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 TREATMENT
��c/ //- /�J�r r ._ %st✓ rPERMIT #:�Ji ?G SSF
BUILDER/CONTRACTOk.
PEST CONTROL CONTRACTOR: y�uv__!'cs, /%/�9rt/'J'
PEST CONTROL LICENSE 2-s
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: a?aO U Chemicals used: 45,g4 ,16 t r_ 2 r
Percentage of solution: "!JS w" Total gallons used: o?3O
Date of Treatment: Thee of Treatment:
_Footing _`/_ _Siab
1" Treatment 1R Treatment
Re -Treat Re -Treat
_Driveway Pools
_ V Treatment 1R Treatment
Re -Treat Re -Treat
-Other - _ Perimeter for Final Inspection
] Treatment l
Re -Treat � �� t " 2-- 21+ Z 1%
Signature of Exterminator Date
Note .• There must be a completed form for each required treatment or re -treatment and bWs 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 ofProtective Treatment for prevention oftermites A weather resistantjobsrte posting board
shall be provided to receive duplicate Treatment Cerb"ficates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate shall provide bye product used, identity of the applicator, hme and date of the treatment; site kxation, area
treated, chemical used percent concentration and number ofgar/ons ,cased, to bhvG'? a verirwb&- d of
Protective beatment. If the soil chemical barrier method for termite prevention is used, final extensor treatment shall
be completed prior to final building appro✓al.
St Lucie County requires for the final inspection for CO, a Pennanent Sticker to be placed on
the electrical panel tax cover, listing all the treatments and dates of applications.
Revised 7/24/2014
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