HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTi I
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Planning & Development ices f
191 WE` �`�i Sery
Building & Code Regulation Dhrision
2300 Virginia Ave
WE-@ Fort Pierce, FL 34982
772--462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM
CONSTRUCTION SOIL TREATMENT
#: 1 qi & - o&35r _ JOB ADDRESS: <
rr�^NMl]Ar'Mo LfO 1I-P An l- fora
CONTROL CONTRACTOR:
CONTROL LICENSE #:
we, 01 undersigned, hereby certify that we have pretreated the above described construction for
subterPtanean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: lt( O
Percen ge of solution:
�1G
Date o,; Treatment: (Vt
st Treatment
:e-Treat
Treatment
-Treat
Treatment
Treat
Chemicals used:
Total gallons used:
Time of Treatment: -- 10
Slab
11� Treatment
Re -Treat
st treatment
;e-Treat
!r for Fn*lt
J
Note: 7i &e must be a completed form for eacch required atment orre-treatrnentand thls form must be on the job
site to d picked up by the inspector at time of each inspe lon or the scheduled inspec 017 swill fall and a •re -Inspector
fe+e char,�ed. j
FBC1042.6 Certificute of protective Trea&nwtforpre enbon of termites A weatfrerrescstantjobsi(e pasting boarr!
shall be } rovlded to receive duplicate Treatment CertitkBtes as each rcrquiredproteriive iraa�rnent& completed,
provlYQ"jj a copy for the person the permit is issued to and another copy for the bullding permit files the Treatment
6vVfrca& shall provide the product used, identity of the applicator, time and date of the treatmarlt, site location, area
treated, !chemical used, percent conaentratbon and number ofgallons used, to estabVlsh a verifiable record of
proteWv6 treabmnt: If the .soil chemical barrier meti�d for termite prevention rs used, final exterior treatment shall
be compf ted prior to final builo7ng approval.
St Lucii County requires for the Tinall inspection for CO, a Permanent S1l&4 to be placed on
the ele4trical pane! box cover, listing all the treatments and dates of appl"tlon&
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subs
Date
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, Fl- 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM
CONSTRUCTION SOIL TREATMENT
__ _ JOB ADDRESS:
rr�nirrn n r�-rn � .
CONTROL CONTRACTOR: IA -=1�
CONTROL LICENSE #: �1 ti7
undersigned, hereby certify that we have pretreated the above described construction for
nean termites in accordance with the standards of the National Pest Control Association.
feet if area treated: , 00
9ge of solution:
Treatment:
1't Treatment
Re Treat
�Lriveway
�� G 1� Treatment
Re Treat
;Other
1- Treatment
__ _ Re -Treat
Chemicals used:
Total gallons used: _
Time of Treatment:
Slab
_ —0 e Treatment
Re -Treat
Pools
1-" i reatment
Re -Treat
Perimeter for final Ir
Signat&t of Exterminatdr
Note: ere must be a completed form for each required trealment orre-treabnentand this form must be on the job
slte to le picked up by the Inspector at time of each irzspectlon or the scheduled Inspection mil fall and a •re -Inspection
fee tfi Ilged
Fsci .2.6 Certificate of Protective treatment for prevention of termltes A weatherresrstant jobs& posting beard
shall b�' °Iprovided tv receive duplicate Treatment C&Vflcates as each required protective beatrnent Is completed,
providilig a copy for the person the permit is issued to and another copy for fhe building pem7lt files The Treatment
certifi �" to shall provide the product used, ldentlty of the applicator, time and date of the treatment, site lacatron, area
tmale "1 dremical used, percent concentration and number ofga6bns used, to establish a verifiable record of
prate�{ ve lreatrrrent. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be corriileted prior to final budding approval. I
St LU Je County requires for the final inspection for CO, a Permanent Sticker to be placed on
the el �I rical panel box cover, listing all the treatments and dates of applicatlons.
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