HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I u I I— 001 a. JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST- CONTROL CONTRACTOR: $�
PEST CONTROL LICENSE #: -ski
SCANNED
BY
St. Luciecoonty
�1bon Zi-N±a ? 0'—�A\ecct �LkcaS
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: 5 �
Percentage of solution: I Q�
Date of Treatment: 1-1-? -�
_Footing
is Treatment
!_Re -Treat
_Driveway
.Ss` Treatment
—Re-Treat
_Other
_--1st Treatment
Re -Treat
Chemicals used: &Le
Total gallons used:S
Time of Treatment: '::;,00
_ )QSlab
_� Treatment
_Re -Treat
Pools
_15` Treatment
-Re-Treat
_Perimeter for Final In on
Sig ture o rminator
Note. There must be a completed form for each required treatment orm-treatmentand tirls farm mrastbe on the jab
site to be picked up by the inspector at time of each Inspection or the scheduled Inspection will fall and aTe inspecton
fee charged.
FBC104.2.6 aw i&ate ofpmtedive Treatmentforprevention oftermltes. A weatherreshdantJo&rite posting board
shall be provided to recelve duplicate Treatment Cerlifirates as each required protectve treatmentis 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 locatlon, area
treated, diemica/used, pelwntconcentrabonandnumberofgallons used to establish a verifiable record of
protective treatment. If the soil them1& bander method for tamlte preventionis used, final exterior treatmentshall
be completed prior to final bullding 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.
planning & Development Services
Building & Code Regulation Division
2300Wr9inia Ave
Fort Pierce, FL 34532
772-462-2172 Fax 772-462.6443
�L,Y � lir".i.Cf`���- r,��Y Tr i°!, i t: I•''„' � I'. ;. F-i.�1_
PERMIT #: ) 1411 Oo 7 7, JOB ADDRESS: 1 % 600
BUILDER/CONTRACTOR: Nr l 1kc9 `Y' E Soon
PEST CONTROL CONTRACTOR: Witt A -
PEST CONTROL LICENSE #:
SCANNED
NEED
BY
S4. Ludlecouobf
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the NationalPestPest Central Association.
Square feet if area treated: Sd 'IF Chemicals used: 4�1J I�—
Percentage of solution:
Date of Treatment!
_Footing
1�t Treatment
_Re -Treat
_Driveway
�..111 Treatment
_Re -Treat
_Other
15t Treatment
^Re -Treat
Total gallons used:
—
Time of Treatrnent: S
Slab
_I' Treatment
_Re -Treat
_Pools
_h` Treatment
_Re -Treat
Perimeter for Final Inspection
Signature of F_xterminat6r
3`HY5-
For--l- Q d e vrLZ
Note: There must be a completed form for each required treatment orre-treatment and this form must be on the job
site to be pldted up by the inspector at time of each inspectlon or the scheduled inspection W11 fall and a-re•inspecdon
fee charged.
F0C104.2.6 Certificate of Protective Treatmentforprevendon ofterm&-, A weatherreststantjabsife posting board
sliall be provided to receive duplicate Treatment Certificates as each required protective treabnentis completed,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shaft provide the product used, identity of the applicatorr time and date of the treatment: site location, area
treated, chemical used, percent concentration and number ofgailons used, to establish a verifiable record of
protective treabnent. 0the soil chemical barrier method for termite prevention Is used, final exterior bwtmentshall
be completed poor 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 -
08/06/2015 15:31 772466?4a5 JACQUIN AND SONS_,
�aWr'i
p(iti" W6,�
Planning & 9'Danrelopment Senfices
P3aalld'easg & Code Regulation Division
® 2M virgln3a Ava
e Fort Pierce, Fl. 34982
772-462.2172 Fax 772-452-6443
CEW11FICA°TE OF TERMITE TREATMENT
d,tl NSTPLUCTIrON SOIL TWFATMENT
PERMIT
PEST CONTROL CONTRACTOR:
PEST CONTROL LICEN:.E #: -&
PAGE
8CANNFD
S� BY
g.
L
BY
St° uejecnron,
We, the undersigned, hereby :ertity that we have pretreated the above described construction for
subterranean termites in acc)rdaom with the standards of the National Pest Control Association.
$k (7
Square feet if area treated: -:': t' Chemicals used:
Percentage of solution; D 1. LL—
Date of Treatment: ' Sf ; is-
-Footing
1st Treatment
_Re -Treat
Driveway
-4N.4i� i"Treatment
Re -Treat
_Other k4—
_�1" Treatment
_Re Treat
Total gallons used; 0
Time of Treatment
Slab
^____V� Treatment
—Re-Treat
,Pools
_V1 Treatment
_dRe-Treat
Perimeter for Eel nspection
Signature of ExtennVatur
Nota: There must tea complExad lb rm for each mqu/red treatment orre-Vmtmentaad this fom7 mustbe an the Job
site to be pkKed up by the lnsrr,.Ctar 3t rime of each /nspect/on or the acheou/ed Imp= on will fall and a•n-ftPaVOP
fee charged.
FBC104.2e60erVflCBteofPfOl,'C nTreatmentibrpmventionofbVM&es. AweadrernslslantJodslYepostlrtgboard
shall he pmvJded to mWjVff duclleate. Treatment CajVO etas as each required protective treatment is wmpleted,
prov/ding a copy for the person the Aarm/t is /slued to and another copyfor the btdding pefmlt files. lire 7?w&/ nt
art(frcabsMil piowde the pnaiuct i tsed, Iden* of Me applicator, time and date ofthe treatment site 10t:3tlnn. area
treated, cbetnlcal used, perrert concentrationaminumberofgallons used, to eateb&h a wMable record of
pmt ve treatment 7f the s7u r a onical bardermethod far termite prevantfan h; U04, fi" I att wor batbnentShall
bs completed prior to 6na1 bu)I ing a pproval.
St Lucie Couni:V requires �tr0e final inspection for CA a Permanent Sticker to be placed an
the electrical parcel box 4rnver, listing all the treatments and dates of applications.
03/06
06/06/2015 15:31
77246E70m5 JACQUIN AND SDNS_
PAGE 06/06
ey J Chrlst Is Lo'
,��Futct A•Bug n
r Termite & Lit. JBI75775
Past
Control,
Inc.
Past Prevention Termite Protection
�i� I I III I
THIS NOTICE POSTED PURSUANT TO SECTION 104.2.7, FLORIDA
BL ILDING CODE AND CHAPTER 482,226, PLORIDA STATUTES
• 'Df I,VC4AAk4/)rratw- f'n-i-rx
Date or WDO Inspection pf Mad I ❑Evidence DAclivity ❑No Aetivity
,V - h' • i L3 Bn 1 zi i r�P'_
Dale o' Initial Treatment Materials Used
Dale o' Final Exterior Treatment Materials Used
1 Vood )estrti ing Organism Treated For
' hla prgelty has haan pealed and plpcod under a mlreaVnenVrepair contract for subterranean
t•Irmltes. This contract is renewable by payment on annual fee. TOO mot is hereby advised to
t ave this property InSWIed annually by Evict -A. Bug Termite & Pest Control, Inc.
I. s x •A. B,q Termite & Pest Cannot. Inc. provided Ine tennne protection
ol:mnpmiedy. CAL,n3 rogirdIng our Peat Prevenilon. Pre Ant Leven
STvlGnond Rnhmitta 1, Y
r72-.323.7921 • 1.877-365-99901EiwN,v.evlctabuq.orci • evictaouq@gmail,com
2' 73 SW Maddest, St. -Port SIB Lucre, P494ae3
Cott f#&JIUWOYDarTermiteGear8#180
SCANNED
BY
StLuCieCounty
08/06/2015 15:24 7724662806 JACQUIN AND SONS PAGE 01/06
,,acquin
&
So .
Established
Commercial
1940
Paul CONSTRUCTION
Inc. Industrial
Residential
Mailing Address
Physical Address
P.O. Box 4343
n1n1�n 7348 Commercial Circle
Fort Pierce, FL 34948
www.PW.com
SGANNE N Fort Pierce, FL 34951
BY
St
U
DATE: 8/6/2015
_ TIME: 3:20PM
NUMBER OF PAGES
(Including cover page): 6
NOTE: if you did not receive nl I of th a pages or if you have any questions, please call the verifying number (below).
TO:
FROM:
CONAMP.
--
St Lucie County
--
NAM6
Alyssa Modinc
ADDRUS
SUn1RCr;
ATTE"ON
--
Orel? Smyth
PAXNO.
(772) 466-2806
FAX No.
PHONE:
('772) 462-6443
(772) 465-2475
FAX Transmission
RE: Termite Treatment
Attached are copies of the termite treatment paperwork as requested.
The pool permit number for the deck is 1505-0132 '
The house permit number for the driveway and front entry is 1411-0072
Alyssa Modine
Accounting
alvssa.modineAT)isi. com
(772) 465-2475 Phone
(772)466-2806 Fax
08/06/2015 15:24
7724667R;
JACQUIN AND SONG
PAGE 03/06
��tlN� �rrtkf''t
vo( ) t)P�
'Planning &, Development Services
laullding ell Code Regulation Wi ision
2300 VWS1012 Ave
Fort Plemer Ft. 34982
772-462-2172 Fax 772-462-GM
CERIUM CATE OF TERMITE TREATMENT
e:,OKSTRUCTIGH SOIL TREATMENT
PERMIT #: 14 11 - Oc
BUILDER/CONTRACTOR
PEST CONTROL CONTit
PEST CONTROL LICEN,S
SCANNED
BY
St- ucieC®urib,
We, the undersigned, hereby :erMv that we have pretreated the above described canstructlon for
subterranean termites in acoydan,:e with the standards of the National Pest Control Association.
s1F
Square feet if, area treated: _'_� 7 Chemleais used:
Percentage of solution: 0 2;i %_.._.
Date of Treatment: -:� : I ,S
_Footing
I" Treatment
_Re -Treat
Driveway
Treatment
_Rq-Treat
Other a c 2bak&--� �24—
,�C1s Treatment
—Re-Treat
Total gallons used: , � 0
Time of Treatment U 5 o
Slab
tIt Treatment
Re -Treat
_Pools
_V Treatment
_Re -Treat
_perimeter for Foal Inspection
signature of FxtermVetor
Note: There must be a compkl ed tbmr for each required trwtmont orre beatmentand this form mastbe on the 0b
site to be plticed up 6y Cre InsZr:cYor attire of each limspecdon ar the scheduledlnspecdon w!!/fdl/ and a•re•lrapecNon
fee d wyed
FISC804.2.6[pr6&ateofPro.z:.c'JveTremtmentfarpmveMlonoftermka°M AvieafherreslstantJobsiteposdngbaaM
shapbepmvldedbrawAeducllcah! ern
provlding a mpy for the person the Fwmit is Issued to and another copyfor the buleng permh
l�rdfi��shall provide the pnxlud used IdentRyofthe applicator, time and date ofthe treatment M lorvtlon, area
batedm vefabrnrof
, ,aasrid
proterdve baa*Mnt If the _qop chemieal barrier method for termite prevention is used, final er2prlar b2atmentsha//
bs complatedpdorto final buft.'hrg 4PPmval.
St Lucia County requires 9'®r'-ie final inspection for CC, a Permanent Sticker to be placed am
the electrical parcel box cower, listing all the treatments and dates of appilcatlons.
�gCJ14 sr
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