HomeMy WebLinkAboutCertificate of Termite TreatmentDec 11 1511:54a p.1
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34482
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT JOBADD
BUILDER/CONTRACTOR: P
PEST CONTROL CONTRACTOR:3�
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: f8DZ-Jc,71-L Chemicals used: ✓ft-
Percentage of solution: d� Total gallons used: ��
Date of Treatment: �� ��Time of Treatment:
Footing
1'Treatment
Re Treat
Driveway
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
cam" Slab
Is' Treatment
Re Treat
Pools
Is' Treatment
Re Treat
Perimeter for Final Inspection
Sig re 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 bythe inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged
FBC104.2.6 Certificate ofPmtectiva Treatment for prevention of termites A weatherresistantjo&s posting board
shall be provided to receive duplicate Treatment Certificates as eadr 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 ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical bamer method for termite prevention is used, final extenor 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 the treatments and dates of applications.
Revised 7/24/2014
RECEIVED DEC '11'2015