HomeMy WebLinkAboutTermite CertPlanning & Development Services
__• ::� Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
PERMIT #:
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
JOB ADDRESS: 3 7 Z CqC (�� e l� �� �� e-
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: C A cL Ps -r A4-, nc>,-
PEST CONTROL LICENSE #: �/s &7 9 1W
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.
Square feet if area treated: j5
J.
Percentage of solution: O S17)
Date of Treatment:
_Footing
Y" Treatment
Re -Treat
Driveway
15'Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Chemicals used:
Total gallons used: .1 15 g
Time of Treatment:
Slab
1' Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
Note; There must be a completed form for each required treatment or re -treatment and this form must be on thejob
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee diarged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite pasting board
shall be provided to receive duplicate Treatment Certificates as each required protective 6eatment is completed,
Providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Cer ft,ahe shall provide the product used, identity of the appliratnr, time and date of the treatment, srte kKation, arca
heated, chemical used, percent cnrxentraton and number of gallons used, to establish a mifiabk record of
pvtectAoe 0eatnent If the soll df ernkal bamer method for termite prevention is used, final exterior bre aftnent shall
be aid Prior to final building approval
St Luce County requires for the final inspection for CO, a Permanent Sticker to be placed on
the elecbita1 Panel box cover, listing all the treatments and dates of applications.
RrviceA 7/MIMI d