HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT_�5. (S%.I
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Planning & Dev
Building & Code
2300 Vi
Fort Pier
772-462-2172
CERTIFICATE OF T
CONSTRUCTION
PERMIT #: Ms- 670 JOB ADDR
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTO
PEST CONTROL LICENSE #:
jeor _ o, ea
FILE COPY
pment Services ,
gulation Division --- -
iia Ave P,ECEI'V D
FL 34982 I
c 772-462-6443 OCT 16 N38
1 m I ucie County, Permlttincg
MITE TREATMENT _. -
L TREATMENT
: �-' 62q by
We, the undersigned, hereby certify that we have pret 11eated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: 2.W LF Chemicals used: 1 0(-a Cr C-e_
Percentage of solution: 23`�� Tot l I gallons used:
Date of Treatment: C) / 1 !a tS
Footing
1stTreatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Tim',e of Treatment:
Sig
Note: There must be a completed form for each required
site to be picked up by the inspector at time of each inspe
fee charged.
FBC104.2.6 Certificate of Protective Treatment for preventio,
shall be provided to receive duplicate Treatment Certificates a
providing a copy for the person the permit is issued to and an
Certificate shall provide the product used, identity of the apoli
treated, chemical used, percent concentration and number of
protective treatment. If the soil chemical barrier method for t
be completed prior to final building approval.
St Lucie County requires for the final inspection fc
the electrical panel box cover, listing all the treats
Revised 7/24/2014
lab
1st Treatment
Re -Treat
'ools
1st Treatment
Re -Treat
'erimeter for Final Inspection
re of Exterminator
vent or re -treatment and this form must be on the job
or the scheduled inspection will fail and a re -inspection
of termites. A weather resistant jobsite posting board
each required protective treatment is completed,
`her copy for the building permit files. The Treatment
itor, time and date of the treatment, site location, area
31/on5 used, to establish a verifiable record of
mite prevention is used, final exterior treatment shall
CO, a Permanent Sticker to be placed on
:nts and dates of applications.