HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT (3)Planning & ®(�velopment Services
Building & Codi Regulation Division y��11191Y�
2300 �irginia Ave
Fort Pierce, FL 34982 BY
772-462-2172 Fax 772-462-6443 g40 ooPiPr lmhl,
CERTIFICATE OF iTERMITE TREATMENT
({ , k RU C..t. IQ4 SOIL
•. O-oE TREATMENT
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PERMIT #:off `2r3 o3 96 JOB ADDRESS:
BUILDER/CONTRACTOR: 7 7
PEST CONTROL CONTRACTOR: -Then,' Sul yvy
PEST CONTROL LICENSE #: :Y6103'-!/71
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: Chemicals used: t�r,Sf G�e�S' P1vJ
Percentage of solution: Z Total gallons used:
Date of Treatment: l Z �� I �zt Time of Treatment: lroo
Footing Slab '
15t Treatment 1st Treatment
Re -Treat Re -Treat
i
Driveway Pools
1st Treatment 1st Treatment
Re -Treat j Re -Treat
Other� Perimeter for Final Inspection
1st Treatment Old Zo iiZ
Re -Treat �.
Sig natur o E erminator Date
Note; There must be a completed form for each r. quired 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.
FBC104,2a6 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 panel box cover, listing al;l the treatments and dates of applications.
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