HomeMy WebLinkAboutTermite CertChK I it.L%,j-k 1 5^ - --
CONSTRUCTION SOIL TREATMENT
PERMIT # :�
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACT(
PEST CONTROL LICENSE # :
that we have pretreated the above described construction for
We, the undersigned, hereby certify
subterranean termites in accordance with the standards of the National Pest Control Association.
sub
Square feet if area treated:
r,
Percentage of solution: a a
Date of Treatment: �J
l
Footing
15` Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
11� Treatment
Re -Treat
7 ✓3 r fi.} a i� Res 1 CN { (-11 11.
306 ADDRESS:
Chemicals used:
Total gallons used:
Time of Treatment:
Slab
15t Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for a4 nspection
A.
Signature of Exter Tinator Date
Note: There must be a completed form for each required treatment or re -treatment and this form must boo,,? ire 'c
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re-f,-�sGe c
fee charged.
FBC 104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant johsite posting ^a:
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 permit files. The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical 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
PEST MANAGEMEN]
SERVICES
14624 SW Citrus Blvd.
Indiantown, FL 34956
772-215-5206
Certificate ®f Compliance for Termite Protection
(As required by Florida Building Code (1 BC) 1816.1.07)
i -3 6
Address of Treatment
Lot: Block:
City: 2' State: T
Method of Termite Prevention Treatment - Soil Barrier
The building has received a complete treatment for the prevention of subterranean termites.
Treatment is in accordance; with rules and laws established by the Florida Department of
Agriculture and Consumer Services.
Requested By Builder:
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T PIZ,
Authorized Signature:: _ Date-,—.p'
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Treatment Applied by:
Vainic Pest Management Services
14624 SW Citrus Blvd.
Indiantown, FL 34956
STATE LICENSE #JB125527