HomeMy WebLinkAboutTermite certg� peveloprnent SeWicesn
Planning Code Regulation pivrsio
BweBuilding 2300 Virginia Ave
Fort Pierce, FL 34962 3
2j.72 Fax 772-462-G
772-4G2- ENT
®F TERMITE TREATG
CERTIFICATE oN SOYlL-��A-�14ENT
CONSTRU
JOB ADDRESS' .
PERMS # a � , acM - CAS g e.
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
we have pretreated the above described
construction for
We, the undersigned, hereby certify thatZ �
subterranean termites in accordance with the standards of the Nations �[��
suit Chemicals used:
Square feet if area treated: -a0 7
Total gallons used:
Percentage of solution:
Time of reatment:
t:
Date of Treatmen
lab
Footing _ice Treatment
_is` Treatment _Re -Treat
_Re -Treat Pools
Drive aw Y ist Treatment
__1st Treatment g Tre t
'Re -Treat Perim to for Final I Spection
Other / 1y- • 2t�
_rt Treatment �� -' -�----
_Re -Treat Si❑nature of Extermina, or Date
n77 must be
n the job
Note: There must be a completed form for o ch required on oee scheduled Inspection r retreat7,n'ent and this
rvi�fail and a re -inspection
site ro be picked up by the inspector at time
fee charged.
FBc104.2.6 Certificate of Protective Treatment for prevention of termites. A weather reS/StantJOUs(Ce Posuny "al u
shall be provided to receive duplicate Treatment Certificates as each required prOtmdve treatment is completed,
providing a copy for the person the permit is issued to and another COPY tier the building permit f7/es. The Treahllerht
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 establislh a verifiable recort7 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
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121 N.E. Prima Vista Blvd.
J Port St. Lucie,Pl.34983
W W W Trocontro Iservices.com
Planning €It Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34902
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT _
PERMIT #:l 7J0B ADDRESS�' 7- c; of
BUILDER/CONTRACTOR: �t s - ��►''� ' . Oaf .
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
We,.the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the Nationa Pest Control Association.
Square feet if area treated:. o t'4) Chemicals used: /t(n -�
Percentage of solution: 1 / D Total gallons used: ��
Date of Treatment: _ / 4 y Time of reatment:
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
lab
1s� Treatment
Re -Treat
Pools
1't Treatment
Perimgte' } forr/final
of Extermi
Date
Note: There must be a completed form for each required treatment or re -treatment and this farm must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled Inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite pasting board
shall be provided to receive duplicate Treatment Cb&Frcates as each required pmteclve treatment /s completed,
providing a copy for the person the permit is issued to and another copy for the building permit fr/es The Trafinent
Certificate shal/ provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a venfrable recordof
protective treatment. if the soil chemical bawler method for termite prevention is used, final a%lenor treatment shall
be completed prior to Anal 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
Scanned with CamScanner