HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
BY
Lude county FILCOPY
E
., Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave Aiunoo opm is
Fort Pierce, FL 34982 4uawjjed9d BuIPPJad
772-462-2172 Fax 772-462-6443
ROZ .9 9 83.E
CERTIFICATE OF TERMITE TREATMENT a3AI3�321
CONSTRUCTION SOIL TREATMENT
PERM �T #:= �r JOB ADDRESS: �_72_0 C�b61e��ne,
BUILDER/CONTRACTOR: ` iZ
PEST i 0NTROL CONTRACTOR: r, s �e6'yi c ep
PEST ��� ONTROL LICENSE #: JB [ci3
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 eet if area treated: LOT
Percent ge of solution: 13 °oU
Date of j-.reatment: V --f J 1 ,�i
Chemicals used: &11_�e_-
Total gallons used: 2��1
Time of Treatment: _S • Ou
r.opung Slab
Vt Treatment 1st Treatment
Re -Treat Re -Treat
Dr ueway Pools
/ 1st Treatment 1st Treatment
Re -Treat Re -Treat
Ot , er ci rzc"_ —ife-4 Perimeter for Final Inspection
1st Treatment
Re -Treat Z`z
ature of Exterminator Date
Note: T41 e must be a completed form for ea6rrequ/red 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 charafd.
FBC104. 1.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be povided 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 Shall 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
protectivereatment, If the soil chemical barrier method for termite prevention /s used, final exterior treatment shall
be comp/e ed prior to final building approval.
St Lucie li ounty requires for the final inspection for CO, a Permanent Sticker to be placed on
the ele 11 ical panel box cover, listing all the treatments and dates of applications.
Revised 7/24 2014