HomeMy WebLinkAboutCertificate Of Termite TreatmentPlanning Development Services
Building & Code Regulation Division
2360 Virginia Ave
port Pierce, Fl, 34982
772-462-2173 Fox 772-462.6443
CERTIFWATE OF TERMITE TREATMENT
CONSTRUC710M SOIL TREATMENT
PERMIT #ddam —0331/ JOB ADDRESS: Q� B✓�f{-t e �(v�; i`iC�"rS�t-'1
BUILDER/CONTRACTOR: --<, 1r3 �-• r' I �r;r� v� r-i
PEST CONTROL CONTRA(
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: ° Zg sue/ Chemicals used:
Percentage of solution:
Date of Treatment:
Footing
11t Treatment
Re Treat
Driveway
Treatment
Re -Treat
Other
1 Treatment
Re -Treat
Total gallons used: 1 d '5-
Time of Treatment: 3 - 3 0
1't Treatment
Re -Treat
Pools
Ist Treatment
Re -Treat
Perimeter for Final Inspec.io
Signature of Exterminator
Note: There must be a completed Torn for each required treatment or re -treatment and this form must be on the job
site to be picked up by the Inspector at time of each inspectlon or the scheduled inspection will fall and a -re -Inspection
fee charged.
FSC 104.2.6 Certificate Of protective Treatment for prevention of termites A weather reslsiantjobs/te posting board
shall be provided to receive duplicate Treatment CerliTirates as each required protecttive treatmentis completed,
providing a copy for the person the permit is issued to and another copy for the building permit 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 ofgallons used, to establish a verifiable record of
protective treatment if the soil chemical barrier method for termite prevention Is used, final exterior treatment shall
be completed prior to final building approval.
St Lucia County requires for the final inspection for CO, a Perm�e►ee'♦t Sticker �® be placed on
the electrical panel box cover, listing all the treatments and dates of applications'
34 1577
oac'c'4
Planning $c Development Services
Building & Cadg Regulation Dlixiision
2300 Virginia Ave
Fvlt Memo, K 34982
772-462-2172 Fix772-462-6443
CERTIFICATE OF TERM rrE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERmrT 5'' — 03,, q JOB ADDRESS:
BUILDER/CONTRACTOR- DU,S+c-1 6 L `
PEST C4NTROl, CONTRACTOR:
PEST CONTROL LICENSE #: e, 17''�
U
We, the undersigned, hereby certify that we have pretreated the above described construction For
subterranean termites in accordance with the standards of the Nattonai Pest Control Assaaation.
Square feet If area treated: Chemicals used: �1� 5�i
Percentage of solution: _A6i Total gallons used:
Date of Treatment: -7- r + 1 5�
_Focdng
_7111 Treatment
—Re-Treat
Driveway
_ ,A 1* Treatment
lte--Treat
Other....... .
1�
Time:ofTreatment; 1S 2�._.
Slab
10 Treatment
Re -Treat
—Pools
=18'Treatmment
____ ke Treak
Perimeter for FnA Inspection
Signature of F.xtermi ator
Note., 7"tre,� must be a cdrttpleted li7riti for each requlr�ciCrealrnerJt arre-treatmentand Urlsfprm mwtbe on the job
site to be OCA-ed up by the inspeOur at tte ofea0 irxspeabpn or the Will Fall dnd a•tp-InSpecdorr
fee dmiged
FBC104.2.6 Certilrcat�e ofPmt4ve TreaA�tarrtJi7rprrentlan cfterrrlltes A wethel'rscstantjalzsl> poslir7y boarr!
.Krell be provl ed ju rWW*Ve requirW protac W &ea1We7tIS car»piL'Wd,
praYM79 a OpyfaP bye p&wn Me permit is issued #o and anob' er copy Tar bye &//Abry ROM& ifleS The TMA7MV
Certi ute shall provide the pmduct used fdBnW of ti- appffator, et s and dam of b3 a ftqvnWt site k mffon, area
treated, ctlemical tl 4 pwwnt coRcent 06n aEWi7 mberofgsiions used, to establish a ved&A/e record of
prolec*W tma&wnt. If the st�1l ohemmicaf barrierrneG'iad for termite provendon used, rinat exterior errtshal!
be cafnpietedprrbl-bv Anel bui"79llpvroval.
St Lucle Ounty requira for. the final Inspection for CO, a Permanent Stl eftr to be placed on
the eleftocal panel box cover, listing all the• ti antmesnt a and doffs of applicatlonc-
RECEIVED DEC 14 I015
.3qq,5, 7