HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 7-17-19I r
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CE3NNbSDP RECEIVED
Planning evelopment Services
S Building Ik Code Regulation Division JUPJ 17 2,p19
® 2300 Virginia Ave
Fort Pierce, FL'34982 ST. Lucle County, Permitting
772-462-2172 Fax 772-462-6443
PERMIT
BUILDEI
PEST CC
PEST CC
We, the un
subterranei
Square feet
Percentage
Date of Tre
Foots
Drive
Note. There
site to be ph
fee charged.
FBC104.2.
shall be prc
providing a
Certificate ;
treated, chi
protective i
be complet
St Lucie
the elects
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
NTRACTOR: A;u
.OL CONTRACTOR. Ev
OL LICENSE #: JB175775
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lersigned, hereby certify that we have pretreated the above described construction for
n termites in accordance with the standards of the National Pest Control Association.
if area treated: 5
solution: .05%
ent:
st Treatment
:e-Treat
sr Treatment
,e-Treat
st Treatment
.e-Treat
must be a completed form for each
ced up by the inspector at time of e
Chemicals used: DOMINION 2L
Total gallons used:
42 �
;Time of Treatment: 4 "'•QC?
I
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
__LPerimeteVor Final Inspection
uired treatment or re -treatment and this form must be on the job
inspection or the scheduled inspection will fail and a re inspection
I
Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
fed to receive duplicate Treatment Certificates as each required protective treatment is completed,
►py for the person the permit is issued to and another copy for the building permit files. The Treatment
ill provide the product used, identity of the applicator, time and date of the treatment, site location, area
ical used, percent concentration and number of gallons used, to establish a verifiable record of
7tment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
prior to final building approval.
unty requires for the final inspection for CO, a Permanent Sticker to be placed on
al panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2g14
I ..