HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT1
ft , Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
rr1 Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT*: 1 q04- Mfo _ JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST::CONTROL CONTRACTOR:
PEST CONTROL LICENSE*: -S%aq W t�
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: tv
Percentage of solution: , U.
Date of Treatment: / 0-f S -1 C1
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: i�oc�►r
Total gallons used:
Time of Treatment-1 /: O O
_Slab
->1st -
Re-'
Pools
1st -
Re=
Perimeter f
Signature of
Note. There must be a completed form for each required treatment or
site to be picked up by the inspector at time of each inspection or the s
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A w
shall be provided to receive duplicate Treatment Certificates as each required p)
providing a copy for the person the permit is issued to and another copy for the
Certificate shall provide the product used, identity of the applicator, time and de
treated, chemical used, percent concentration and number of gallons used, to e
Protective treatment. If the soil chemical barrier method for termite prevention
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Perma
the electrical panel box cover, listing all the treatments and date
Revised 7/24/2014
ent
I Inspection
Date
-3A:�51
rent and this form must be on the job
inspection will fail and a re inspection
eather resistant jobsite posting board
otective treatment is completed,
building permit files The Treatment
to of the treatment, site location, area
;tablish a verifiable record of
is used, final exterior treatment shall
.nt Sticker to be placed on
of applications.