HomeMy WebLinkAboutCertificate of Termite Treatmente ,73 2-S
planning a Development Services
�, t; ri � r ••'�r,1� �r,,,�,i ,i Building & Code Regulation ®ivisioen
2300 worgania Ave
Fort Plerce, Fi, 34982
772-462-2172 FaX 772-462-6443
CER71FICATE OF TERMITE TREATMENT
ComSTRUCTION SOIL TREATMENT
PERMIT #: Lye5-T>3 �� , 30B ADDRESS:
BUILDER/CONTR`4CTOR: , f`yrv►,�,�-�t �� Goy-f,Iz�ckar.g
PEST CONTROL CONTRACTOR: - -
PEST CONTROL LICENSE #:
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance wi the standards of the National Pest Control Association.
Square feet if area treated: 7
L%1� chemicals used: �5�' ►��
Percentage of solution: 1 ,,
Date of Treatment:
Footing
1s� Treatment
Re -Treat
Driveway
1 Treatment
Re -Treat
t�lst
�Treatment
Re -Treat
Total gallons used: ,G Z
Time of Treatment: q d0
Slab
1-1� Treatment
Re -Treat
Pools
15t T reatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
Note. There must be a completed form for each required treatment orre-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 inspecdon will fall and a -re -inspection
fee charged.
FOC104.2.6 Certificate of protective Treatment forprevention ofteimites A weatherresistantjobsite posting boad
shall be provided to receive duplicate Treatment Certifir tes 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 ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterlor treatment shall
be completed prior to final building approval.
St ILude Cou nbi requires for the final inspection for CC, a Permanent Sticker to be placed an
the electrical panell box covert listing sill the treatments and dais of aPPlicaffiOns.
_ Planning & Development Services
13uHding & Code Regulation Division
• 2300 Virginia Ave
Fork Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT ##:Cjtl!j JOB ADDRESS:
BUILDER/CONTRACTOR: ,� G -
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 National Pest
�Con trol Association.
Square feet if area treated: f Chemicals used: ►-��n
Percentage of solution: G Total gallons used: —Aba ----
Date of Treatment:.
Footing
1 Treatment
Re -Treat
Driveway
is' Treatment
Re -Treat
Other
1P Treatment
Re -Treat
Time of Treatment:
Stab
�1� Treatment
Re -Treat
Pools
1s' Treatment
Re -Treat
Perimeter for Final Inspection
sign re of EAkminator
Note: There must be a completed form foreach required treatmentorre-treabnenf and thisform most be on thejob
site to be picked up by the inspector at time of each inspection or the sdWdled inspection wilt fall and a -re -inspection
fee charged.
F[3C104.2.6CertificateofprotectiveTieaimentforpreventionoftermites Aweatherresklant'jobs&postingboard
shall be provided to receive duplicate Treatment Certificates as each re�7uired protective treatment is mmp/eted,
providing a mpy for the person the permit is issued to and another copy for the buildingpem7ff ff/es The Treatment
Certificate shall provide the product used, Identity of applicator, tune and date of the treatment, s& location, area
heated, dremical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If Me 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 coverr listing all the treatments and dates of applications.