HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE06/04/2019 20:24
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CERTIFICA
CONSTF
PERMIT #; 1 () —Q Jl
BUILDER/CON; RACTOR; _
PEST CONTRQL CONTRACTOR;.
PEST CONTROL LICENSE n;
i
We, the undersigned, hereby certify that
subterranean termites in accordance witl
Square feet if arealtreated: jb
Percentage pF-go lution:
Date�o Treatment,
Footing
In Treatment
Re-Trjeat
Driveway
In Tr�atment
Re-Trbat
Other
1't Treatment
Re-Trbat
No,e. 'here must bo a Completed form for e
sire to be picked up dy the inspector or time
fea charged.
FBC104.2.6 Certiric4ee of Protective Treatm
shall be pmvded to rt'cewe ouplicate Treatm
providing a copy for e{ d persron the permit is
Cen:ifcata shall provlQe the product used, id
rrearad; chemical used percent conceniratio,
protedrue traatment. If the soil cr52mical baf
ne Cnmpiered prior to;inal building aporoi ai.
•
2300 virginid Ave
Fort Pieraa, FL 34§62
62-2172 Fax 772-462-6443
"E OF TERMITE TREATME
UCTION SOIL TREATMENT
DR
JUN 7 2019
Permitting Department
TSt. Lucie County, FL
County
ve have pretreated the above described construction for
the standards of the National Pest Control Association.
Chemicals used: _ G
Total gallons used:
Time of Treatment: 01-7 y�
Slab
1' Treatment
--Re-Treat
__Pools
1" Treatment'
t
Perimetef for Winspection
Signaturb oFEict>;rminator
h required treatment or re treatment and this form mustbe on the job
each inspection or the scheduled inspection will fail and a re- nspechor
for pPei-antian Of termites. A weather resistant jolbslte posting board
CeftXcates 3s each required protective treatment is completed,
'ed to and another copy for the building permit files. The Treatment
r of the app/icaror, time and date of fhe treatment, site location, area
d number car ga//ons used, to establish a ✓erifiable record of
.method fu.• tr„-mRe prevention is used, frnal exferror trearment shall
St Lucie County r¢quires for the finalinspection for CO, a Permanent Sticker to be placed on
.tbe electrical n2n4l box rover lis#ing all the treatments and dates
a now.
1�70
2300 Virginia Ave
FortPierce,_ FL-34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
0� ONSTRUCTION SOIL TREATMENT
PERMIT #: I90r4 rV 00 ADD&ESS: 70 'S 'ICib�►(, Zj� (i
BUILDER/CONTRACTOR: (y(,
PEST CONTROL CONTRACTOR: 4-If -Pe � �'
PEST CONTROL LICENSE #:5aae,
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 Associatinn.
Square feet if area treated: 120
Percentage of solution:
Date of Treatment: l/
Footing
V' Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1� Treatment
Re -Treat
Chemicals used: Cse4,/, //L% r
Total gallons used:
Time of Treatment:
Slab
in Treatment
Re -Treat
Pools
1,, Treatment
et
Perimeter for i Inspection
Signaturb o rminator ,
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re-inspjob
ection.
fee charged.
----• �aruncare or rrotectrve rreatment for prevention of termites. A weather resistantjobsite 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, 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 prior to final building 3porovai.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical oanal hmr rnuor rat: -n.�