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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEMAY/08/2018/TUE 09:26 AM w 7 FAX No. - - P. 001/001 _ n<E[VED I . I - L rMe' F NAY0S701COPY Permitting Department i St. Lucie County . Planning & Development Services Building & Code Regulation Division SCANNED 2300 Virginia Ave o , Fort Piarce, FL 34982 BY 772-462.2172 Fax 772-462.6443 St. Lucie County i -- CERTIFICATE-OFTERMITE"TREATMENT --- i. CONSTRUCTION SOIL TREATMENT i PERMIT- #: %0% 0326 JOB ADDRESS: `3zINg�»ye i� Fl ewce Ie BUILDERJCONTRACTOR: PEST CONTROL CONTRACTOR: VOW PEST CONTROL LICENSE #: s 0000(,,tc4 _ We, the undersigned, hereby certify that we have pretreated the above described construction for --subterranean termites in.aecordance-with-the•standards•ofthe•National-pest-Centrol-Assodation. -- --- -- Lin i Sgeare4eet if area treated: 550 Chemicals used: OM107f017 u Percentage of solution: .03 Date of Treatment: S k l I..g _Footing 1"Treatment _Re -Treat Driveway _iu Treatment _Re -Treat Other 11 Treatment ----- Re -Treat Total gallons used: 1210 Time of Treatment: I ()• D 1 slab —1`t Treatment —Re-Treat —Pools _11t Treatment e-Treat perimeter r Final Inspection d 5 BLS s ,� Signabxh o erminator Date Note: 7irere murtbe a completed farm for each required treatment acre treabnentand this form mtcst6e on theJob site to be pldted up by the Inspector at time of Wch inspection orthe scheduled inspection w/11 fail and a re-lnsp=ffon fee charged. FBC104.2.6CergffcateofPtotacbVerre[atmentforpreventlonoftermltes AweatherrasistantJobsilaposdngboald shall be provided 0 reoelve duplicate 7matinent Cerdflcates as earn required pro&,ctiue beatmentls completed, providing a cnpyfor the person the permltla Issued to and anot&,rcopy for thebul/d1V permit files The 71eatzmt Certificate shad provide the product used, Ideatlty of Me appllcalor, time and date of the treatment, site location, area treated, chemlcal used, percent concanlratlon and number ofgagovs used, to establish a vWftable record of i` protectim treatment Ifthe Sall chemical battler method fortennite prevention is Umd, final exterior traatmentaha/l be completed pr/or to final building approval. St Lucia County requires for the final Inspection for CQ, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications, Reatment Type: ❑ Underslab ❑ Wood Treatment Product: 'um Octaborate 4hnidacloprid ❑ Permethrin Concentration os Square Feet Treated t�l Pre-Constructitie' 1tECEIVED AY 0 7 2018 HZiILETT Termite Treatm e County, Permittlne services 7670 Okeechobee Blvd., West Palm Beach, F1. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information %%Builder/Contractor / Treatment Date � % -/8 Time ID;DU �` o_ w,cf -r-onJ SUN?fir Lot Block Subdivision Nam(e� M 1 V \VP - _Street Address (If known) City State Zip Owner's Name (If known) Name of Builder Shell Contractor Construction Type CYMonolithic []Floating/Stemwall []Pa- tio []Entry []Driveway []Other: Product/Treatment Information ,MJ Final ❑ Other ❑ Patio/Driveway/Entry ❑ Bait System ❑ Cypermethrin ❑ Bifenthrin ❑ Other: Mixed Product Applied 53G o'er Linear Feet Treated 3l e-2 0 If this box 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. This treatment is in accordance with the laws and rules established by the Florida Department of Agriculture and Consumer Services. Applicator's Name (please print) HES-TE019 05117 r Applicator's Signature Hulett Environmental Services® 2017 L HbTLETtT Termite Treatment 7670 Okeechobee Blvd., West Palm Beach; Fl. 33411 Phone: 1-800-285-737.8 • `:Fax: 561-6.84-01=22 f Property Information{.. r t. Treatment Date 313 Y Time Lot Block Subdivision Name 3d if A✓en ye P _Street Address (If known) City State Zip _Owner's Name (If known) Builder/Contractor Name of Builder Shell Contractor Construction Type OMonolithic,, 1317loati4Stemwall ClPa- tio DEntry ODri-veway' C3Uther: Product/Treatment Information. Treatment Type: R'Underslab ❑ Patio/Driveway/Entry --❑ F,Final ❑ Wood Treatment _ ❑.Bait.System L other.. Product: ❑ Disodium Octaborate ❑ Cypermethrin CXmidacloprid. ❑ Bifenthrin ❑ Permethrin Q Other: , r v ' Concentration s 7 Mixed Product Applied,; Square Feet Treated Linear Feet Treated ❑-If this= 6)x 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. This treatment is in accordance with the laws and rules established by the _ Florida Departmen of Agri It a and gonsumer Services. Name (please pzp}jcator's Signature HES-TE019 05117 Hulett Environmental Services© 2017 .1D-1-0 Pre-Constructi Certificate of Compliance: This building has received a complete treatment for the subterranean termites. This treatment is in accordance with the laws and rule a Florida Department of Agriculture and Consumer Services. %I z ��oL e, Itr3 Applicator's Name (p ease print) HES-TM19 05/17 Signature to l� HI'[JLETT envTermite Treatment services By sisiental services St. Lucie Crnlntt 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Builder/Contractor Treatment Date Z.IiI l7 Time �/�� P ,,_ 1 Name of Builder `� k�. Lot Block DEC 13 2017 PcWA 11711K, Subdivision Name Shell Contractor St. Lucie county, Ft_ _Street Address (If known) P;eece. Construction Type �J Sy9y7 MO onolithic Floating/Stemwall 17Pa- City State Zip 10 OEntry ODriveway OOther: _Owner's Name (If known) Product/Treatment Information Treatment Type: nderslab 19Wood ❑ Patio/Driveway/Entry ❑ Final Treatment ❑ Bait System ❑ Other Product: ❑ Disodium Octaborate ❑ Cypermethrin ❑ Imidacloprid ❑ Bifenthrin ❑ Permethrin Other: 076 Concentration Mixed Product Applied p Square Feet Treated p OO Linear Feet Treated ❑ If this box is checked, then Final Perimeter treatment has been completed and the following statement is applicable:_ Lion of by the Hulett Environmental Services© 2017