HomeMy WebLinkAboutCertificate of Termite Treatment j
Planning &Development Services
Building&Code Regulation Division
0 2300 Virginia Ave
Fort Pierce, FL 34982
712-462-2172 Fax 772-462;6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 30B ADDRESS: DO5�� �
BUILDER/CONTRACTOR: ) 4 c it
PEST CONTROL CONTRACTOR: f
PEST CONTROL LICENSE #: -Sig fS5—!?��
We;the undersigned, hereby.certify that vire 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: Chemicals used: f �� ( 5
Percentage of solution:_ � Total gallons used: /J
Date of Treatment: Time of Treatment:
{
Footing Slab
l Treatment ist Treatment
Re-Treat Re-Treat
un ay Pools
Z Treatment 1st Treatment
Re- at Re-Treat
:20ther Perimeter for I Inspection
1 t Treatment
Re-Treat
Signature o Exterminator ate i
Note., There must be a completed form for each required treatment orre-treatment and this fain must be on the job
site to be picked up by the inspectorat 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
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,.
providing a copy for the person;tfie permit is issued to and another copy for the building permit frles The Treaftni nt
Certificate shall provide Me product Wised,identity of the applicator,time and date of Me treatment,site local on,:area
treated, chemical used,permntbonc�wtratron and number ofgallons used, to establish a verifiable record of
protective treatment If the soil Chet tical barrier method for termite prevention is used,final exterior treatment shall
be completed prior to final building aQproval
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