HomeMy WebLinkAboutCertificate Of Termite Treatment166 4*- (-0, 01
Planning & Dayelopment Services
Mall Building & Code Regulation Division
•� 23pg Virginia Ave
- Fort Pierce, FL 34982
772462-WZ Fax 772-462 6443
CERTIFICATE OF TERMITE TREATM ENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: l%b`l 013 JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR. 19
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: Soo
Percentage of solution: ,�/,
Date of Treatment: 6(i'16
jafootilm
Treatment
Re -Treat
Driveway
_,_11 Treatment
Re -Treat
_Other
1 Treatment
Re -Treat
Chemicals used: _ wff ,
Total gallons used: �`�-o
Time of Treatment: OK o O
Slab
0 Treatment
Re Treat
Pools
11 Treatment
Re -Treat
Perimeter for Final inspection
Si atur Exterminator
Note: There must be a completed form foreach required treatment arre-treatmentand th/s farm must be on the job
slte to be picked up by the Inspector at time of each Inspection or the scheduled Inspection w111 fall and a-re-lnspecdoM
fee charoed
FBCiD4.7.6 Cerdfitate Offttec&s Twit" ntforprevenUon oftermltes A weather rescstantjobsite pasting board
shall be provided to receive duplicate Treatment Cei0cates as each raqulred protedive treatment Is completed,
providing a copyfor the person the permit is issued to and anoMer copy for the buildIng pem7lt files: The Treatment
Cert/fi-ate, shall provide the product used, Identity of the applicator, lime and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrlermebl od for temgtepraven#on is used, final exterior treatmentshall
be completed prior to final builft approval.
St Lucie County requires for the final Inspe don if*r CO, a permanent Sticker to be placed on
the electrical panel box cover,16dng all the treatments and bates of applications,
-34ct"