HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEN
Planning& Developmentssm'Aces SCANNED
ip Building & Code Regulation D'mWon BY
2= Virginia Ave
E , , Fort pierce, FL349132 St. Lucie Countv
772-462-U72 Fax M-46z-CM
CERTIFICATE OF TERMITE 7REATMENT
cONSTRUCTION SOIL TREATMENT
PERMIT #: CLo7-0W% JOB ADDRESS:
BUILDER/CONTRACTOR: ocJSTRJ Q
PEST CONTROL CONTRACTOR: Q -f n��P k Kem4--�✓ Tat rNG
PEST CONTROL LICENSE �'T !2 +�
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: Chemicals used:
Percentage of solution: Total gallons used: g
Date of Treatment: 0-,Q- « Time of Treatment;
Footing
_lam Treatment
_Re -Treat
_Driveway
_ 1!�' Treatment
_Re -Treat
Other
_o Treatment
Re -Treat
iX Slab
e Treatment
-Re-Treat
_Pool
0 Treatment
_WTreat
Perim f final ipspection
Signature of E?� rninator
Note: There mustbe a completed form for eaa+required beab»ent orrr-treatmentand this form mustbe on the job
site to be pfdred up by Me lrtspeclorat ifine of each fnspsctlon or the scheduled inspecffon will fall and a•re-inspection
fee charged.
FBC,CC2.6CertffitateofAvtsrlfveTraMentforpremffonoftemu%£ Aveatherresisiantjabsilepastirtgboatd
shall be provided b receive duplicate Treatment Cerlifrrat?sas eadi rqu/red profs i e treabnentis comp/eted,
providing a copy for the person the permit is &wad to and another copy for Me building perm?WE& The Treatment
cemfiraresha/!provide toe product user! identityoftfie appCcotor, time and date of the treatment; siteferatlary arm
treated, orencal used, pwmntmno57&ationandnumberofgallonsust to esbbflsh a vedfrable remrd of
protectrrre beatment TfMe sort chemical bardermetitad fartemrdP pnarentfon A7 used, final exterior tnatmentshaD
be completed prorto final building approval
St Lucie County requires for the final ilispection for CO, a Permanent Sticker to he placed on
the electrical panel hox cover, resting all the treatments and dates of apprirations.