HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
qcs ,o 53,0
RECEIVED
OCT 0 8 7019
Permitting Department
St. Lucie County
CERTIFICATE OF TERMITE TREATMENT SCANNED
SOIL TREATMENT_
BY - -
PERMIT #:1907•0530 JOB ADDRESS: 123218 Indian River Dr St. Lucie CountV
BUILDER/CONTRACTOR: Aw
PEST CONTROL CONTRACTOR: Hannan Environmental Services Inc.
PEST CONTROL LICENSE #: IB994I8 -
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: Sift
Percentage of solution:l2
Date of Treatment: 10/0712019
_Footing
I" Treatment
_Re -Treat
-Driveway
_151 Treatment
_Re -Treat
_Other
1# Treatment
Re -Treat
Chemicals used: Dominion
Total gallons used:
Time of Treatment: 2ao Pm
_Slab
_1# Treatment
____Ae-Treat
w— Pools
®fl 1` Treatment
Re -Treat
_Perimeter for Final Inspection
1010712019
Sign r Date
Note: Theremust be a Completed form for eeoh requifed treabnent ore-bwtmentand bVs fofm must be on the job
site to be pldted upbythe if rat time ofeadh inspection ortihe sdiedutedinspection will falland a feynspection
fee chafgad
FBC104.2.6 Car0cate ofPrO&C ve Treatmentforpreiientlon oftevmites A weadterresdstantjobsitepoSHngboard
shall be provided to receive duplicate TrsatmentCertif 3tesas each n9%W1ed protective trestmentIs completed,
pfovldingr a oVy for the person the permit is /sssued to and another Copy for Me buildmg permit files The Treatment
CertAele shall provide the product used, tdentityofMe appllmta, time and date of the beatmen4 site location, area
treated, chemical used, percentConewtratfon and number ofgallons used, to estabM a veriffabfe record of
protective treatment ffdie soil chemical bamermethodhortermite premffbn Is used, finalextedortreabm ntshall
be completed prior to Anal building approval.
St Lucie County requires for the final inspection for CO, a Permanent Stacker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2A14