HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCAMMM .''FILE COPYBY
Planning & Development Services
Building & bode Regulation Division RECEIVED
LIM2300 Virginia Ave
Fort Pierce, FL 34982 DEC ® 6 2018
772-462-2172 Fax 772-462-6443
ST. Lucie County, Permitting_
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMI T #: IV-7- d360 JOB ADDRESS: 60 CkRe Ae Or
BUILD R/CONTRACTOR: M hcC cam.
PEST CONTROL CONTRACTOR: sera t'ces
PEST ONTROL LICENSE #: 19 31
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterra l can termites in accordance with the standards of the National Pest Control Association.
i
Square et if area treated: 210 Chemicals used: C&_�
Percent 'ge of solution: 23 9® Total gallons used: 2
I�
Date of reatment: 2� f Time of Treatment:
Footing Slab
1st Treatment 1st Treatment
II Re -Treat Re -Treat
Dr veway . Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
Ot h er ' Perimeter for Final Inspection
1st Treatment
Re -Treat L 2 3
Signature of Exterminator ate
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to b+icked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charoed.
FBC104. 6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be ovided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing ii copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificat all provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, emical used, percent concentration and number of gallons used, to establish a verifiable record of
protectiv6treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie�l County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave REc�,Ep
Fort Pierce, FL 34982 OCT 31 20R
MW 772-462-2172 Fax 772-462-6443
Permlttin9 DepartmF
CERTIFICATE OF TERMITE TREATMENT St. Lucecourn�
CONSTRUCTION SOIL TREATMENT
PERMIT #: Y7_ �� JOB ADDRESS:��{t
BUILD ,R/CONTRACTOR: t
PEST C I NTROL CONTRACTOR:11
c
PEST CPNTROL LICENSE #: ' 02V
We, the 'ndersigned, hereby certify that we have pretreated the above described construction for
subterra 'ean termites in accordance with the standards of the National Pest Control Association.
Square f et if area treated: JCS Chemicals used: p'c
J
Percentage of solution:
Date of il[eatment:
Ft!l't
Treatment
II Re -Treat
Dri vi eway
1st Treatment
Re -Treat
_0t1 °er
1st Treatment
�Re-Treat
Total gallons used: _-?-
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
� Ll'_ l0 Pu Is
Signature of Exterminator Dke
Note: Th " re 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 fail and a re -inspection
fee chard d.
FBC104.26 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be plilovided 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 j shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, emical used, percent concentration and number of gallons used, to establish a verifiable record of
protectiv treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be compN'ted prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the ele;rical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014