HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEVj
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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
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RECEIVED
OCT 2 5 2019
ST. Lucie County, Permitting
CERTIFICATE OF TERMITE TREATMENT SCANNED
CONSTRUCTION SOIL TREATMENBY
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St. Lucie County
PERMIT #:—J 91 o_n004 JOB ADDRESS: 104 Riverview Drive Jensen Beach
BUILDER/CONTRACTOR: Re uiation Concrete
PEST CONTROL CONTRACTOR: Patrick hxterminatin
PEST CONTROL LICENSE #:_ 4864
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: 600
Percentage of solution: .25%
Date of Treatment: 10 22 19
Footing
1' Treatment
Re -Treat
Driveway
I" Treatment
Re -Treat
ether Garage
is Treatment
Re -Treat
Chemicals used: CY2er TC
Total gallons used:
Time of Treatment: 10 : 3 0
Slab
la Treatment
Re -Treat
Pools
I't Treatment
Re -Treat
—Perimeter for Final Inspection
/19
Signature of Exterminator Date
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 plcked up by the inspectorat time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6CertificateofProtective7reatmentforpreventlonofte,mites. Aweather resistantjobsitepostingboatd
shall be provided to receive dupllcate 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 permlt,fr/es. The Treatment
Certificate shall'provide the product used, rdentlty of the applicator, tine and date of the treatment, site location, area.
treated, chemical used, percent ConLLntration and number ofgallons used to establish a verifiable record of
protedlve treatment. If the so/l chemical barrier method for termile prevention is used, final exterior treatment 51011
be completed pdor 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.