HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Developliient Services
Building & Code Regulation Division
2300. �/irginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462.6443 .
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CERTIFICATE OF TERMITE TREATM.ENIT QNIyFD.
CONSTRUCTION SOIL TREATMENT'
PERMIT 02 10 JOB ADDRESS: 7. CO ' - PS G
B
UILDER/CONTRACTUK:
PEST CONTROL CONTRACTOR:.
PEST CONTROL LICENSE
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 feet if area treated: 376?Chemicals used:a�o
Percentage of.solUtllon: 21 @9. _ Total gallons used:
Date 'oi•'•Tre_atment: /8 . 5 'bo
• • , �Time of Treatment: .�/% �•� .
. Footing -Slab , •
1�7eeatme'nt 1st Treatment
i Re -Treat Re -Treat
Driveway Pools.
1 1� Treatment 1 t Treatment
/ ! R -Treat
v . Other f�-61
ue e, Perimeter -Treat
1 Tretent
for Final Inspection
Re -Treat _
a e na or Date
Note: There must be a completed form, for required treatment or re -treatment and; this form must be on the job
site ao. be picked up by the Inspector at tl a of each Inspection or the scheduled Inspection w!ll fail and a re -inspection
fee charge',
FBC104.2.1 6 Certif/cate-of Protect/ve. Treatment for prevention of termltes. -A weather reslstantjobsite posting board
shall be provided to receive 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 build/ng�permit files. The Treatment
Cert/ficate shall provide, the product used, Identity of the applicator; E-ime and date of the treatment, site location, area.
treated;' chemical used, percent concentration aid number ofgallons used, to establish a periflable record of
protective. tr.'eatmeiit. If the soll chemical barrler method for termite'preventi'pn /s used
be treatment shall
be comp/eted prior to final building approval,
St Lucie County requires -for the.final inspection for CO; a Permanent Sticker to be placed on
the electrical par+al box coverr listing all th® treatments and date's of applications:
Revised 7/24/2014
aI{ u�'a• �- Planning & Development Services
o Building & Code Regulation Division
2300 Virginia Ave
tort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
4: CONSTRUCTION -SOIL TREATMENT
PERMIT JOB' ADDRESS:.7�I i
BUILDER/CONTRACTOR
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:_.J�,ti� . .
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 feet if area treated: - D
- ,-Z_ Chemicals used:
Percentage of solution; . �3�a .
.. Total gallons .used': Z• 26 .
Date of Treatment: ��8; �l�'.
Time of Treatment:
Footing Slab
V'Treatment 1St Treatment
Re -Treat Re -Treat
Driveway Pools
-1G'Treatment 1 Treatment
ment
Other. Re -Treat
Perm for Final Inspection
✓1 Treatment
Re -Treat 9, .
ature xterminator Date
Note; There muss be a completed form for required treatment or re treatment and this form must be on the. job
fee cha
site to be picked up by the inspector at tini a of each inspectlon or the scheduled inspectlon. will fall and a re-lnspection
rged,
FBC104..2.6 Cert/frcate of Protective Treatmentforprevention ofterMJtes .A weather resistantjobs/te postingtio�rd
shall be provided to receive duplicate Treatment Cert/Acates as. each, required protective treatment /s completed,
providing a.copy for the person the permit is-lssued to and another copy for the buliding.permlt f//es. The Treetr»ent -
Cert/ficate shall provide the product used, ldentlt "&the applicator; time and date af,the treatment, site location, urea
treated chemical used, percent concentration and number ofgallons used; to establish a veritable record of protective treatment, If the soil cheniical battler method 11
for termite prevention is used, Anal exterior treatment shall
be completed prlor.to. Anal building approval.
St Lucie County requires for the final inspection for Co, a Permanent Stickero`be placed on
the electrical panel boX cover, listing all the treatments and dates Of a.ppllCitlOnS.
Revised 7/24/2014
ii .'