HomeMy WebLinkAboutCertificate of Termite TreatmentC:.f i�4�voT
St Lucie Col unty Inspections
co 2300 Virginia Avenue
Ft Pierce, FL 34982
F� 0 R10Q' (772) 462-2172
CERTIFICATE OF T]
CONSTRUCTION
PERMIT # 07 45 — O 2 r? �( JOB
PEST CONTROL CONTRA
PEST CONTROL LICENSE # 225 JW
We, the undersigned, hereby certify that we have
subterranean termites in accordance with the sta
Square feet of area treated: 3219 L F
Percentage of solution: i 0 69b
Date of treatment: 7
❑ Footing
❑ 1st Treatment
❑ Re -treat
❑ Slab
❑ 1 st Treatment
❑ Re -treat
❑ Driveway
❑ 1st Treatment
❑ Re -treat
O Pools
❑ 1st Treatment
❑ Re -treat
FBC104.2.6 C
A weather resh
duplicate Treat
completed, pro
another copy fc
provide the pro
treatment, site i
and number of
treatment. if a
final exterior a
ITE TREATMENT
TREATMENT
tR
ited the above -described construction for
of the National Pest Control Association.
used: ► s z
gallons used: /3tio
of Treatment: 5' ov Xik
1cate of Protective Treatment for prevention of termites,
jobsite posting board shall be provided to receive
t Certificates as each required protective treatment is
ig a copy for the person the permit is issued to and
e building permit files. The Treatment Certificate shall
used, identity ofthe applicator, time and date of the
Lion, area treated, .chemical used percent concentration
ons used, to establish a verifiable record of protective
it chemical barrier method for termite prevention is used,
vent shall 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.
.Other o evo A,e-P -au r
01st Treatment
❑ Re -treat
❑ Perimeter for Final Inspection
NOTE.
';��ature of exterminator
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- iispection fee charged.
Revised 6113102 dmg
2 1 d
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