HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE•
2300 tTrginia"Ave
Fort Pierce, FL 34982
772-462=2172 Fax 772-462-6443
' SCANNED
CERTIFICATE OF TERMITE TREATMENT.' BY
CONSTRUCTION SOILTREATMENT TMENTSt ucieG nilot,
PERMIT s JOB ADDRESS:
BUILDER/C CTOR _-
PEST CONTROL CONTRACTOR: Lv icA-A ItAg'
PEST CONTROL LICENSE #: -M I,
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 $' area treated: i 0 h Chemicals used: -7eA ,e
s
Percentage of solution: r 0 G>/n Total gallons used: is
Date of Treatment: 5- a3i Time of Treatment; 1-
1
Slag „
"Treatment 1� Treatment
e-Treat _Re Treat
e _Pools
_other
_S�Treatment
` Re -Treat
Is'Treatment
Re -Treat
_Perimeter for Final Inspection.
S nature-erminator
'Note. There must be a completed form for each,requlred 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-inspecton
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
sha//be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
Providing a copy for the person the permit is issued Wand another copyforthe building permit files The Treatment
Ced1ficate shall provide the product used, identity of the applicator, time and date of the treatment, site locab'on, area
treated, chemical used, percent concentration and number of gallons.used,>to establish a veril?able record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatmentshall
be completed priorto final building approval
St Lucie Countyrequires for the final inspection for CO, a Permanent Sticker to be placed on
2300Virginia -Ave SGANNED
Fort Pierce, FL 34982
77-2-40-4172 Faix'772462-64413
St Lucie Countv
CERTIFICATE OF, TERMITE TREATMENT
CONSTRUCTION, SOIL TOATIMENT
PERMIT #: Bolt -oa ox_ JOB ADDRESS: SAP(CM-e
B_UILD,ER/C0N_MACT0IR'
d:kPj,-
PEST CONTROL CO3MTRACr0R-,,, Ev-\) 7ALkq/
PEST -CONTROL ILICENSE #:.� -\.rk�,"il'-q-'
We,,the jqndqrsigned, hereby certify, that we have pretreated the -above described construction for,
silbYerranean termites in accordance with the standards of the National Pest Control Assbciation. -
Squai,6 feet if area ireabad:'�A01)"ZiF. Chemlmls,used:
Percentage of soltitibri: Total gallons used:
Date of Treatment:
_.FDoting
Treatment
-
_Other
—I' Treatment
Re-Tr6at
Time of Treatment.-,,
_1#Treatment
---Re-Treat
Yools
- 1�Treatment
__ Re -Treat
Perimeter, for Final inspection
Sig aftire-of Extdrminator
Nbte: There must be J, completed form. for each required treatment Or re -treatment and this form -must be on the job -
�;te to be PA:*ed up tithe !;mpeci6railhwe of each inspeciinin or the scheduled inspection-willfall and a re-inspectfon
fee chaiged,
F:6CIO4.2.-6,CertificateofProtedive-Treaimentlbr-prevent7onoftermftes. A weather resistantJobsitepo'stng board'
shallbeprovided-torecLaivedijplOteTreatMentCeitficatesaSeachreqqiredPrOteCt!VetrEati77el7t!S-COmpletLd, -
providing a-popy.for the person the permit is issued to and'anblhercrpv f6r the buildkg permit files 7he7reatment,
cerurlrate"shAorovjde the P?oduct used, ldenii�, of theapplicator tfireariddate oftheMeatment sItelooh6n, area
treated chemical user; percent concentration
ration and number of gallons used to esialitish a . verifiableI record of
protective treatment, if the soil chamicalbaniar meffioY for termite prevention is used, final exterior treatmentshall
becompleted p,rforto-final buildlngapproval _' I I I
St-Luci&C,6unty requires for the final inspection'for CO, a Permanent Sticker to be placed on
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
•Li en d&1 d
'72-323-7921
Fax:112-349-5999
Email: Evictabug@gmail.com
1740 SW St. Lucie West Blvd. #216
c se "sure Lio. JB175775 % I POrf St. Lucie FL. 34986
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION 1 FIRE ANT SERVICE I TERMITE SERVICE : f I RODENT EXCLUSION & REMOVAL /�n,�,1�r�
DATE OF SERVICE_ �' { `7 TIME �1. i�> SCANNED
.i3pti �2og
fulcfA-Rug¢
1l eerm
ite
T & Pest
ControV
Inc.
EW
DEVELOPMENT NAME (PROJECT)
CONTRACTOR'S NAME
CONTACT PERSON St. Lucie COUi1bI
STRUCTURE ADDRESS (LOTIBLOCK)
G' o(\
CITY, STATE, ZIP CODE
tee,
r COUNTY
IF �� Lur -o
NOTES
P'M1 z���l �,���
r�n� '�(�hd
O , k
�yg51
TREATMENT TYPEIAREA
-J
❑ FLOATING FkMONOUTHIC
❑ PATIO
❑GARAGE
❑ DRIVEWAY 'j ❑ STEM WALL
❑ ADDITION
❑ CUTOUTS ❑ FOOTER
ElFRONT
ENTRY ❑ RETREAT
❑ BORA CA E TREATMENT
❑ PLUMBING CUT OUTS
❑ TAMP &TREAT 'ISITREAT ONLY
El FINAL
El POOL DECK
+OTHER ((l
w �
((
l
��
PRODUCTS
BASELINE El PROBUILD TC
. ❑ DRAGNET
❑ DEMON TC ❑ TERMIDOR TC ❑ BORACARE ❑ OTHER
J
ACTIVE INGREDIENT__ i•'-'�\\�..+�
-
+`1
CONCENTRATION
D.06% ❑.12% ❑.25%
0.5%g
❑.23% ❑OTHER
GALLONS APPLIED
SQUARE FOOTAGE
JIB
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
i YES ❑ NO
JOB READY CONDITIONS MET.
OYES ❑ NO
MEASURED OR VERIFIED PER PLANS
DETAILS
As per 104.2.6 FBC - If soil chemical bamer 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 ❑ OTHER
Payment Terms: Payment due at time of service.
Date Applicator:
Date Cuslnmer I
Owner orAgenl)
Control, Inc.)