HomeMy WebLinkAboutTermite Treatment Certqr-G G �9
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: -0 b 9 3013 ADDRESS: 5305 Ww,+
'BUILDER/ CONTRACTOR: cehlarl comglele t4ameS b,r° F°" ►ierce� FL 14-1-71
PEST CONTROL CONTRACTOR: Ai"".. se'10;Ces
PEST CONTROL LICENSE #: s6 14139
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.
V.n,?ar
feet if area treated: lab
Percentage of solution; s°�o
Date of'Treatment: OTI19 Izozo
Footing
1st Treatment
Re -Treat
Driveway
_____l't Treatment
Re -Treat
Other 6*'i .5,11 -►em ..+s►an
1st Treatment
Re -Treat
Chemicals used: _
Siwl�phs
Tata+-�s used:
Time of Treatment:
seh4+.con C Feuw:i HO)
LI -1
Slab
1�t Treatment
Re -Treat
Pools
_1' Treatment
Re -Treat
Perimeter for Final Inspection
liu�ca� / 0S1I91 z0zo
Signature of Exterminator Date
Note; There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the Inspector at time of each inspection or the scheduled inspection will fee charged, ail and a re -inspection
FBC104. z.6 Certificate of protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building
Certificate shall provide the product used, identity of the applicator,
treated, chemical time and date of thereatme�nts site location,earea
used, percent concentration and number Of gallons used, to establish a verifiable record of
Protective treatment, If the soil chemical barrier method for termite prevention is used, final 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