HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
S ��ED Slludeftnty
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: LC 14 69-010JOB ADDRESS: S? I4 /w£ T-4Lc' pe _
BUILDER/CONTRACTOR: C dR,U& OA06 v _ PT T(E4C&
PEST CONTROL CONTRACTOR: 77,W E T)
PEST CONTROL LICENSE #:
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: Z
Percentage of solution: GS c cQ
Date of Treatment: L /
Footing
1f Treatment
_ Re -Treat
--Driveway
is` Treatment
Re -Treat
Treatment
—Re-Treat
Chemicals used: I'4 k-a
Total gallons used: _-. `
Time of Treatment: _ (C_ 0 eAj-1
151 Treatment
Re -Treat
_Pools
15` Treatment
Re -Treat
Perim r or Final I ction
Z-/91 I q
Signature of Exterminator Datd
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 appro val.
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
.0i1B.100c 10::i 772371B0071
_•_NDII ?� LS !NC
St Lucie County InspectiO
2300 Virginia Avenue
Ft Pierce, FL 34982
(772)462-2172
CERTMCATE OF TERMM TREATMENT
CO N5TRuC( r- JOX SOIL TREATMENT
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F"ERNUT $ paB AI9i?AtEE
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S?/G f�ti%R�t
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PEST CONTROL CONTRACTOR rr2`��
PEST Ca.N"rROL LICENSE *
We, the un4ers4ped, hereby certffy that vve have pretreated the above -described cot�on for
subterranean termites in accordance with the smndards of the National Pest Control lsssoriation.
Square feet of area treated: -7o2i% Chemicals usad: Ae— y !J'E
Permatage of sohetion: II G o o Tatar gallons used:
Date of treatnxat• C l a l Q Time of Treannant: 1"0:00 ? h
Footin D£epicerL0 (fTIL I-1 (rv(-
lit Twit
�� Re^ue8i
Ud" Ji8�3
1st Tteetment
Q Ile-trerat
E3 ist TtesE it
® R*-twat
U Pools
® ist Tst
Rv-urat
FMCIS62A Cu-47fPA%tWK a 7rsrpoetrfarpre gr&nwm
A weather rtsimau jobtfse pasMR board AO be provided ro «ceiw
duphrarz rrrdotaet CenyUmes w awh•rvojmd prweearve tra2ument is
cmnggred pmvh f q a cWyfar&eevows rhepertrpr a 'sued ro aad
soother cagy for dhe b PV' flea. vw rmmtxw Cer�sJ u
provide Aeprodraet vseet WMOVY *fdw appdieOtar, cunt and date of the
haataeer4 see iaantiak area UVMVA dmadrot ru4 Per aovLtnner
and mx&er ofIdAm used trt Atesuah a veriifdwe record ofprwe=t
neMmatt Udie you aheraiAy: barr9er teaeJlaod for reunite prcveation u used,
{6ml esrarkw rreanoenv dwU be coapiemlMOP to• wAl brildina aPPMv&i.
St Lade Couray royec Lae On tieai hopectim for Ca, a Piermeae at
6D be placed as the deemed pearl hoc cam, butlac all the
tINVAOSM Md &OW OrMPOCINGIVAL
El Other
■lat Tmahnomt /
Perimeter for
Final Inspection
r L
NOM.
.
m....
OCT 2 2 2019
Permitting Department
St. Lucie County, FL