HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPERMIT #:_ A/z-L 13,
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
OCAMyED
By
St Lucie count,
OF TERMITE TREATMENT
TION SOIL TREATMENT
JOB ADDRESS: 6 fQ5r S Zn d" R i✓er Q e- &j P'rr ee rL
I f-M On n, , , 4.P .3yflr
PEST CONTROL CONTRA OR: Ona c �e.1 &P s � C�n�rn
PEST CONTROL LICENSE #: -- R 559W
We, Ithe undersigned, hereby Ger tify that we have pretreated the above described construction for
subterranean termites in accord nce with the standards of the National Pest Control Association.
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Square feet if area treated: Chemicals used: /tea /S
a�
Percentage of solution:
2q 6_42,ti r Total gallons used: �l
Date of Treatment: J 3 / Time of Treatment:
Footing Slab
1st Treatment 1'* Treatment
Re -Treat Re -Treat
_.Driveway Pools
lv Treatment 1s` Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
1�` Treatment
Re -Treat
Signature ofd&f&mjnifor Date
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Note. There must be a comp/eted f rm for each required treatment or re-heafinentand this form must be on the job
site to be pldted up by the Insp' ' at time of each inspection or the scheduled inspection wilt fall and a re -inspection
fee charged.1 1
FBC104.2.6Certifira1!eofProtecBv
shall be provided to receive duplicat
Trealinentforpreventionoftermites Aweatherresistantjobsiteposb'ngboard
Treatment Certficates as each required protective treatment/s completed,
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providing a copy for the person the
Certificate shall provide the product
It Is issued to and another copy for the building permit files. The Treatment
ed, Identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, perrent;con
ntration and number ofgallons used, to establish a verifiable record of
protective treatment. Ifthe soil, cite
be mmp/eted prior to final bui/ding a
71cal barrier method for termite prevention is used, final exterior treatmentshal/
prove/.
St Lucie County requires for
a final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover
listing all the treatments and dates of applications.
Revised 7/24/2014
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