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HomeMy WebLinkAboutInspection Documents 04/29/2018 19:57 770 JMGM PAGE 01
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Planning&Development Services
:• J+ = `=
Building &Code Regulation Division
• 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462.6443
CERTIFICATE OF TERMM TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 3© P53 J B ADDR SS: 10 S
BUILDER/CO TRACTOR:
PEST CONTROL CONTRACTOR: 0 i9e&+
PEST CONTROL LICENSE #: CG
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We, the undersigr ed, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance wit the standards of the National Pest Control Association.
Square feet if are treated; Chemicals used:
r
Percentage of sol tion; o?5'5"'D Total gallons used:
Date of Treatmeni.. Time of Treatment; /5'
Footing Slab
1st T eatment 15t Treatment
Re- real Re-Treat
-Driveway Pools
15t-i eatment 1't Treatment
Re- reat Re-Treat
Other r'meter for F9nal Inspection
1St T eatment
Re- reat
i Sign ture o Exterminator Date
Note: There must t e a completed form for e ach required treatment or re-treatment and th/s form must be on the job
site to be picked uol by the Inspector at time gf each inspection or ole scheduled inspection will fail and a re-inspecNi n
fee charged.
F50.04.2.6 Certlfr to ofArotec&e TreWOIM nt forprevention of termitas A weather raystantjobslie posting board
shall be provided to receive duplicate Treatment Certffcates as each required protective treatment is completed,
providing a copy fol the person the permit is issued to and another copy for the building permit fries The Treatment
Cert/ficate shall pro ode the product used, Identity of the appllcatar, time and date of the treatment,site lac0on, area
treated,chem/cal u ed,percent concentraC/p 7 and number of gallons used, to establish a ver1flable record of
protective treatment, If the soil chemical ba ner method for termite preventlon/s used, final exterior treatment shall
be completed prior o Erna/building approval,
St Lucie County requires for the fina I inspection for CO,a Permanent Sticker to be placed on
the electrical painel box cover, listing all.the treatments and dates of applications.
Revised 7/24/2014