HomeMy WebLinkAboutTermite treatmentPlanning &Development Services
-1 = Building &Code Regulation Division
� 2300 Virginia Ave
� A
-�� Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: S��C -��f; `�-D��'l' JOB ADDRESS: _ ] � (� LI C �t' � t � �i I- � � -I- �� ��c-e ��
BUILDER/CONTRACTOR: 3Y l� I
PEST CONTROL CONTRACTOR: 1N � ,�-�� �� �- �'�e � ✓ ��c �eS
PEST CONTROL LICENSE #: j
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.
►feet if area treated: `'{ '
Percentage of solution: (� e tl��
Date of Treatment: � �d J
Footing
1St Treatment
Re -Treat
Driveway
15t Treatment
Re -Treat
Other
1St Treatment
Re -Treat
Chemicals used: �v r''� i � � o v1
Total gallons used: ��
Time of Treatment: __ 3 � �
Slab
�1� Treatment
Re -Treat
Pools
15t Treatment
Re -Treat
Perimeter for Final Inspection
��;� s ��
Signature of F�cte�r ninator Date
Note: There must be acomp/eted 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 schedu/ed inspection wi// fai/and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
sha// be provided to receive dup/icate Treatment Certificates as each required protective treatment is comp/eted,
providing a copy for the person the permit is issued to and another copy for the bui/ding permit fi/es The Treatment
Certificate sha//provide the product used, identity of the app/icator, time and date of the treatment, site location, area
treated, chemica/ used, percent concentration and number ofga//ons used, to establish a verifiable record of
protective treatment. If the soil chemica/barrier method for termite prevention is used, Tina/ exterior treatment sha//
be completed prior to Tina/bui/ding 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.
n ______�ni�. a...,.