HomeMy WebLinkAboutCertificate Of Termite TreatmentPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
(CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:- 1511 'd017i _ JOB ADDRESS: �a9 ct /,DeH'I-eS' �„ DrNlSen icy, 3�1c5"
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR- jai
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: , M Chemicals used:
Percentage of solution: Ao�
Date of Treatment:
_\�2ooting
__)-O�I't Treatment
Re -Treat
Driveway
I1 Treatment
Re -Treat 1
TKIs' Treatment
Re -Treat
Total gallons used:
Time of Treatment:
Slab
I" Treatment
Re -Treat
Pools
I'` T reatment
Re -Treat
Perimeter for Hpal Inspection
signbture of Exterminator
Note: There must be a completed form for each required treatment orre-treatmentand this form must be on the job
site to be picked up by the inspector attune of each /nspectlon or the scheduled Inspection will fail and a -re -Inspection
fee abarged
FBC104.2.6 Certrfimte of Protective Treabnent for prevention of termites A weather resistant.Wite posting boats
shall be proWded to receive duplicate Treatment Cetfftkates as each required protecive treabnentis completed,
providlnq a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certiffeateshall provide the product used, identity ofthe applicator, time and date of the treatment, site locaDb% area
treated, chemical used, percent concentration and number of gallons used, to establf-M a verifiable record of
protective treatment. If the loll chemical barrier method for termite prevention ,rs used, final exterior treatment shall
be completed prior to final building approval.
5t 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,
1
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT �+_ JOB
BUILDER/ 0 TRACTOR:
PEST CONTROL CONTRAI
PEST CONTROL LICENSE
ADDRESS: jlwi Aj �S Rl•� � �Q°
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:If
gc�� �►`^��
Percentage of solution: �� Total gallons used:
Date of Treatment: _ 01 1 1
Time of Treatment: �� 3D
Footing
1st Treatment
Re -Treat
Driveway
is' Treatment
Re -Treat
Other 51OL a ���� �
1" Treatment
Re -Treat
___)a -Slab
�O e Treatment
Re -Treat
Pools
1� Treatment
Re -Treat
Perimeter for
Final Inspection
Signature a fUcterminator
34 q7-?
Note: Mere must be a completed farm for each required treatment orre-treatment and this form mustbe on theJon
site to be picked up by the Inspector at time of each Inspectlori or the scheduled Inspection will fall and a-re-inspe
fee charged
FBC104.2.6 Certificate of protective Treatment for prevention of termites A weather reslstantjobsite posting board
shall be provided to recelve duplicate Treatment Certificates as each requ/red protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the bulloing permit files The Treatment
Certificate shall prov/de the product used, Identity of the applicator, time and date of the treatment, site /oration, area
treated, dhemipl used, percent concentration and number ofga/Ions used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, flea/ exterior treatment shall
be completed prior to final bullding approval.
St Lucie County eqb� for �ve�,he final listing all the treatments and dates of applications.
on for CO; a Permanent Sticker to be placed on
the electrical pan
Plaur9ing & DevelopmOnt Services
' °� -3 , 'r 1 "'r' Building &Code Regulation Division
. 2300 Virginia Ave
e Fork Piercer FL U9132
772-462-2172 Fax 77-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT J0B ADDRESS:
BUILDEh/CONTRACTOR: c,
PEST CONTROL CONTRACTOR.
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:
' G
Percentage of solution:
Date of Treatment:-----�-
Footing
_ _lst Treatment
Re -Treat
Driveway
_ pis' Treatment
R��P--�Treat
Qtiter �ln� a�a►���r1
1slTreatment
Re -Treat
Chemicals used: //—
Total gallons used: a�
Time of Treatment: 5 C
Slab
_)al� Treatment
Re Treat
Pools
1"1 Treatment
Re -Treat
,,4,tter
or Final Ins on
of r inatar
Kota: There must be job
a completed form for each required treatment orre-ireatmentand hIsOn v1for snd a 0 t he �r
site to be picked up by the Inspec�r at time of each Inspection or the scheduled Inspects
fee charged
fee i alye . Gertifrrate of protedava Treatment for prevention of termites A weatherresrstant iObsice pasting board
shall beell to receive daPllcate Treatment ued d�� sea ��ed a b � permit fi e Treatrrrent
providing a copy for the pamn the perm.
t iscertlffcate shall provide the product used, identity of the applicator, time and date of the treatment site locatrbn, area
treated, diemical used, percent concentration and number of gallons used, to establish a verifiable record of
protedlve b;eab»ent. If the soil d�emiral barrier metfrod for termite prevention is used, final exterior treatrrrent shall
be completed prior to final bullding approval laced Ott
St Lucie County requires For the final inspection for CO, a Permanent Stickertoo be p
the electrical panel hox cover, fisting all the treatments and dates of app .
=I