HomeMy WebLinkAboutInspection Docs 2300 Virginia Ave-
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS:
BUILDER/CONTRACTOR: �`� cr\ Y �„�:�•J
PEST CONTROL CONTRACTOR:"Pooc�,
PEST CONTROL LICENSE #: ( gam
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: 9 Total gallons used:
Date of Treatment: 4� ca Time of Treatment:-
Footing Slab
1st Treatment 1't Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re Treat e-Treat
Other �`� --0�'`� P- ete or F' spection
_1st Treatment
Re-Treat
Si ature of Exterminat r
Note. There must be a completed form for eac required treatmenV .
t 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.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive;duplicate Treatment Certificates 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 of gallons used,-to establish a verfable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatmen6shall
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 vanel box cover, listing all the treatments and dates of applications.
Oct 06 2017 111 : 43AM HP .L-19SERJET FAX - p. V
I
i
low 11,
1100 Virginia Ave-
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCT-ION SOIL TRWMENT
PERMIT #: B ADDRESS: . � AI/ 1/
_
BUILDER[CONTRACTOR: o !-
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: �(o
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: C: 6 Chemicals used:
Percentage of solution: �� Total gallons used: �7
9' a
Date of Treatment: Time of Treatments '
Footing Slab
1s Treatment P Treatment
Re-Treat; Re-Treat
Driveway Pools
15'Treatment 1t Treatment
Re-Treat Re-Treat.
Other S-,=L db L)21 Perimeter far F al Inspection
15'Treatment
Re-Treat
Signature of Exterminator
Note: There must be a completed form for each required treatment or re-treatment and tJils 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.
FBC104.2.6 Certificate of protective 7Yeatment for preventlon of termites A weather resistantjobsite posting boats
shall be provided to receive dupAlcate Treatment Certlficates as each required protective treatment is completed,
pro vidng a copy for the person the permit Is issued to and anther 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 locatfon, I rW
treated, chemical used,percent mncentratlon 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 Ana/bullding 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 otapplications.
RECEIVED OCT 06,2017