HomeMy WebLinkAboutTermite cert. .... . . . .... Planning & Development Services
Building & Code Regulat"on Division
2300 Virginia Ave
Fort Pierce, FL 34982
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UMMMUN Up"MINEWPA" 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: L c c)O I 10 a)JJOB ADDRESS:
BUILDER/CONTRACTOR: �rTc (
PEST CONTROL CONTRACTORi'
�. 4i � I�2C�-r
S TO
PEST CONTROL LICENSE #: �'6 / S33yS
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: 0'0 Chemicals used
Percentage of solution: YC o
Date of Treatment:
—Footing
1't Treatment
Re -Treat
Driveway
Total gallons used: 19 6LL
Time of Treatment: PA
Slab
1't Treatment
Re -Treat
X 1st Treatment 1't Treatment
Re -Treat Re -Treat
Other Pe titer far Finals n
Ite
1st Treatment )r
Re -Treat
Signature of Extermin or 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 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 forprevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protectl ve 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 pro vide the product used, identity of the applicator, time and date of the treatment site location area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the sail 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