HomeMy WebLinkAboutcertificate of termitePlanning & Development Services
Building & Code Regulation Division
COUNTY2300 Virginia Ave
■ A Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: -7- oes - o ip JOB ADDRESS:
BUILDER/CONTRACTOR: L10551 'C ;4e
PEST CONTROL CONTRACTOR: �r��e�rrlr
Cv 70 Z 7or1
PEST CONTROL LICENSE #: 0700167380
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:. -7- { q 5
Percentage of solution: , D S1 r.
Date of Treatment: 3 LA A I
Footing
1" Treatment
Re -Treat
Driveway
15t Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Chemicals used: _. Tea, IM )z74 7 iC
Total gallons used: 7 o (--A L
Time of Treatment: I / ro
Slab
15'Treatment
Re -Treat
Pools
1� Treatment
Re -Treat
� Perimeter for Final Inspection
3'9 A�_
Signature of Exterminator at
Note. There must be a completed form for each required treatment or re -treatment and this form must be on the
site to be picked up by the inspector at tome of each inspection or the scheduled inspecton will fail and a re-inso&
fee charged.
FSC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite posting bor
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 Treatme
Certificate shall provide the product used, identity of the applicator, time and date of the treatment; site location, G
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment: If the soil chemical barrier method for termite prevention is used, final e4enor treatment sh
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.
Reprised 7124/2014
1
Planning & Development Services
Building & Code Regulation Division
COUNTYnw "rglnla Ave
• R I + A Fort Pianos, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # : zoos - o ze y JOB ADDRESS: fo 711Z Dort IZ
BUILDER/CONTRACTOR: _ _._(-1 a 551'L 14o W C
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
We, the undersigned, hereby oatify that we have pretreated the above described wristruMon for
subterranean termites in aeoordance with the standards of the National Pest Control Association.
Square feet if area treated:. 'L ( 44 5
Percentage of solution: ,, d &�
Date of Tit: Z
Foobng
is` Treatment
Re -Treat
Driveway
15t Treatment
Re -Treat
OUW
15` Treatment
-Re-Treat
Chemicals used: _ Ve, P-i/ i )z7d Z tr
Total gallons used: 70 CAA
Time of Treatment: _ _ 1 r : (7<3
Slab
i'* Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
_Perimeter for Final inspection
Signature of Facterminator at
Note: there must be a caxn~ form for each required treatment or re-treatmarlt and this form must be on the
site to be puked r p by dt Inspector at time of each Inspedtbon ar the scheduled irJspecon will fail and a re-inW&
fee charged
i; BC104.2.6 Certificate of Pave Treab7mt for prevention of termites. A m%Ww ra;Mwt jo&srte ping board
shall be prove*d to twaim duplicate Treatment Certificates as each required protedfAe treatment is crxr~,
providing a copy for the person the permit /es issuad to and another copy far tide building permit figs. The Treatment
CerffKate shall p rvvlde tine pia&& used, idenbty of fire aoi atov; trime and date cf the treatm 4 site krabbn, an&
bwbed drernical u at parent a9/xeVatrarr and number ofgallans used, to es a6o&i a ► wfflable retgvd of
protective t wbnwt .1f L` a Mil dwnkallaarnermethod for owme pmvewm is crsed, final exteriar irw&nentsW1
be complaiad 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.
Revised 7/24/2014
NOTICE OF INSPECTION
and/or TREATMENT
Date f In ection
Inspector and/or Applicators Name
Date of);�,z
Pesticide Used
)P
n 6 &f
Per
d��•
Acti
Z/7af /��
Volume Used
C
Wood Destroying Q " m Treated
yt
Pursuant to Chapter 482 Florida Statues,482.226, When a wood -destroying organism in-
spection is provided in accordance with subsection (1), the licensee shall post notice of
such inspection immediately adjacent to the access to the attic or crawl area or other
readily accessible area of the property inspected. In addition to the notice required by
subsection (4), any ticensee who performs controt of any wood -destroying organism shall
post notice of such treatment immediately adjacent to the access to the attic or crawl
area or other readily accessible area of the property treated. It is a violation of this
FM .C.S. License JB267390
Management SeMbes Ina
n'mibs--ROde�Pi-'happ�ng
(772) 51,7-0230
221 N.E. Prima Vista Blvd.
Port St. Lucie,Fl.34983
www.procontrolsavices.com