HomeMy WebLinkAboutCertificate of Termite Treatment finalPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
OR Fort Pierre, FL 34982
772-462-2172 Pax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS:o7Qj���j��,
BUILDERICONTRACTOR: IQ
PEST CONTROL CONTRACTOR: IP_f-M*n'XX
PEST CONTROL LICENSE #:
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: d Q D
Percentage of solutio :
Date of Treatment:
Footing
1" Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Chemicals used: adacua 1 kA(Cnb
Total gallons used:
Time of Treatment: 4 2: YS CM 1PM
Slab
1't Treatment
Re -Treat
Pools
1'rt Treatment
Re -Treat
Perimeter for Final Inspection
4 a
Signature of Exterminator Date
Note. There most be a completed form for each required treatment or re-bwabneeat and this form mast be on the job
site to be picked up by the in4gector at lime of each inspecton or the scheduled inspeecrian will fail and a re -inspection
fee chag eft
FBC104.2.6 Certificate of Protw&e Treatment for preventI67 of termftm A mw flier remsbntj[ to pasting board
sha11 be prodded to receive duplicate Treatment Certificates as each 1vquoedAro&rtW treatnryent g completed,
providing a dopy for the person the permit 9 erred to and anolfher copy for the building permit tilt£ The Treatment
Cerofkate shall provide fire product used, Identify of die app/lcator, time and date ofthe trealfinent; site location, area
treated chemecal used, percent concenfra&w and number o'galfons used, to eslabM a v&Mble record of
prat vhW treatment; If fire sail dhawical barn er medial for termite prevenbW ,ss used, final exterior Meatmeent shall
be completed prior to final building appal.
St Lucie County requires for the final inspection for 00, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014