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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services Building & Code Regulation Division 2300 Virginia Ave SCANNED Fort Pierce, FL 34982 BY WW- 772-462-2172 Fax 772-62-6443 St. Lucie County CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: �oY- JOBADDRESS: BUILDER/CONTRACTOR: !l4 45 i� PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE #: We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in acoordance with the standards of the National Pest Control Association. Square feet if area treated: 740 Percentage of solution: 1 0 G Date of Treatment: 16 1 Footing Is'Treatment Re -Treat Driveway Treatment Re -Treat Other 1� Treatment Re -Treat Chemicals used: Total gallons used: Time of Treatment: --A/—Slab // 1t Treatment Re -Treat Pools C e Treatment Re -Treat Perimeter for Final Inspection Signature of Exterminator FEB 1 2 RECD Note: Them mustbe a completed form for each iequfted beabnentorre-beabnentand this form mist be on thejob site io be pfdted up by the Inspector at time of each bmpecdon or the scheduled Inspection W11 fall and rednspection fee barged. FBC104.2.6Cer9ficateofProtee veTieatmentforpmvenbonoftrrmite., AweatherradstantjobsiteposCngboard shall beprovided to receive duplicate Treatment Cari finites as each mquimd protective treatmentis completed, providing a copy for the person the permit Is Issued to andanotlrercopyforthe buffdng pennitfrles fie Tieabnent Certlficateshall provide the product used identltyofthe applicator, time and date of the treatment, sffelocatlon, area treated, dremfcal used, perrentconcentration and number ofgallons used, to estab✓Ish a verifiable reconiof protective treatment if Me soil chemical barrier method for termite prevention is used, final exteiortreatment shall be completed prior to final building approval. St`Lude 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. RECENED MAY 17 2016 . PERGr11TTIING St. Lucie County, FL = '4� - Fkx ,W6 6R.E Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 SCBVIVEt) St Lucie County CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: JOB ADDRESS: ObO ]VOY- h 910Ts lt)q/�l�Zy, BUILDER/CONTRACTOR: T— W-U� PEST CONTROL CONTRACTOR: y Sfwapat C PEST CONTROL LICENSE #: 11 7n2, 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: / ! ) Chemicals used: &%L n � Percentage of solution: j ' b `� ' Total gallons used: Date of Treatment / D c2� J Time of Treatment �Footin .71' Treatment R Treat "%Iu11uI Drive ay �o�g6%" �o +E�N. In Treatment.`S�Pr la 1t Treatment Re -Treat— Kfro 1 Poo F In Treatment 21 Re -Treat e s a. = Re -Treat Other c perime rf Final Inspe 1 Treatment w V 0 ( / Re -Treat �a op vr.� e..w °>rr Oy�OU-A��a` a of Exterminator 111111I 111`` Note. There must be a completed form for each required treatment orre-treatment and this form must be on the jab site to be p/dred 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 posting board shall be provided to receive duplkate Treatment Certificates as each required protective treatment is Completed providing a copy for the person the permit is issued to and another ropy for the bulld/ng permit fles The Treat , ment Certificate shall pro vide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of protective treatment. If the soil chemical baniermethod for termite prevention is used, Erna/ exterior treatmentshall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on l •{. F ¢ 4.�.•Y1 Ef (0 TL'U'Cai>E?�BY ' COSt. Lucie County F r i G•� M LL t�+` , CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION PERMIT #: BUILDERJCONTRACTOR: PEST CONTROL CONTRA( PEST CONTROL LICENSE JOB ADDRESS: We, the undersigned, hereby, certify- that We have pretreated the above described construction for subterranean termites in accordance with thestandards of.the;National Pest'Control Association. Square feet if area treated: i . A Ch i I ed Percentage of solution: ' 6.zw `d i Datte� of Treatment: / 6 � 5 Z) )6 N � Footin ist Treatment t —Re-Treat Re -Treat Other Re Treat ein. ca s us . Total gallons use Time ofTreatmei la i'Treatment Re Treat Poo s � 1K Treatment Re -Treat 2Perime r f Final Inspe --- 1 SI�/ jP y,e;ofExterminator ` / Note. There must be a completed form f;'*Cach required treatment orre-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 inspeCdon will fail and a re inspection fee charged. FBCSD4.2.6Cettifrcateofprotective, Treabnenfforpreventlonoftennites Aweather resistantjobs&posthg;board shall be provided to receive duplicate Treabnent Certificates as eachrequired prbtective'treabment is completed providing a COPY for re person the permit is issued to and another copy for the building permit files. The Treatment Certilicate'shall provide the product used.identity of the`appllcato, time,and date of the treatnen4 site location, area treated, chemical'used, percent concentration and number of gallons used, to establish a verifiable record of protective treatment. If the Sol/ chemical barrier method for termite preventton isused, final exterior treatment shall be completed prior to Erna/ building approval, St Lucie County requires for the finalinspection for CO, a Permanent 5tickee to be pieced on the electrical panel box cover, listing ail.the treatmenta:and'dntma :,f � id act; A � RECEI\ rpOCT271016 HL W-: 2300 Wirginia, Ave Fort Pierce, FL 34982 J72-462-2172 Eex 772-462-6443 CERTIFICATE OF TERMITE `TREATMENT CONSTRUCTION SOIL TREATMENT PERN1fT #: 15b"1- b355 70B ADDRESS: Dd D Nfly X tn�s It J q�llG2z BUILDER/CONTRACTOR: T'y�CYC PEST CONTROL CONTRACTOR: � s fj f C PEST CONTROL LICENSE #:) 7j 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: �/ d�Chemicals used; _ // Percentage of solution:. ' b to `� ' - Total gallons used. _ Q�C;�, If - Date �{ of Treatment Time ofTreatrneriC. Foost tin� fa --� . 1 Treatment St reatment Re Treat `\pitAENrrr/� Re Treat �nveifa% d,•�P@�c�eNt%6',� PooN - �tI> 1 Treaiment. 4 j A i.,.�. 1� Treatment Re -Treat _ i"� a Re -Treat Other Q!Perirn r Final Inspe0--, 1 Treatrtien w o l / —Re-Treat 41e igjs Oy7cJd'�\a�`� of Exterminator /rrrlllllll\\ ._ Note: There must be a completed form forearh requrrgd treatmentor�e treatrnentand Ws form mustbe on the job` site to be picked up by the inspector at 6- ofeach respect on or the scheduled inspection will failand a re -inspection. fee charged FBC104.2.6 Cerbrlcate of Protective Treatmentforprevention of termites shallbe provided to mceiue Cup/icafTi e eabnent,Certifirvtes as eao5 required protective treatmentfs completed, ' A cveatherresislanfjobsitepgsbngboaro . proveing a mpyforthe person the pennitis issued to and another capyforthe building penn/tfiles_. lire Treatment - CerWirate shall provide the product: used, identity'ofthe applicator, time and date of the treatment, site lowSonarea treated, Chemical used, percent concentration and number ofgallonsused, to establish a verifiable record of protectve treatment. If the soil chemicafbarrIer meModfortermite prevention is used, final extenor treatment shall be completed prior to frnal'buildin-q approval. St Lucie County requires for the final inspect fbr CCa, a Permanent tments.and dates of Sticker to be Macedon Evog&J" Pax Mom, Imo. "Considering Your Environment" SCANNED State License Number 114708 c 11192 47th Road North Ro al Palm Beach, FL 33411 e �„ y� y St• Lucie County 561-333-8777 / FAX 561-333-8999 / Toll Free 866414-PEST Pt -Ca .5U � T TW4" Property Information Subdivision: RLca C -r Tl vs Lot: Address City & Zip Owner Block: Section: Builder I Contractor Inf or mation Name of Builder: Shell Contractor: Construction Type Monolithic: _ L- Floating/Stemwall: Patio: Entry: Driveway:_ Addition: Other: Cy j O'er i Product I Treatment Information Treatment Date: -Lei G rti 76 Time: > 2 01—f Technician: Treatment Type (must check 6ne) Initial Under Slab: supplemental: Product Applied: Cype ethrin: Premise 75 Other Concentration: 0 K % MixedProduct Applied: — Gallons Square Footage Treated: Linear Feet Treated: If this is checked, then final perimeter treatment has been completed and the following statement is applicable: Certificate of Compliance: THIS BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS INACCORDANCE WITH THE RULES AND LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OFAGRICULTUREAND CONSUMER SERVICES. (Florida Building Code (FBC)1816.1.T) Applicators Name (Please Print) N4 Mom, Imo. "Considering Your Environment' State License Number 114708 561-333-8777 Road North Royal 561 333 99 PaToll Free 866-4 4-PEST P4e-Ca"Ut.6VO4,. �as.ewi• �an�r.;.�e e�.�'r>V•e:•x Property Information Subdivision: C7TPLot: Block: Section: Address ©';--D N— k zNGS w `) City & Zip Owner Builder / Contractor Information Name of Builder: C-.Z I �%�y S / 0/{ Shell Contractor: .114 Construction Type Monolithic: Y Floating/Stemwall: Patio: Entry: Driveway:_ Addition: Other: i Product / Treatment Information Treatment Date: S /t Timer Technician: Treatment Type ( ust chec one) Initial Under Slab: Supplemental: Product Applied: Cypermethrin: Premise 75,E Other Concentration: % Mixed Product Applied: _� Gallons Square Footage Treated: �° Linear Feet Treated: If this is checked, then final perimeter treatment has been completed and the following statement is applicable: Certificate of Compliance: THIS BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. (Florida Building Code (FBC)1816.1.7) Applicators Name (Please Print)