HomeMy WebLinkAbout7601 Termite treatmentPlanning & Development Services
� ♦.; '� �� Building &Code Re
gulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: G _2 j0I T Qj1GJOB ADDRESS: �GJ rr �,,�,W-
BUILDERJCONTRACTOR: 6' V'
PEST CONTROL CONTRACTOR; COASTAL ?EST COfVTRO� QF THE TREASURE COAST
PEST CONTROL LICENSE #: #8068/ies594
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: Z
Percentage of solution: 0, 0c. o�
Date of Treatment: zv2 f
Footing
1s� Treatment
Re -Treat
Driveway
1't Treatment
-Re-Treat
Other
f 'Treatment
Re -Treat
Chemicals used: / --] STD`
Total gallons used: '��
Time of Treatment:
1' Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
Note = There must be a completed form for each required treabnent or re-treatmentand this form must be on the job
site to be p/cked up by the inspector at time of
fee charged ach inspection or the scheduled inspection yr.Ill fail and a re -Inspection
atp
FBC104.2.E C�rtio r,-c of &,,&ive TreabmentforPre venfion oftermites A weather resistantjobsitepostingboard
shall be proirided to receive duplicate Treatment Certificates as each requiredproteclrve treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treabrrent
Certificate shall provide the product used, identity of the applicator, time and date of the treammen site location, area
Treated, chemical used, percent concentration and number ofgallons used, d establish a reritwen record of
protective treatment. If the soil chemical barrier method for termite prei�entipn is used, final exterior treatmentsha/l
6e 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