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Home My WebLink AboutTERMITE TREATMENT CERTIFICATE�r T M 40 Planning & Development Services �"V��r O1 (,0,g Building & Code Regulation Division (� 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 ZiL; NN ED CERTIFICATE OF TERMITE TREATMENT St. LucieCounty CONSTRUCTION SOIL TREATMENT PERMIT #: N06- 0I 6 JOB ADDRESS: /1 A t BUILDER/CONTRACTOR: lzadng(4 //kI/ Ctrherete TOR PEST CONTROL CONTRAC: EVICT-A-B GTERMITE& PEST CONTROL INC. PEST CONTROL LICENSE #: JB175775 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: v2 q8 Percentage of solution: .05% Date of Treatment: -2019 Footing 1st Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 1't Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: '7� Time of Treatment: lt% Vs /" _Slab 1st Treatment Re -Treat Pools 1st Treatment Re -Treat xxxxx Perimeter for Final Inspection Signatufe of Fxterminator r teP 9//? Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection wi/l fail and a re -inspection fee charged. FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite 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 for the building permit files. The Treatment Certificate shall provide the product used, 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 of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall 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. Revised 7/24/2014 CURN� 4. T MyDiligent.com V/CESCALL DILIGENT FORState License JB228623 • Building together, Growing Together • g / G vz, -6 [v Notice of Preventative Treatment for Termites (as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2) SERVICE ORDER NUMBER..) ZY&— SERVICE DATE &ng TIME WEATHER CONDITIONS Z/&� PERSON IF CODE STWRIE A DRESS (H/ 'TrL�YJ le k3' 6/ r Cr/ _'e�v/i7LY // S'6!� S /' COUNTYSL. ucie IL/oUllll w Cl FLOATING ❑ CUTOUTS ❑ FOOTERS TREATMENT TYPE ❑TAMPBTREAT ❑ ONLY i PRODUCXel-DOMINIT ON ❑ADONIS 2F ACTIVE INGREDIENT Cl PATIO ❑ ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER CONCENTRATION 13.05% 0.06% o 0.12% 0.2596 Cl OTHER GALLONS APPLIED SQUARE FOOTAGE LINEAR FOOTAGE A E'FOOT G VERIFIED 113)4 S - ❑ NO ❑ MEASURED OR VERIFIED PER PLANS 1 EADY CDNDITIONS MET YES ❑ NO DETAILS r SAFETY CONDITIONS TE �RN11SF4 . 4 G '. p•0 R q : r t < O R Xp' As per 2326.5 FED - 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 FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER {TERMITE MONITOR INSTALLED ❑ YES ❑ NO) Payment Terns: Customers payment In full is d e at hme 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 tisfi the due date. In the event a collection process becomes necessary to recover an unpaid balance the following fees will be assessed inclu in t no limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds p t fee stainer will be responsible for II c sts associated with any collection process. r D e ApplicatoE( digenM -p- Date Customer (Propefty Owner or Agent) Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com .4:�) Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT SCANNED CONSTRUCTION SOIL TREATMENT S4. Lucie B COUIl$V PERMIT #:- Q0(2- d 16 �iil JOB ADDRESS: In, BUILDER/CONTRACTOR: Bc)dngew Hn-// PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. PEST CONTROL LICENSE #: JB175775 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: _ l5D Percentage of solution:.05% Date of Treatment: ZDZa Footing 1't Treatment Re -Treat dveway 11st Treatment Re- rea Other n _1st Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: �2S Time of Treatment: 1 / `J Slab 1st Treatment Re -Treat Pools 1'* Treatment Re -Treat xxxxx Perimeter for Final Inspectio Signaturetof Exterm' ator Date Note. There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection fee charged. FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite pasting 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 for the building permit files. The Treatment Certificate shallprowde the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, to estabiish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall 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. Revised 7/24/2014