Loading...
HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEnu g ` planning & Development Services S 1 -! Building & Cade Regulation Division © I IN kp'' 2300 Virginia Ave ouhmVEp f 1 "fit ON *�� Fort Pierce, FL 34982 S BY .>t— , n 772-462-2172 Fax a72-462-6443 t. U61511 COUntV CERTIFICATE OF TERMITE TREATMENT CONSTRUCnO N S IIL TREATMENT PERMIT" #: $LC' 1705-025L JOB ADD'�jESS: BUILDER/CONTRACTOR: Amami I �MzS PEST CONTROL CONTRACTOR: C e PEST CONTROL LICENSE #: X066 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: I20 Percentage of solution: ().06 Date of Treatment: g-2S-n Footing Is'Treatment Re -Treat Driveway 1' Treatment Re -Treat Other 1s Treatment Re -Treat Chemicals used: 4A/SIA2 Total gallons used: Q44A Time of Treatment: DO PM Slab e Treatment Re -Treat Pools P Treatment Re -Treat Perjmeter fpy. Hnal Inspection Exterminator Date Note: There must be a completed form for each required treatment or re -treatment and this form must be on thejob 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 ofProtecgive Treatmentforprevention of termites A weather resistantjobsite pa5ft board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated chemical used, percent concentration and number ofgallans used, to .stab/ish a verifiable record of protective treatment. If Me soil chemica/barnermethod for termite prevention is used, final exterior t eatmentsha// be completed prior to fina/building approval. St Lucie County requires for the final inspection for My a permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. Revised 7/24/2014