HomeMy WebLinkAboutCertificate of Termite Treatment 1V, V
Planning &Development Services
1 ;= _ Building &Code Regulation Division
® 2300 Virginia Ave
o Fort Pierce, FL 34982
-' 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
(CONSTRUCTION SOIL TREATMENT
PERMIT JOS ADDRESS: 5U01 &_vck Or E'di't Pim �L MSD(
BUILDER/CONTRACTOR: I
PEST CONTROL CONTRACTOR: o Cjocke.;:yl e)
PEST CONTROL LICENSE #: G,55Ci
We,the undersigned, here*6pdrtify that we have pretreated the above described construction for
subterranean termites in accord ince with the standards of the National Pest Control Association.
Square feet if area treated: 'L�5 Chemicals used:
Percentage of solution: 0.Otp; Total gallons used:
Date of Treatment: Z Time of Treatment:
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Footing Slab
Slab
_ist Treatment `: ist Treatment
Re-Treat Re-Treat
Driveway Pools
ist Treatment j is'Treatment
Re-Treat ! Re Treat
Other Perimeter for Fina nspection
ist Treatment All
q
Re-Treat
Signature of Exter ' ator Date
Note: There must be a completed form far each required treatment or re-treatment and this form must be on the job
site to be picked up by the inspectoriat time of each inspection or the scheduled inspection will fail and a re-inspection.
fee charged. 4
FBC104.2,6 Certificate of Protective' Treatment for prevention of tennites. A weather resistant jobsite posting board
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shall be provided to receive duplicate1 Trent certificates as each required protective treatment is completed, '
providing a copy for the person the p'ermitis issued to and another copy for the building permit fries The Treatment
Certificate shall provide the productused,identity of the applicator,time and date of the treatment,site location,.area
treated, chemical used,percent coadFntration and number ofgallons-used, to establish a verifiable record of
protective treatment. If the soil cher;micatbarrier method far termite prevention is used,final exterior treatment shall
be completed prior to final building approval
St Lucie County requires for oe find inspection for C%a Permanent Sticker to be placed on
the electrical panel box cover.' listing all the treatments and dates of applications.
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Revised 7/24/2014
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