite Tre atment� l cnvirzanmcnlzd vm•viccs 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 PropertyInformation Builder/Contractor // Treatment Date 5 �b6 Time SCANNED Lot 3h Block Name of Builder St. Lucie County Subdivision Name Street Addre known) Shell Contractor s (If p f 1 I �L �'1 /� Construction Type Monolithic OFloating/Stemwall []Patio City State Zip []Entry []Driveway []Other: Owner's Name (If known) Pro./duct/Treatment Information Treatment Type: M Underslab ❑ Patio/Driveway/Entry ❑ Final ❑ Wood Treatment ❑ Bait System ❑ Other Product: ❑ isodium Octaborate ❑ Cypermethrin L Imidacloprid bl ChJ d) b ❑ Bifenthrin ❑ Permethrin ❑ Other: 9 I j Concentration , Mixed Product Applied 1� Square Feet Treated 3 3 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 �D]eep(a�rtment ofAgriculture �anndConsumer Services. Applicator's Signature Applicator's Name (please print) HES-TE019 02/14 Hulett Environmental Services© 2015 4 Pre -Construction HULE 1 Termite Treatment ' 7670 Okeechobee Blvd., West Palm Beach, Fl. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Builder/Contractor Treatment Date %G 2Z11 4 Time 9i66 Lot Block Name of Builder S 9,'tier&A1 .- B16Y StuRltr*i6QtflAltV Subdivision Name Shell Contractor / 33/d "'%V Wacd Street Address (If known) - Construction Type vat An CLAY 6/ 3 y9°70 *onolithic OFloating/Stentwall OPatio CCry State Zip DEntry 13Driveway DOther: Owner's Name (If known) Product/Treatment Information Treatment Type: ❑ Underslab ❑ Patio/Driveway/Entry Final ❑ Wood Treatment ❑ Bait System ❑ Other Product: ❑ Disodium Octaborate ❑ Cypermethrin ❑ Imidacloprid ❑ Bifenthrin ❑ Permethrin Other: Z L Concentration S% Mixed Product Applied O 2 qcj Square Feet Treated Linear Feet Treated s �/ ❑ 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 31,nd rules established by the Florida Department of Agriculture and Consumer Services. 02 (-rn�9Gi/�o Applicator's Name (please print) plicator's Signature HES-TE019 10111 Hulett Environmental Services©.2011