HomeMy WebLinkAboutCertificate of Termite TreatmentPlanning & Development Services
Building ➢lt Code Regulation Division
2300 Virginia Ave
e Fart Fierce, FL 34982
772-462-2172 Fax 772-462-6443
PERMIT #: ? - } JOB ADDRESS: Son 1;
BUILDER/CONTRACTOR: 00AST /IL (20iV_STAVC1-770A'
PEST CONTROL CONTRACTOR: ` -
Me -PEST CONTROL LICENSE #:
+_0� o
cervED
SEP 18 7019
Perm'thng De
St' kucle Coun*mf'r,,
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: lla 7
Percentage of solution: a %u
Date of Treatment: 9 13-1
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: rxt m\i,Xt a �_
Total gallons used: `W
Time of Treatment:
Slab
_XL15t Treatment
Re -Treat
Pools
15C Treatment
Re -Treat
Perimeter final Inspection
Signatur of er inator Date
'; : Jig•
_2gcjq i
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 required protective 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 he placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
f—