HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE0
Manning & Development Services
Building & Code Regulation Division �CAIVNED
$380 Viirginia Ave ��
(Fort Piercer Fl. 34982
772-462-2172 Fax 772-02-6443 St. Lucie CoWliv
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT .?qq 8 Z
PERMIT #: K^06- 344 � JOB ADDRESS: 9 i O S C,e.o I w �(� , rd(� G�
6
BUILDER/CONTRACTOR
PEST CONTROL CONTR,4CTOR:99 1
PEST CONTROL LICENSE #: -&'q% I
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: g 0 51r Chemicals used:
Percentage of solution:
Date of Treatment: 6 - Z6 -1 5
_Footing
1a Treatment
_Re -Treat
_Driveway
.1�t Treatment
_Re-T(eat.
Other%r I iri non
Treatment
____Re -Treat
Total gallons used: Zo
Time of Treatment e r 3 O
-Z �
_,4— `Treatment
_Re -Treat
Pools
_151 Treatment
_Re -Treat
_Perimeter for Final Inspection
it "
Signature of Fxtermifiator
Note: There must be a completed form for each required treatment or re -treatment and this farm mustbe on the job
site to tie picked up by the Inspector at time of each inspection or the scheduled Inspecdon W/l/ fall and a4e inspection
fee charged.
FIBC104.2.6 Certificate of protective Tmatmentforpreventbri oftennites. A weatherresistantjob:site posttngboard
shall be provided to receive duplicate TreatmentCertifimtes as each required protective trsatm nes completed,
t
providing a copy for the person the pemrit is Issued to and another copy for the building perm'
The 7�aatmen
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment; site location, area
treated, chemica/used, petrentconcentrationandnumberofgalions used, to establish a verifiable record of
protective beabrtent If the soli djemital barrier method for termite prevention Is used, final exteriortlzatmentsh311
be completed prior to final bu01147 approval.
St Lucie County requires for the final inspection for Co, a permanent Sticker to be placed on
the eiecto ical panel box cover, listing all the treatments and dates of applications-