HomeMy WebLinkAboutTermite Cert Feb 13 19 05:16p The Bug Dr. Pest Control 772-344-7480 P.1
RECEIVED
Planning & Developrnent Services FEB 1 41019
Building &Code Regulation Division Permitting Department
• 2300 Virginia Ave sr. Ducie county
• Fort Pierce,Ft 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 0 )a3 JOB ADDRESS: X30 q 01a.nn fn WOLUJ FP
BUILDER/CONTRACTOR: Cs 0-o n
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
We, the undersigned, hereby certify that we have pretreated the above described bion for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: S Chemicals used: -T—bYl Cr-,)Q PK I e�
Percentage of solution: • U5 CX9 Total gallons used: 1 O (tel I Cr) 5
Date of Treatment: ��3 �'- i
Time of Treatment: 1 ! � '
Footing Slab
1st Treatment 1-�'Treatment
Re-Treat Re-Treat
Driveway Pools
15t Treatment 1":Treatment
Re-Treat Re-Treat
_Other_a( L-}-1 nn Perimeter for Final Inspection
✓ 1'Treatment
Re-Treat
Signature of Exterminator Date
Note: There must be a completed form for eacfi required treatment or 1`15-treatm07t and this form must be on he job
site to be picked up by the inspector at time of each inspection or the scheduled if wN fail and a
fee charged.
FBC104,2.6 Certificate of Protective Treatment for prevention of tw mites: A weather res6tantpbsrte board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment rs mrn
providing a copy for the person the permit is issued to and anotfier copy for the building permit fi/es� 77w Tram reit
Certificate shall provide the product used, identity of the applicator, time and date of the teatmeM site locabc 7, area
treated, chemical used,percent concentration and number of gallons used, to establish a verifiable record of
protective treatment if the sod chemical barrier method for termite prevention is LKed, final exterior -sW
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 7/2412014