HomeMy WebLinkAboutTermite cert --------------
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> Planning&Development Services 't
Building&Code Regulation Division 7{
2300..Virginia Ave >i
M • Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443 ,
CERTIFICATE OF TERMITE•TREATMENT
C®ON{STRUCTION SOIL-TREATMENT I
PE IT#. JO ADDRESS: S� ,
BUILDER/CONTRACTOR: �r 0 c,�h t� c
PEST CONTROL CONTRACTOR: ��-
PEST CONTROL LICENSE
We,the undersigned,hereby certify that we have pretreated the above described construction for ))33
. subterranean termites in aamrdance with the standards of the National Pest Control Association. / 3�
Square feet if area treated-!.y. L{ Chemicals used:er .S 5s C. ne
S
Z Percentage of solution: f 6 Total gallons used: Ili
L�- Time of Treatment: d
Date o€Treatment• _
\/Foo6 �
Slab
=1st Treatment 1'Treatment
Re-Treat Re-Treat
Driveway Pools
Treatment a Treatment 3
Re-Treat Re-Treat.
Other Perimeter for Final Inspection '
1 Treatment
Re-Treat � E /7-f S
Signature of Exterminator Date ;
3 Note; there mustbe a completed form for each nequlred beabnentorre-treatment and dvs farm mustbe on fire Job
site to be picked up by bye fnspedorat Me of each inspection or the s0eduled inspection w111 fall and a re4nspecbbn
fee charged. '
FBC104.2.6 Certificate ofPmteclive Treatinentfvrprevendon oftwmltes A weaDhermsistantjobsite posting board
shall be provided to recelve duplicate Treabnent Cerlfficates as each mgwred protective treatmentls completed,
providing a copy for the person the permit is Issued to and another copy for the building par mitMos. The Treatment
Certificate she/provide fhe product used,ldentity of the appllcalmr,time and date of Me beatmentr.sue locafion,area
S treated,chemlcal used,percent mncenhatlon and number ofgaffons used,to establish a verifiable record of
2 protective treatment If Me soli diemical banYermethod forterm&prevention is used,frnal exterior treatmentshall
be completed prior to final building approval.
St Lucie County requires for tine-final inspection for CO,a-Permanent Sticker to be placed on
the electrical panel box cover,listing all the treatments and dates of applications.
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Revised 7/24/2014 SS
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