HomeMy WebLinkAboutCertificate of Termite Treatment I
Jul.26.2019 12:29 PM HUG DR PEST CONTROL 7723447480 l �C P 1/ 1
On
Planning&Development Services
Building&Code Regulation i Division
COUNTY2300 Virginia Ave
• R I D A - Fort Pierce,FL 34982
772-462-2172 Fax 772462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMtCN
12101054� JOB ADDRESS:s2.i% t�Klac li�r�o1 Lgh.. c �t� �v+1 %Vire A.
UILDCONTRACTOR: 3r ePEST TROL CONTRACTOR: �cyv���. a.,PEST TROL LICENSE #: POW S 10 1 l i
i
We,the undersigned,hereby certify that we have pretreated the above described construction for
subtenan n termites in accordance with the standards of the National Pest Control Association.
Square f t if area treated: . g Chemicals used: �M i11 i�yC1
Percentac a of solution: Total gallons- used:
Date of T eatment: , 0�9 Time of Treatment: Zi ru E D
Footing —4Slab KC
is'TreatmentTreatment J U L 26 2019
Re-Treat Re-Treat
____Prhreway Pools Permitting Department
1,Treatment V Treatment
Re-Treat Re-Treat St. Lucie County, FL
—Other Perimeter for Final Inspection
1s'Treatment
Re-Treat
l
Signature of Exterminator Date-
Note:
ain(Vote: 7he must be a completed form for each required treatment orre-ir imentand this form must be on the job
site to be I lcked up by the inspector at time of each inspledion or the'scheduled inspection twill fail and a re-insp on
fee chaiige Y.
FBCi04Ifical
Gerd cateofProtective Treatment forprevenbon ofterwifes A weather resistantjobs&pallingboard
shat%be ed to receive duplicate Treatment Certificates as each required protective beatment is completed,
prov/�npyfor the person the permit is iswed to and another copyfor#he bmiding permithles The rrwiment
Certifica //provide the product used,identity of the applicator,time and date of the bc�atment,site/oration,area
beater!, used,percent concentration and numberofgallons used,to establish a veru ab/e record of
protective reatment If the soil chemical barrier method for termite prevention is used,final exterior treatment;shall
,be comple prior to final building approval.
St Lucie unty requires fur the final inspection for CO,a Permanent Sticker to be placed on
the elocrical panel box cover,listing all the treatinentiand dates of applications.
Revised.7/24,2014