HomeMy WebLinkAboutTermite cert 0l/19/2002 22:53 0000000000 123456789a123456 PAGE 03
OUNTY
2300 Virginia Ave
Fort Pierce, ICE 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT .'_ JOB ADDRESS- /v� Ale.
BUILDER/CON CTQR:
LEST CONTROL CONTRACTOR; -4-� e c_
PEST CONTROL LICENSE #: -_,M5-a2-0
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termit in accordance with the standards of the National Pest Control Association.
Square feet if area I reated: Chemicals used: 0:!:�&� `
Percentage of soluti n: Total gallons used:
Date of Treatment: ��l r G ` °� r Time of Treatment: �.i As—
Footing Slab
_1st ist Tr atment 1"Treatment
Re-Tr at —Re-Treat
—Driveway ,__Pools
�.t Tr atment 1�Treatment
Tr - it
4 Other Perimeter for F tInsection
.,,^ice Tr .atment
—Re-Tr at
5ignatui ot t rminator
Note: There fnu.5tbi i,a completed form for each required treabnent or re-treatment and thls form must be on the job
s/te to be picked up ly the Inspector at time of each Inspection or the scheduled inspection will fHil and a re-inspedron
fee charged.
FBC104.2.6 CerVfi to of Protective Teatment for prevention of termites. A weather resistantfobsite posfinq board
shall be provided to rve duplicate Treatment Certificates as each required prptedfve treatment is completed,
prooding a copy far e person the permit is issued to and another copy for the buliding permit files The T tment
Certificate shall prov e the product used, identity of the applicator, time and date of the treatment, sitL_location,area
treated, chemical us d,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 exterior treatment shall
be completed prior final build/ng approval.
St Lucie County quires for the final inspection for CO, a Permanent Sticker to be placed on
theelectric I el box cover, lWtinq all the treatments and dates of applications...