HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2WO Virginia Ave
Fort Pierce, Fl- 34982
772462-2172 Fax772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT y l=3 `i W OB ADDRESS: 13% (othoin I
BUILDS ONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #• L� e, ^�
SCANNED
BY
St. Lucie County
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: /OM
Percentage of solution: gOC-A�—
Date of Treatment: /(0 /(.
_ )QFooting
1� Treatment
_Re -Treat
_Driveway
_ . J� Treatment
_Re Treat
_Other
_151 Treatment
Re -Treat
Chemicals used: tnseli*2
Total gallons used: /Qb
Time of Treatment:
Slab
1e Treatment
_Re -Treat
__- wools
_1g Treatment
.Re -Treat
_Perimeter for Final Inspection
Sionatuavof Exterminator
Note: There muss be a completed form for each required treatment orre-treabnentand this form mustbe on the job
site to be picked up by the Inspector at time ofagh lrspedlon or the scheduled lnspenlron will fall and a•rednspeaYon
fee charged.
FBC104.2.6Cerbflcoteofpro1edWTreatmentforpre4mbonoftermite% board
steal/be provided b receive dupitate Treatment Cerffflrates as ead� required pro&xtve trwimentis completed,
providing a ropy for the person the permit is issued to and anoMer copy for the bullding permit files The Treatment
Cerbfica& shad provide the product used, identity ofthe applicator, b'me and date of fhe treatment, site locatton, area
treated, dremical used, percent concentration and number ofgallons used to dstatflsh a venfrable recordof
pmi&Wve treabment Tf the soli cl)Lmical baMermeffrad for termite prevention rs used, final exterior treatment shall
be completed prior to final building approval.
St Lucia County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Planning & Development Services
Building & Code Regulation Division
=0 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT#:_ITil-CAAk►-1 JOB ADDRESS: 03e`So
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: - - a 'saty. ecf W] t
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:lW002_
Percentage of solution: , Oao
Date of Treatment: a°au 1 !b
,Fooling
la Treatment
�_Re-Treat
_Driveway
_.15t Treatment
_Re -Treat
_Other
1� Treatment
Re -Treat
Chemicals used: R056-ft-e—
Total gallons used: Mr3
Time of Treatment: O o
%C Slab
�Q1¢ Treatment
�Re-Treat
`Pools
I�t Treatment
_Re Treat
—Perimqter for Final InsDemon
Sig tune of EA6rmlnator
Note: There must be a completed form for each required treatment crre-treatmentand this farm mi stbe on the job
slfe to be picker/ up by the Inspector at time of each Inspection or the scheduledImpecb'on w01 fail and a•re•Utspedion
fee charged.
FBC104.2.6Cerdfi®teofprota:;yve7-reatmerrtforpramntlonofftmites Aweatherredstantjobslte posting board
shall be provided to ra�-/ve duplicate Treatment L&b tea as eadt required pmteclive ireabnent/s completed,
providing a mpyfar the person the permit is issued to and anodter copyfbr the bul/ding permit fi/es, The 7reabrrent
Certificate shall provide the product used, identity of 09 appilcator, bYne and date of the treatment, site tocatfon, area
treated, dremlcal toed, percent mncenttabon and numberofga/Ions used, to estabffsh a verifiable record of
pmtecb've beatmmt If the sot! dtemical barriermethod far termite preveniton used final exterior treatment shall
be completed prior to hoar building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, [Misting all the treatments and dates of applications.
Planning & Development Services
Building Ik Coda Regulation Division
230o Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: iSll' HIV JOB ADDRESS: I3ML 6 5M
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL. LICENSE � t, 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: Qo F
• G/
Percentage of solution: O (0l 6
Date of Treatment: �`irtS
,Footing
19'Treatment
—Re-Treat
_Driveway •
mill Treatment
O.—Treat
Other
7.s Treatment
Re -Treat
Chemicals used: 60,-A l
Total gallons used:
Time of Treatment: l i , D b
Slab
—lu Treatment
_Re -Treat
_Pools
_V Treatment
_Re Treat. �
,�perimeterfor Fna rlsrection
sicAaVjre OLExtermiriator
Nota: There must be a completed lbrm for each required treatment ar re-treabnentand 015 form must be on the job
site to be picked up by the Inspector at time of each Inspection or the scheduled Inspection will fall and a-m-Inspecion
fee charge/
FBC104.2.6 Certitirale ofProtecb've Trea477entforprevention ofterm/tes. A weatherresirtantjobsite posting board
she/1 be prov/ded to receiee dupllete Treatment Certlflrates as each regnlred Pmbscdve baatment/s rompleted,
providing a copyfor the person the permit is issued toand another mpyfar theW014g permit Hies The Treatment
certlHcateshafl provide the product used, Identity of the applicator, time and date of the treatment: site location, area
treated, chemical used, percent concentrddonandnumberof9allons used, to establish a vedHable recordof
protechw treatment if the sail chemical barrlermethod for termite prevention i9 used, final exterior treatment shall
be completed prior to find bulloinil approval.
St Lucie County requires for the final inspection for CO, a permanent sticker to he placed on
the electrical panel box cover•, listing all the treatments and dates of applications.