HomeMy WebLinkAboutCertificate Of Termite TreatmentCOUNTY
F L o R I D A
CE
PERMIT #: Z oI*K• 0,01
BUILDER/CONTRACTOR:-
PEST CONTROL CONTRA
PEST CONTROL LICENSE
We, the undersigned, hereby ce
subterranean termites in accord,
Square feet if area treated:
Percentage of solution: d
0 -Date of Treatment: a? I / a
Footing
1' Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Planning & Development Services RECEIVED
Building &Code Regulation Division
2300 Virginia Ave FEB 0 8 2022
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 St. Lucie County
Permitting
'ICATE OF TERMITE TREATMENT
4STRUCTION SOIL TREATMENT
JOB ADDRESS: b600 Aacc)ck
r that we have pretreated the above described construction for
a with the standards of the National Pest Control Association.
Chemicals. used: -raI`. T,
Total gallons used
Time of Treatment: 10 : 3 d a - r, .
Slab
1' Treatment
Re -Treat
Pools
1' Treatment
Re -Treat,
%� Perimeter for nai Inspection
yI a7 a�
Signature of Exterminator ate
1VOter There must be a completed form for each required treatment or re'-treatmentand this form mustbe on the job
site to be picked up by the inspectorat time of each inspection or the scheduled inspection will fail and are
fee charged. inspection
FFBC104.2.6 Gertifipte ofProti?ciive TreatmentforpreventionoftermitesA weatherresistantjobsiteposting board
be prov/ded to rece/ve dun/icate Treatment Certificates as each requiredprotective treabMntis completeddng a copy for the person the permitis issued to and another copy for the bui/ding permit files 77ie Treatment
cate sha//provide Me pro' used, identi yOfMe applicator, time and date of the treatment, site /ocation,.area
treated, chemical used, percent condentmation and number ofgal/ons used, to establish a venfiab/e record of
protective treatment If the soil cheiriica/barriermethod for termite prevention is used, final extenor treatment shall
be completed prior to final but/ding 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.
r
Revised 7/24/2014