HomeMy WebLinkAboutTermite TreatmentPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772 462-2172 Fax 772-462-6443
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 0 /- 6 �_20 JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: COASTAL PEST CONTROL OF THE TREASURE COAST
PEST CONTROL LICENSE #: #806e1as5s94
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::
Percentage of solutiony= 0 6 x
:
Date of Treatment: / 1 7,if_
Footing
1't Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Chther
15` Treatment
Re -Treat
Chemicals used:
Total gallons used:
Time of Treatment:
Gisr�
Ev
l /=30
Slab
1 Treatment
Re -Treat
Pools
1 Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
NoteThere mustbe a completed form for each required beabnentorre-beeatmentand th/s form mustbe on tbejob
site to be p/dted up bythe /nspectorat time ofeaoS Inspection or tbesd7eduled Inspection will fall and a reynspectlon
fee charged.
FBC104.2.6CetifioteofProtacYveTreabnentforprevendonoftermiles. Aweatfierreslstantjobsitepostingboard
shall be provided to recelve duplicate Treafrnentilertt icates as each required protective 6tatmentls completed,
providing a copy for the person the perrnitIsIssued to and another copy for the building permit Ales. The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of Me treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment If the soll them/cal bam'ermethod fortermfte prevention Is used, Anal exterior treabnentshall
be completed prlorto 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.
MV15ea III.W. U14