HomeMy WebLinkAboutTermite Treatment = Planning&Development Services
Building &Code Regulation Division
,L 0 �1�,i;�;1 t��' `���ro� 2300 Virginia Ave
�4 ;� �R• i r�S Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6M
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:k o 1 Qq `j`7 JOB ADDRESS: "7 Gc't` Cl S r
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: c�'( afLo
We,the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance tdance with the standards of the National Pes Control Association.
Square feet if area treated:``rr sn Chemicals used: ( n
Percentage of solution: Q ° Total gallons used: (DO
Date of Treatment: l l l9 2-6 Time of Treatment: f �.
Footing Slab
2st Treatment '✓ 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1s Treatment
—Re-Treat Re-Treat
Other rimeter for Final Inspection
1st Treatment
Re-Treat h 0 MLj,.�77evz apr-1
ignature of Menninator
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 inspecb°on or the scheduled inspection wi//fail and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Ce>tificates as each required protective haatment 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 rexord of
protective treatment. If the soil chemical barrier method for termite prevention IS used,fins/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
Ithe electrical panel box cover,iisung all the«pu.ow—li.a a.-.M ..o.=.of.. ..pp......t.o.._. I