HomeMy WebLinkAboutCertificate Of Termite Treatment 7-29-14.ram
',tom
PERMIT #: - 6 0 8 . JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
FortPilerce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
MUC RUCTION SOIL TREATMENT
ADDRESS: Lai So oce^,) Df'. Iof_. (It " &ac k
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: SJS�F
Percentage of solution:
Date of Treatment: 7 Z 9
Footing
15t Treatment
Re -Treat.
Driveway
1 Treatment
Re -Treat
Other
1P Treatment
Re -Treat
Chemicals used: J64SXA La
Total gallons used: q6
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1'� Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
Note There must be a completed form for each requlred treatment or re -treatment and th/sfonn mustbe on thejob
Me to be picked up by the Inspector at lime of each Inspection or the scheduled lnspecb'on w111 fall and a•r&lnspecdon
fee charged.
FBC104.2.6 Certificate ofProtecUve Treatmentforprevendon oftermites A weatherreslstantjobsite posting board
shall be provided to receive dupllcate 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 bUffiAng permit files The Treatment
Certifcate 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 ofgallons used, to establish a verifiable record of
protective treatment: if the soil chemical barrier method for termite prevention is used, final avie /or treatmentshall
be completed prior to final bullding 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.