HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESMar-io-cuuo ua:af m -rrom-
T-966
P-0021002 F-806
St. Lucie Lmmy-ijiu,---uuvuo
2300 Virginia Avenues
Ft. Pierce, FL 34982
(772) 462-2172
POSTED
OF TERMITE TREATMENT
%1WX4Q�nJCTION SOIL TREATMENT
SCANNED
BY
St. LucieCounty
PERMIT # o 5 D DSO_ JOB ADDRESS
BUILDER o l
PEST CONTROL CONTRACTOR HANN N PEST nn NAC2 rn ENT
PEST CONTROL LICENSI~# JB9941 S
We, the undersigned, hereby certify that we Lave pretreated the above -described construction for
subterranean termites in accordance with the standards of the National Pest ControlAssociation-
Square feet of area treated: ZSc'1C1
Percentage of sohtiow.
Date of treatment: 1 S S
❑ Footing
❑ 1st Treatment
❑ Re -treat
❑ Slab
[N 1st Treatment
❑ Re -treat
Q Driveway
❑ 1 st Treatment
❑ Re -treat
❑ Pools
❑ 1st Treatment
❑ Re -treat
❑ Other
❑ ist Treatment
❑ Re -treat
Chemicals used: ,\-- 0E )5
Total gallons used: -7ln
Time of treatment:
FBC1042-6 car- freste ofPrVh-XdM 7yeatownt rorpr v on ofkmdtc&
Aweather rosismfiriPbsite postins board shall be provided to receive
duplicate Treatment Curates as each required protective tteam:ent is
completed providing a copyfor the person the permit is issued to and
another copyfor the building permitfries- The Treaaueor Certificate shall
provide the product used identity of the applicaW time and date of the
treatment; site location, area treated, chemical rased percent concentration
and number ofgallons used to establish a verifiable record ofprowctive
treatment If the soil chemical barrier method for termitepmtection is used,
final exterior treatment shall be completed prior to final building approval -
St. Lucie County requites fur the fmal inspection fOt CO, a Permanent
Sticker to be placed on the electrical panel boor cove; listing all the
treatments and dates of applications.
❑ Perimeter for Final Inspection
OS"
Signature of exterminator
NOTE:
There must be a completed form for each required treatment or re -treatment and this form must be on
the job site to be picked up by the inspector at time of each inspection or the scbeduled inspection will
fail and a re-iaspecdou fee charged
r�
St. Lucie County In'. actions _
2300 Virginia Avenue
Ft. Pierce, FL 34982 ��� DECZ005
(772) 462-2172 ;
CERTIFICATE OF TERMITE TREATMENT�j
CONSTRUCTION SOIL TREATMENT�`r'U�dIJ
PERMIT # ��° 6 Z SO JOB ADDRESS �&le
M—
BUILDER
PEST CONTROL CONTRACTOR
. �MVIV VVMIIY
PEST CONTROL LICENSE# JB99418
NOTE.
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 of area treated: Chemicals used: ��0� Y fi' ,
Percentage of solution:
Date of treatment: A/ "
❑ Footing
❑ 1st Treatment
❑ Re -treat
❑ Slab
❑ 1st Treatment
❑ Re -treat
❑ Driveway
❑ 1st Treatment
❑ Re -treat
❑ Pools
❑ 1st Treatment
❑ Re -treat
Total gallons used: ! li
Time of treatment:
PBC104.2.6 Certbricate ofProtecdve Treatment forprevention of termites.
A weather resistant jobsite posting board shall be provided to receive
duplicate Treatment Certificates as each required protective treatment is
completed, providing a copyfor the person the permit is issued to and
another copyfor 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 ofpmtective
treatment. If the soil chemical barrier method for termite protection is used,
final exterior treatment shall 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.
❑ Other
❑ 1st Treatment
❑ Re -treat
Perimeter for Final Inspection
ignature of exterminator
There must be a completed fonn for each required treatment or re -treatment and this form must be on
the job site to be picked up by the u �spector at time of each inspection or the scheduled inspection will
fa;l and a re -inspection fee charged.
I
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