HomeMy WebLinkAbout1404-0377- CERTIFICATE OF TERMITE TREATMENT�v ^ 37-t7
Planning & Development Services 8CANNE- 1
Building & Code Regulation Division BY
2300 Virginia Ave
Fort Pierce, FL 34982 St. Ludo &m/
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT.I'#:.1uc��-8j7j JOB ADDRESS: Ilk Ne�tI �i1�a sen
' �^ - �M s2
PEST CONTROL CONTRAI
PEST CONTROL LICENSE
We, the u11
dersigned, hereby certify that we have pretreated the above described construction for
subterran4 n termites in accordance with the standards of the National Pest Control Association.
0o L
Square fee i` if area treated: �S/f �� Chemicals used:
Percenta0elpf solution: r D (_ Total gallons used: 1�t�
Date of TrAtment: I -S I S
Treatment
;e-Treat
Treatment
-Treat
Treatment
-Treat
Time of Treatment: I � 7
_o Slab
. �Q_il Treatment
Re -Treat
Pools
11t Treatment
Re -Treat
____Perimeter for Final Inspection
�6
Signs ure of rminator
Note. There i must be a completed form for each required treatment or re -treatment and th/s fort most be On, the )o
slte to be pi 1.Led up by the Inspector at time of each inspectlon or the scheduled Inspection will fall and a-re-in�specton
fee charged
FBC104.2.6 �Lertificate of Protective Treatment for prevention of tennites A weather reslstantjobske posting board
shall be pro ed to rece/ve duplicate Treatment Certificates as each required protective treatment is completed,
providing a py for the person the permit is Issued to and another copy for the building permit files The Treatment
Certificate sh 'll provide the product used, Identity of the applicator, time and date of the treatment, site /oration, area
Treated, the 'ical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective bentt, if the soil diemical barrier method for termite prevention Is used, final exterlor treatment shall
be mmp/ete ,prior to final building approval.
St Lucie C " my requires for the final inspecfion for CO, a Permanent Sticker to be placed on
the electric�l panel box cover, listing all the treatments and dates of applications.