HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESCANNED
BY
St. Lucie County
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I�1fl3-C-nJ JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
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: 30�
Percentage of solution: `
Date of Treatment: ('1
Footing
,,CV'Treatment
Re -Treat
Driveway
1t Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: Q;iy l�
Total gallons used:
Time of Treatment -
Slab
1'` Treatment
Re -Treat
of
Inspection
Note: There must be a completed form for ach required treatment or re-treatmenfand this form must be on the job
site to be picked up by the inspector at ti a of each Inspectlon or the scheduled inspection wi/l fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobske pastry 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
Cerbfrrate shall provide the product used, Identity of the applicator, time and date of the treatment, 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 is used, final exterior treatment shall
be completed pnor to Anal building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
Planning & Development Services
Building & Code Regulation Divisi RECEIVED
2300 Virginia Ave
CANNED
Fort Pierce, FL 34982 BY APR P $ 7niq
t 772-462-2172 Fax 772-462-640. Lucie Coul1tYermitting Departmr..
St. Wde Caurjf",
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: SLF1903-0473 JOB ADDRESS: 117 Queens Rd., Ft. Pierce
BUILDER/CONTRACTOR: Design Concrete
PEST CONTROL CONTRACTOR: Patfick Exterminating
PEST CONTROL LICENSE #: 4864
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: 32
Percentage of solution: _ . 25%
Date of Treatment: 4/ 1 7/ 19
x Footing
1�t Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other Patio
e Treatment
Re -Treat
Chemicals used: CYPer TC
Total gallons used:
Time of Treatment: 9: 00
Slab
I' Treatment
---Re-Treat
Pools
1�' Treatment
Re -Treat
Perimeter for
Final Inspection
{'----- �. TI / 17 / 19
Signature of Exterminator Date
Note. There must be a completed fonn for each required treatment or re -treatment and this form must be on the jab
site to be picked up by the inspector at time of each inspection or the scheduisd inspection will fall and a re-inspecton
fee charged.
FBC104.2.6CerUficateofPrctectiVeTreatmentforprevendonoftermites. Aweatherresistantjobskepostingboard
shall be provided to recelm duplicate Treatment Certificates as each required protective treabnentis completed,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall proVlde the product used, identity of the applicator; time and date of the treatment, site location, area
treated, Chemical used, percent concenbation and number ofgallons used, to establleh a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final ekterlor treatmentshall
be completed prior to final bulldtng 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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