HomeMy WebLinkAboutTermite Treatment CertificatePlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-452-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 2
M JOB ADDRESS: 754 Nettles Blvd, Jensen Beach
BUILDER/CONTRACTOR: Burns and Son construction
PEST CONTROL CONTRACTOR: , Patrick Exterminating
PEST CONTROL LICENSE #: 4864
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.
Square feet if area treated: 840
Percentage of solution: 25%
Date of Treatment: 01/15/2020
Footing
is` Treatment
Re -Treat
Driveway
1s� Treatment
Re -Treat
Other
11t Treatment
Re -Treat
Chemicals used: Cyn rm� —
Total gallons used: 84
Time of Treatment: 11:30
X Slab
k is' Treatment
Re -Treat
pools
1,` Treatment
Re -Treat
1:i Jfor �° aj- p ion
(� 5/
Signature of Exterminator Date
Note: There must be a completed form for each required treatmentor 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 fall and a re -inspection
fee charged
FBC104.2.6 Certifrdate of protective Treatment far prevention of te)mites, A weather resistant j06$ge posting board
shall be provided to receive dupl/cate Treatment CertiFcates as each. required protective treatment is completed,
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providing a copy for the person the permit fs issued to and another copy for the budding permit files 77he Treatment
Certifcare shall provide the product used, identity of the applicator, time and date of the treatment( site location, area
treated, chemlcal used, percent concentration and number ofgations used, to establish a verifiable record of
protective treatment: If the sop dhemlcal 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 covert listing all the treatments and dates of applications -
Revised 7/24/2014