HomeMy WebLinkAboutTermite Treatment Planning&Development Services
f' f Building&Code Regulation Division
2300 Virginia Ave
• Fort Pierce,FL 34982
_ 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
{ CONSTRUCTION SOIL TREATMENT
PERMIT #: zek,>6f - V9 JOB ADDRESS: G �r 2�
Of
BUILDER/CONTRACTOR: � �/o��/�i�S
PEST CONTROL CONTRACTOR: �y►PEST CONTROL LICENSE #: Ll-%Rb
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. i
Square feet if area treated: . Chemicals used: i 2no411'I fd
Percentage of solution: //. Total gallons used: / SS
Date of Treatment: /Q / 2 0. Time of Treatment:
i
,Footing _Slab
� r
� 1st Treatment 1 Treatment
Re-Treat Re-Treat f
Driveway
Pools 1
is'Treatment Is'Treatment
Re-Treat Re-Treat !
Other Perim r for Final Ins 'on '
-ill Treatment
Re-Treat �
r` Signature of Exterminator 11ate
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 inspectorattime of each inspection or the scheduled inspecton wi//fail and a rew7spection
fee charged.
FBC104.2.6 Cerbf'rcate of Protect Treatment forprevention of termites A weatherresislantjobsde poOng board
she/1 be provided to re a ive duplicate Treatment Ceri fib as each f equiredprotecMe treatment is completed,
providing a copy for the parson the permit is issuer!to and another copy for the bulging permit flies The 7rea[ment
Certificate shall provide the product used,,identity of the applicator,time and date of the featment,site location, area
treated;chemical used percent concentration and number ofgallons used,to establish at verifiable record of
protective treatment: If the soi/diemica/bamermedwdfor termiteprevention Is used,.final exteriorbmtmentshall
be completed prior to final but/ding 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