HomeMy WebLinkAboutTermite TreatmentPlanning & Development Services
Building & Code Reg ullation Division
2300 Virginia Ave
• Fort- Pierce, FL 34982
772-462-2172 Fax 7e2-462-6443
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PERMIT #: S �d JOB
BUILDER/CONTRACTOR: _
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: JB175775
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:
Percentage of solution: 2n
Date of Treatment: !' ± ag
Footing
15t Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
11t Treatment
Re -Treat
Perimeter for Final Inspection
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Signature of inator - 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 fall and a re -Inspection
fee charged.
FB C1®4o2. 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 flies 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 concentradon 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 prior to final building approval,
St Lucie County requires for the final inePWNG n for C®, a Permanent Sticker to be placed on
the electricep panel box cover., DistO g epl the treatments and dates of applications.
7/24/2014