HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
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Date
RECEIVED
Planning & Development Services
Building & Code Regulation Division APR -#I my
2300 Virginia Ave Permitting Depann,
Fort Pierces FL 34982 St. Lucie r'n.
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
- #: JOB ADDRESS: i
.R/CONTRACTOR:
O'NTROL CONTRACTOR:
ONTROL LICENSE #:_v��1�
undersigned, hereby certify that we have pretreated the above described construction for
nean termites in accordance with the standards of the National Pest Control Association.
if area treated: )05-
ge of solution: 23%
reatmerit: 27 �L9
Footing
1s"Treatment
Re -Treat
iriveway
1 t Treatment
�_AI_Re-Treat
y Other71— `i3v su�GZ
1st Treatment
Re -Treat
Chemicals used: 1c_�
Total gallons used': 2-
Time of Treatment: %(D,S,_->
Slab
1st Treatment
Re -Treat
Pools
1' Treatment
Re -Treat
Perimeter for Final Inspection
3/Z7 f 1,9
@ature of Exterminator Date
Note; There must be a completed form fore quired treatment or re -treatment and this form must be on the job
site to �e picked up by the inspector at ti each inspection or the scheduled inspection will fail and a re -Inspection
fee cha ,ged,
I
FBC102.6 Certificate of Protective Treatment for prevention of termites. A weather res/stantjobs/te pos
shall b�' provided to receive duplicate Treatment Cert/ficates as d ting board
each requirerotective treat provide g a copy for the person the permit is issued to and another copy for the buildin meetmit s, completed,
Certific to shall Provide the product used, ment
identity of the applicator, time and date of the treatments site locator area
freate�cfJk chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lu �e County requires for the final inspection for CO, a Permanent Sticker to be placed on
the ei'i ctrical panel box cover, listing all the treatments and dates of applications.
Revised �,%24/2014