HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 1-9-192300 Virginia Ave
Fort Pierce, FL 34982 k2z
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT®�i�
CONSTRUCTION ,OIL TREA mrmT 41
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PERMIT �#: 19 U�b113
BUILDER/CONTRACTOR:
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ADDRESS: G v u �4�•tf��
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PEST CONTROL CONTRACTOR =+.�-T. I
PEST CONTROL LICENSE #: _f'SX';Z-D
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance w.th the standards of the National Pest Control As ciation.
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Square feet if area treated: j7 Chemicals used: Of j G
Percentage of solution:
Total gallons used:
Date of Tr jatment:
Footing
1' Treatment
I Re -Treat
Driveway.
1' Treatment
Re -Treat
Oth eir
Treatment
Re -Treat
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Time of Treatment: /
Slab
I' Treatment
Re -Treat
_!'ools
I't Treatment
t
Pee
rimeter for i Inspection
Signature of-�kt-6rminator
;ti�ote: There must be a completed form for each requi�erl treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspect on or the scheduled inspection wi/l fail and a re-inspectlor.
Fee a7aroedi
FBC104.2.6 Certificate of protective Treatment for pr`eventron of termites. A weather resistant jobsite posting board
shaljbe proy�ided to Teceive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another Copy for the building permit files The Treatment
Certificate shaliprovide t,7e product usec�, lde,-7M)1 of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective t �eatment. If the coil chemical barrier method for termite prevention is used, final exterior treatment shall
be comp/et�d prior to fna/bu,•',`ding aPoro�al.
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St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrii cal panel box coder, listing all the treatments and dates of applications.