HomeMy WebLinkAboutTermite cert 01/19/2002 22:53 0000000000 123456789A123456 PAGE 02
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2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:� J4B D RES 0 v Ile
BUILDER/CONT CTOR-
PEST CONTROL CONTRACTOR: �-
PEST CONTROL LICENSE #: Sa
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termlMs in accordance with the standards of the National P C ntrbi Association.
Square feet if area eated: z2 _ Chemicals used:
Percentage of solution: Total gallons used: 1..2
Date of Treatment: ���'��/ Time of Treatment: Z, 7?/ 3v
Footing Slab
Is'Tr atment Treatment
Re-Tr at -Re-Treat
Driveway _Pools -
1st Tr atment 1't Treatment
�Tr - t
Other erimeter for Inspection
_ 1!1 Tr atment
Re-Tr at
Sigrjatur o rminator
Note: 77.`7em must be a completed form for each required tiratment or re--treatment and this form must be on the jo¢
site to be plcked up 2 y the inspector at time of each If or the scheduled inspection will fall end a re-1nspec7lon
fee charged,
F 4. 7-rea nt for io -tes BCxQ 2.6 Certifi to of Protective tme prevent n of terr�� A weather resistantjobsite posting ward
shall be provided to j eceAe duplicate 7-reatment CertirICateS as earn required protective treatment is completed,
providing a copy for e person the permit is issued to and another COPY for the bUliding permit files The Treabnent
Certficete shall prov e the product used, identity of the applicator, time and date of the treatment, s location,area
treated, chemlcal u d, percent concentration and number of gallons used, to establish a vermable record of
protective treatment. If the soil Chemical barrier method for termite prevention!s used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County vaquires for the final inspection for CO, a Permanent sticker to be placed on
the electrical 2aAel box cover, listing all the treatments and dates ofaPplications.