Loading...
HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services Building & Code Regulation Division SCgN 2300 Virginia AveFort Pierce, FL 34982 ® 772-462-2172 Fax 772 462-6443 (UC/� COU17 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT J pp p PERMIT #: ILo Y04 1L� JOB ADDRESS: BUILDER/CONTRACTOR:ov_Vv_AID PEST CONTROL CONTRACTOR: ��t17__�G!lLizntE..1/_ PEST CONTROL LICENSE #: . IOSOsB I We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in accord�an'ce, with the standards of the National Pest Control Association. Square feet if area treated: Chemicals used: /fizfloiL Percentage of solution: 106 Date of Treatment:' _____Footing _1n Treatment —Re-Treat Driveway 1"' Treatment —Re-Treat _Other _1" Treatment —Re-Treat Total gallons used: Time of Treatment: _ �_y ��7 _ Siab _ �'` Treatment —Re-Treat _Pools 1� Treatment _Re -Treat !Perim r for Final Inspection ,7-1,/9 Sign ' re of Exterminator Date Note: There must be a completed form for each required treatment orre-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. FOCI 04.2.6 Certificate of Protective Treatnent for prevention of termites A weather resistant jobsite 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 building permit files. The Treatment Certificate shall provide the product used, iderrt/tyofthe applicator, time and date of the treatment, site location, area teated, chemical used percent concentration and number ofgallons used, to establish a venflable record of protective treatment. lfthe soil chemical bamermethod for termite prevention is used, basal 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?/2412014 RECEIVED SEP 0 5 ,: ST. Lucie County, Permitting SCANNED BY Planning & Development Services St. Lucie County Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: lgoL 09I�, JOB ADDRESS: +++co�mnm nPe,an ------------------------ BUILDER/CONTRACTOR:�a^___ PEST CONTROL CONTRACTOR: Otean washnMimmeMal seMcas �% ���f1 ��Q� �>�� PEST CONTROL LICENSE #:-ro ms w 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: 1601�a Percentage of solution: .aM Date of Treatment: s�19 _Footing _V Treatment Re -Treat `Driveway __I" Treatment —Re-Treat __Other -__ _1" Treatment —Re-Treat Chemicals used: T�1w Total gallons used: 169 ° Time of Treatment: gas ---Slab _7 61 Treatment --Re-Treat _Pools _ 1 Treatment __Re -Treat Perimeter for Final Inspection aas+a Signatilre of Date Note: There must be a cempleledforrn for each required beatment ormtreabnent and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled lnspeotion W11 fail and a rednspecgon fee charged FBC104.2.6 Cerb'ficate ofPmtective Treabnent forprevengaa oftermite .. A weathffm&stant jobsite posting board shall beprovided to moeive duplicate Tmabnent Certificates as each required protective ireabnent is completed, providing a cepyfor the person the pemdt is issued to and anafher cepy for the building permit fit x The Treatment Certificate shall provide the product used, ldentity of the applcatar, time and date of the osebnent, she location, area treated, chem,01 used, percent mnosmiadon and numberofgal/ons aced, to establish a venhable record of protective treatment. if the soil chemical bem'ermeMod for termite prevention is used, final evertor &eatnent shall be completed pdor to Anal building approval. St Lucie County requires for the final Inspection for CO, a Permanent Sticker to be placed an the electrical panel box cover, listing all the treatments and dates of applications.