HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
s Virginia Ave
Fort Pierce, FL 34982 SCANNED
law 772-462-2172 Fax 772-462-6443 BY
St. Lucie Countv
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT J�M5 OZ3Z]OB ADDRESS: 38.37 &�e,rd 1rL„�
BUILDER/CONTRACTOR: 24 rn.n krj
PEST CONTROL, CONTRACTOR: DIPANNI PEST CONTROL LLC
PEST CONTROL LICENSE #: JB 150396
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: `Ff
Percentage of solution:
Date of Treatment:
Footing
1" Treatment
Re -Treat
Driveway
Is'Treatment
Re -Treat
Other
1� Treatment
Re -Treat
Chemicals used: 1$i jh e n4-h r- n
Total gallons used:
Time of Treatment: i%oC)
✓Slab .
1st Treatment
Re -Treat
Pools
Pools
15` Treatment
Re -Treat
Perimeter for Final Inspection
Sgna re 6f FkerminatDr Date
Note. There must be a completed form for each required treatment or re-treabnent 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.
FBC104.2.6 Certificate of Protective Treatment for prevention of temNtes. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certifirates as each required protective treatnentis completed,
providing a copy for the person the permit is issued to and another copy for Me building permit files The Treatment
Certificate shall provide (fie product used, idenbo, of the applicator time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment If the soil chemical barrier method for termite prevention Is used, final exterior treatmentshall
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 7/24/2014
Planning & Development Services
Building & Code Regulation Division
'lltil C}.. 2300 Virginia Ave
It ID Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
-- REC1=72poeirrnittlna
AUG 1
sT. Lucie Coun
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
SCANNED
BY --
St. Lucie Countv
PERMIT #:,LC,JOB ADDRESS: r ,, ta,_ l= A'e e
BUILDER/CONTRACTOR: -, , &Qr� ern 5 f r�r� I
PEST CONTROL CONTRACTOR: DIPANNI PEST CONTROL LLC
PEST CONTROL LICENSE #: JB 150396
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: y'( Chemicals used: di p h e n n
Percentage of solution: i���✓/.
Date of Treatment:- 2/�124/9
Footing
1" Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1�t Treatment
Re -Treat
Total gallons used: 4o
Time of Treatment: i/ oCD
Slab
V Treatment
Re -Treat
Pools
1'` Treatment
Re -Treat
Perimeter for Final Inspection
Signaffre 6f €xterminator Date
Note: There must be a completed farm for each required treatmentorre-breatment and this form must be on the job
site to be picked up by the inspectorat time of each ins
fee charged. pection or the scheduled inspection will fail and a re inspection
FBC304.2.6 Certificate of Protective Tmatment for prevention of termites A weatiier resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatmentis completed,
providing a copy for Me person ifie permit is issued to and another copy for Ure building permit files The Treatment
Certificate shall provide ti9e product used, identity of the applicator, lime and date of the trea6nent, site location, area
treated, chemical used, Percent Concentration and number of gallons used, to estabilsh a verifiable record of
protective treatment. If the soil chemical bamermeti9od for termite prevention is used, final exterior treatmentshail
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.
..w... „�W4vl�