HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 10-19-017Planning & 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 #: F 70i 09 % 9 JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: JB175775
TERMITE & PEST CONTROL INC.
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: t�' ( 0 0
Percentage of solution:.05%
Date of Treatment: �� 7
Footin
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 2 '�o
Time of Treatment: Q�
Slab
&" 1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
erimeter for Final Inspection
for
Note: There must be acomp/eted form for ea required eatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time f each in ection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro v/d/ng 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 soll chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building 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.
Revised 7/24/2014
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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 ADDRESS: 2007 Zee -A— e, -;r
BUILDER/CONTRACTOR: sec• //c,�,�1 �,,t�s°,A,�
PEST'CONTROL CONTRACTOR: Cfc�r�fl St ?' C-'�t/✓i��ie.J�Se-r1ic�
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: Chemicals used: 4#z4_' % C' .
r aG�e
Percentage of solution: S Total gallons used: o�/fl6�FC ,aJ�
Date of Tre ent:
Footinn
1� Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
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 inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate 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 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, final exterior treatment shall
be completed prior to final building 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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CLEMENTS
PEST & ENVIRONMENTAL SERVICES
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NOTICE OF PREVENTIVE TREATMENT FOR TERMITES
(As required by FL Building Code 104.2.6)
TREATMENT INFORMATION
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Address of Treatment:
I
Date & Time: i echnician:
Product Used
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Chemical Used No. of Gallons % Concentration
Area Treated (Sq. Feet) Linear Feet Treated !
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Stage of Treatment (Horizontal, Vertical, Adjoining Slab, Retreatlof Disturbed Area)
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ADDITIONAL COMMENTS "
AS PER 104.2.6.
If soil chemical barrier method for termite prevention is used, •fin°al exterior treatment shall be completed prior
to final building approval. 1,
If this notice is for the initial soil treatment, initial and date here: `
AUTHORIZED SIGNATURE
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Clements Pest & Environmental Services e T: (772) 562 6450
4036 43rd Avenue F: (772) 562 6457
Vero Beach, FL 32960 www.clementspestcontrol.com
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