HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEDocuSign Envelope ID: B346C712-E2F2-4756-9D67-3' ;YA71370
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Planning & Development Services
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
SCANNED
BY
St. Lucie County
PERMIT #:19010553 JOB ADDRESS: 840 Belfry Place.Port St. Lucie. FL 34986.
BUILDER/CONTRACTOR: N/A
PEST CONTROL CONTRACTOR: Adam's Pest Control
PEST CONTROL LICENSE #: JE3632
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: 120
Percentage of solution: 0.1 %
Date of Treatment: 2/15/2019
_Footing
1� Treatment
_Re -Treat
_Driveway
la Treatment
Re -Treat
X Other Soil Treatment for Termites
2/1512019 1st Treatment
N/A Re -Treat
Chemicals used: Altriset Termiticide
Total gallons used: 18 Gallons
Tlme of Treatment: 7720am
_Slab
1st Treatment
-Re-Treat
Pools
is Treatment
_Re -Treat
E
,Pgrigieter for Final Inspection
CW&ALL 2/22/2019
gna re of 5 terminator Date
Note: There must be a comp/etedform for earn required treatmentorre-ti eabnent and this form mustbe on die job
sfte to be p/dod up by the Inspector attlme ofeaah inspection or Me scheduledA%Wecdon will fail and a re-mWecdon
fee charged.
FBC104.2.6 Certificate ofprotective Tieabnentforprevendon ofterm/tes A weadrerresMantjobsite posting board
shall be proNded to receive duplicate Treabnent certiNcates as each required protective treabnentis completed,
providing a copy for the person the permit Is Issued to and another copy for the building permit 8/es fie Treabnent
certiBcateshall provide the product used, Identity of the applicator, time and date of the treatment, site location, area
treated, ahem/cal used, perrentconcentration andnumberofgallorxs used, to esWbff a verflfable record of
proteahe treatment. rthe soil dremical barnermedrod for termite prevention is used, final exterfor beabnentsha//
be completed poor to final buflding approval.
St Lucie County requires for the Anal 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/zn14