HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 1-18-16sl. ude C®�
Planning & DevelOPMent Services
Building & code Regulation Division
2300 Virginia Ave
Fort Pierce, FI. 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
#; 5- JOB ADDRESS: La4- 6`77 lo�ol S.Ocz4g fir., �e���� ►�e�t1-�
CONTROL CONTRA(
CONTROL LICENSE
the undersigned, hereby certify that we have pretreated the above described construction for
erranean termites in accordance wi h the standards of the National Pest Control Association.
ire feet if area treated: C J �F Zd v Chemicals used: 2 a, % RJi 04,,
ntage of solution: e
of Treatment:/)Ih
1d Treatment
Re -Treat
:5, 151 Treatment
Re -Treat
...... 1'�t Treatment
Re -Treat
Total gallons used: a 6
Time of Treatment: " o 0
Slab .
X Treatment
Re -Treat
Pools
1s` T reatment
Re -Treat
Perimeter for Fai Inspection
L
Signature of Exter ator
N' te: There must be a completed form for each required treatment or re-treabrrentand th/s farm must on the job
sl ° to be picked up by the Inspector at trine of each lnspectlon or the scheduled Inspection will fall and a-m-InspeWon
charged.
FB'C104.2.6 Certificate OfProte�ive Treatmentforpreventlon of termites A weatherreslstantlobsite posting board
shall be provided to receive duplicate Treatment Certificates as each raTuired proferdve &wbnentIs completed,
p� viyInq a copyfor the person fire permit is issued in and anottrer copy for the bullding permit files The Treatment
C rtifrcateshallprovide fire product used, identity ofthe applicator, time and date of the treatment, site location, area
rmated, chemical used, percent concen&abon and number ofgallons used, to establish a verifiable record of
protective treatment if the soil chemical barrier rnetfrod for termite prevention is used, final exterior treatment shall
b� completedprior to final &JAWng approval.
Si Lucie 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 rates of applications.