HomeMy WebLinkAboutTermite Treatment Nettles EastPlanning & Development Services
Building & Code Regulation Division
2300 'Virginia Ave
Fort Pierre, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERM IT # :.$ L C Z Y-- 00 z 14 JOB ADDRESS:
Y _ - -•.J �4j 5 C /U -5 c-;4- F L-
BUILDER/CONTRACTOR: .�_.., .�.�__.�.. - _.._� 3��s -7
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: _40
�_,...._.._.
Percentage of solution: - 7v
Date of Treatment: — 2� 2�.
,Footing
--l'c Treatment
Re -Treat
_Driveway
Treatment
Re -Treat
Other
.1st Treatment
�Re-Treat
I
Chemicals used:
�' Total gallons used:
Time of Treatment:
_ ,Slab
PooIs
lst Treatment
Re -Treat
lst Treatment
for Final Inspection
Signature"V Date
AW
Mote; Mere must be o 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 Inspect/on or the scheduled Inspection will fall and a re-rnspectlon
fee charged.
FBC104.2.6 C'ert/flcate of protective 7?eatrnent for prevention of termites. A weather resistant jobsite posting board
shall be prov/ded to rmelve duplicate 7?ratrnent CertY&ates as each required protective treatment Is completed,
provld/ng a copy for the person the perrnit is Issued to and another copy for the bullding permit files. lire Treatment
Cert/ficate shall pIovloLO the product used,, ldent/ty of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentratlon and number of gallons used; to establish a verlfTable record of
Protective treatment. If the svll chemical barr/er method lair termlte preventlon is used, Anal exterlor treatment shall
be completed prior to flnel bullding approval.
St Lucie County require 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 application.
Revised 7/211/20 t 4