HomeMy WebLinkAboutCert. of termite treat.Fianning & lievelopment tiervices
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772462jw2172 Fax 772462w6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:_7�_JOB ADDRESS:
BUILDER/CONTRACTOR: y � LIZ-
PEST CONTROL CONTRACTOR:
P E S T CONTROL LICENSE #:_______
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: II U V
Percentage of solution,
Date of Treatment: �` =
_ f� _Footing
__�`_ts` Treatment
Re -Treat
-----ariveway
1't Treatment
Re -Treat
Other
15t Treatment
Re -Treat
Chemicals used:
I otal gallons used: �
Slab
Treatment
Re -Treat
Pools
16t Treatment
Re -Treat
Perimeter for -Final Inspection
Sioffidture_ of Extermin
r Date
Node: There must be a completed form for each required treatment or re -treatment and this form must 6e ors the fob
site to be picked tip Av ffigb79pertor at time of each inspection ar the scheduled jl7spaetjon will fail and are -Inspection
fee cfiarged.
F B C 1 0 4.2Y6 Certificate of Protective Treatment for pre venfion of to rmites. A weathef resistant 1obsite posting board
sha/i be provided to receive o1uplicate Treatmel7t Certificates 3s each required protective tr6dtM817t is completed,
PI-OvIdinii a ct�p� for the �ersarz ffie p�rmft is isst��d t� �r�� ar�ather cv,�y frr .hbhji��li`i/7r� palAmj�t'fijes, the Treitlnent
Certificate sha#P1_0vide the p1odW40 crse�, 1018n,1,11 of ffia R,oplicat�r, tiM& aflrl Fate of the treatment, s#e 10036017, area
&'83t8djr c17e1nical usea' percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil e17emica! barrier method for termite pre ventian is used, final exterior treatment shall
be competed prior to fin a / b ujiding appro val.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cower, lisping all the treatments and dates of applications.
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