HomeMy WebLinkAboutTermite Treatment Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
o Fort Pierce, FL 34982
-- - -" -_--- - 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
a G11- 0415
PERMIT #:����� l�=v��►9 ADDRESS: 15-Y-1-_a _,,, h4 [
BUILDER/CONTRACTOR: fit/¢ _ ----------
PEST CONTROL CONTRACTOR: _ e.-Of �%V—re__0PVi 0eA_f
PEST CONTROL LICENSE #:___ 1� ____________________________
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:oyC r 1 Q. Chemicals used: Rt►t:00R-
Percentage of solution: 4 Total gallons used: 1 _________
Date�Foot
ent: Time of Treatment: �U
A) __________
--- -- =—_ ing - Slab
1 St Treatment 1 st Treatment
Re-Treat Re-Treat
----- -----
-----Driveway __Pools
1 st Treatment 1 st Treatment
--Re-Treat Re-Treat
_____Other _______________________ _____Perimeter for F'nal Inspection
1 st Treatment
Re-Treat -------- --- --------------- ----A -
Signature of terminator 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 for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each requiredprotective 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, chemical used,percent concentration and number of gallons 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