HomeMy WebLinkAboutTermite CertPlanning & development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772.462-+6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATNENT
PERMIT #: D, Oc_3 -- 6 SO QOB ADDRESS: 1 9 0
BUILDER/CONTRACTOR: c irlc .f Ac= L.
PEST CONTROL. CONTRACTOR: i
PEST CONTROL LICENSE #: T6
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the rational Pest. Control Association -
Sq u are
ssociaatiion_Square feet if area treated: Chemicalsused:
Percentage of solution: Total gallons used: r
Date of Treatment:
L -1/r +Joting
✓ 1" Treatment
Re -Treat
Driveway
1" Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Time of Treatment: T
Slab
1"' Treatment
Re -Treat
i'1 Treatment
Re -Treat
meter %nspection
Signature of terminator Bate
Note: There mustbe a completed form for ean7 required teatmeator m-beatment and this form must be on the job
site to be picked up by the inspedorat dme ofeadr inspection or the sdiedufed inspection will fail and a ro-inspeci%n
fee a`iarged.
FBC104.2.6 Certificate ofProtac fve Treatment for prevention oftet-mltes A weather resistant jol,�site pvsdtlg beard
shall be provided to revive duolkale Treatment Certificates as each requimdprotemv-- trratm mtis completed,
providing a copy for (ire person the permit fs fssuad to and another copy for the building permit files. 'The Treatment
Certificate shelf provide dwproduct used', fdent lty of the applicator, dme and date ofthe (teat men4 situ /ncatfon, aeM
&e-aled, dremicaf use4 percent wncenbatian and numbs- ofgdllons used, to establlsh a verifiable record of
protective treatment: If d°re" s5emim1 bar#ertmetfiod far terrnite preven(fon IS used, final Prior &valrment'shali
be completed prior to final building approval.
St Lucie County requires for the final inspection fbr CO, a- Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications..
Rce cd 7/2412434