HomeMy WebLinkAboutTermite CertPlanning & Development Services
S ' J Building & Code Regulation Division
0 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT -
PERMIT #: -9X?-05 JOB ADDRI
BUILDER/CONTRACTOR: %C
PEST CONTROL CONTRACTOR: 774C
PEST CONTROL LICENSE #:
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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: 3 as S! Chemicals used: I t
Percentage of solution: • G3 V-0–
Date
of Treatment: & 6
_XFooting
1s'Treatment
Re -Treat
Driveway
1-5t Treatment
Re -Treat
Other
1st Treatment
Re Treat
Total gallons used:
Time of Treatment:
Slab
15' Treatment
Re -Treat
Pools
3 SQ fmrc.-
q-x3aAk
1'� Treatment
Re -Treat
Peri for Final Inspection
Peri
- /5- b,
Signature o ermin r Date
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for pvention of termites. A weatherresistantjobsite pasting board
shall be provided to receive duplicate Treatment Cert>icates as each required protective treatment is completed,
prioviding a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment; site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a venfrable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
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 dates of applications.
Revised 7/24/2014