HomeMy WebLinkAboutTERMITE TREAMENT CERTIFICATE0510512020 09:07 B&W -
ffA1)7725691M P.0011001
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772462-2172 Fax 772-402-6443
- - - -CERTIFICATE;-OF_T_ERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
SCANNED
BY
St. uclp. (;f1 int%
PERMIT #: 114 2 - blBC JOB ADDReSS: , g74S-- AZ01 �'Lr
BUILDER/CONTRACTOR: P061s
PEST CONTROL CONTRACTOR: MCr-"U07ERMRE&PFSTCONTROLINC.
PEST CONTROL LICENSE #:417s77s
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: -30-2:1
Percentage of solution: •05%
Date of Treatment: - Cz
_Footing
_i Treatment
_Re -Treat
____Driveway
_IE° Treatment
_fie -Treat
other
--lAt Treatment
Re-'i mt
Chemicals used: DOMINION 2L
Total gallons used,
Time of Treatment:
Slab
Treatment
�P_ -te-Treat
Is
Treatment
e-Treat
t_p meter for I al Inspection
`1-
si ture of erminator Date
Note, 7hem mustba a mmp/eted rbrm for each required bWtmentorm-tnaahnent and b7/s form must be on thejob
site to be pldted up by Me Inspedorat time of each Inspection or the sdtedu/edlnsped/an will All and a te-Inspection
fee drfimed.
FBC104.2.6CerilNcateofpMMcUW7ieabrrentfurprevendonofie/miles. AWeather reslslantjob5/tePOS&Wboard
shall be provided iv rece/ne duplicate 77WWMtCe104W&V as each required protective beaftmtIs completed,
providing a Moyfar Me person Ate permttIs Issued to and another copy for time building permitMec The 77Babment
Civgflcate shall provide the product used, Identity of Me applkdar, dme and data of the &wtmen4 sue/ocadon, area
boated, chemical used, peromtmnmhaWn and number ofga/lo/ls used, to establish a verrirab/e record of
profeave treatment If the soil dremlca/barrier meMod fortermlte prevenVon Is used, Anal aWWorbwtmentshall
be completed prior to Baal &#Iding 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.