HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34992
772-462-2172 Fax 772-462-6"3
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT" #: 00 g JOB ADD - S: 6 /0
BUILDERJCONTRACTOR: G JJl
PEST CONTROL CONTRACTO
PEST CONTROL LICENSE #: � I hi !, e 7"
SCANNED
BY
St. Lucie Count
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National est Control Association.
Square feet If area treated- y00 Sjr Chemicals used: (� &Si hlnf
Percentage of solution: ° 6
Date of Treatment: Z /y
_footing
1" Treatment
�____Re-Treat
_Driveway
_. 11' Treatment
Re -Treat
_Other
_Ss Treatment
_Re -Treat
Total gallons used: 1 H 5
Time of Treatment:
— 2S Slab--- —
�S _1�t Treatment
_Re -Treat
Poals
1�1 Treatment
_Re -Treat
_Perimeter for Fgal Inspectlon
Signature of Exteravlo,
7Y9sl
P L, Fol',f- P, e*'&&
Note: There mt&ba a completed form foreach required treatment orre-treabneDtand this farm mustbe on the job
site to be plow up by the Inspector attune ofearb inspection or the scheduled irespeeffon W11 fall and a•re-lnspecdon
fie charged
FBC104.2.6CsftiHrateofprotecUpeTreatmentforpiwentlonoftera7rtea Aweatlrerres&tantjobsitepastengboard
shall be provided to racsAe dupliete Treatment Cavflrates as eadr required prorecilve lreabnent& completed,
prong a ropy for the person the pennft & Issued to and another copy for the bullding permit files. The Treatment
certllrcateshall pm We the product used, ldentVOf the appllcatorr time and data of the treatment, site loratrbn, area
treated, *elm& rued, percent concenbadon and numberofgallons md, fn ddabflsh a Miff3ble record of
protectfue treatment Ifthe soil chemical bamermethod for termlte prewnfion leuwd, final ertedor treaimerrt shalt
be completed prlar to final L&Idbrg approval.
St Lucie County requires for the final inspection for CO, a Permanent Stinker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications- .