HomeMy WebLinkAboutBuchanan final termite treatment_20211208_0001CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:f,lo\'or.,tt JOB ADDRESS:
BUILDER/CONTRACTOR:**,*',G,,r.!r
PEST CONTROL CONTRACTQft ; evrcr-n-euc rERr\.4rrE & pESr coNrRoL rNC
PEST CONTROL LICENSE #ilB17s77s
Square feet if area treated:LA!c ChemiCalS USed: DorvllNloN 2L
Percentag e of solution: .05
Planning & Development Services
Building & Code Regulation Division
23OO virginia Ave
Fort Pierce, FL 34982
77 2-462-217 2 Fax 772-462-6443
-
Date of Treatment:
_Footing' _1* Treatment
Re-Treat
_Driveway
-f
i Treatment
Re-Treat
Other
-1*
Treatment
_Re-Treat
r (L
(
}}-b'ilt
Total gallons used:
'l''ime of Treatment:
Slab
nRutan".,
-1'r
Treatment
_Re-Treat
Pools
-lsr
Treatment
-Treat
meter for Final Inspection
Signature of Extermi
cll
a r Date
Note: There must be a completed form for each required treatment or re-treafinent and this form must be on the job
site to be picked up by the inspedor at time of each inspedion or the scheduled inspedion will fail and a re-inspection
fee charged.
COUNTY
F8C1O4.2.6 Certifrcate of Protedive Treatment for prevention of termites. A weather resistant l:obsite posting board
shall be provided to receive duplicate Treatment Cerfificates as each reguired protective treatment is complete4
providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certflicate shall provide the produd use4 identity of the appliator, time and date of the treatment, site location, area
treated, chemial used, percent concentration and number of gallons use4 to establish a verifiable record of
pmtedive treatment If the soil chemical banier method for termite prevention is used, final exterior treahnent 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.
Revised7l24l2ot4
FLORIDA
We, the undersigned, hereby certifl/ that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Assoclation.
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