HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESTERMITE PRETIREATING
DILIGENT
E
J�, j�?-Yolo-5'77 (I nvironmenial se"ices
Notice of Preventative Treatment for Termite!
(as required by Flormat Building Code (FBC) 104.2.6 and Broward %-ounty Umpter rn� xvj.4.4)
1-866-PRE-TREAT
State License JB94495
N E[)
Project General Contractor BY
Service Date—q!A�Time Builder St. Lucie Coupty
'�? 1P
Lot Block —Section SheliSubcontractor ro r--L�a
Treatment Type
Development
Structure Address Floating L) Monotithicl�' Patio Ll
Ci —Cn Garage Ll Driveway L1 Stem Wall El
Addition El Cutouts El
Treatment/Product Detail
lype T�reatment: Initial Under slab�" Retreat Final
Product: Dursban T4 Chlorpyrifos Q Dragnet U Demon TC C) Other
Concentration: % Gallons Applied: fl�tso
Square.Footage Linear Foota
Asper 104.2.6 FBC- If suit chemical baTriernualaod for barniteprevention is used, flaudexterioutreannent shall be completed prim to final building approval.
Certificate of Compliance: This building has been treated in accordance with die rules and laws established by the Florida
Department of Agriculture and Consumer Services. Further, the treatment complies with the Florida Building Code.
If this notice is for the final exterior treatmem� initial and date this line.
�0 0,\ pd-c� r r,.,
Applicator (print)
3100 Northwest Boca Raton Boulevard Suite 106 - Boca Raton, FL 33431 -
- FAX 561- 394-3760
0,
GUIT10
S ... � NMB
02/23/2005 01:03 561393r,"
DILIGENT ENVIRDF-_ __ PAGE 05
ff� LP
St Lude County JnspectiojR.3-)ig(_gLPf U D
2300 Vir ' 'a Aver.
glul
Ft Pierce, FL 34982 8 20%
(772) 462-2172
PUB UdontIG
CERTMCATE OF-TERMTE TREATMENT SCANNED
CONSTRUCTION SOIL TREATMqU BY
Sthwlp rniintv
p-E�MT# j0E
BUILDER -
PEST CONTROL CONTR&CTOR DTLTGENT- ENVIP,09MENTAL SERVICES, - INC -
PEST CONTROL LICENSE # n 94495
We, the underaigned, hereby certify that we have pretreated the above -described construction for
subterranean ternrites in accordance with the standards of the National rest Control Associatio)i
Square feet of area treated: 140 ' Chemicals used: "S .- ,
Percentage of solution:
Vate of! treatment -
Footing
U istTrewmett
-xi- . .. ..
... .. ..... � I . - 'biraf
E3 Sla,b
U IstTreatnent
0 Re -treat
U Driveway'
13 1stT=traent
P Re -treat
U Pools
C3 Ist Treatzeut
0 Re -treat
L3 Other
Total gallonsusech — �:20
Time of '16atment: 9-:100alff
I
FBC104.2.6 Caftf=de qf Protective TreatutentforpraPen6on of ternutes.
A weather ra4stantjobsiteposting board shall be pruviiiedtormcrive- - ---
-duplicate Treafi��t Cxrt�acates as each requiredprotective treatment is
completeA pivv� a copy for the p erson the pemit is issued to and
another cqpyjbrdtd buadingpermirfda. The 7�=bnw Certilcou sW
provide the pro$= =eA identity of the appliLtor, titne and data q1thg
rrea=cn4 site location, area vwteA chendoal usaA percent cor;centration
and nuwb� ofga:Mnt =4 to, arablith a vertlable mxord ofprateaffvc
treat= A -if Ag soil cheided barrier radhodfir tennke prevmzdon is used,
W cirlor trearment shall be completed p rior t0j1hal building approval.
SL Lucia Cotoaty requires for the find inspection for CO, a Permnent
Sticker to be pincea on tba electrical partelbox cover, Ilettag all ibe
treatmeats and dates of appH�atfons..
U IstTreatment
El Re -treat
15�erimeter for Final JlSpeetibn
NOTE.
Am'. &�� -,
Signature of exterminator
There must he a compldedformfor each required treatment or re-freatment and this form must be on
thejob site to bepicked up PY the inspectO attiaze of each inspection or the scheduled inspection will
fiail and a re-inspeofill'n fee oharvcg.
02/23/2005 01:03 56139:f� '_ 1. 1 , DILIGENT ENVIRF -'—, 4L PAGE 06
St Lucie Com
2300 Virguld'a
Ft Pierce, FL
(77:2) 462-2172
CERTMCATE OF
SOM
FORWYM 9?-_Z0ZLiZ7_JOB
I
venue
286
[982 -FEB
PATON, rddms'��%4
E TREATmLENT BY
St. Lucie County
MST CONTROL CONTRACTOR--alLIERNT -ENVIRONMENTAL
SERV1Cj2.S,- INC.
PEST CONTROL LICENSE # JB 94495
We, the undersigned, hereby certify that we have pretreate
I theabove-described coustructiou for
subterranean termites in accordance with the standards of
the NatiWal Pest Contral.Aasocktion.
Square feet of area treated: Chemical;
used.
Percentage of solution- Total gallons
used: :22
])�ate� of treatment: 14L"A104Z' Time of Treatment:
Ll Foofmg
ofProtective 2reatmentfOPPMentiaA Of temites-
Ej istTreAtment FBC104.2.6 QrATxa,&
duplicate Dva6neai Cej
L1816 completrA pioviding a
Ocatar as each reqzdredprotective treatment is
copyfor the person the permit is Lrsued to and
mwtUr ccpyjbr,4w bui
Ll ist Treatu=t
Wing permitfiles. The Treabnent CeroftcatgxhaU
provide tLa product ujej
4 identify of the appUiator, time and date of die
0 Re -treat frenimenA sire Z�vcmdaww�4
treated, Chemical wed, percent concentration
Ll Driveway and number of gallon: x
tre� Ifthesoil cUmical
srA to artaNish a ven"le rward ofprotecrive
barrier medwdj�r termite pr4rvention is used
LJ ist Tzeatmeat W caerfor treatment,
�hall be complatedprior tofinal budding approvat
L ' 3 St Lude County reqah
-as for the rwal bupection for Co' a Permanent
El Pools sticker to be placed on
the electrical panel box cover, Wag All ihe
freatamats and aates 0
IstTreatmeat
ftppll�ations..
Re -treat
13 Other ' -
U ist Tre
Re -treat
Wenglater for Final Inspection
tignature of exterminator
NOTE.
Mre must be a complEtedformfor each required fre�trnent
or re -treatment and Misform must be on
thejob site to bepicked rip by the inspectoi at time of
each inspection or the scheduled inspection will
fall and a ra-insvratifin
fpp Aarged.
02/23/2005 01:03
DILIGENT ENVIRC,"'7'11_
PAGE e4
St Lucie County IfisfM
2300 Virguna Avenue
Ft Pierce, FL 34982
(772) 46,22172
CERTIFICATE OF �
CONSTRUCTION SOIL
0 S,7 7 joB
MwfrwAll' WIN
TREATMENT
nST CONTROL CONMCTOR nILIGENT ENVIRONDMNTAL SERVICES INC.
PEST CONTROL LICENSE # J33 94495
I
66ANNED
BY
Lucie County
We�, the undersigned, hereby cerffy that we have pretreated the above -described construction for
subterranean termites in accordance with the standards of the National Pest Control Agsociatioli.
Square feet of area treated- Chemicals used:
Percentagge of solution: 5
Date of trest twent: 4 -A 9
El Footing
El Ist T=tMMt
LYSI�b
Ist Treatment
Re -treat
LJ Driveway
Q Ist T=at=t
E3 Re -treat
LJ Pools
0 lstTreatment
13 Re -treat
El Other
El IstTreatment
Total gallons used: :22
Time of Treatment- f—im—ewL,
FBC104.2.6 Certiflwa�_- of Proteadye 7)�e&mentjbrprrPen*n qf termites.
A we=her re.AstanrjobRireposring board xhalZ-beprvYidedt7 rwdm,,* - - -
duplicate Traariidnt Con*UWw as each required protective reaftentis
couqld4 providing a copyfor fix person the permit is issued to and
another copyfor-the building perm itfilm, nj Treatment Catiffcate sh4
prov idL the product =4 idettlity of the applicator, time and date of the
trewm= z*e kca*rh area tmteA chemical wed, pevgntooncewadan
and number of gallbns used, to- establish a veriftable record qfprotective
treatment. If dw sail chemical &arrier mothodAr termite pravention is used,
final aacior treatmerit shall be compLetedprior tofmal building approval,
St Lucie County requires for the flual inspecdon for CO, a -Permanent
Sticker to be placeil on the detWcal pamelbox cover, listing all ihe
tpeatinenfs and dates of applkations..
*6, Re-troat
Zjraeter for Final Lispection
NOTE:
Signature of exterminator
There must be a completedform for each required treatment or re-freaftnent and thisform in;ist be on
thejoh site to bepicked up by the inspecW atfte of each inspection or the schedukdinspecdon wia
02/23/2005 01:03 56139T�DRO I , DILIGEKT ENVIRCKMcNL PAGE 03
St Lude County InsP(
2300 Virginia Avenue
Ft Pierce, IFL 3498
(772) 46.2-2172 PO
r -----------
[D31
CERTMCATE OF -TEMYRTE TRFATMYNT BY
CONSTRUCTION SOIL TREATNIENT St. �Ucie countv
MT CONTROL CONTRACTO T)T T 'ENVIRONKFWTAL SERVIrta' -rwo
PEST CONTROL LICENSE# -JFB .94495
We�, the undersigned, hereby certify that we have pretreated the above -described construction for
subterranean termites in accordance with the standards of the National Fest Control Association.
Sqoare feet of area treated: AW Chemicals used:
Percentage of solution:
Date of treatment:
El Fooling
U 1St Ueat]33=t
Q ist Trratment
Ll Re -treat
E) Driveway
Q IstT=tment
1 3 Re -treat
Ll Pools
U istTreafment
11 Re-t:eat
U Other
'Ll istTreatment
13 Re -treat
Total gallons used; 7,� - ---
Time of T�reatment:
FBC1042.6 Cwtyk=
duplicate T=64ent Cengc�tez = =h requiredprotedive sreabnantis
compiem4 pjov� a ccipyfor the perxim die pennit is issued to and
mz&hercopyforb�ebugdingpm7nitjUe2.
provide the product useA idaaity of the appl!Laur, time and dau: of the
treannmr, *a tocador; area treaM-4 chmical ujeA percent Concentration
and number ofgallow used. to exablish a verifiable record qfprotactipe
treatment. Jf the aoil chemical barrier nwftdfar rennite prevention Ly =4
W czerto r trea ment shall 6 a cc n p Le te d jo rio r to final b w7di ag app m val.
St Lucia County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electrical panel -box cover, Usting all ibe
treatments and dates of applications..
KPerimeter for Final Inspection
1-zen, A4ot' -
V Signature of exterminator
NOTE.
There must be a completedformfor each required treatment or re -treatment and thisform must be on
thejob site to bepicked tip by the inspectoi at time of each inspection or this scheduled inspection will
02/23/2005 01:03 56139.0�;C�1?12
DILIGENT ENVIRnklmrNL
St Lucie County luspection5
2300 V' A epe
Ir .1 1 1 'E_
9
Ft Pierce%W34
VOST[
(772) 462-2172
CERTMCATE OF-TERAU17E TREA:
CONSTRUMON $01L TRE-AThUNT
,7 j033
PFST CONTROL CONTRACTO
PEST CONTROL MCCEME # JE 94.495
PAGE 07
Bw
SCA'NNL:b
BY
St. Lucie Comb
We;, the undersigaeds hereby certify that we have pretreated thaftbove-described construction for
subterranean termites.in accordance vith the standards of the NA onalP . Control Association-
sq'aam feet of area treated: 16 0Y Chemicals used:
Percentage of solution:
Date of treatment:
U Foo�mg
E3 IstTreanneut
12 Ist Treatment
E3 Re -treat
U Driveway
El Ist Treatrrmnt
E3 Re -treat
Q P0018
IstTreatment
Re-trest
El Other
Total gallons used;'
Time of Treatment:
FBC1041.6 Cardylcate of Protective Tredmeatforpmendon of ichnVeS.
duplicate Treati�ins Ccn$ixw as each requiradprotective rreatmenris
completv4 pioviding a copyfor the person tic permit is issued to and
another copyjbr-the buadingpernz . itfles. The Treabnant CenVlaak shall
provide the prod=t useA identiry of * appliLor, time and date of the
treatm=4 sire locatio?; area treatpA cA�jcal uja4 percent concentration
andnumberofgallonzuse4 towtablish a verifiable record oftrutective
treatment Ifthesoil chemical barrier merhodfir wmite prevewton 0 we4
final caarior treatimnt shall be campletedprior tofinal building approval.
St Lucie Comity reqnires for the Emal hwpecdon for CO, a Fermaneut
Sticker to be pLued on the electrieW panabox cover, listing all ihe
treatruentg and dates of applicatiow. I
1 st Treannent
2Kerlimeter for Final luspection
,_4
Signature of exterminator
NOTE. I
There must be a completedformfor each required treatment or re-freatment and aisform Must be on
thejob, site to be picked up by the �nspectoi at time of each inspection or the scheduled inspection will
F-;7 -4-
02/23/2005 01:03 56139T,---- I . DILIGENT ENVIR(��`-,IL
St Lucie County Ins
230OVir ' 'a Avew
9M1
Ft Pierce, FL 34982
(772) 462-2172
CERTIFICATE OF-TEMOTE TREA'
CONSTRUCVON SOIL TRFATM[ENT
PEST CONTROL CONTIUCTO T- ENVT'ROMMENTAL
rEST CONTROL LICENSE # TB 94495
PAGE 02
<f. , 0
L E W M
LIEI
J:� P112
S-V. LU
z
e
2005
We�tbe uader;aigjied� hereby certify that we have pretreated the above -described construction for,
subterranean termites in accordance with the stanitards of the National Pest Control Association'.
Square feet of area treated: //0? Chemicalsus-ed-
Ferewtage of soludon:
Date of trea tment-
U Footing
a ist Tnetment
U 816
El Ist Treatment
13 Re-trast
Q DTiveway
.0 isareatinent
LJ Re -treat
Q Pools '
Ll istTreatimnt
El Re -treat
13 Other ,
Q I St Treatment
A VULA g�UM US
Time of Treatmmt: A7/
nC104,2.6 OrWIcate of rraective Zraalmeatforprependan of MMW,
A-wea*erreevantjobsifap=inghDards&UbaprbvbfadtDrrEceim,-', —
duplicate 7raab�zx CartWxej as each required iototeclive treatment.is
corplm4 providing a copyjbr thepmon thapemir is jigued to and
another copyfor the building pernutfilm. M Treament CerhVicald she
provide A- product =4 Ucu*y of the appli�aror, fine and date of the
traatff� sue zo=tio% �Ma ft&64 chemical used, percent Concentration
and zaanher of gallow =eA to establish a vcr&ble record ofprof active
pmonean If the soil chendcal barrier inerhadfir tennite prevention is used,
final azzm-ior imahnant &hall be conpleredprior roffhal building approvaL
St Lucie County requires for the nual juspecdon for CO) a Permauent
Sticlor to be placed on the electricalpand-box cover, listing all ilia
ft-eaticaeuts and dates of applications,
��U Ro-treat
Meter for Final Inspection
: I
NOTE:
jAignature of exterminator
There mustbe a complittedformfor each required treatment or re-treatmentand thisform miist be an
thejob site to be picked Tzp by the lnspecW at time of each inspection or the scheduled inspection wX
C-41 �,l � �— .7--F
__W
St Lucie County Inspections
2300 Virginia Avenue
Ft Pierce, YL 34982
(772) 462-2172
st
CERTM CATE OF TERNUTE TREA'
CONSTRUCTION SOIL TREATMENT
rERMITQ1 �_E% �VT, JOB
rEST CONTROL CONTRACTOR.-D',_�'G'E"NT ENVIRONMENTAL SERVICES, INC.
FEST CONTROL LICENSE# jB 94495
10 2005
BY
Je County
W%, the undersigned, hereby ceriify that we have pretreated the above -described construction for
subterranean termites in accordance with the standards of the National Past Control Association.
Square feet of area treated; Ilact Chemicals used:
Percentage of solution. Total gallons used:
Date, of treatment- Time of T�reahnent:
13 Footing
U Sl�b
IstT#atment
Re -treat
U Driveway
E3 Ist Treatment
El Re -treat
U Pools
IstTyeaunent,
Re-tieat
13 Other
FBC1 04.2.6 Cer4flca�e ofProtedive 7)vatmentforprePeation of fermites,
A weather ret1stantjobsiteposting board-sWbapruvizL-d-turweivr--�-
duplicate Treatinent Certiftiaresas each requiredprotectivg1matmentis
completed,providIng a copyfartheperson rhapaymit irixsuedto and
ano.tlkrcopyfDrtlzcbuiLAngpermitfLIes. Th� Treatment CenV`Fcafe shall
pruvgcthe product ujed, idend.7 of the applicator time =d date of the
trdatMen4 . S he locatton� area h-eated, chemical u=4 percent concentration
zmd number ofgallbw used, to establish a yer#!able record ofprorecetvc
treatment. W&e soil chemical bw7ler merhodfir termire prevention is use4
final shall be completed prior tofinal building approval.
St Lucle County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electrical panel'box cover, listing P2 �he
treat.3nents and dates of applkation&.
El IstTreatment
��L3 Re-troat
'rneter for Final Inspection
2VOTE.
�AMFN?!q' Ile
............ 4.. 10,
4F C.,
4
SE
2 0
%
exterminator
nere must be a completedformfoT each t-equiredi�-eatme7,ivo,1j�h!Veai7nent and thisforwt mzest be on
thejob site to be picked up by the inspecto� at time of each inspection or the scheduled inspection will
St Lucie County Insp(
2300 Vir ' 'a Avenue
91111
Ft Pierce, FL 34982
(772) 462-2172
MAR 10 2005
I St. LuCie COU(
C-ERTM4 CATE0F.TEPJVHTETREATMM'NT , -A,
CONSMUCTION SOIL TRFATN= st,
FE11MM # JOB
PEST CONTROL CONTRACTT
PAST CONTROL LICENSE # JB 94495
County
We, the uudersigu4 hereby certify that we have pretreated the above -described construction for
subterranean termites.in accordance with the standards of the National Pest Contrel issociatioiL
7�4
Square feet of area treated:, Chemicals used: / N—j
Percentage of solution:
Date, of treatment:
El Footing
Q lstTreatmmt
e�treat
Ll Slab -
U ist Tteatment
Q Re -treat
Q 1kiveway
C3 1st Treatment
0 Rc-treat
U Pools
Q isareatment
LJ Re -treat
Q Other *
Ist'Treatment
Re -treat
TotaI gallons iased: Z� - -
Time of Treatment., !?I- �VL�
MINIX Cer#flca.tc of Protective Treabnentfirpreyeadin; of fermUes.
A -weather resWantjobsUe posting bDardslzall be pruvided-tu*rereipe ... .. ....
-duplicate Treafinew Cariblantes ox each reoredprotective �rgatment U
complete4 providing a copyfor thz person aepennit is issued to and
another copyfor the building pErm itfiles. 77te Treatment CartzTkats AaU
provide die product us&4 idenfity of the appliLfar, tiine and date of the
trc=ent' sitc locatio?; area treated, chezniml used, percent concentration
and nranber of gaU6ns useA ro e=blfsh a veriftable record ofp rorecdve
ftarmant. If zhesoi7 chw*al barrier methodfir tennite prevention is u=4
final exterior treanzentshall be complatedprior tofmal buiU!?zg approvaZ
St Lucie Coualy requires for the final hospection,for CO, a Permanent
Sticker to be placed on the electrical ponal'box cover, listing an ihe
treatments and dates of aimlic'atlons..
qPerimeter for Final Inspection
NOTE:
"f Ir-
N'NN 01-1--.1-.44
N
0 j
C r A
L
00. rn Z
- Z'A
r4fiat%& exterminator
There must be a completedform for each required treatment or re -treatment and this fonn must be on
thejob s*e to be picked rip PY the ilzspecfo� at time of each inspection or the scheduled inopection will
fait'"tInd. n Vfl�i".MPPHA" fOd
®R,
St Lucie County Inspections
2300 Vir " 'a Avenue .1 �
91M C2
Ft Pierce, FL 34982
(772) 462-2172
MAR 10 2005
R L I
PLjblc
CERTIFICATE OF -TERARTE T"ATMNT ' BY '
CONSTRUCTION SOIL TREATM3NT St.LucjeCounty
WOMAN ��M
PEST CONTROL CONTRACTOR
MST CONTROL LICHMSE # J13 94495
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 Associatiori.
Square feet of area treated: Chemicals used:.,
Percentage of solution: 5
Date of treatment:
Q Footing
13 Istneatmett
0 Slab
IstTreatment
Retreat
Q Driveway
Ist Treatment
Re -treat
J Pools
D Ist Treatment
ri
Total gallons used:
Time of T
XZC104.2.6 Cerfiflaqe of Protective Z�-eatmentfurprevention of tannites.
Awcath&raf=wjob�*ep=tbzgbom.&.7Uibapmvdedwrrccfm...- -
-duplicate Treatiiant CergRiativas cach
complated, proviAV a copyfortheperson t7wparmit Lr issuadto and
i=orh45rcopyfor-thebui7eUmpemirflley. 7hq7reabnentCmtYic&eshaU
provide the product used, idmt* of tIL- apph�tuvr, am and date of the
tmarin=4 Site location, area treated, chemical used, pervant concentration
and number Dfgallons =4 to cstabliyh a ver#Eable record ofprotective
treatment �f the aroil chemical barrIer mcrlwdf�r tennize pr6enson is used,
ftnal everior treatment shall be completed prior toftnal building approval,
St Lucia Courity requires for the Bnal inspection for CO, a Permanent
sticker to he Placed on the electrical panel*box cover, Rating all . the
treatments and dates of applications,
Q Other 0\
x
Re -treat
meter for Final Inspection
214Z �c
NOTE:
There must be a completedfonn for eachrequired t�re e eatment and thisjorm vWst be on
thejob site to be picked up by the inspecto� at tirne of each inspection or the scheduled inspection will
St Lucie County Jusp i
2300 Virgh'u'a Avejaue
Ft Pierce, FL 34982
(772) 462-2172
C/MAR 1. 0 2005
�t. L'ic:,e C ___1
_.o�.:ntv Pcjb!,�
SGANNFD
CERTIFICATE OF TERAUTE TREATMENT BY. I.
,HATNMNT t Lucie countv
CONSTRUCTION SOIL TP S
W
FFST CONTROL CONTRACTOR--nlLuENT ENviROUMENTAL SERVI US, INC -
PEST CONTROL LICENSE#— JB 94495
L/I -
We, the iradersigned, hereby certify that we have pretreated the above -described construction for
subterranean termites in accordance witla the standards of the National Pest Control AssociatioiL
Square feet of area treated: Chemicals used.-,
Fercentagge of solution:
Date of treatment:
Q Footing
Q Ist Treatmeiit
Q-R'eAreat
U Slab
U ist Treatment
13 Re -treat
E2 Driveway
Q ist Treatment
I ' 3 Re -treat
Q Pools
Q lstTjxatment
Ll Re -treat
Total gallons bsed: 0
Time Of Treatment:
FBC104.2.6 Cardfica;e of Protective Treatmentforprevention of ternzaes.
A'w,cath,!rre,ristantioba*cpcytingboard-shabaprov&adio=eive- -- - - �
'duplicate Treatinent Cert�ej as each requiredprotective Treatment,4Y
complete4 providing a capyfor the person thepermit Is issued to and
i=othi!rcopyfor-thebuil&ngpo7�itjUej. The Treatment Certificatexhall
provide the product wed, identity of the appli�ator, thm and date of the
trearmem, site Zocatioj�, arm treated cheinical used, perce7a concmtraritm
and number ofgallons =4 to emzblish a var#labla record ofprotecrive
trearMAM 11the soil chemical barrier merhodfir termite prevention is used,
final e;aerior rmalment shall be complaredprior toftnal bulldipg approva7,
St Lucie Cour# requires for the flnal inspection for CO, a Permanent
Sticker to be placed on the electxical panel box cover, listing an ihe
treatments md dates of applications.,
0 Other �AMFNr .11,f
.1 lo�,
.Z' 0 ........
lstTreatment -*' ro
09, -
.13
C3 Re -treat
S
P-P <r1meter for Final Inspection -Z
Tppref exterminator
OR
NOTE:
01 %
Mere 77zust be a comp7etedform for each required e' �P� rilWhnent and thisform must be on
thejob site to bepicked up by the inspecto III .
r at dine 0 e 'I'Vection or the scheduled inspection will
fail and (I 4�
St Lucie County
230OVir ' 'a A,
91M
Ft Pierce, FL 34
(772) 462-2172
MAR 10
St- Lucie CcuntV Public
URTIFICATE OF TERA41TE TREATMIENT .' —.-- B__
CONSTRUCTION SOIL TREATMENT St. Lurie County
PERMT Are JOB
PEST CONTROL CONTRACTOR' SERVICES; INC.
PEST CONTROL LICENSE *__� �B94495
/L
We�_ the undersigned, hereby certify -that we have pretreated the abo ve-described construction for
subterranean termites in accordance Vdth the standards of the Nad al Pest Control Associatiori.
Square feet of area treated: Chemicals used. 7z.!S
Percentage of solution: Total galllons used:
Vateof treatment:—, � Zc)- Time of T . reatmeut;
0 Footing -
I . .
U istTreatmeRt
FBC104.2.6 CiarWflca�pa of h%ecave Treatmentforprepention of termites.
Aw�therrerkranrjobsitepon*ingZward-shaZIbeprov&4diareoeivL,.-
L) Slab
'duPlzc&g Treatment Cert&atex as each requiredprotective treatment is
compler4 providing a copyfor thep=von thepermir U Limed to and
E3 Ist Treatment
another comfor-the building permitfiles. 27zcTreatm=tCenVkateshaU
provide theproduef used, identay of the app6afor, fte and elate of the
traramera; j*e location, area rrgateA 07XeMi=l Used, percent =nCentilatiOn
LJ DAveway
and member ofgafforu =4 to-evablish a vertWle record ofproreclive
treatmer:4 If the soil chemical barrier merhodf�r termite prevendon is used,
IstTreatment
flnalexle?iorlreatmevshaUbeconWL-tedpriortofinalbuildi#gappmvaL
Re -treat
El Pools
St Lucie Coutity requires for the fmal In . spection for CO, a Permanent
Sticker to be placed on the electrical pand'110X Cover, listizig all ihe
Ll istTreatment
treatments and daW N !�appliiatlon.s..
Ll Rc-treat
L3 Other
0 ........
5esipo
-N
L
Q lsirTreatment
SEAL
Re -treat
2000
7-0" co
'
L,Afenmater for Final Inspection
%
NOTE:
a tLIre nF 87te
ture of exterminator
10wk I
There m ust be a co mpletedform fol- each required tr6atm ent or re -treatment and this form nzzist b e on
thejob site to be picked up bY the ' insPecto� at dine of each inspection or thee schedaled inspection will
51
MAR 10 2005,
I St Lucie County Public
CERTIEFICATE OF TERABTE TRETTM=
CONSTRUCTION SOIL TREATMENT
PERMIT # JOB
A -
REST CONTROL C014TRACTCIR
FEST CONTROL LICENSE #__ � JB 94495
21�1� - BY - -
st. Lucie Gountv
We, the undersigu4 hereby certify that we have pretreated the above -described construction for
subterranean termites.in accordance with the standards of the Nft�'onal Pest Control Association.
16 op . , ---?V
Square feet of area treated; 7 -1 Chemicals used; s wzw_�/
Percentage of solution:
Vate of treatment:
El Footing
ist Treatment
Re4rezt
L1 S16
L) ist Treatment
Q Re -treat
Q Ddveway
L) Ist Treatment
'Z) Re -treat
Q Pools
El IstTreatment
0 Re -treat
D other *
Total gallons used: Z� - -
Timeoffreatment:
FEC104.2.6 Ced�lca�.- ofpmtecave Ti-eaftentforprepezWon oftermiti2s.
'duplicate Traat�:umt CanWares as each requiredprotactive Treatmentis
COMplateA providing a capyfor the person the permit is Lwuad to and
another copyfor-the buildingpermirffles, MTreatm=tCeri&atevW
provide the product used, idotilY o?the applicator, dme and dad of the
treatment site Zocartort, area treatg chemical us&4 percent concentration
and number ofgall&ns aged, to arablish a ve7i
.flabZa record ofprotective
treatmellt If the Boil chemical barrier merhodf�r rennire prevenlion is usg
fina t =Crkr treatment shall b a compLera prior to final b uiZD.7w approval.
St Lucia COUotY reqt&es for the final inspection for CO, a Permanent
Sticker to be placed on the electrical pauel'box cover, listing all ihe
freatments and dates of applications..
CKD
eliMF�
,te or.Final Inspection
I If fill,
0 .......
o?.
NOTE:Z,
There Must be a CoWletedfOrInJ47- ea
ch required tl-e rIwt0&)&enf and thisform nuist be on
the jo b site to be picked up by the inep ectoi at time of each insp ectio n or the scheduled inspe cdon w ill