HomeMy WebLinkAboutCertificate of Termite Treatment01/03/2011 02:12 772487-965
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pbs"Wg & pwelopMent SOVIms
OL 6ft. P.4utafim Dwon. APR 14 2010
2"a VWOda Ave
ftgt piarce, FILIA4982 Public Works
777.46,-2,21n - Fox 772-162-0443 SL Lucie cg�4njy, zL
CERTIFICATE OF.=MrflE TREATMENT
CONSTRUCTION SOIL TRU
PERMIT TMENT
305 . ADDRESS:
13U,LDF. NTRACTOR:
BUILDE PVC0
PEST CONTROCON" FOR:
L
PEST COW ROL LICENSE
rf fur
rerdy flu, we tmVe pr&eaw the above dmcribed oDr6VU&3
Este, Ifie undersigned, hereby, tndmijs of the wdoal Pest Cnmrd AssodaHon-
subterranean termites in accordanw with the 4
v - -/
square fed if area tvaod,
percen%ea
Date 13f -fredment;
1"irmtment
Memimls used,
-Tctaj gallons u5emd.
Time of -rmnimwt,
1st Treatnent
Re Trams
DrivbNaY VA Treatment
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Wide COUlAY apokmons.
t1j, jed�jml Panel box aWer, [Wft 400 the tmabn**5 'a"d dpW *f
Planning & 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 #: O(j i d JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
ADDRESS: 51 �s c'-V69tj
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 ooiation.
Square feet if area treated: BLS S Chemicals used: &Q414-1
Percentage of solution: Total gallons used:
Date of Treatment: ���—� 7 � Time of Tr ent: IF I 1/1",
Footing
1't Treatment
Re -Treat
Driveway
< 1 Treatment
Re -Treat
Other
e Treatment
Re -Treat
Slab_
reatment
Re -Treat
Pools
Treatment
e Treat
Note: There must be a completed form for each required #0iment drre-treatmentand th/s form must be on the job
site to be picked up by the Inspector at time of each Insp on or the scheduled inspection will fall and a•re-Inspection
fee charged.
F13C104.2.6 Certificate 0frotecUm Treatmentforprevendon oftern&w- A weatherresslantjobslte posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
provlding a copy for the person the permit is Issued to and another copy for the bullding pem7ft files The Treatment
Certificate shall provide the product users Identity of Me applicator, Ame and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treahwnt: If the soil chemical barrier method for termite prevention !s used, final atierior treatment shall
be completed prior to final bullding approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed. on
the elects ical panel box cover, listing all the treatments and dates of applications.