HomeMy WebLinkAboutTERMITE CERTIFICATERM IT # : 2108-0421
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
JOB ADDRESS: 5511 SEAGRAPE DR
UILDER/CONTRACTOR:
EST CONTROL CONTRACTOR: Reynolds Pest Management
CONTROL LICENSE #: JB5431
the undersigned, hereby certify that we have pretreated the above described construction for
bterranean termites in accordance with the standards of the National Pest Control Association.
uare feet if area treated: 1000 SQ FT Chemicals used: Dominion 2L
rcentage of solution: 0_05
x
of Treatment: 12/10/2021
ooring
1st Treatment
Re -Treat
X 1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used: 100 gallons
Time of Treatment: 8:38 AM
Slab
1st Treatment
Re -Treat
Pools
15t Treatment
Re -Treat
Perimeter for Final Inspection
12/13/2021
Signature of Exterminator Date
There must be a completed form for each required treatment or re -treatment and this form must be on the job
to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
charged.
C104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
rll be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
�vid/ng a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
tificate shall pro vide the product used, identity of the applicator, time and date of the treatment, site location, area
3ted, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
tective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
completed prior to final building approval.
Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
electrical panel box cover, listing all the treatments and dates of applications.
7/24/2014