HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESpot-o73
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Planning & Development Services
� � Building & Code Regulation Division
01014111 2300 Virginia Ave
Fat Pierce, R 34982
772-462-2172 Fax 772-462-6443
PERMIT #:
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
P
`CAP P'0d
/- o/23]OB ADDRESS: `•I `4l % f Tess fe r ( r P a-
BUILDER(CONTRACTOR:
PEST CONTROL CONTRACTOR: E44 tno� wm-.z a�i k Spa.., kw-�
PEST CONTROL LICENSE #: 7-6 Q co-7 34o SCANNED
by
We, the undersigned, hereby certify that we have pretreated the above described construetiAWde County
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated:.
Percentage of solution: °
Date of Treatment: 2 a l9
Footing
1 Treatment
Re -Treat
Driveway
1 Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Chemicals used: ! /1or L'YLt aw Z
Total gallons used: % Z Cal
71me of Treatment: / / Q
Slab
�15t Treatment
Re -Treat
Pools
1� Treatment
Re -Treat
Perimeter for Final Inspection
62
Signature of Exterminator Pate
Note. 777ere mustbe a completed farm for each required treabnentorre-treatment and this farm must be on thejob
site to be pk*ad up by the inspector at time of each Inspection or the scheduled inspection will fail and a re -Inspection
fee charged. '
FBC304.2.6 Certificate ofProtecM a Treatmentforpievention oftermitps. A weather resLVantjobs& posting board
shall be provided to rixam duplicate Treatment Cert flaites as each twuired protective treatment is cnmp/eted,
providing a copy for Me person the pemhitis issued to and another copy for Me building permit files fie Treatment
Certificate shalt provide Me product used, Identayof the applicator, time and date of the treatment, site location, area
(sited, chemical used, pa cent concentration and numberofgal/ons used, to estabiish a verifiable record of
protective treatment. If Me soil dhemkaldamermetihodfortermrte prevention is used, final extedortreatmentshall
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.
7/24/2014
r Is
Planning & Development Services SCANNk:U
Building & Code Regulation Division BY
2300 Virginia Ave St. Lucie County
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: og01-0(-13 JOB ADDRESS: qc115i �✓e SSIP� (a.0 Fe((��oa..rF%3(gTz
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: Pw c>.t�of m o-cx vsa� AA S.u, u i e e L
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:. yoo
Percentage of solution: , 05-'16
Date of Treatment: 1 as It it
Footing
1s` Treatment
Re -Treat
Driveway
1" Treatment
Re -Tr t
_�1�Treatment a-+r•�°��
Re -Treat
Chemicals used: �"K z�
Total gallons used: J `,
Time of Treatment: / ZJ6 `
Slab
1" Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
/1 /Pe//rimeter for Final Inspection
/.�A�{7 P� ale5t .2 / 5 /P
Signature of Exterminator
Note. Mare mustbe a completed form for each required treatment or re -treatment and this form must be on the job
site to be pidied up by Me inspector at time of each inspection or tihe scheduled inspection will fail and a re4nspection
fee charged.
FBC104.2.6 Certificate ofpro&xffve Tieabnentforprevendon ofbwnites A weatiherreslstantjabs/te posting board
shall be provided to receive duplicate TreabnentCerlifimtes as each required protectve breabnent& completed,
providing a copy for the person the permit is issued to and another copy for the building permit files fie Treabnent
Certificate shall provide the product used, idenbtyofthe applicator, time and date oft he treatment, silo location, area
beated, dhevmxal used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment: if the soil chemical bamermeb9od for termite prevention is used, final Wedor treatmentshall
be completed poor 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