HomeMy WebLinkAboutTermite Certy'
L LINTY
R 1 p R
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fart Pierce, Fl. 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT 0:2wn.oazz_---
BUILDER/CONTRACTOR: JOB ADDRESS: s51v1,anm,1,N.2e r,,,,
PEST CONTROL CONTRACTOR: a�Ma,p�M=ae,
PEST CONTROL LICENSE #:as3ea3-----------_
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 it area treated: _1 > Chemicals used: _ �� ,
Percentage of solution: - / , t- r
Total gallons used: _? T
Date of Treatment 02n61?021 Time of Treatment: _ /L1 'c "
_Footing
7" Treatment
_Re -Treat
_Driveway
_I" Treatment
—Re-Treat
_Other
_1" Treatment
Re -Treat
--Stab
1" Treatment
.__Re -Treat
_Pools
_1" Treatment
_Re -Treat
_Perimeter for Final Inspection
Signature of Exterminator Date
Note: There must be a completed form for each required treatment or re -treatment and this form 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
FHC104.2.6 Cer1/1/08fe of Protective Treatment for prevention of termites. A weather resistant jobs/he posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing s 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
'rented chemical used, percent concentration and number of gallons used, to establish a verifiable record of
Irotective treatment // the soil chemical barrier method for termite prevention is used, final exterior treatment shall
e completed prior to flea/ building approval
t Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
le electrical panel box cover, listing all the treatments and dates of applications.
ised 7/24/2014