HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTjy.�' v' r.:^7 .'^ /�/` ��.9 nisi• Now
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Planning & Development Services
Building & Code Regulation Division
' 2300 Virginia Ave
Fort Pierce, FL 34982
772-461-2172 Fax 772-462-6443
SCANNED
By
S?. Lucie County
CERTIFICATE OF TERMITE.TREATMENT
CONSTRUCTION SOIL -TREATMENT
PERMIT #:3LC 124 _ d �6JOB ADDRESS
BUILDER/CONTRACTOR: Q
PEST CONTROL CONTRACTOR:��- _
PEST CONTROL LICENSE #: -13 C�
2-'� #Nt
P
Y- C
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: Gam_
Percentage of solution: v&
Date of Treatment:
"Fooling/�
i�1stTreatment
Re -Treat
Driveway
1 Treatment
Re -Treat
t7ther
1t Treatment
Re Treat
Chemicals used: CUSS G�acccs,
Total gallons used: 00
Time of Treatment: i1-13 6
Slab
1st Treatment
—Re-Treat
f" Treatment
Re -Treat
'eri fo r anal Inspection
ire of Exterminabor Date
Note., There mustbe a completed farm for each requlred oeabmentorre-bwtment and finis form mustbe on the job
ste to be picked up by the inspedorat time ofeach inspection or the sdreduled inspection wilifall and a re`lnspectfon
fee charged.
FBC104.2.6 Certificate OfProtedfve Treahnentforpreventfon oftermltes A weatherresisiantlobsite pasting board
shall be provided to receive dupllcate Treatment Cent Mates as each regcdred proteWw haatmentls completed,
prvi iding a copyforthe person the pennitis lssued to and another copyfor the bullding pennitfiles. The Treatment
Certificate shall provide Me product used, Identity of the applicator, time and date of Me treatment; see loon, area
treated chemical used, percent cvnwnhation and number ofgallons used, to esbbllsh a verifiable record of
protective treatment Iftfre sail dtemicalbarrlermeti7od fortermlte prevention is used, final exlerfor treatmentshall
be completed prior to final building approval.
St Lucle County requires for the final inspection for CO, a- Pennanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
devised 7/24/2014