HomeMy WebLinkAbout1404-0377-CERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division SCANNED
2300 Virginia Ave BY
Fort Pierce, FL 34982 19t Lurie Coo*
772-462-2172 Fax 772-462-6443 "�
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
10
#: MoLi=0322 JOB ADDRESS: Oy h6-H-e 5 yvlv�en- vet
JCONTRACTOR: _ _ _ 3qqi-7
PEST 52,NTROL CONTRACTOR:
PEST CONTROL LICENSE #:
We, the ,,ndersigned, hereby certify that we have pretreated the above described construction for
subterra can termites in accordance with the standards of the National Pest Control Association.
Square f A if area treated: �� - Chemicals used: l
Percenta 'e of solution: f 0 (0/0, Total gallons used:
Date of T eatment: _1f? ��� Time of Treatment:
i
Foo 'ng _ ..—Slab /
ii 1A Treatment / 1 Treatment
II Re -Treat Re -Treat
Driv" way Pools
�� 1s` Treatment 1" Treatment
Re -Treat Re -Treat
pth ,r Perimeter for Final Inspection
1t Treatment Al
=Re -Treat
Signa re of inator
Note: TheruI must be a completed fonn for each required treatment orre-treatment and ih/s farm mustbe on the job
site to be Opted up by the inspector at time of each, inspection or the scheduled inspecdon will fall and a•re-inspecbon
fee charge ICI li
FBC104.2. Certff7cate.ofPlotective Treab77Wtforprevention often?7&s A weatherreslstarrtjobsite posdngboard
shall be pro 'iced to receive duplicate Treatment CaMcates as each required protective treatment rs completed,
providing a py for the person the permit is issued to and another copy for the bu/lding permit files The Treatment
Certificates a!! provide the product used, Identity of the applicator, time and date of the featment, site locatfon, area
treated, rh lcal used, percent concentration and number ofgallons used, to establish a verifiable record of
protective b °aiment: If the soil dtemical barrier method for termite prevention is used, final exterior treatment shall
be comple " prior to final bu/ld/ng approval.
St Lucie C my requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrl ° I panel box cover, listing ail the treatments and dates of applications.