HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESCANNED 1111311110.0
BY
St. Lucie County 2300 Virginia Ave R& FPEBr CONTROL INC.
Fort Pierce, FL 34982 I,' 1856 8W 8T LUCIE. FL 34984
BAY'9HORE BLVD.
772-462-2172 Fax 772-462-6443 L(772) 8PORT 79-9163 (772) 340-1335
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
• Q21S
PERMIT #: jq%- �" sf JOB ADDRESS: /(2Al S shd .a (a R,Ver- ,Dk
BUILDER/CONTRACTOR: P9o'5 G /e G
PEST CONTROL CONTRACTOR: ��rPes-�
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: Lf= Z0'Z Chemicals used: �e h
Percentage of solution: ZS- - ,a Total gallons used: 2 0'5E 'dAQ )'7l`
rr
Date of Treatment: Z -me of Treatment:
Footing
1' Treatment
Re -Treat
Driveway
i' Treatment
Re -Treat
Other
1� Treatment
Re -Treat
o-
Slab
1" Treatment
Re -Treat
Pools
15 Treatment -
- e t
Perimeter for FWInspection
Signaturb of`Ezt8rminator
Note: There must be a completed form for each requll'ed 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-inspectlor
fee charged.
FBC104.2.6Certificate ofProtective Treatment forpi'evenbonoftermites Aweatherresistantjobsitepostingboard
Shall be provided to receive duplicate Treatment Certificates as each required protective treatment 1 pleted
com,
prov ding a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Cerff'Cate 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
01/19/2020 17:15
770
JMGM
PAGE 01
SCANNED
BY
St. Lucie County
PERMIT #:
BUILDER/CONT
PEST CONTROL
PEST CONTROL
We, the undersigned,
subterranean termites
CERTIFICATE
CONSTRU+
H
E3
"eby certify that we F
accordance with the
Square feet if area treated: �(�g
Percentage of solution:
Date of Treatment:
Footing
1' Treatmdnt
Re -Treat
Driveway
1n Treatmelnt
Tre t
—Other
1' Treatment
Re Treat
i
Nose: T here must be a co4pleted corm ror each
srta to be puked up 4 V the (Tspectar at r/me of CO
fee and/yed
FBC104.2.6 Cartincate of k,-,t Lt1ve Treatment ft
shall De prov/dad to recelve Idupl/care Traarrnent C
proVkarng a copy for the person the permit is issua
^art;,1C.ite shall provide me product uses; identity
treared, chemk4l used, pentent COncentrstion and
prolrcfive treatment, If thq svil chem/cal tra„ter n
.7a compieted prior to anal building approi,ai.
St Lucie County requin2s for the final ins,
Pierce, FL 34982 L
L72 Fax 772-462-6443
r_.�1_
Ciys3
JAN 2 2 2020
Permitting Department
St Lwci@ CountY, FL
F TERMITE TREATMENT
[ON SOIL TREATMENT
pretreated the above described construction for
dards of the National Pest Control Association.
Chemicals used: /
Total gallons used: o2D<
Time of Treatment: 1 3b
_..Slab
—I'Treatment
Re -Treat
.,..Pools
1'tTreatment
R t
Perimete for Inspection
Signatur o rminator
wired treatment or re -treatment and this form must be on the job
Inspection or the scheduled inspection will fail and a ra-inspectior.
7revention of termites. A weather resistantjcbsite posting board
ificates as each required protective treatment is completed,
a and another Copy for the bul/ding permit files. The Treatment
the applicator, time and date of the treatment site location, area
ember of gallons used, to establish a venfrable record of
rind for termite prevention is used, final eaterror tmatmentshall
for CO, a Permanent Sticker to be placed on
tments and.dates of applications.