HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEk
SCANNED
BY
St. Lucie County.
Fort Pierce, FL 34982 .
772-462-2172 Fax 772-462-6443
RECEIVED '
NOV 0 4 2019
Permitting Department
St. Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #SL C -0 � JOB, ADDRESS: O t� 0 � -. ri h I Q e -'f , Fk
BUILDERICONTRACTOR: efl r1 on . f 10 -e
PEST CONTROL CONTRACTOR,: -C y {r/7
PEST CONTROL LICENSE #; 69
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; Lh • Chemicals used: Cyperme i ci/ acY! n
Percentage of solution: Total gallons used: l5
Date of Treatment: �° Time of Treatment: ^ 00
Footing
_is'Treatment
Re Treat
Driveway
1" Treatment
Re -Treat
Other
is` Treatment
Re Treat
Slab
la Treatment
Re -Treat'
Pools -
1V Treatment
Re-Treat-
PMIMlI,
rispectionn (�5e=-".
Slgnature of Exterminator
Note: Ihere must be a completed form far each required treatment orre-treatmentand this farm must be on the Job
slte.to be picked up by the inspectorat time of each inspection or bye scheduledinspeciron "I fail and a re inspection
fee charged.
FBC104.Z6 Certificate ofProted" Treatmentforpi'evention of termites. A weatherres/siantjobsite posting board
shall be provided to receive duplicate Treabnent Certifigtas as each regpired protective treatment is completed,
providing a copy far the person the permltIs issued to and another copy far the building permit files. The Treatment
Certificate shall provide the product used, fdendty of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concenbaton and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite preventfon is used, final exterior treatmentshall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
erc�