HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE1q0 1--0e)-)40
' Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
' Fort Pierce, FL 34982
- I 772-462-2172 Fax 772-462-6443
TE OF TERMITE TREATMENT
PERMIT #: I : I JOB
BUILDER/CONTRACTOR: I� p�1
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE I#: : T S
We, the undersigned, herel
subterranean termites in ac
Square feet if area treated:
Percentage of solutiorn:, /_
Date of Treatment: �/�,
Footing
1V Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Note. There must be a col
site to be picked up by the
fee charged.
FBC104.2.6 Certificate of Pro
shall be prov/ded to receive do
provid/ng a copy for the perso,
Certificate shall prov/de the pr
treated, chemical used, percer
protective treatment. If the sc
be completed pnor to final but
St Lucie County requires
the electrical panel box c
7/24/2014
d
SOIL TREATMENT
SCANNED
BY
St, Lucie County
Uk c - FATM AIM
that we have pretreated the above described construction for
with the standards of the National Pest Control Association.
Chemicals used: 2!:� k Ta t!
Total gallons used:i�
Time of Treatment:
Slab
1�t Treatment
Re -Treat
Pools
1' Treatment
Re -Treat
Perimeter for F al Inspection `]^
Signature at&&irinator D to , �p
I
for each required treatment or re-beabnentand th/s form must be on Mejob
time of each Inspection or Me scheduled inspect/on will fall and a re -Inspection
Treabnent forprevention of termites A weather resislantjobsite posting board
Treatment Certificates as each required protective treabnentIs completed,
Innit is Issued to and another copy for the build/ng permit files. The Treatment
red, identity of the appl/cator, time and date of the beatmen4 s/te location, area
nbabon and number ofgallons used, to establish a verifiable record of
/cal barrier method for tem/te prevention is used, final exterior treatment shall
e final inspection for CO, a Permanent Sticker to be placed on
listing all the treatments and dates of applications.
3 y94
rk
Planning & Development Services
" ° = Building & Code Regulation Division
• . 1 2300 Virginia Ave SCgN
772-462 217ort Pierce,
Fax 772-462-6443 st L gy ��
' 4��e CopntV
CERTIFICATE OF TERMITE TREATMENT
CINSTRUCTION SOIL TREATMENT
PERMIT #: 0 - O' JOB ADDRESS
BUILDER/CONTRACTOR:. {
PEST CONTROL CONTRACTOR: �-
PEST CONTROL LICENSE I#: 1 TS s h -7
We, the undersigned, hereby ce ' that we have pretreated the above described construction for
subterranean termites in accord noe with the standards of the National Pest Control/Association.
Square feet if area treated: 400 Chemicals used: far!
Percentage of solution: Total gallons used:
Date of Treatment: YIA Time of Treatment: 3C7 f 1�
Footing Slab
1st Treatment ' in Treatment
Re -Treat Re Treat
Driveway Pools
1a Treatment 1st Treatment
Re Treat Re -Treat
Other 1�Treatment ; Perimeter for F al Inspection
; � I
Re -Treat
Signature d&rte7njnator D to
Note. 7here mustbe a completed rm foreadr required treatment orre-beabnentand thls farm mustbe on thejob
site to be picked up by the inspecto at&me of each inspection or the scheduled inspedion wi/t fail and a re -inspection
fee charqed.
FBC104.2.6CerGAeteofProtrcb4Treatmentforpreventfonoftermites Aweatfierreslstantjobsiteposbryboard
shall be provided to receive duplicatj Treatment Certificates as eadv required protective treatmentis completed,
providing a copy far the personttiegqermitis issued to and another copy for the building permit files The Treatment
Certificate shal/provide the praductGcsed, identity of the applicator, bme and date of the beabnent, site location, area
heated, chemical used, perrentcdni enhafon and numberofga/ions used, to establish a verifiable record of
protective treabnent If Me soil, clieTIcal barriermethod for termite prevention is used, final exterior treabnentsha/l
be camp/eked pdorta final building appPrnva/.
St Lucie County requires for tine f nal 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