HomeMy WebLinkAboutCertificate of Termite Treatment Su1.10.2019 09:00 AM BUG DR PEST CONTROL 7723447480 P 1/ 1
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Planning&Development Services
Building&Code Regulation Division
2300 Virginia Ave ing
• Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6943
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: '�5LClqc>( -Osrl JOB ADDRESS: `�-`� ����^`� A�e �vr-1 Pr e Fc
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: *rhe- UCJ Dr• es C .
PEST CONTROL LICENSE #: 19 L4 $
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.
St ft
Square feet if area treated: Chemicals used: �►-r�t��c la E
Percentage of solution: 5a Total gallons used:
Date of Treatment:` i" 19 Time of Treatment: ��c)
Footing Slab
it Treatment XG 1t Treatment
Re-Treat . Re-Treat j
Driveway Pools
V Treatment a Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1t Treatment
Re-Treat
Signature of Exterminator Date
Note. There must be a completed form for each required treatmentorre-treabnentand,tills form must be on the job
site to be pidbed up by the inspearat time of each inspection,or the mheduled inspection wit/fail and a re-inspection
fere charged.
FBC104.2.6 Certificate ofProtecMe Treatmentforprevention of termites A weather resis[antjot sme pasting boar,/
shall be provided to receive duplicate Treatment Certificates as each required protective treatmentis completed,
providing a copy for tfiepetson the permitis issued to and another COPY for the building permit files The Treatment
Certificate sha//provide the product used,identity of the applicator,time and date ofthe treatment,site location,area
treated,chemical used,percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment: If the soil chemical barrier method for termite prevention is used,finial exterior treatment shall
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 7/24/2014
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