HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTl
2300 Virginia Ave -
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 0 3 - "30B,
BUILDER/CONTRACTOR: ��,�
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
k DDRE�: AR9Q0
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
Percentage of solution:
Date of Treatment:
Footin
1st Treatment
I
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used:
Total gallons used:
Time of Treatment:. 3'l '�
Slab
1st Treatment
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 fall 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 oanel box cover, listina all the treatments and dates of aoolications.
Apr 13 2018 4:31PM
i
HP LRSERJET FAX
CERTIFICATE
2300 Virginia Ave-
rt Pierce, FL 34982
-2172 Fax-772-462-W3
OF TERMITE TREATMENT
CONSTRUCTION SOIL TROTMENT
P. i
RECEIVED
APR .a 3 pole
Permitting Departin
.St. Lucle'County
eni
PERMIT #: 1803-0631 - JOBIADDRESS: 1626 svueet'•Bay Circle, Palm City
BUILDER/CONTRACTOR: Pioneer Screen
PEST CONTROL CONTRACTOR: Patrick Exterminating
PEST CONTROL LICENSE #: 14684
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with t�e standards of the National Pest Control Association.
Square feet if area treated: 330
Percentage of solution: - 25%
Date of Treatment: 4 13 2! 2 01 A i
x Footing
X_1 t Treatment
Re -Treat
Driveway
15t Treatment
Re -Treat
Other.
1st Treatment
Re -Treat
Chemicals used: cypermethrin
Total gallons used: 33
Time of Treatment:. 4 / 12 / 2 018
Slab _
1't Treatment
Re -Treat -
Pools •
1t Treatment
Re -Treat
P meter for'Final Inspection
. t '9--
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 scheduledinspection wit/ fall and a re -Inspection
fee charged.
FBC104.2.6 Certificate of .Protective Treatment for prevention of termites A weather resistant jobslie posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the pens tis issued to and another copy for the building permit files, The Treatment
Certificate shal/,orovide the product used, identity of the applicator, dine and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used,-& establish a verifiable record of,
protective treabMn t. If the loll chern/cal barri�r 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, iistina all the treatments and dates of aunlications.