HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 SCANNED
� 772-462-2172 Fax 772-462-6443 BY
CERTIFICATE OF TERMITE TREATMENT St. Lucie County
CONSTRUCTION SOIL TREATMENT
PERMIT #:.SLc 18l A-02<23 JOB ADDRESS: 5-703
BUILDER/CONTRACTOR: Y80i2�x a/X
PEST CONTROL CONTRAI
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:,
Percentage of solution: . C
Date of Treatment: 2f l y
Footing
1" Treatment
Re -Treat
Driveway
is` Treatment
Re -Treat
Other
is` Treatment
Re -Treat
Chemicals used: Y� X 1 S
Total gallons used: °44 3,:2
Time of Treatment: _i o c oc3 s11�
Slab
1" Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
Peri or Final Inspection
-zs- �S
Signature xterminator Date
Note: More must be a completed form for each required treatment or re-treatment.and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will rail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weatherresistant jobsite posting board
shalt 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 building permit files. The Treatment
Certificate sha//provide the product used, identity 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 treatment. if the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the 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
V.ecsveo
MAR 1 B 1019
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CERTIFICATE OFTERMITE TREATMERIT
CONSTRUCTION SOIL TREATMENT ,
PERNIIPfi__ -1Srra c ao7JOB AOORESS- S7o3 01-. ,�
BUILDER/CONTRACTOR: r�'C' l �e r�`r
PEST CONTROL CONTRACTOR: >J �l�A^ fYe pie r PEST CONTROL LICENSE #
We, the undersigned, hereby cettity that we have Pretreated the above described canstructfon for
subterranean termites In accordance with the standards of the National Pest Control Association.
Square feet if area treated:4,, , moo Chemicals used• _�.'Fw A--,S
Percentage of saintion: nr .5,
Total gagons used:
Date of Treatment: _a%fZ5
Time Treatment:
of �D, oo s,
_Footfng
i01 Treatment
`Stab
Re -Treat
1'Trealmerd
_Driveway
Re -Treat
Pools
f° Treatment
1" Treatment
—Re-Treat
_He -Treat
L
_Other
1"Treatmenl
—Perimeter.for final Inspectionv
__Re -treat
=
Signature of Exterminator Date.
Nate: Thera must be a completed farm for each rNafted treatment Of re -treatment and WLs forrn mtist to on the job
sae to be Arcked aP bythe lrrspeutarat time of aachfispactfaa
les charged.
artbe ssfaedtrled rrGpeeden arinfa,9annd a re-irupec�n
FOCI 04.2:6 Cedd/tale o/PrafecNve Treatment forpreventton Ofteimlles, A weaMerresistantI Mlt= a^n��^^ •---� shall be a tried t
pr v M race ve O'llf" ate Treatment CBrtlfisalesas each required protective baatment Is t
provld/eg a c2,oylorWe person tha perrrdl /s l wslftpertd sdoWercopy'lartlle butrdingparaw hies Certigeate shallprovlde the productused, ldenhryOftha apphcafa, time and,date of the freatinant'a
treated, chemical used, pereenteancerdrattlor/
//Me col/chum/ca%barrlaenrdmreiuthmobderoallonsse,tproetivetreament. gesabh'sh avet/able•eloriermtepmvnttbn kused, {1n21 erterlor
be completed prior to fine/hiddldg approval. -
St Lucie County requires for the final inpe aotlerc for CO, a Permanent , Ickeeto fit
the eledtrical panel hex env _ Ilettrsim It.U.®rr,:'.,s�x�� — - .
Revised
of,
placed on