HomeMy WebLinkAboutTermite Cert- FinalkS7
PERMIT #
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce,, FL 34982
772m462-2172 Fax 772=462-6443
OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
BUILDER/CONTRACTOR:
JOB ADDRESS: 2�2�� S
�t er &Or�. d
PEST CONTROL CONTRACTOR
The Bug Assassin's PLC I Craig Venard Jr.
PEST CONTROL LICENSE #: JB274536
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.
LWW0X&r e fpptused,* h5111 I I
iftraatarl• ?_�Wo`if area treated: ��
Percentage of solution. '
Date of Treatment: �"t'�
Footing
Drivewz
1st Treatment
Re -Treat
Treatment
Re -Treat
Other
Is' Treatment
Re -Treat
Chemicals
Total gallons used:
Time of Treatment:
Slab
110
1s* Treatment
rm�
Re -Treat
Pools
1�t' Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
Date
Note'v 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 u)o by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104v2.5 CeftiFcate of PrOtective Treatment for Pre vention of term ites. A weather resistantjobsite posting board
5hall be pro vided to receive duplicate Trec3tment Certificates as ea ch required pro tective treatment is comkj��i'eted,
pro viding 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 app)jcator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons us�d, to establish a verffi*able record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be comPletedprlor to final building approvalt
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