HomeMy WebLinkAboutTermite Treatment —s
Planning &Development Services
Building &.Code Regulation Division
S509 vkginia Ave
a FortAerce,FL 34982 "
772-462-2D2 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: /�f f Z���O 5 JOB ADDRESS:
BUILDER/CONTRACTOR: �L 22M K/
PEST CONTROL CONTRACTOR: -PtcS r nrkg Im VIA
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: . Z-3 l Chemicals used: 1�)Op-t4ldlDX
Percentage of solution: r/` Total gallons used: .
Date of Treatment: Time of Treatment: 6Q''CU
,Footing Slab
Treatment 2!S 1-qt Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment la Treatment
Re-Treat Re-Treat
ether -Pen"mAer for Final Inspecction
1st Treatment -X7 zRe-Treat `ZG
Signature of ExteMgffakior batel
Note: There must be a completed form for each required baatmentorre-treatmentand this form must be on the job
site to be picked up by the inspector at time of each ins cbon or the scheduled
pe u ed inspecton will fad and a re-inspection
fee charger!.
F8C304.2.6 Certificate ofProtective Treatment forprevenbFon of termites A weatherresistantjobsite posting board
shall be provided to r acoim duplicate Treatment Certifnates 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 fries 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 ofgallons used, to establish a verifiable record of
protective treatment If the soil chemical barrier method for termite prevention is used,final exterior treatment shall
be completed pr1or to final building appmval
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