HomeMy WebLinkAboutCertificate of Termite Treatment t
_ ! Planning &Development Services
_ Building &Code Regulation Division
2300 Virginia Ave
OW i i Fort Pierce, FL 34982
j 772-462-2172 Fax 772-462-6443
CERTI ICATE OF TERMITE TREATMENT
(, CONSTRUCTION SOIL TREATMENT
i
PERMIT #: / �,D- OB ADDRESS: J�
�n�-
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA OR: 4
PEST CONTROL LICENSE #:
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accord nce with the standards of the National Pest Control Association.
I
Square feet if area treated: aill qAC Chemicals used: /a b!&
Percentage of solution: i l Total gallons used: O
i
Date of Treatment: I ! Time of Treatment: 3,"C>C)
Footing Slab
1st Treatment [ Ist Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment ` 1st Treatment
Re-TreatRe-Treat
Other + Perimeter for F I Inspection
1s'Treatment
Re-Treat
SignatureofExterminator Da
Note: There must be a completed f rm for each required treatment or re-treatment and this form must be on the job
site to be picked up by the inspeecfo at time of each inspection or the scheduled inspection will fail and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protect/v Treatment for prevention of termites A weather resistantjobsite posting board
shall be provided to receive duP/Acat. Treaf-nest Certificates as each required protective treatment is completed,
providing a copy for the person!the hermit is issued to and another copy for the building pennit 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!con ntration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil,cheiica/barrier method for termite prevention is used,final exterior treatmentsha//
be completed prior to final building approval.
St Lucie County requires for t�e 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 7/24/2014
r
i
i