HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 9-5-18y
SCANNED
BY �$ Lurip (°0sP1ffflu
PI nning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
,72-462-2172 Fax 772-462-6443
CERTIFI
CON
PERMIT #:
BUILDER/CONTRACTOR: . t'°
PEST CONTROL CONTRACTO
PEST CONTROL LICENSE #:
We, the undersigned, hereby certify
subterranean termites in accordance
Square feet if area treated:
Percentage of solution:
Date of Treatment: 1 " '5"
Footing
1st Treatment
Re -Treat
Driveway
1s� Treatment
Re -Treat
Other
1'� Treatment
Re -Treat
%TE OF TERMITE TREATMENT
'RUCTION SOIL TREATMENT
JOB ADDRES�,:57q/ SPA q 61q &r-P- k' ff� � c�
�51 JY731
t: �I
we have pretreated the above described construction for
i the standards of the National Pest Control Association.
Chemicals used: — C.. 6Lk
Total gallons used: (* 3
Time of Treatment:
1/1"Slab /
6/ �Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter fGr Ficial Inspection
90
Signature of Exterminator Date
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 Treat
shall be provided to receive duplicate Treai
providing a copy for the person the permit
Certificate shall provide the product used, j
treated, chemical used, percent concentrat
protective treatment. If the soil chemical l
be completed prior to final building approu
St Lucie County requires for the fir
the electrical panel box cover, listi
Revised 7/24/2014
ent for prevention of termites A weather resistant jobsite posting board
ent Certificates as each required protective treatment is completed,
issued to and another copy for the building permit files The Treatment
rntity of the applicator, time and date of the treatment, site location, area
7 and number of gallons used, to establish a verifiable record of
vier method for termite prevention is used, final exterior treatment shall
I inspection for CO, a Permanent Sticker to be placed on
I all the treatments and dates of applications.