HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT4.
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Planning & Development Services
Building & Code Regulation Division RECEIVED
2300 Virginia Ave
Fort Pierce, FL 34982 D F C 0 6 2018
772-462-2172 Fax 772-462-6443
Sf, Lucie County, Permitting
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: - JOB ADDRESS: �) e- gjne_ dr-
BUIL ,1 ER/CONTRACTOR:(
PEST',ICONTROL CONTRACTOR: Scrwce5
PEST'ICONTROL LICENSE #:
We, th undersigned, hereby certify that we have pretreated the above described construction for
subter I nean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: Z10 Chemicals used: DMC&X
Percenage of solution: Z Total gallons used:
Date of Treatment: `.2 3 16 Time of Treatment:
F oting Slab
1st Treatment 1st Treatment
Re -Treat Re -Treat
D ';Iveway Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
Otl er 1st Treatment Perimeter for Final Inspection
Re -Treat y2 3 (�
ISignature of Exterminator Date'
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 icked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charc
FBC104- Z6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be pr,' vided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate 'I hall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, c emical used, percent concentration and number of gallons used, to establish a verifiable record of
protective fied
eatment, If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be comple prior to Anal building approval.
St Lucie ounty requires for the final inspection for CO, a Permanent Sticker to be placed on
the elect ical panel box cover, listing all the treatments and dates of applications.
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Revised 7/24/ 014