HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEW
Planning &Development Services
Building & Code Regulation Division LAG 2 2
2300 Virginia Ave 2019
�r Fort Pierce, FL 34982 County, Permitj
11111111110 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT SCANNED
CONSTRUCTION SOIL TREATMENT St. Lucie County
PERMIT #: i Cl 05 - 011) j JOB ADDRESS: L3054 i� W cl i yjrgn (-61 Q(j I (Vl CI C
BUILDER(CONTRACTOR: 2�D ii 1116-C 'C `
PEST CONTROL CONTRACTOR: fifWn, ni-ri Clip 4�eS�- R,PI �l hPri �Pr it I r P
PEST CONTROL LICENSE #: Illl?,q
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 if area treated: 1@M-0 Chemicals used:''R fmiiin n
Percentage of solution: 060b
Date of Treatment -7 / 1 II 1 C{
Footing
1� Treatment
Re -Treat
Driveway
1s'Treatment
Re -Treat
Other
,ice Treatment
Re -Treat
Total gallons used:
Time of Treatment
C Slab
1st Treatment
Re -Treat
Pools
1�'Treatment j
Re -Treat
X P er r Final Inspection
Sig a errninator Date
Note: There mustbe a completed form for each required treabnent orre-treatrnentand this form mustbe on the job
site to be picked up by flee inspectorat time ofearh inspection or Me schedutedinspeetion will fail and a re -inspection
fee charged.
FBC104.2.6CerUJ7cateofAwlec&eTreatmentforpmvenffonoftermitm Aweather resistantjobsitepostiingboard
Shall be provided to.receive duplicate Treatment Certificates as each required protective treabnentis completed,
providing a capyfor the person the permitisissued to and another copyfor the building permitfiles The Treatment
Certificate shall provide the product used, identityofthe applicator, time and date of the treatment, site locatlon, area
treated, chemical used, percentconcentration and number ofgallons used, to establish a verlfiable record of
protective treatment If the soil chemical barriermethod for ter/nite prevention is used, final exterior treatmentshall
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.
CC- el
JUL 0 2 2L3111,9
Pest Related Services
Pre -Construction Termite Tr& -tf9'0 ei tEr'
:11 % `•:
License #4439
—Property Information
Builder / Contractor Information
1 Treatment Date 76 Time:
30 6.1.UPr S
Name of Builder
Lot Block
Shell Contractor
Construction Type
Monolithic V Floating / Stemwall
Patio EntryDriveway
Subdivision Name
13 sc9 Y " rI bs4.1
Sttrnreet Address (if known) /
F'[j M C� I V F L
City State Zip
SCANNED
BY
St. Lucie County
Owner Name (if known)
Product / Treatment Information
Treatment Type (Must check one): Initial Under-Slab---Supplemental—Wood Treatment —Final —
Product applied: Bifenthrin Bora-Care Other
Concentration: ./i6 % Mixed Product Applied: ? O Gallons
Square feet treated: / 20y Linear feet treated:
If box is checked, then either a final perimeter liquid treatment has been completed or a wood treatment is
completed and the following statement is applicable:
CERTIFICATE OF COMPLIANCE: The building has received a complete treatment for the
prevention of subterranean termites. Treatment is in accordance with the rules and laws
established by t Florida Department of Agriculture and Consumer Services.
/,J,- ,Xa6&1V,0
Applicator's Name (Please Print)
Advantage is a Full Service pest control company offering inside pest control, termite control,
and lawn & ornamental insect protection and fertilization programs. We offer discounts to our
Termite renewal customers! Call 1-800-698-7998 for more information.
2800 NW 22nd Terrace, Pompano Beach, FL 33069 (954) 968-7717 fax(954) 968-2922
www.advantagepest.com