HomeMy WebLinkAboutTermite Treatment • I
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: /7�� �557 JOB ADDRESS: ' A- •
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: Vic-- `
PEST CONTROL LICENSE #: `�
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: Chemicals used: �--� �-= 7�
—I�
Percentage of solution: a Total gallons used l 7
Date-of Treatment: _� "i `� --- Tme of Treatment:-
Footing
- Slab �
Is'Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
15t Treatment r.,eatment
Re-Treat =treat-
Other ete or: final Inspection
1't Treatment
Re-Treat
Sign ure of Extermina r '
Note. There must be a completed form for ea c required treatment or re-treatment and this form must be on the job
site to be picked up by the inspector at time o each inspection or the scheduled inspection will fail and a re-inspection
fee charged.
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FBC104.2.6 Certificate of Protective Treatment for preventlon of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective t reatment is completed,
providing a copy for the person the permit is issued to and another copy for the building pennit files. The Treatment
Certificate shall provide the product used, identity of the applicator, time and,date of the treatment, site location, area
treated, chemical used,percent concentration and number of gallons used,-to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatmentshall
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 anel box cover listin all the treatments and dates of a lications.
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Jan 24 2018 12: 38PM HP LASERJET FAX P• 1
gal RECEIVED
JAN 2 4 201�
2300 Virginia Ave' .
Fort Pierce, FL 34982 ST. `Lucie County, Permitting
772-462-2172 Fax 772-462-6443
f
CERTIFICATE OF TERMITE.TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: . sLci 711_os57 JOB ADDRESS: 7903 We'tmont Dr'. , Fort Pierce.
BUILDER/CONTRACTOR: Design Concrete
PEST CONTROL CONTRACTOR: Patrick •Exterminating
PEST CONTROL LICENSE #: 4864
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: 175 Chernlcals used: I cvoer mC
Percentage of solution: .25% Total.gallons used:,_17
Date of Treatment: _ 1 /2 4 fi s Time of Treatment!: _�Lao
Footing Slab
14 Treatment V Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1'*Treatment
Re-Treat Re-Treat.
..Other -gnr.ap_n Rnnm Perimeter for final Inspection
1st Treatment
Re-Treater
Signature of Exterminator
Note.-There must be a completed form for each required treatment or re-treatment and thIs fonn must be on the job
site.to be picked up by the inspector at time of each inspecrion or the scheduled inspecbon will fail and a re-Inspection
fee charged.
I
F13C10 4.2.6 CertYcate of.Protective Treatment for prevention of tennrtes. A weather resistant jobsite posting board
shall be provfded to receive duplicate Treatment Certificates as each required,protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit riles. The Treatment
Certificate shall provide the product user!, identity of the applicator, time and!date of the treatment,site location,area
treated, chemical used,percent concentration and number of gallons used;to establish a verffiable record of.
protective treatment: If the soil chemical banger method for termite prevention is used, final exter/or treatment 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 a lications.
l