HomeMy WebLinkAboutTermite Treatment Ji
• • .
Planning &Development Services
Building &Code Regulation Division
Well 2300 Virginia Ave
• Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE .TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: UP; - 03g-" JOB ADDRESS: r
BUILDER/CONTRACTOR: Sywt-h 1::10 rika- h! VA_y in,�.,�,�1 Ond,_�
PEST CONTROL CONTRACTOR: :P&AT &Onrn —.
PEST CONTROL LICENSE #: G 3C,
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�M f+ Chemicals used: I r I u
Percentage of solution: Z -C/Y AA1 Dl Total gallons used: 57 6t
Date of Treatment: �I 1 4 Z0Z O Time of Treatment: �'�'✓1
✓ Footing Slab
1s Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 15`Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat
Signature of Exterminator 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 prevention of termites .A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certificates 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 method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding 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
Notice of Preventative Treatments for Termites
(as required by Florida Building Code(FBC) 104.6)
O dl�p Par Test COMtM)R
1323 N. Central Ave. I Sebastian, FL 32958 1 772-589-0204
FL License#6535
G (�
Address of Treatment or Lot/Block of Treatment
Time me Applicator
Product Used Chemical Used Number of Gallons
(active ingredient) Applied
Percent Concentration Area Treated Linear Feet Treated
(square feet)
Stage of Treatme .( orizonial;)Vertical,Adjoining Slab,Retreat of Disturbed Area)
•
As per 104.6-If soil chemical barrier method for termite prevention is used,
final exterior treatment shall be completed prior to final building approval.
7
If this'notice is for the final bixterid treatment,initial and date this line.
If this is a finallvertical treatment - The building has received a complete
treatment for the prevention of subterranean termites.Treatment is in accordance
with rules and laws established by the Florida Department of Agriculture and
Consumer Services.