HomeMy WebLinkAboutCertificate Of Termite Treatmentm ,
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:flZW1 JOB ADDR
BUILDER/CONTRACTOR: Q
PEST CONTROL CONTRACTOR: ,4-7�
PEST CONTROL LICENSE #:5a-��a 1
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 Associati
Square feet if area treated: (70 _ Chemicals used: 'L
Percentage of solution: '� Total gallons used:
Date of Treatment: IvTreatment:.
Time of
XFooting
i't Treatment
Re -Treat
Driveway
1 t Treatment
Re -Treat
Other
1 Treatment
Re -Treat
Slab
1' Treatment
Re -Treat
Pools
1't Treatments -
et
Perimeter for Inspection
Signature ofSteArminator
Note: There must be a completed form 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 inspection or the scheduled inspection will fail and a re-fnspectior,
fee charged,
1-bCIU4.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Cert/ficates as each required protective treatment is 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 of gallons used, to establish a verifiable record of
Protective treatment. If the soil chemical barrier method for termite prevention is used, Tina/ exterior treatmentshal/
be completed prior to Tina/ bui/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.
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JMGM
PAGE 02
PERl%-1IT #:_j
BUIL DER/CONT
PEST CONTROL
PEST CONTROL
L:�UU Virginia Ave
Fort Fierce, FL 34982
772- 2-2172 Fax 772-462-6443
CERTIFICAT OF TERMITE TREATMENT
CONSTR CTION SOIL. TREATMENT
10 ba 8� 301� ADDRESS:
CTOR: y
D NTRACTO R:
CENSE #:
We, the undersignedj hereby certify that
subterranean termite in accordance with
Square feet if area tr�ated: _
Percentage of soluti
Date Treatment:
Footing
_15'Tn
-Re-Try
_Driveway
1" TrE
Re -Try
Other
�1� TrE
Re Trt
1Vbre: T Jare must be a
sire to be picked Up bV
tee Charged,
FBC104,2,6 Certificate
shall be provided to rec
proOaing a copy for the
Certificate shall prv(lide
treareL^ &7emica/ Used,
prvre4-tive treatment,
be comp/eted prrbr to fi
St Lucie County
�b
1�IlsJ17
t
ent
r
have pretreated the above described construction for
standards of the National Pest Control Association.
Chemicals used: .
Total gallons used;
Time of Treatment: ,� S
Slab
I' Treatment
-Re-Treat
,._Pools
1st Treatment
- t
Perimeter far Inspection
Signatur 0 rmindtor
nplered form Fbr eac4 regb1'r'e61 treatment or re -treatment and this form must be on ttie jo#
inspector at P. ne of 10ch inspectlon or the scheduled Inspection will fail and a re-inspectlor,
of Protective Treatment for pr'eventr'on of term/tw. A weather resistantjobsite posting board
*8 dUplicate Tr,",9tMerft Certificates as each requirsd protective treatment Is completed,
person the permit is Iss ed to and another copy for tl)& building permit fir/es. The Treatment
`ne Product used,, identi of the appl/cator, time and date of tl►e treatment, site location, area
:ercent concentration ai Pd number of,ga/lons used, to establish a verifiable record of
the soil. chemical battle method,for termite prevention is uscq, final exterior treatment shall
al building approval.
Tres for the final i spectioin for CO; a Permanent Sticker to be placed on
ox cover, listing a I the treatments and da_tos of a00ticatt0,0%,,,,,�--__