HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services - __. � 'u
Building & Code Regulation Divisio AUG Q.9 p,y
2300 Virginia Ave
Fort Pierce, FL' 34982 ST• Lucie County, Perry
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT 8t Luce County
CONSTRUCTION SOIL TREATMENT
PERMIT#: nW-0104 JOB AD RESS: L17g5_lof-Cqce�j /e7ey�,e
BUILDER/CONTRACTOR: 5- R - 3 fl
PEST CONTROL CONTRACTOR: ICT-A-BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
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: - 2= ()O Chemicals used: DOMINION2L
Percentage of solution:.05%
Date of Treatment: O i
Footing
1' Treatment
Re -Treat
Driveway
V Treatment
R -Tre t
...2Other C3o�err
Treatment
Re -Treat
Total gallons used:. 2 (3
Time of Treatment: '� 1, O C-1)
Slab
1't Treatment
Re -Treat
Pools
1 t Treatment
Re -Treat
Perimeter r spection
7/719
ature of l5xterminator Date
Note. There 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 fail and a re -inspection
fee charged.
PSC104.2.6 Certificate of Protective Treatmentforprevention of termites A weather resistantjobsiteposungboard
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 building permit riles. fie Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatmen4 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 /s used, renal exterior heahnent shall
be completed prior to final bu/ld/ng 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.
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