HomeMy WebLinkAboutCertificate of Termite TreatmentPlanning & Development Services.
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
coNsTRUCTION SOIL TREATMENT
PERMIT #:J- Dt3-1 JOB
BUILDER/CONTRACTBR:
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
ADDRESS: �� o �i�JaccW�e� A l-��— ?'
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: T L L(--_
Percentage of solution: / 0 VI'd
Date of Treatment: /0 -(k i c(
Footing
12�t Treatment
Re -Treat
Driveway
11 Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: V�7, (►•P
Total gallons used:
Time of Treatment: /1;2 e
Slab
�` Treatment
Re -Treat
Pools
1�t Treatment
Re -Treat
Perimeter for Final In pection
Signature of E&minator
Note. There must be a completed form for each required treatment or re -treatment and th/s form mustbe on the job
site to be picked up by the Inspector at time of each inspection or the scheduled Inspection wlli fall and a•re"nspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather reslstantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protectve treatment is completed,
providing a copy for the person the permit is issued to and another copy for the bu11o/ng 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 sod chemical bawler method for termite prevention Is used, final exterior treatment shall
be completed prior to final bullding approval.
St ➢.ucia 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.
Planning & Development Services
kim
Building & Code Regulation Division
2300 Virginia Ave
.. gFort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: / 40 u 0 i 3 7 JOB ADDRESS;
BUILDER/CONTRACTOR:
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 Control Association.
Square feet if area treated: 35J Chemicals used: G",- t ''rvt.
Percentage of solution: Total gallons used:
Date of Treatment: 1, (� '
Time of Treatment:
Footing
I' Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Slab
1' Treatment
Re -Treat
Pools
I' Treatment
Re -Treat
__Z6__Perimeter for Final Inspection
Signature of Exter. inator
Note., There must be a completed form for each required treatment or re -treatment and this form must be on the jab
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.
FSC 104.2.6 Certificate Of Protective Treatment far prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certficates 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 appllcator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verigrabie record of
Protective treatment. If the soll 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.
.344 &9i
s , Planning � Development Services
9a a,.•C tip; aI Gan''^`li(ii ;'rxs:;_;, IReguOadGn Division
2300 Vargilile Ave _
rce
772-462-1172 Fax 772-462_ 3
-'CER77F9CATE OF TERMITE 7REATHEN7
JB ADDRESS:PERMIT #: tR °AT �� �--5BUILDER/CONTRACTOi
PEST CONTROL C0NTRAC7r0R6'_: Alt
PEST CONTROL LICENSE #.
We, the undersigned,-hereby:certifyi that we I
subterranean termites in accordance,with the
Square feet if area treated:
_.Fercentage.of solution:,
Date of Treatment:, r? "
Footing -
1s� Treatment
Re -Treat '
Driveway
Treatment .
Re -Treat
�1� Treatment .
Re -Treat
ive pretreated the above described construction for
fandards of the National Pest Control Association,
Ql;Chemicals used,
Total gallons used:
Time of Treatment:
Slab
1-Treatment :. ....__.
Re -Treat
Pools
_Vt T reatment
Re -Treat-
Perimeter for Final Inspection
SIgnatur6o'f Exterminator
Note: There must be a°completed form for each required treatment or re -treatment and th/s form -must be on the job
Site to be plcKed up by the Inspector at bane of each inspection or the scheduled inspection toll! fall and a re -Inspection
fee charged
FBC104.2o6 Centificate of protective Treatment'forprevention ofterm/tes A weather reslstantjpbsite posting board
shall be provided to receive dupllcate Treatment Cerlifiiates as each required protective treatment is, completed,.
providing a copy thr 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.,.
barrier method for termite prevention /s used, final exterlor treatment shall.
protective treatment if the sot/ chemical
be completed prior to final building approval.
St ���ie C��� requires g®� ��e �aa��9 i�apecdon for Co, a perm6nent Sdckerrto be -placed on
the eYectrical parnel boas coven,, Usting ail the treatments and dates of aPPlica$aonsa