HomeMy WebLinkAboutTermite CertPlanning & Development Services
Building & Code Regulation Division
2300 Virgirga Ave
Fort Piieroe, F4 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:.20x, : - 0302 JOB ADDRESS: &q 6rriyfe 06rainc,y(,4 Fi�+ J?, ucc, FL
BUILDER/CONTRACTOR: W-jojm 0Cyttofo& bQ i-
PEST CONTROL CONTRACTOR:€v,T-.asiicTEzwnTaPEST CONTROL INC.
PEST CONTROL LICENSE #: J517 ns
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: 4 cv
Percentage of solution; -05%
Date of Treatment: 311 i)
_Footing
_Ss, Treatment
Re -Treat
driveway
Total gallons used:
Time of Treatment: �2:3+j
_Slab
Sa Treatment
�Re-Treat
_Pools
_1� Treatment Treatment
_Pe Treat / Re -Treat
Other ✓ n Z=IM21'4_1
croon
Is, Treatment
—Re-Treat
gignituregerAno Date
Note. There must tV a completed form for eadr required treatment or re -Peat mentand b71s form mustbe on die job
site to be picked up by die inspector at lime ofeao7 fnspecbon or the scheduled x5pa don vrill fail and a re4rn9edion
fee dwgat.
FSC104.Z6Cel-bficateofProtcxriveTreabmeritforpreventionoftermites Arveatfierresistantjobsitepesbngtbard
shall be provided to receive duplicate Treatment 6?rdfrcates as each required protedrve t-eadnent5 completed,
providing a copy for die person the permit is issued to and anoUrer copy for the building permit files The Treatment
Certificate shall prod the product used, iden8'ty of the applicator, time and date of the &ea0 ,, site location, area
treated, diemical used. percent com Bntrabon and number ofgailons used, to establish a Vaidable record of
protective treatment. If the soil dkemical barnermedwd for termite prevenb'on is used, final exterior ireaimentshall
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.
R�i�d 712412014