HomeMy WebLinkAboutInspection Docs Jun 08 2015 11 : 04AM HP LASERJET FAX P. 1
- �, ---- JUN -8 2015
IN
2300 Virginia Ave-
Fort Pierce, FL 34982
772-462-2172 Fax 772-452-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREA7ME T
PERMIT ,E: LC-1506-0073 JOB ADDRESS: 5703 MURTLE' DRIVE ST LUCIE COUNTY
BUILDER/CONTRACTOR: DESIGN CONCRE'T'E
PEST CONTROL CONTRACTOR: PATRICK EXTERMINATING INC.
PEST CONTROL LICENSE #: 4864
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: 160 Chemicals used: CYPER Te
Percentage of solution: .25 Total gallons used: 60
Date of Treatment: 06/08'/15 Time of Treatment:- 10:00
Footing Slab
1s'Treatment 11�Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1't Treatment
Re-Treat , Re-Treat
-..:-_Other gATTn Perimeter for`Final Inspection
1'�Treatment
Re-Treat
Signature of'Exterrmina or
Note: •There must be a completed form for each required treatment or re-treatment and thfs form must be on the job
site to be pidwd up by the inspector at time of each inspectfon or the scheduled Inspection will fail and a re-inspection
fee o5arged.
FBC104.20 6 Certificate of protective Treatment for pt'evention of termites. A weaffier resistant jobsite posting board
shall be provided to receive duo&ate Treatment Certificates as eao`1 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 treatmen4 site location, area
treated, c;�emical used,percent concentration and number of gallons used, to establish a verifiable record of
protective treatment If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.\
St Lucia County reggi res for the final inspection for CO, a PermanentSticker to be placed on
the electrical panel box cover IMna all the treatments and dates of aopflcatlons.