HomeMy WebLinkAbouttermitePlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2272 Fax 772-462-6443
PERMIT:'' JOB ADDRESS: Gla !U, ..�_,
SUILDERICONTRACTOR: w
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: S;7 o
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with tl-*, standards of the National Pest Control Asso(iation.
Square feet if area treated:
Percentage of solution: o . 10
Date of Treatment: _ 2 ,,, L 202 0
Footing
1st Treatment
Re -Treat
.____Driveway
1' Treatment
Re -Treat
Other
11 Treatment
Re -Treat
Chemicals used: t ear o,.1 2
Total gallons used: Sa
Time of Treatment: 2- • Z f�7A_
Slab
✓ 1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final In a ion
Signature of Extermin Date
Note.* Mere inust.be a compk.eted form for each required treatment or re_bvdtmtmt and this form must l�� an the jr�ii
site to be picked up by the inspe dur at three of each inspection or the sd7ed ,�r1 inspc iron will fall and a re insve job
fee Margea!
FBC 05.20i�te'ofProtectnre Ti tmenfforpreventYon of termite's. A weatherresistantjobsitL postingboard
shall be provided to tecenov duplicate Treatment Ge_&ficates as eaoi required protective treatment is compleftx
pmviding a copy for the person the permit rs issued to and another copy for the building permit Akm The Treatment
Certificate shall provide the product used, identity ofthe applicator, time: and date of the bvai men4 site location, atea
treated, 0hawOl used, percent concentration and number Ofgallons usL-1 to astablish a Yel able record of
protective treatment Ifthe soilcliernical bamermethod for termite prevention is used, finalexted"or treatment dial!
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 bates of applications.