HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEJun 14 2016 1:24PM HP Fax
page 1
SCANNED M
BY ` M
Planning & Development Services Y- Lucie County.
Building & Code Regulation Division
2300 Virginia Ave d M
Fort Pierce, FL 34982 r
772-462-2172 Fax 772-462.6443 0
rn rn
CERTIFICATE OF TERMITE TREATM NT
CONSTRUCTION SOIL TREATMENT
/W, O)q7
PERMIT #: 1e1-o147
JOB ADDRESS: 6630 s us 1
BUILDER/CONTRACTOR: Excelslorconstr ctiorwavin Matylmek
PEST CONTROL CONTRACTOR: Hannan Environmental Services,Iac.
PEST CONTROL LICENSE #: TB99418 �rT
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 ConttOI Association.
Square feet if area treated: 20 Sq Pt Chemicals used: Dominion
I
Percentage of solution:.126% Total gallons used: 4gals
Date of Treatment: 611311e Time of Treatment: 10z9 am
_Footing
_e Treatment
_Re -Treat
_Driveway
_1s1 Treatment
---Re-Treat
_other
_i51 Treatment
_Re -Treat
anane Slab
_ig Treatment
_Re -Treat
_Pools
_V� Treatment
,Re -Treat
6n32gilmatar.i$LFInalInspection
6114116
Date
Note., There must be a completed &m for each required treatment orre4reatmentand 01sform must be on thejob
site to be picked up by the Inspecinrat time of each Inspection or the scheduled Inspectio will fall and a re -inspection
fee charged.
FBC104.2.6 Certificate afprotective Treabnentforpreventlon oftermites A weatherre
shall be provided to receive aWlcate Duatment Certiflcates as each required protective t
proWding a copy for the person the pennitis Issued to and another copy for the bultding,
Certificate shall provide the product used, Identity of the appllcator, time and date of the
treated, chemk:al used, percent concentratton and number ofgallons used, to establlsh a
protective treatment !f the soli chemlo/ barriermeMad for termlte prevention is used, t
be completed prior to Gnat bulldingappmval.
St Lucie County requires for the final inspection for CO, a Permanent St
the electrical panel box cover, listing all the treatments and dates of ap
Revised
intjobs/te posting board
mentis compteted,
Wtflles The Treatment
bnef?4 site tocadon, area
flable record of
exterior treatment shall
to be placed on
j!f 0 9". <!
ANN4
Environmental Services
PROPERTY INFORMATION
Treatment Deap: L:2// 34
Lot: / Block:
Subdivision Name: �>'-/
Street Address (if known): 7_
City/State/Zip: Y ' 5
PO Box 880157, Port St Lucie, FL 34988-015'
Phone: (772) 344-2847 Fax: (772) 344-7378
www.hannanpestservices.com
ee Iti,� 4 SLC I wi - o 1 ` , .
N
Se tion:
7 >rG
Owner Name (if applicable):
It is the responsibility of the contractor to notify HANNAN ENVIRONMENTAL
SERVICES for all required abutting sprays.
CERTIFICATE OF COMPLIANCE
HANNAN ENVIRONMENTAL SERVICES guarantees the building has
received a complete pre-treatment for prevention of subterranean
termites. Treatmentisinaccordancewith therulesandlawsestablished
by Florida Department of Agriculture and Consumer Services.
If this box is checked, the final perimetertreatment has
been completed and the following certificate of compliance
is available.
Applicant's Name (please print)
Contractor:
Pre -Construction
Termite Treatment For
subterranean Termites
Other:
Slab Type Monolith!(P�L �"y Wall
Abulements ❑ Patio ❑ Entry ❑ Driveway
(check box here for appropriate method)
PRODUCT TREATMENT INFORMATION
Tre tment Type (must check one)
Initial Under -Slab El Supplemental ❑ Final ❑ Addition
O Bora Care (wood treatment) ❑ Pool Deck EVetreat
Product Applied ❑ Bifenthrin O Demon TC
O Bora Care ❑ TGeerrmidor HEZOther. el u_ .
Mixed Product Applied : ! Gallons Concentration: 0
Square Feet Treated: Linear Feet Treated
Please Call (7721344-2847
or visit www.hannanpestservices.com
For information about
additional pest control services.