HomeMy WebLinkAboutCertificate of Termite Treatment19 0� -_ G (b qor
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
i Fort Pierce, FL 34982
17 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: pdj_ o6q,� JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR;
PEST CONTROL LICENSE #: , �� ia r:k
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.
Meet if area treated: :vs Chemicals used:-�-
Pe'rcentage of solution:
Total InthnTs used: 17
Date ofTreatmenf:_LJm /70Z0
Footing
15` Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Othe 5 �l
�L Treat ent
Re -Treat
Time of Treatment: 2:1Z.
Slab
1St Treatment
Re -Treat
Pools
ist Treatment
Re -Treat
-Perimeter for Final Inspection
aY
ful oSh9 /zo2o
Signature of Exterminator
Date
Note; There must be a completed form for each required treatment or re -treatment and this form must be
site to be picked up by the Inspector at time of each inspection or the scheduled inspect/on Will fall and fee charged, on the job
a re -inspection
FBC104.2.6 Certificate of Protective Treatment for prevention of termites, A weather resistant bb
sha/l be provided to receive duplicate Treatment Certificates as each required protective treatme
providing a copy for the Person the permit is issued to and another co site posting board
Cert/ficate sha//Provide the product used, identity of the app/icator, time and date odthe prem nt is camp/eted,
treated, chemical used, percent ccncentrat/on and number of gallons used, to establis 9 permit files, The Treatment
protect/ve treatment, If the soil chemical barr/er method for termite prevention is used treatment sipe location, area
be comp/eted prior to final building appro va/, h a veriftable record of
St Lucie County requires for the final inspection for CO, a Permanentf/na/exteriortreatmentshall
the electrical panel box cover, listingall the treatments and Sticker to be placed
p
� dates
revised 7/24/2014 applications, d