HomeMy WebLinkAboutTermite Treatment Planning &Development Services
1 Building & Code Regulation Division
2300 Virginia Ave
Fort Plerce�FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL. TREATMENT
PERMIT #: lOCCa-(rya JOB ADDRESS: -1410/-1��r-��•• ���'��
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
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: I Chemicals used: N��rr�
P&c' 9
enta e of solution: •J�� f Totai used:
Date of'Treatmerit: � ) vi Time of Treatment:
Footing 4 Slab
15t Treatment 1 1-t Treatment
Re-Treat i Re-Treat
Driveway ! Pools
1't Treatment i 1st Treatment
e-Treat Re-Treat
Other Perimeter for Final Inspection
1 Treat } /y1120-LO
Re-Treat
Sig re o Exterminator Date
(Vote: There must be a completed form for each re ed treatment or re-treatment and this form must be on the job
site to be picked up by the inspector at time of each i nspectlon or the scheduled inspection will fail and a re-inspection
fee charged, t
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board .
shall be provided to receive duplicate Treatment Ce4-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 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 verifiable record of
protective treatment. If the soil chemical barrier meA od 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 th treatments and dates of applications.
Revised 7/24/2014
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Planning &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
PERMIT #: far -r)Lilq_w JOB ADDRESS: 74OL-1
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
We the undersigned, hereby certify that we ha f e retreated the above described construction for
9 � Y fY � p
subterranean termites in accordance with the st, ndards of the National Pest Control Association.
Square feet if area treated: i Chemicals used: _: e �GC rr1
Percentage of solution: •Jr D Total:P4e;;s used: _ �y]
Date of'Treatmerit: 1�� JIM�_ Time of Treatment:
Footing Slab
15°Treatment lst Treatment
Re-Treat Re-Treat
Driveway Pools
1't Treatment 1�Treatment
e-Treat Re-Treat
Other { Perimeter for Final Inspection
1s�Treat { ILI)/W10
Re-Treat
Sig re o Exterminator Date
Note; There must be a completed form for each re ed treatment or re-treatment and this form must be on the job
site to be picked up by the inspector at time of each linspection or the scheduled inspection will fail and a re-inspection
fee charged,
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Ce4ficates as each required protective treatment is completed,
providing a copy for the person the permit is issued t'pp 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 verifiable record of
protective treatment. If the soil chemical barrier me, od for termite prevention is used, final exterior treatment shall
be completed prior to final building approval. {
St Lucie County requires for the final inspefction for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all th treatments and dates of applications.
Revised 7/24/2014
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