HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE„. ri, Planning & Development Services
Building & Code Regulation Division
2300 virginia Ave
Port Pierce, FL 34982
-......__._._.._._ -.--,. 772-462-217? Fax772-462-6443
PERMIT #: � -0(0 -Ol Se JOB ADDRESS:
BUILDER/CONTRACTOR: 17 6
PEST CONTROL CONTRACTOR
PEST CONTROL LICENSE #: i h �"t”
SCANNED
BY
St. Lucie County
9311 WoNey -FAC,
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: 77 r% Chemicals used: Q3o Sg� j✓1&
Percentdge of sowtion::j D (% Total gallons used:
Date of Treatment: Time of Treatment: %/ D 0
_Footing
1� Treatment
!Re -Treat
_Driveway
.11 Treatment
_Rd -Treat
_Other
1� Treatment
Re -Treat
Slab
�
Sa Treatment
—Re-Treat
_Pools
la Treatment
_Re
Treat
Perimeter for Final Inspection
Signature of Exterminator
Note: There must be a completed form for each required treatment orre-treatmentand this farm mustbe on the job
site to be picked up by the inspector at time of each inspection ar the scheduled inspecdon will fall and a•re-inspection
fee charged.
FOCI D4.2.6Cer#ffrateofprotectiveTmatmentforpreventonoftermitas. Aweather reststantjobsiteposdngboard
shall be provided to receive dupilcate Treatment cerDAcates as each required protective treatment is completed,
providing a copy far the parson the permit is issued to and another copy for the buiidng permit files The Treatment
Certficate shall provide the product used, identty of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil cljemiral barrier method for termite prevention Is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucie County requires for the final inspection for CO, a permanent Sticker to be placed on
the electrical panel box cover, listing ail the treatments and dates of applications.