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HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 10-5-17 -c Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort 11110=, Fl. 34982 772-461-;172 Fax 772-462-6443 CERTIFICATE OF TERMITE -TREATMENT C011tSTRUMON SOIL.TREATMENT Pa rr #= IL' 1� � sd % ,, :63pB BUILDE�VCOWMCTOl :--7".: " to PEST CONTROL CONTRACTOR:., PEST CONTROL LICENSE #: A GSy 2-.01- ku--Qy )G,I,- 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: Percentage of solution: r 6 06 Date ofTreatment: 4:Qj/ 2 Chemicals used:1SSC_ h Total gallons used: /dJ� Time of Treatment: Footing Slab 1e Treatment 1�Treatment Re -Treat Re -Treat Driveway Pools 1e Treatment a Treatment Re -Tr I -Re -Treat Other In - - Perrrneter for Hnal Inspection --a.—f3t Treatment Re -Treat tignature of Exterminabor Date Noce: There mustbe a wmpletedfnrm fareachrequ/red treabmentorre trwfinentand tiiisfnrm mustbe on ifiejob site to be pldcesd up bytfie inspsdoratMe ofe3&h7specb'on or the scheduled inspeWho wii/fall and a re4nspeeffon fee charged. FOMM2.6 CYU§cau ofPmtecM a Treabnentforprevenlfon offtnitm A weabm rra9stdntjobs& pasting board shall be provided tareceive d4DAcafe Treatment Caftetesas each rvgroied protelfie bwirnentls campleie+d, pmv/dinga copyforbhe person &e permit,is&sued ib and anotherropyforthe btdlrOng pennitfila% The Treatment Cerlfflcafe shall provide the product used, idenfW of the apprcator, time and date oFffm ireatmen4 mie loratron, area treated, dtemical used, percentaancanftffon and numberofgallons used, to establish a verifiable record of protacfive tneafinent Pthe soli dt emicalbaniermethodfor termmeprevenf/on is used flnaf exterior treatmentshalI be completed prforta firralbuf/dmg approval. St Lucie County requires fbr the final inspection for CO, a -Permanent Sticker io be placed on the elec%ical panel box Cover, Gsting all the treatments and dates of applications. 712412Q14 Plannipg & Devetoppient-Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 `Fax 772-462-6443 CERTIFICATE OF TERMITE- TREATMENT 2 CONSTRUCTION SOILTREATMENT PERMIT #. JOB A BUILDER/CONTRACTOR: Qo ,, g7e 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 tre.atedsb� Percentage of solution: I Date of Treatment: Footing 1st Treatment Re Treat Driveway 1'�' Treatment r: Re -Treat ;. t Other .t: ; P Treatment �, r Chemicals used: Qvlc)- kQ Q - . 7— tom!" Total gallons used: S Time of Treatment: 9.1 ©� `✓Slab / J Treatment Re -Treat Pools 1 Treatment Re -Treat Perimeter fo final Inspection Signature of Exterminator Date Note. There mustbe a completed farm for each required ftr atment orr&bmtment and this form must be on Mejob site to be picked up by Me Inspoorat time ofeach fnspeclton or the sdwduled inspection will fat/ and a re -inspection fee charged V, FBC10C2.6 CertlBcate'bfPIV&x five,RWbnentforprevenilonoftermftes A wea6fierreslslantjo6sfiepasffngboard shall be provided to ma-ive dup/lcate Treatment Cerh`ficates as each raw kud prof ffw beatmentls completed, prov/ding a copy for Me person the permit Is Issued to and another mpyfor the buflding permit Mes The Treatment Certificate shall provide the product used, Identity of the appifcator, time and date of Me treatmen4 site lorabon, area treated, chemical usev percent conceaftean and number ofgallons used, to estebllsh a vedlable record of protective treatment: If Me soli chemical barrlermetihod for tom/te prevention Is used, tfnal exterfor treatmentshall be compleiad 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