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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESTERMITE PRETREAT SPECIALIST RECEIVED U.PRE■TREAT AUG 3 0 2007 800MILIGIENT Public Works St- Lucie CFL County, ty, FAX 800-837-0311 7ermitePretreat.com State License JB94495 SCANNED Notice of Preventative Treatment for Termites BY (as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2) St. Lud PEST PREVENTION I LAWN & ORNAMENTAL CARE I TERMITE SE-RVIIICES I MOSQUITO ABATEMENT I RODENT & NUISANCE WILDLIFE EXCLUSION & REMOV L SERVICE ORDER NUMBER SERVICE DATE 0 -3D -0i TIME O SUNNY ❑CLOUDY DEVELOPMENT NAME (PROJECT) CONTACC OR'S NAME CONTACT PERSON STRUCTURE ADDRESS (LOT/BLOCK) �/ I CITY, STATE, ZIP CODE COUNTY _ CONTACT PHONE NUMBER NOTES •r a �d L 0w TREATMENT TYPE/AREA -- ❑FLOATING YMONOUTHIC ❑ CUTOUTS FOOTERS TREATMENT TYPE ❑ TAMP & TREAT TREAT ONLY ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION ❑ FROM ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER— ❑ FINAL 0 RETREAT ❑ BORA CARE TREATMENT ❑ BAR STATION PRODUCT )(BASELINE ❑ PROBUILDTC ❑ DRAGNET ACTIVE INGREDIENT ❑DEMON TC ❑TERMIDORTC ❑BORACARE ❑ CONCENTRATION ...j....••' )(06% 0.12% ❑.25% 0.5% ❑.23% ❑OTHER— GALLONSAPPUED Joy r�� p,ND PEST' I SQUARE FOOTAGE /y e-V LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED ' •%ta ❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS • Q , ... JOB READY CONDITIONS MET �. ❑ YES ❑ NO DETAILS '''�•�����••• As per 104.2.6 FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval. Certificate of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.) If this notice is for the Final exterior treatment, initial and date this line {TERMITE MONITOR INSTALLED ❑ YES ❑ NO) FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER Payment Terms: Customer's payment in full is due at time of initial service. Customer agrees that a finance charge in the amount of 18 % per annum will be assessed on all unpaid balances that are not satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid balance the following fees will be assessed including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds payment fee. ^Customer will be �responsible for paying all costs associated with any collection process. �i�'ce.n_.! Date App kator (Diligent Lawn and Pest Control, Inc.) AV- Date Customer (Property Owner or Agent) 0 N® 800-DILIGENT 800Diligent.com Corporate 3100 NVV Born Raton Blvd. I Suite 106 1 Boca Raton, Florida 33431 1 800.487.8190 r StLuc e Coancy ElzPSEDeetca ECE40/E® 2301 V rgtak, Avenue NOV 0 51007 Ft Frercey FL 349-92 public WOrks (772) 462.2172 St. Lucle County, FL c tLi:: R ti IF1!.k A ll E OF It sRMIE PE Tk'`YuAT k!l N, A __...._ . CONSTRUCTION SOM TRIuATMIENT PEST CONTROL CONTRACTUX J 1 t�l emu" . qL., . PEST CONTROL LICENSE # \ � - � 1 `� \ S _5�U I CeS We, the undersigned, hereby cer ify that we have pretreated the above -described construction t'or subterranean termites in accordance w5th the standards of the Notional Pest Control Association. Square feet of area treated: 3rz o Percentage of solution: Z�a Date of treatment- d % 0 Footing ® IstTreatment ® Re -treat Slab 1stTreatment Re -treat Cl Driveway 1st Treatment Re -treat Q Pools Ll 1st Treatment 0 Re -treat L3 Other Clnenndcals used, 4---- Total gallons used: . % 7.5— Time of Treatment. U004.2.6 Cerh'feeate of 1''rotec8ve Treatment farprevention of termites. A weather reststant 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 forihe building permit files. The Treatment Certificate shall provides the product used, identih, of the applicator, time and date ofthe treatment, site location, area treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record ofprotective treatment, if the soil chemical barrier method far termite prevention is used, final exterior treatment owl be completed prior to final building approval. St Lucie County requires for the titre[ inspection for CO, a Permanent Stleker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. ® 1st Treatment ® Re -treat U Perimeter for Final Inspection Signature of exterminator h%OTE: There mast be a completed form for each required treatment or re -treatment and this form trust be an the jab site to be picked up by the inspector at time of each inspection or the scheduled inspection wilt fail and a re -inspection fee charged. Revised 6/13,03 dmg PERMIT r' O'�pz,—ooly St Lucie County Insr; * 'ions 2306 Virginia Avenue Ft Pierce, FL 34982 SCABNVNED (772) 462-2172 St. Lucie Cou* CERTIFICATE OF JOB A TREATMENT SOIL TREATMENT BUILDER PEST CONTROL CONTRACTOR T Pr5 oP PEST CONTROL LICENSE We, the undersigned, hereby certify that we have';p'retreated the above -described construction for subterranean termites In accordance with the standards of the National Pest Control Association. L e�feet of area treated: V 2 Percentage of solution: Date of treatment: ID OS ❑ Footing ❑ 1st Treatment ❑ Re -treat ❑ Slab ❑ Ist Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools ❑ 1st Treatment Chemicals used: ," Total gallons used: 3S ,,Time of Treatment: FBC104:2.4 Certificate of Protective Treatment for prevention of termltes. A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Ceritffcates as each required protective treatment is completed providing a copy for the person the permit is issued to and another copy jor the building permit files. The Treatment Certificate shall provide the:pioductused, 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 ojprotective treatment. if the soil chemical barrier methodjor termite prevention is used, fiml exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final Inspection for Co, a Pertnanent Sticker to fie placed onjbe electrical panel box cover, listing all the lrealments"end dales lcellons. B ❑ Re -treat l ❑ Other E ,1= ❑ 1st Treatment 9 ❑ Re -treat Perimeter for Final Inspection sr A ?0 ��'i NOV 18 2008 Signature of exterminator NOTE: There must be a completed form for each required treatment or re -treatment and this form mutt be oil the job site to be picked up by the inspector at time of each inspection or the scheduled Inspection ipX fail and a re -inspection fee charged. jttrtre 03102 dMs