HomeMy WebLinkAboutTermite Cert - Baitl 1 � r � !' a� � � t
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planning & pev�lopmen� Services
guiding &Cade Regulation Division
Z300 Virginia Ave
Fort Pierce, FL 3498�
7`7z-462-2172 Fax 772-462-6443
CERTIFICATE 0� T"�R�YT� TREATi�iENT
CONSTRUCTION SOIL TREATr�ENT
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PERMIT # ;
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA
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 Control Association.
Square feet if ar
ea treated
Percentage of solution
Date of Treatment
Chemicals used.
1J � �� �rotal gallons used;
Footing
lst Treatment
P,e-;neat
Driveway
1� Trea�ment
Re -Treat
Other
1� Treatment
Re -Treat
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Note; There must be a completed form ,
site to be picked up by the inspector oft,
fee charged,
Time of Treatment
Siab
CJl U 1 l�
lsr Treatment
Re -Treat
Pools
15t Treatment
Re -Treat
Perim�te� for Final Inspection
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Signature of Exterminator
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ate
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for each required treatment or re-treat'inent and this form must be on the jo
irne of each inspection or the scheduled inspection wil/ fail and a re-inspectic
hBC104. 2.6 Certificate of ProtecCive Treatment for prevention of termites. A weather resistantjobsite pasting boars
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is com /et
providing a copy for the person the permit is issued to anp' anol-her co for fhe bui/din R ed,
Certificate shall pro vide the product used, identity of the app/icator, time and date of the �treat�mentssite locat on ent
treated, chemical used, percent concentration and number ofgallons used, to establish a verifia6/e r � area
protective treatment. If the sail chemical barrier method for termite prevention is used, final exterior treatment
be completed prior to final building approval, shall
St Lucie County requires for the final inspection for CO, a Permanent Sti
the etecErical panel box cover, listing all the treatments and dates of a �� at�0 be placed on
pp ons,
Revised 7/24/2014
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Planning & Development services
Build' ing & Cade Regulation Division
kp
2300 Virginia Ave
Fort Pierce,- FL 34982
772%d462a*2172 Fax 772hw462ma6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #
BUILDER/CONTRACTOR
PEST CONTROL CONTRA(
PEST CO
NTP\OL LICENSE #:
JOB ADDRESS:
r1_ �
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 {eet if area treated
Chemicals used,
`. , � � Percentage of solution: ri3 � �� 'total gallons used:
Dateo Treatmen
Footing
1't Treatment
--- Re -Treat
Driveway
IstTreatment
Re --Treat
Other
I't Treatment
Re -Treat
Note; There
site to be pic
fee charged,
Time of Treatment:
Slab
15t Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final
Inspection
C) 2
Signature of Exterminator
0
0
must b e a completed dorm for each required treatment or re- treatment and this form must be on the jo
ke
d uD by the inspector at time of each inspection or the scheduled inspection will fail and a re-lnsP ectic
C:L 0 4.2.6 Certificate ol'Protective Treatment for prevention of termites. A weather reslstant)"Obsite posting boar
shall b e provided to receive duplicate Treatment Certificates as each required proIective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the bUrlding permit files. The Treatmen
Certificate shalla�wovlde the product used, identity of the applicator, time and date of the treatment, site location, at
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
Dt&otective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment she
be camp/eted prior to fInalbuilding aOpro Val,
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed onn
the electrical panel box cover, listing a1I the treatments and dates of applications,
Revised 7/24/2014
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Planning & Development Services
Building & Code Regulation DivIP
ision
2300 Virginop
ia Ave
Fort Pierce, FL 34982
772@w462m2172 Fax 772w462-6443
CERTIFICATE OF TERMITE TREATMENT
l
CONSTRUCTION SOIL TREATMENT
PERMIT # : � ���j � C>S�
BUILDER/CONTRACTOR
i.
PEST CONTROL CONTRA(
PEST CONTROL LICENSE #;
JOB ADDRESS*.
ry a•r
a• db
% W AN
noes
Ar PIP
rit'
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:
Chemicals used:
Percentage of solution: CA'Total gallons used.
Date of Treatment
Note
Footing
.—h
1st Treatment
r".,at
Driveway
1" Treatment
Re --Treat
0herc
1t Treatment
Re -Treat
a2�
Time of Treatment,,
Slab
1st Treatment
T r e a 1:
Pools
1" Treatment
Re -Treat
Perime�er for Final
Inspection
Signature of Exterminator
-Of There must be a completed form for each required treatm
site to be)P91 kecl up
fee charged,
Mdo
ent olo re -treatment and this form must be on the
by the inspector at time of each inspection or the scheduled inspection will fail
.,
and a reiiWinsP ec
C104-v2v6 Certificate of Protective Trea,111,11111111111ent for PrevenCion of termites. A weather resistant*b5ite Posting bo,
shall b e provided to re ceive duplicate Treatment Certificates as each required prLtective treatment is completed,
Providing a copy for the person the permit is issued to and another copy for the building permitfiles, The Treatme
Certificate shall provide the product used, Identity of the applicator, time and date of the treafinent, site location,
treated, chemical used, percent concentration and number of gallons used, to e5tablish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention 1.5 used, final exterior treatment s,
beCO mpleted prior to final building approval. st Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed o�
the electrical panel box cover, listing all the treatments and dates of applications,,
r,evisea 11441LUIq
F13CSO4.2.6 Certificate of Protective Treatment for prevention of termites.
shall be provided to receive duplicate T
A weather resistant 3'os'ltebposting t
eat ent Certificates as each required protective treatment
ding a copy for the person the permit is issued to and another copy for the building permit files, The 7reawc
Certificate shall pro
treated, chemical used,IP
Vide the procluct used
RE
is COmp etec
Ilfcator, time and date of the treatment
percent concentration and number of gallons used,
� S'Ite Oca
to establish a verifiable record c
protective treatment, If the soil cheM/Cal barrier method for termite prevention is used,
oval.
be comple
St Lucie
te prior to final building appr
identity of the app
final exterior treat
V\k4 5�:�cke� kri Ice �
the electrical panel box cover, Iisting all the t1re;atm'ents and dates o'� app\�cat\ons,
County requires for the final inspect:
.i(3111 or CO , a p eTMVaX\e