HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEAug 281703:06p The Bug Dr. Pei' "-,,ntrol
779-144-7480 p.1
. ^ Planning & Development Services SCANNED
I Building & Code Regulation Division BY
2300 Virginia Ave
' Fort Pierce, FL 34982 St. Lucie Countv
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
rtrcrvll I_1rIC�''� U �,,J.i*3B ADDRESS:
BUILDER%CONTRACTOR rme
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: \c,44� r G
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in acoerdance with the standards of the National Pest Control Association.
Square feet if area treated: 2 �p
Percentage of solution: t OSP)Q)
Date of Treatment: �'?_
_Footing
_in Treatment
—Re-Treat
_Driveway
_1% Treatment
—Re-Treat
Other
_1't Treatment
—Re-Treat
Chemicals used -Ph
AV�I\%r1tOV1
Total gallons used: 2 ) S
Time of Treatment: 2! up, n VVN
_ C—Slab
_ln Treatment
-X-_Re-Treat
_Pools
_1St Treatment
—Re-Treat
Perimeter r Frei Inspection17
Signature o erminator Date
Noter There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re inspection fee charged.
FBC104.2.6 Certificate of Protective Treatment forprevention of termites. A weather resistantjobsite pastinboard
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is gcompleted,
providing a copy for the person the permit is issued to and another copy for the building permit flies. The Treatment
Celtricate shall provide the product used, identity of the applicator, time and date of the treabnent, site location, area
treated, Chemical used, percent concentration and number cfgallons used to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention fs used, final exterior treatmentshall
be completed prior to final building approval.
St Lucie 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.
Revised
RECEIVED AIIG-2 9.1017