HomeMy WebLinkAboutTermite Treatment'f
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: ________ JOB ADDRESS: q,04 J<no \l w"OD lo.ne fod f'i<•<((', f"l
BUILDER/CONTRACTOR: ------------------------PEST CONTROL CONTRACTOR: "'1orte-, 5etviCt' > -----'-------------------PEST CONTROL LICENSE #: .,-s ,q 38 -----------------------
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordan5=e with the standards of the National Pest Control Association.
Square feet if area treated : __ q _x _,_1 _
Percentage of solution: __ ._,_7 ,_
0_:Yo __
Date of Treatment: o s I 2 1 / z o 2 '
__ Foot ing
__ 1st Treatment
__ Re-Treat
__ Driveway
, __ 1st Treatment
__ Re-Treat
__ Other _________ _
__ 1st Treatment
__ Re-Treat
Chemicals used: __ T_e_, .... _:.,_"_' _H_E ___ _
Total gallons used: __ ,_.,_9_0,._, _____ _
Time of Treatment:
__{Slab
__ 1st Treatment
__ Re-Treat
__ Pools
__ 1st Treatment
__ Re-Treat
__ Perimeter for Final Inspection
OS ltt I lOll
Signature of Exterminator Date
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 be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
iiiili Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: ________ JOB ADDRESS: QliOL/ 1<-,011wooo L~he Foll Piere~, FL
BUILDER/CONTRACTOR: ________________ _
PEST CONTROL CONTRACTOR: /'llo.55e'{ Se,.,icc: S -----------------------PEST CONTROL LICENSE #: ,-g,"1s -------------------------
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: ,q >< tz
Percentage of solution: __ . •_15_'¼_0 __
Date of Treatment: 05111 11011
__ Footing
__ 1st Treatment
__ Re-Treat
___ Driveway
--__ 1st Treatment
__ Re-Treat
__ other _________ _
__ 1st Treatment
__ Re-Treat
-Chemicals used: __ T_e_,_ .... _; P_"_' _H_e ____ _
Total gallons used: __ ,_t1_9_ll_1 _____ _
Time of Treatment:
~Slab
__ 1st Treatment
__ Re-Treat
__ Pools
__ 1st Treatment
__ Re-Treat
__ Perimeter for Final Inspection
oS/11 /1011
Signature of Exterminator Date
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 fa,, and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite 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 be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014