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