HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEio
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SCANNED
BY
St. Lucie County
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1712-0227
6107 9 S NVr
JOB ADDRESS: 6598 S US H4K' 1, Port St Lurie, Florida 34952
BUILDER/CONTRACTOR: SouthportConstruction Corporation -Robert W. SmithCGC1512872
PEST CONTROL CONTRACTOR: AL -FLEX EXTERMINATORS, INC.
PEST CONTROL LICENSE #: Ja161
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: 250UNEALFEET
Percentage of solution:.05
Date of Treatment: JANUARY 16.2019
_Footing
1st Treatment
Re -Treat
_Driveway
_l't Treatment
_Re -Treat
_Other
Is'Treatment
Re -Treat
Chemicals used: IMAXX PRonMIDACLOPRID
Total gallons used: 100
Time of Treatment: 2:30PM
_Slab
1n Treatment
_Re -Treat
_Pools
—Is'Treatment
_Re Ttea�
X PeriTm
'5e
'�prjo Arinal Inspection
1/162019
Signature of Exterminator Date
Note. There must be a completed form for each required treatmentorre-treatmentand this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection w111 fall and a re -Inspection
fee charged.
FBC104.2:6CerdficateofProtective Treatmentforpreventlonoftermites. AweatherreslstantjobsitePosting board
shall be provided to receive duplicate Treabnent 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 flies The Treatment
.certificate shall provide the product used, ldentity of the applicator, time and date of the treabnent, site location; area
treated, chemical used. percent concentration and number ofgallons used, to establish a vedflable record of
protective treatment if the soll chemical baniermethod for termite prevention Is used, final exterior treatmentshall
be completed prior to final bullding 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
WJ
COUNTY
2300 Vitginla eve
Fort Pierce, FL 34082
772-462-2172 Fax 772-462
CERTIFICATE OF TERMI
CONSTRUCTION SOIL
PERMrr #:SV ' 1711, - ®2.2}Ja6
BLIILdERJCONTRACr0R: „
PEST CONTROL CONTRACTOR. A
PEST CONTROL LICENSE #: Jig
V1t^ the undersigned, hereby car ifythat we have pretreated the above
subterranean termites in aocordence with the standards of the Nations
Square feet if area treated:. ar `�F Cherrtieafs used: �
Petoentage of solution: ' oo Total gallons used:
Data of Treatment: / "/lo- Time of Treatment
Footing S t a b
l* Treatment _ _,,,, e Trr
Re-TR reat e-Yre
Driveway P o e t s
1aTreatment "Tn
Re -Treat -T e
0. t h e `r Perimeter of
to Treatment
Re=T'raat
Note: 77ere'motbe a complefad Ibm► foreach
site to be pkked up by Me Wpectorai tuna of
fee chaVd
FBC104.2dt C�tyimley PromGiveiYs�inantforpreNeMdonoftenru7es A
straRbe provfdad to rttceiva dc¢�G[ate TraaMrentC,arllRcaiases aedr requhed
prorfdhtgo cgoy for ufe person W permit ie b&mdto vWwvftroWfor tl
0007009,aha®pmvfde the produaased bantf&ofMe applicator, rdne and i
beatad,dwYalLwa peroeraconce0whonandnumoorofgaifonsLM4 to
pmfocftwhaatment Irlhwsvftd ibamarmothodfort wtupewrik
be mmp/atedpnlbrto finalbuo`dngappwmL
Wee County requires for the final Inspection Wr EQ a
P� ✓9�2- Fo
1 °e lee. ?
O04 �O%D
01 ATMENT �
RENT
r`
t
Mad construction for
Control AseocWton.
lormmustbeond.wjob
wrA fer7enda reanspertfon
Me
ofthe
used Gr,alw�tanorhrismre¢tahan
Sticker to be plpced on
' PERMIT
COUNTY "t
rr '
CERTIFICATE OF TERNiI
COOSTRUC7110N SOIL
r.3 •
PEST' CONTROL CONTRACTOk
PEST CONTROL LICENSE #:
liA the undersigned, horeby cafffy that we have Rretreaati the *boo
subterranean termtes in acootdencs with the standards of the Nations
square feet it area tM tad: c { teY�tiCdfs u
Percentage of sotutiori. 'a Total gallons used
DafegfTreAtment;_.,.%-/�`/9 'FtmeofTrea#nenE
Footing
v, Treatment
Re -Treat
Driveway
Ti
"Treatment
Re -Treat
O.tner
_J9, Treatment
Re -Treat
Able: There&aabeacni
sUe to bePtW up by tha
badt8Vd
1'HC7oq,7.6 't� ofProroctivs TYea>Y•r
sheltbe provlaFed fo recmris rl�r� T�atn
provkftacopy For
theAoraonNtBpar++l!is
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ftaw, diWz& LW4 Pe1vantoo7err( WQ
prIXeel±vebaahnent. dmesauldmmfearfwi
� �A�tadPrivrta final4uu�hgapprovab
tude County requires for Um final
3 F 3 6
tr
ent
Psiment
corWnccttonfor
,otaseociatton.
P e r I nt et s r forq:hat 14*01on
&formmustbearfkejob
Wo Wonde re-Ir�
mr7es A''therresl�sAtjrtn�pasff�bosrof
BQtA98trrBCtiiA7083rIrl8A2 dRQOPrglf61�, .
WrOr 0UAd+rr9Perm#►a9a,77ra7t@3pwrrt
t77E+F f& orthe treatgtent, siftperd9
At. to DISAftV&0aWQ Gf
><ac� c�crol, finataxterrbrdc�srrRsrCstratr
for = a
RECEIVE®
JAN 18 2019
Permitting Department
St. Lucie County, FL
COUNTY
2300 Virginia Ave
Fart pierce, FL 34082
772-462-2172 Fax 772-492
CERTIFICATE OF TERMI
CONSTRUC71ON SOIL
PERMrr #: /7A- e2Z7 JOB ADDRESS: 4S3_
BUILbER/COMRACfOR:,_�a.. C� n �
PEST CONTROL CONMCTOR: Al Wroc J=x er ar
PEST' CONTROL LICENSEM 49141
ft the undersigned, hereby certify that we have pretreatad the above
subtananean termites in amordmrce with the staedards of the Nallm
Squam feet if area treated- Zg@g2 Chemicals used•.?
Percentage of solution: 01 o Total gallons used
Data ofTrealment; /0-'=/8 Timeof.Treatment
Footing S F a b
—in, Treatment 1'r Tne
Re -Treat e- re
Driveway P a o I s
_1'Treatment Tre
Re -Treat Re-Tre
0. t h e `r Perlmeterfor
19 Treatment,
Re-Treat�c�
Signature of
hdto: 7horemustbe a oxrrPleted Ibrrn toreaoh requtredr►sarme+rforre-tea
site to beprdced up by the frrsp xWo time ofeadr erspedion ortbe sdxKW
tee dwm,;ad
FBC104Z6 CedtWo(Pe Mde eTioatrnenrforpmentlonoftern&&-A
slraQbe pmvidedtorocelvvdupGr2lp TreatrrrentCertt4Cateseseechregryred,
provl t a copy for ft pemon ft pa'mA is Issuedto endarwb',wawror it
0&WCatesbeypmvfde Me pnxfuamd Idenlf"f the epprrcetor, 9(m end r
beaw dwrrucalUw pemenroorrc mmftnandaunwerofgaaonsraga to
p+otadfvefieolmeM. llfhesaAd�elnrcalborrrormaNrodfwfei(rt+ta faev®nGc
be rmnpretedprbrfo ffnalbLMitgappromL
$t Uide County requires for the
*e electrical panel box cower 111
.. .
t
Inai Inspection
�& form rrrustbe on 1(te fob
rvaf faa6nd a re-insperFeon
btWnent is awwam
pei+ndaea. The TiearMW
i b98trnen4 sde tsre+
r verrTaFile raCorrlN {
foal exfedpr G6�tnrelrt sh81!
to be piked on
inrta :.