HomeMy WebLinkAboutCertificate of Termite Treatment I � I
Planning&Development Services i
Building&Code Regulation Division i
2300 Virginia Ave
o a i Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CER-Til KATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: i JOB ADDRESS: L i
BUILDER/CONTRACTQR:
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PEST CONTROL CONTRA Ok: (�, _� r-n I
PEST CONTROL LICENSE #: S',5-14
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We, the undersigned, hereby cerfiify that we have pretreated the above described construction for
subterranean termites in accord nce with the standards of the National Pest Control Association.
Square feet if area treated: �� Chemicals used: 7, 4a r I
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Percentage of solution: Total gallons used: l R
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Date of Treatment: l Time of Treatment: j j
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Footing � ' Slab � I
1st Treatment I 1 Treatment
Re-Treat ' I Re-Treat
Driv r4y Pools
1 Treatment " 1t Treatment
Re-Tr I Re Treat i
other ' Perimeter for Inspection
1st Treatment 1 II
Re-Treat
Signature of rminator /bateI
Note. There must be a completed form for each required treatment orre-treatment and this form must be on the joh
site to be picked up by the insaecto at time of each inspection or the scheduled inspection will fail and a re inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board I
shall be provided to receive duplicatq Treatment Certificates as each required protective treatment is completed,
providing a copy for the person�Ihe Rermlt is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product 1✓sed,identity of the applicator,time and date of the treatment,site location,area
treated, chemical used,percentjcon ntration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil the ical barrier method for termite prevention is used,final exterior treatment shall
be completed prior to final building approval
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.
Revised 7/24/2014 }
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