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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEQ1 Pi/r.� 110-) - OG Q je_
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM
CONSTRUCTION SOIL TREATMENT
PERMIT #:_JYe/'/07 0""-OB ADDRESS: 0Y 0
BUILDER/CONTRACTOR: <7r(- COuC2e TS
PEST CONTROL CONTRACTOR: -17-/£ [rTo
PEST CONTROL LICENSE #: 17z It0D F_!�
RECEIVED
DEC 0 9 2019
ST. Lucie
8fluBY
cieCountl/
� b✓9 `/ RO
?E.ecor—
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: ? Chemicals used: Per M I f
Percentage of solution: C Total gallons used:
Date of Treatment: le, 4 1 19 Time of Treatment: [0 30
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Slab
15C Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Signature of
Z-11 h9
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 scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention 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 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 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
,0J13(200e 10:37
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DI"InY1 ?a2,L:3 1nc �.
St Lucie County InSPect ,_ s
2300 Virginia Avenue
Ft Pierce, FL 34982
(772)462-2172
CERTMCAT , ()F TFRll9M TREATMEW
CONSTRUCTION SOIL TREATMENT
PERMIT# 0022 —005"- JOB
PEST CONTROL
1"G
PEST CONTROL LICENSE # Q � I S 33 yS
b/
r
SCANNED
BY
St. Lucie Count+/
We, the andersigned, hereby certify that we have pretreated the abov&desceibed construction for
subterranean termites in amordance with the standards of the National Pest Control Association.
Square fed of area tmted: 8G P � Chendca9s and: 2�Ck1 tdr_
Percentage or solution: 4- 0 S o c
Date of treatment: 1 Ito,( t 9
idFoofinv
1st Ttcatmet:t
0 Re-ricer
Sl' /
1st Treatment
Q Re-UW
0 Driveway
® 1a Treatment
® Rs-Vt
U Pools
Total' gallons used: 2 6-L
Time of Treatment! Lo =`3 o A M
lMGL2A �p far prese:ffii 4lterwire
A,aeadntr namo>nt jobtiu paurinR board shaft be pmvfdad ro recdve
duplicate Trtaft mr Ca df mes w each rupot4 prweeriw mermen u
cawtherC, p ordw oaditpr p�TTr xvCendkorshaU .
r copy for the buildv+y perfrdt f>'u.
provide dwpraduer usg4 tdmuity ofMo gThcirar, wwe onddare of the
bramert jw joemoa., area treated rim ucd wm4 pe^nenr awwewnuf
and auaeber of gafFoet used 0 a wMA a vrrfhabte rmord afprwmw'
nmumeat, rthe sail dew w ba"kr mmtwfor tenwhe prcvendw+ is pied,
jhral extarfar trmoouseat Sint! be eormpiael prior tolwl btdfiing opprowof.
st Louie Cetacw revel c for tie amw hmpecdes far M a puzzmalm
Sudw to be pWeed an the decufzal pond box cower, hides all tee
Li 1atTr t ua nai dam ofs:pprWA60t.
❑ Re
�Qriter IJ
tat Tr�eatartrit
® Re-UrAt
C3 Perimeter for Final Inspection
A A R pok j
)VOTE:
nm Hemet beg care plop ►'. form Jw dock regwbwd ar re-&w UWW m.a 0Wimrat taaa she &,
shejob 0&a m be pkAmd or 47 A& errspsetaaraw Poet of each fnspecaam or'** sedrm&sted iKvpaeti .: wi;
f6iandare ef&0 ChWOOL
aniaf f?LU ie .