HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEChrist is
9'Termite Inspection 0.5 "72-323-7921
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• Licensed & Insured Lie. JB175775 Port St. Lucie, FL �4953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBCj 104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION' I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE - 52 Z 7 — 15- - TIME4/' 00
DEVELOPMENT NAME (PROJECT) CONTRACTORS NAME C LA CONTACT PERSON
5 1
jffiIXX- — CAf-1-1tr (' OA Cr1-Jlr-&
DE
STRLCTUFlE ADDRESS (LOTIBLOCK) P41" E, 21P I � U COUNTY
S �e,
NOTES, -2
TREATMENT TYPEIAR
0 FLOATING
MMONOLITHIC 0 PATIO
EICUTOUTS
OFOOTER (3 FRONT ENTRY
0 TAMP & TREAT
-4WEAT ONLY AFINAL
PRODUCTS
VASELINE
0 DOMINION 2LACTIVE INGREDIENT
Ll OTHER
ACTIVE INGREDIENT—
CONCSNI96T-ION
0 GARAGE
0 DRIVEWAY
u � i trA vwmwr.. � -E��
0 RETREAT
El BORA CARE TREATMENT
1:1 PLUMBING CUT CUTS
QPOOLDECK
>OTHER —EA—
CIAO
9CANNEL)
BY
..,*IFENTHRIN
0 TERMIDOR SC 0 BORACARE
St. Lucie Countv
0 DISODIUM OCTABORATE TETRAHYDRATE
-�— G -?__
06% 0'.129(6 0.25% u.o5% 0 230k 10 90/6 0 OTHER GA NSAPPUED-
-7 5 5 Ir- LI EAR FOOTAG Llr
SQUARE FOOTAGE
SQUARE FOOTAGE VERIFIE
1:08 0 NO V!���VERIFIEDRER PLANS,
J013 REA13Y CONDITIONS M
41FS ONO DETAILS
As per 104.2.6 FBC � If soil chemical banier method for termife prevention is used. Final exterior treatment shall be completed Prior to rinal building approval.
CbrfiflcateofCarn liance:.The building has received a complete treatment for the prevention of subterranean termites.
by the Florida Department of Aglculture and Consumer Services. (Per the Florida.bulding. Cpde.)
ii this notice is for the final inderfor.fialment, initial and date this line -7-15-
FINAL STICOR -b6ER 1,2 /'4:A
13 ELECTRICAL PANEL U WATER HEATER
PaymentTerms: Pa0enidueattmeofservice.
5-- � 1- 1 -�--
Date
Date
Applicator. (EviciA Bug Termite and Pest ContrKI, incj
rorAgent)
Treatment is in accordance vAth riles and lavis tistablished
so
L7
Platining & DeveloPMent Services
Building & Code'Regulation Division
2WO Virginia Ave
11M Fort Pierce, FL 34982
W 772-462-2177 fax772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONStRUCtION, SOIL TREATMENT
:_ 1 6�jf
PERMIT # f_30RADDRESS:
BUILDER/CONTRACTOR:
PEST CONTR0L;CONTPUkcrOR: OoLt--A- —K
PEST CONTROL LICENSE
WA
We,the undersigned, hereby certify that we have pretreated the above described consbruction for
subterranean termites in accordance With the standards ofthe NaUbnal Past Control Assccl ; ati on.
Square feet'if area treated: Zj) Chemicalsused: An�-Jet _w-
Oercent3ge of -solution'. 106 Total,gailans. used:
Date of Treatment: 5 '12-71- Time of Treatment:
i�Treatrnent
—Re-Treal
&1veway
.1a Treat
Other -ii-T—real
_--Re-Trea
Nole, Then� must lia,a
sMa to ba'pfckad Lip PY
k� charged.
-1-4 Treatment
9n of termite & A weatherpestslant_fobske post(ng boar d
as each rwWredpr.bAacffve treatment Is camplebead
riDiher copy far Me bVII&V permit files. The Treatment
Crator l4we and date irf Me ti-eattylent S�tO l0catf6li, ale3
,f gallons tsac� to g5tabgsh a vedflable reord or
- fatmite pt, tenborr ig u;ed, final extedcr Dwb77ent shall
be Corqrffeledpnor w final vallarrig ewuvol- d .
on fo CO, a Pennanent Sticker to be P12.1ce On
St Lude�County requires for tbirfirial insPecd r
01P dilortAcai banel box coxrer� Msting. all the trealtinentwand.dates; of aPPlicatiOus-
Planning & Development Services
Building & Code Regulation Division
2360 krarginia Ave
Fort Pierce, Fl. 349S2
772-462-2172 Fax 772-462-6443
Iry
14,
SCA�1%1)
3f. tij sy
clie cot,17ti,
PERMIT*: �5LC- 16-06-6 0 B ADDRESS: GAA6,tffw_� I�C, P-3 1,,
BUILDEP/CONTRAc,roR:
PEST CONTROL CONTRACTOR: b2'U1.04�4 -hA4 -raMit,9 a?.'eW @&Aal (&r� -
PEST CONTROL LICENSE #: I S e"�7 �-7 sEr
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: /0 '6 Chemicals used:
Percentage of solubon: Total gallons used: 10,5
Date of Treatment: 16-2-i.5'_ —
Footing
_1' Treatment
—Re-Treat
---Driveway
.V Treatrnent
Re -Treat
K �5_ pal�f
fE_1'1 Treatmebt
_--Re-Treat
Time of Treatment: / � 3 0
Slab
—is' Treatment
—Re-Treat
Pools
—1"Treatment
— Re -Treat
—Perimeter for Final Inspection
Signature of Extermiffator
Note; 777are must be a completed form for each required treatment orre-trealment and this fonn mustbe on thejob
sAbe to bepickedup by the Inspector attime ofesch inspectlon or theschaduled inspectIbn villfall anda-re-Inspectihn
fee charged.
FOC104.2.6Cetfi#CateofPfOteCdVeTreatn7entforprevey7donoftermfies. A weather re515tantJ0b5& POSUng board
sliallbe provided to receive duplicate Treatment Carificates as each requAredprotechfve ftealmentis compleW,
providng a copy kr Me pawn the pennit /5 issued to and another copy for the bullaing permit files. 7he Treatment
certificate shall provide the product used, Identity of the applicator time and date of the treatment site tocatton, area
treated, chemical used, perceent concentration and number ofgallons used, to establish a venfiable record of
prateeve bzatn7ant. if Me soil chemical bRaier method for termite prevenbbn is used, final exterior beatment shall
be completediolior to final building approval.
St Lucia County requires for the final inspection for Co, a Permanent Sticker to be placed an
the electrical panel box cover, listing all the treatments and dates of applications.