HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEowl Ptanning i Development Services REC51
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Bw1Am4 5 Code Regulation Division
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f«t P»-tte. Ft 134142 FEB 12 2020
772 "2-2172 1e. 222 462 6443
Sl . Lucie County, Permitting
CERTIFICATE OF TERMITE TREATM
CONSTRUCTION SOIL TREATMENTy
BY
PERMIT #: JOB ADDRESS:;.:
BUILDER/CONTRACTOR: -^• »: -- ---
PESTCONTROL. CONTRACTOR:
PEST CONTROL LICENSE x: We, the the unckvayned, h etrbv e'ert'h tn.a we have txetreated the above described con,,trmtion for
sutgenal-wan termites to amirdaner with the standards of the National Pest Control Association.
(; u e feet It area treaNd: " Chemicals used: a+ttnxTs----------
i't•ri ent,+.2e or solution: On Total gallons used: !—P t�
Date of treatment. aarotemy Time of Treatment: 7t °5an -
Footing Slab
1 Treatment
x 1 Treatment
_ _Re -Treat Re Treat
__Driveway
1' Treatment i Treatment
--Re-Treat Re Treat _
t�her Perimeter for Final Inspection
— V`Treatr7rent oa2u6rz=
Re -Treat =
Signature of Exterminator Date
Note, There must be a Completed form for each required t`reatrnent of re -treatment and this form must be on
s�te In be pK21•ed ttp by tfie inspector at lime Of eatfi lnspection or the scheduled inspection will fail and a rein
fee ciiaryed.
FBC104.2 6 Cert&gie ofPtutedive Treatment for prevention of terrrtites. A weadw resistantlot7site PosLn9
dial! be provfdd to MMW duplicate Treatment Certficates as each required protective beatrneftt is coirnowed,
vuWDlIng a Copy for the person the peanit rs issued to and anti fier ropy for the btfuaflg ptermrt tiles- The Treatment
'e t&ate .sJW plvt** the pmDW'M d. 4L-nhty of the appfxatvr, time and d e of the btaadn nt Abe bcatitxt, ere
sated, dleMAWI ttseri pwreat concentration and number of gallons used, to establish a vnerifiabte record of
9&XtW beabment If the soil chemical barrer,IrlebW far tarr71te prevention is used, fug ulterior treatment stO
tnmprle WP,7ior to final buflrJing approval.
Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
electrical panel box cover, listing all the treatments and dates of applications.
2014