HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEJun 261810:33a Von Kuehlman ,
OUANNED
V BY
3t. Lucie County
32A '"1581
Planning & Development Services
Building & Code Regulation Division
COLJNTY 2300 Virginia Ave
• R I D AFort Pierce, FL 34962
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I l os'-b :Z JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: �ca�rP551t
PEST CONTROL LICENSE
p.1
RECEIVED
JUN 2'8101B
Permitting Departmen,
St. Lucie count,
&0`4 &r' t )p
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: 100 Sic A�* Chemicals used: "ee-t \ C
Percentage of solution: oho Total gallons used: 10 !abm fibs
Date of Treatment: 6 - a D ►6 Time of Treatment Q - Q Q QA-M
Footing Slab
1� Treatment 15'Treatment
Re --Treat Re -Treat
Driveway Pools
15` Treatment 1t Treatment
Re -Treat Re -Treat
Other ,�Peri .ter for Final Inspectiop
1�` Treatment
Re -Treat fez.--- 6-A- 119
Signa re of Exterminator Date
Note: There must be a completed form for each required teatnentorm-treatmentand this form must be on the job
site to be picked up by the inspector at tine of each inspection or the scheduled inspection will fail and a re4nspecdan
fee charged.
FBC164.2.6 Certfirate ofPmtective Treatment for prevention of termites A weather resistrntjobsite posting board
shall be provided to receive duplicate Treatment CertiBCates as each required protective treatment is completed,
providing a copy for the person the pennit is issued to and another copy for the building permit files. The Trealment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment site /ocaton, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment- If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
becompletedpriorto-finalbuildingappmval. -
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.
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SCANNED
BY
St. Luce Cnnnh,
D L (oEOdi
OCT - 6 ROM