HomeMy WebLinkAboutTermite cert _ Planning &Development Services
' ram` x Building &Code Regulation Division RECE
VED
2300 Virginia Ave
,. Fort Pierce, FL 34982 SEP 2 6 2017
772-462-2172 Fax 772-462-6443
PERMITTING
CERTIFICATE OF TERMITE TREATMENT St. Lucie County, FL
! CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS: '310C! .�
BUILDER/CONTRACTOR: n {S,r
PEST CONTROL CONTRACTOR: ��4� _ �a f ��--
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: Chemicals used: Jrnr
Percentage of solution: 1 `/� Total gallons used: C4
Date of Treatment: 2,1) Time of Treatment: ors ,
Footing Slab
1St Treatment 15'Treatment
Re-Treat Re-Treat *,
Driveway Pools
1st Treatment 1 Treatment FILE;,,, COP.)
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1�t Treatment
Re-Treat 4 '
Siohatuf Exterminator Date
Note: There must be a completed form for each requiredIre-ament 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 jobs/te 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, chem- * 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 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
Port St. Lucie Building Department This form is to be fined out
by Pest Control Company
Certificate of Compliance
(This Is a partial treatment only and not a guarantee or warranty)
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Permit Number: r
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Location of Property:
Legal Description: Section Block Lot
� . Pest Control Company Treatment Information
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Compan Owne - P ease Print Date of Treatment
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N Concen
Date Title tfation
Gallons Used
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Soil Treatment Company Information Meth6d of Application (soil mixed, etc.)
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Linear Footage of Area Treated
40— Soil Treatm nt Company Name
Address Second Treatment Information
M' Soil Treatment/DACS License #
2 Date of Treatment
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~ The building has received a complete Chemical Used
'0 treatment for the prevention of
En subterranean termites. Treatment is in Concentration
accordance with the rules and laws
established by the Florida Department of
Agriculture and Consumer Services. A Gallons Used
second treatment was done on (date)
as per manufacturer's Method of Application (soil mixed, etc.)
specification. If the second treatment is
not required, a copy of the product label Linear Footage of Area Treated
shall be Included with this certificate.
I
Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstruction
soil treatment attested to in the above. The purpose of this document Is to show that to
the best of this department's knowledge, the builder has satisfied the requirements of the
Florida Building Code for protection against termites.
a
This form MUST BE RETURNED to the Building Department
before your final Inspection is scheduledl
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