HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Yrginla Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
SLHIVIVtL
CERTIFICATE OF TERMITE TREATMENT BY
CONSTRUCTION SOIL TREATMENT St. Lucie Crnlnb
I
PERMIT #: �j '_ ]OB ADDRESS: �S� S�4{i• t 15 `� �Jq Ly j_ St
BUILDER/CONTRACTOR: _ 1 X �e � le %%Gj
PEST CONTROL CONTRACTOR:G
PEST CONTROL LICENSE #:_�$ t,` �'�^,. a
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: , !qQa
Chemicals used: bGU rti
Percentage of solution: OW/0 Total gallons used:
Date of Treatment: Time of Treatment:
_Footing
_i4 Treatment
Re -Treat
—Driveway
_Driveway
_1a Treatment
R Treat
_Other -6? e�
Treatment
—Pe-Treat
— Slab
_1n Treatment
—Re-Treat
_Pools
I" Treatment
Treatment
reat
_P for Final Inspection
Signature of Exterminator
Note: There must be a completed form for each required beabnent or re -treatment and th/s form must be on thejob
site to be P11*ed up by the Inspedorat time ofeadh Inspectbri or the scheduled Inspection
fee arge
wil/fall and a•2 lnspecrion
chd
FBC104.2.6CertificateOfprotectiveTreabnentforpreven6onOfterm/tes Ameatherresbtw obsitapostingboard
she//be pro to reoe/ve dupllcate Treabnent Certfiete9 as porch regrdred protective bpabnent/s completed,
prov/�ng a copyfor tre person the perm/tcs /sued to and anothercopy foithe bui/�ngpermit &wImEn/es The Treatment
Certfiele s$al/Pmhde tre product raed, /dentlyofMe applicator, time and date of the heabneny ste loroton, area
treated, a5emlo/used, ppmnt mncerhtraton and number ofgallons use hr estrb/cash a WjWab/e record of
prot�vebeabnarht IfthesuddeemiaQwmermeffic tamilep2vcrtoei&VIS Gina/exteriorbeatmeatsha// becompleted prnor to fma/bu/Idag approval .
St Lude 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.