HomeMy WebLinkAboutTermite sprayPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS:-," I)e1tov% Aic
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: ' Choice Pest Management
PEST CONTROL LICENSE #: JB 6798
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: _LW -
Percentage of solution: -0, 0 t
Date of Treatment: q z1q
-Footing
—l't Treatment
_Re -Treat
,Driveway
—1Treatment
_Re -Treat
—Other
— 1t Treatment
_Re -Treat
Chemicals used: 7-Iry-Mi4r-
Total gallons used: --- M
Time of Treatment: 6! Lf 9 AK
- 'Slab
—l't Treatment
_Re -Treat
-Pools
—1st Treatment
Re -Treat
P. rimelt for Final Inspection
q
Signature of Exterminator Date
Nate. There must be a completed form for each required treatment or re -treatment and this fonn must be on thejob
'It e to area
UP PY the inspector attune of each Inspection or me scheduled inspection wj// fail and a re -inspection pect,
fee charged on
F1 1;2,6Ce,,tflloleofprotec'�veTr&BlwentfOrPrev--fWOnOft--rmites- A weather re-qstant
'C
shall
h provided
jo&te gosling board
al,��b7e Ided to receive duplicate Treatment Certificates as each required p,-otec&v,- treatment is completed,
PrOvfding a copy for the person the permit is issued to and another CQPY for the building permit files The Treatment
steal! Provide the product used, identity of the applicator, time and date of Me treatment, site location, are,
s Certificate
treated, chemical used, Percent concentrationon and nambfr OfgallOns used,to establish a verifiable record of
Protective treatment.
If the 50// chemical bamler method for tarmvte prevenfton is u-sed, final exterior treatment shall
be completedpnor 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