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HomeMy WebLinkAboutTermite cert i
Planning &Development Services
Building &Code Regulation Division
• 2300 Virginia Aire :; i':•:
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #; JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: Lo
PEST CONTROL LICENSE #: ;- 5 �fC!2!!4, ,
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 i!�- Chemicals used:
Percentage of polution: © Total gallons used: f
Date of Treatment: Time of tment:
Footing Slab ! _
I Treatment <Treatment
—Re-Treat Re-Treat
_Driveway —Pools
1t Treatment 1,�t Treatment
Re-Treat Re-Treat
Other Perimeter-fbr Fina ection
15t Treatment
_Re-Treat `�
Signature offXtftminator Da
Note: There must be a completed form for each required beabnentorre-batmentand this fonn 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
F4C104.2.6 certificate ofProteclive Treatment for prevention of termites: A weadierresistantjobsiteposdngboard
shall be provided to receive duplicate Treatment Certificates as each required protecUve treabnent 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 vad table record of.
protective treatment: If Me.sail chemical barrier method for termite prevention is used, final exterior bvatment Mall
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.
Re^vYsed 7/24/2014
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