HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services SC BY
Building & Code Regulation Division
2300 Virginia Ave St. Lucie COuntt
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: /100/- OOOB ADDRESS: 2950 SW Rosser Boulevard
BUILDER/CONTRACTOR: J.HowellConstruction
PEST CONTROL CONTRACTOR: Apex Pest control, Inc.
PEST CONTROL LICENSE #:JB 186907
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: 14� sff
Percentage of solution: 0.1 %
Date of Treatment: 10 i 24 / 2016
_Footing
V Treatment
Re -Treat
_Driveway
V Treatment
Re -Treat
X Other 12 Interior Column Pads
la Treatment
_Re -Treat
Chemicals used: Dominion 2L
Total gallons used: a gallons
Time of Treatment: 7:00 am
_Slab
I" Treatment
Re -Treat
_Pools
1't Treatment
Re -Treat
—Perimeter for Final Inspection
10/27/2016
Signaty a of ltkte,rminatQ Date
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the jab
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.
FBC304.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite 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 shalt 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 prevenbon 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.
KCVISCCI /U412UM
D CSC0C0VE
OCT 2 8 HELD
PEST CONTROL me
BUILDER
1-800-929-BUGS
APEXACCOUNT
SERVICE INVOICE
PO#
Notice of PreventativeTreatment for Termites AMOUNT
(as required by Florida Building Code (FBC) 1005.10)
Possev k l
Treatment Address or Lo1/BlocUUnit ofTrediment
Date, I �� L[�) Time (0'Ay�A, Applicator :S G 561A 19 or kP �l
f�
Product Used If i!\ uA . vi d : \1�! L Chemical Used (active ingredient) l &A � CY. F - 011 I `Number of Gallons Applied
rr
Percent Concentration r . i Area Treated (square feet) Linear Feet Treated
Stage. of Treatment (Horizontal, Vertical, Adjoining Slab, Retreat of Disturbed Area) N G li I > O LA O I
As per 104.2.6 — If soil chemical barrier method for termite prevention is used, final exterior
treatment shall be completed prior to finalbuilding�/ ' proval
Ijthisno[icc isfor thefinal ezferior treatment, initial and date this line,
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Port St. Lucie Building Department
Certificate of Compliance
(This is a partial treatment only and not a guarantee or warranty)
Permit Number:
Location of Property:
Legal Description: Section
Pest Control Company
P>�_r Ei�{r.fir.P
Comp Owner Please Print
U.,n SIgnature
So. F/or,..ir. Na, W56 r'
Date Title
Soil Treatment Company Information
Soil Treatment Company Name
Address
Soil Treatment/DACS License #
The 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. A
second treatment was done on (date)
as per manufacturer's
specification. If the second treatment is
not required, a copy of the product label
shall be included with this certificate.
This form is to be filled out
by Pest Control Company
SA— L.rfr_i
Block Lot
Treatment Information
a />I It o,
Da/Le\ of Treatment P
Chemical Use
0 ' l
Concentration
Gallons Used
�-10A>( c, it
Method of Application (soil mixed, etc.)
le-[(
Linear Footage of Area Treated
Second Treatment Information
Date of Treatment
Chemical Used
Concentration
Gallons Used
Method of Application (soil mixed, etc.)
Footage of Area Treated
Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstruction
soil treatment attested to in the above. The purpose of this document is to show that to
the best of this department's knowledge, the builder has satisfied the requirements of the
Florida Building Code for protection against termites.
This forth MUST BE RETURNED to the Building Del
before your final inspection is scheduled!
OCT 2 7 RECD
Planning & Development Service,.
Building & Code Regulation Division
2300 Virginia Ave �UR00 81Dri
Fort Pierce, FL 34982 A8 ,ls
772-462-2172 Fax 772-462-6443 a3NNHOs
CERTIFICATE OF TERMITE TREATMENT ,CANNED
BY
CONSTRUCTION SOIL TREATMENT St
Lucie
County
PERMIT #:. . JOB ADDRESS: 2950 Rosser Boulevard, Port St. Lucie
BUILDER/CONTRACTOR: J. Howell Construction
PEST CONTROL CONTRACTOR: Apex Pest.Control.Inc.
PEST CONTROL LICENSE #: JB 186907
We, the undersigned, hereby certify -that we have pretreated the above described construction for
subterranean termites in accordance withr the standards of the National' Pest Contro[Association.
Square feet if area treated: 300'8f
Percentage of solution: 0.1%
Date:of Treatment: 1/26/2017
Footing
1s` Treatment
Re -Treat
Driveway
ls` Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: Dominion 2L
Total .gallons used: 15 galllons
Time of Treatment: 2M Pm
x Slab
x ls` Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
Perimeter for Final Inspection
Qw . Nfrtjf�!
Sig�e of Exterm for 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.
FBCY04:2.6 certificate ofprotective Treatment,forprevention oftermites A weather resistantjobsite-posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treabnent is completed,
providing copyfor the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product rused, idenbty of the applicator, time and date of Me treatment, sfte,locadon, area
treated, chemical used, percent concentration and number ofga0ons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final 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
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
F1601CC 'ED7 R- 00048
Planning & Development Service; ,
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS: 2e50 Rosser Boulevard, Port St. Lucie
BUILDER/CONTRACTOR: J. Howell Construction
PEST CONTROL CONTRACTOR: Apex.Pest Control. Inc.
PEST CONTROL LICENSE #: JB 180907
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: 300 sf
Percentage of solution: '0.1%
Date of Treatment: 1126/2017
Footing
1" Treatment
Re -Treat
Driveway
is`'Treatment
Re -Treat
Other
1' Treatment
Re -Treat
Chemicals used: Dominion 2L
Total gallons used: isgarillons
Time of Treatment: z:oo Pm
X Slab
X is` Treatment
Re -Treat
Pools
is` Treatment
Re -Treat
Perimeter for Final Inspection
ll _ l7a.� . N I1tJ I T
Signature of ExtermlQitor Date
Note: There mustbe a completed form for each required treatment orre-treatment and this form mustbe 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.
FBC104:2.6CertificateofProtectiveTreatment for prevention oftermites Aweather resistantjobsitepostingboard
shall be provided to, receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permitis 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 soll 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 712412014
• Termite Inspection Je5�5.•Christ is �orq V2-323-7921
• Termite Pretreatment ® EVICT -A -Bug Toll Free: 1-877-365-9990
• Pest Control Termite & Fax: 772-340-5990
• Rodent Service Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 2373 SW Woodridge St.
• Licensed & Insured Lic. JB175775 Port St. Lucie, FL 34953
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 I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE - 1 - kebl- I TIME /0
DEVELOPM(E`NT N lMF„(PRQJEC'r)_ i CONTRACTQ �N�gME c CONTACT PERSON
CC
STRUCTURE ADDRESI\S�J(L1lOCT\/3,BLf0`rC9K,)LnF I J CITY, STAT JP CO E D COUNTY
a o I_1A(0-2 S-F �✓Cf�
NOTESOCA
TREATMENT TYPEIAREA
I FLOATING
❑ MONOLITHIC ❑ PATIO,
❑ GARAGE
❑ DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
P41CUTOUTS
❑ FOOTER ❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT
❑ TREAT ONLY ❑ FINAL
❑ POOL DECK
❑ OTHER
�_P,,rRr��O��DUCTS
CE?rBASELINE
❑ DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑
BORACARE ❑ PREMISE ❑
TALSTAR
❑ OTHER
ACTIVE INGREDIENT
❑ IMIDACLAPRID A�FENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION ,
9406% ❑ .12% ❑ .25% .O .05% ❑ 23% ❑ 9% ❑ OTHER 'GALLONS APPLIED
SQUARE FOOTAGE r• Kbo LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED pp��
ES El NO- NO- MEASURED OR VERIFIED PER PLANS SCANNED
JOB READY CONDITIONS MET BY
VG ES ❑NO DETAILS .St. Lump (.flnnt,
t
As per 104.2.6 FBC - 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 subtenanebn termites. Treatment is in accordance with rules and laws established
by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
t
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ER
Payment Terms: Payment due at time of service. ;I
Date Ap licetor: (Evict A,�gj ite a/d P s ,p trol, Inc.)
Date " Customer (Propefly OWnedor-Agent)
1/ www.evictabugpestcontrol.com
_ Planning & Development Services
Building & Codr$ Regulation Division
^ e 2=0 Virginia Ave
Fort Pierce, FL 34982
772462.217Z Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM ENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: t(aol-6668 JOB ADDRESS: -A,990 LCk15 YSLAn , Rl,)d
BUILDEP/CONTRACTOR:
PEST CONTROL CONTRACTOR'
PEST CONTROL LICENSE # —I h
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: ,� g�
Percentage of solution: , Q
Date of Treatment: CA M-1 L,
Footing
Treatment
!Re Treat
_Driveway
. SaTreatment
�R Tre t
_Other � l ou�5
�Q i¢ Treatment
Re -Treat
Chemicals used: _ QG,
Total gallons used: / 6 0
Time of Treatment: J D, 65 --
Slab
—lu Treatment
_Re -Treat
Pools
_V Treatment
Re -Treat
_Perimetar for Rnak Ins ectlan
sig6atdre of Dmabbinator
YET ilf c-A.
SCANNED
BY
St. LUCK Coo rift
Note: There must be a completed farm for each requited treatment orre-treabnentand this fann must be on the job
slte to be picked up by the Inspector attfine of each inmectlon or the scheduled Inspection W11 fall and a•re-bWecdon
fee thorned.
FBC104.2.6evffffcateofprofecuveTreabnentforpreventioneftermltes. Aweatherreststantjobsftepostingboard
shall be provided to receive duplicute Treatment t23rdfi4ate5 as each required pmbsWve treatment!; completed,
provitling a copyfor the person the permit is issued to and another copy for the building pern?& etas. The Treattrrent
certfficaheshay provide the product used, identity of the appllcalor, time and date of the beabnent, site locabbn, area
treated, dremiel used, percent concentration and number of gallons used, to establish a vedfiable record of
protective treabmnt. If the soil chemical bamermethad fortemtlte preventfon & used, final exterior treatment shall
be completed prior to frnal 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.