HomeMy WebLinkAboutTermite Treatment St tucle County Inspections-
2300 Virginia Avenue '
�:•, Y+t.Pierce, FL 34982
OR (772) 462-2172
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TRrATME,NT
PE]RIYIIT ilZ JOB ADDIt1✓SS �� f2��r� )r
• f.
BUILDr1
R & F Pest ContrcY1.-, Inc
PEST CONTROL CONTRACTOR 1856 SW Bayyshore, Blvd
Port St Lucie, FL 34984
PEST CONTROL,LICENSE
We, the ondersigned, hereby certify that we have pretreated the above-described construction for
siibterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: Chemicals used.-.
Percentage of solution: t �� Total gallons used:
Date of treatment: Time of Treatment:
Cl Footing
❑ Treatment FBC104.2.6 Certificate of Profecllve Treafnient for prevention of lermifes.
Re-treat-eat ' A ii,ealher resisfant jobsile posling boai-tl sl)all be provifled to receive
duplicate Treatment Certificates as each required protective n•eaunent Is
Slab eompleted,providing a copy for the person the permU is issued to and
another copy for the bifilding permit files, The Treatment Certificate shall
❑ lst Trellmer►t pro
provide the duct used, identi
1 � ty'of the applicator, time and date of the
❑ Re-treat - freatn,ent, site location, area treated, chendedl used,percent con cell frafion
and dumber of gallons used, to establish n verifiable record of prote
❑ D C1V eW active
trea)rnenl.,l f the soil chemical barrier method for termile prevention is used,
❑ 1 SL'TTaatmerit final eclerior treatment shall be completed prior to final building approval.
❑
Re-treat' St I.ncie County requires for the final inspection for CO,a Permanent
❑ PoolS Sticker to be placed on the electrical panel box cover,listing all the
treatments and dates of appliba'iions.
❑ 1st Treatment
❑ Re-treat
❑ Other
❑ 1st Treatment
Q
'Re-ti-eat
❑ Perimeter -for Final Inspecl:ion
Sib ature of exterminator
NO TB:
Tlfei-e ninst be a coinpleted forst for each required treatment or re-treatncent and this form innst be on
the job site to be picked rap by the inspector at time of each hispectioii or the scheduled itispee iout hill
. fail and a re-inspe.etiotl fee charged.
02/21/2017 20:08 770 JMGM PAGE 01
EC
r-- EIVE-01
` FEB 2 2 2017
2300 Virginia Ave ----,...
Fort Pierce, FL 34982
772-462-2172 Fax'772-462-6443
ER.TIFICATE OF TERMITE TREATMENT
CONSTRU ION SOIL TREATMENT.
PERM" #; 177 D �`�c SOB.ADDRESS: x'17 i tilei v
- +r`a
BUILDER/CONT CTOR: ~-
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #; a
We, the undersigned, iereby certify that we have pretreated the above described construction for
subterranean termites in accordance with thi a standards of the National Pest Control Association,
- Square feet if area.tre; ted: Chemicals used. '.4&5 ice_
Percentage of,solution .��/, - Total gallons used: 3. (P
r
Date of Treatment, /7 Time of Treatment;
Footing Slab
iSt Treatr ient V Treatment
-R&Treat --Re-Treat
DrivewayPools
Treat ent -P Treatment'
_Re•-Treat - t
Other erimete for inspection
15t Treat ent
-Re-Treat
Signatu a rminator
Note.i There must be a c mpleted form for each Y equl ed treatment or re-treatment and this form must be on d1e job
site to be picked up by the inspector at time of e h inspection or the scheduled inspection wAl fail and a re inspectfor•
fee Charged.
FB+C104.2.6 Cenit/Cate o Protective Treatment rPrevention oftermitm A weather resistant fobsite posting board
shall be provided to recei duplicate Treatment ert117cates as each required protectfile treatment is completed
providing a copy for the Mn the permit is issu d to and another copy for the building permit files The Treatment
cert�cate shall provide t product used, Identityof the applicator, time and date of Me treatment, site location, area
treated, chemlml used, rcent concentratlon an number'of gallons used, to establish a verli7able record of
pft ective treatment. If t e sort chemical barrier athod for termite prevent/on is used, final exterlor treatment shall
be completed prior to Fna bu!/ding approval,
St Lucie County requ res for the final iris 3ection for CO, a Permanent-Sticker to be placed on
the electrical p.2zRel all tha treatments and dater of agplicatibna.