HomeMy WebLinkAboutTermite Cert 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 #:f�L�LC10 kMOB ADDRESS: L305 _:LA) I A 4J 6AJO LJV
BUILDER/CONTRACTOR: OkJC�,f -E £,��
PEST CONTROL CONTRACTOR: / CS TO
PEST CONTROL LICENSE #:_ I S 3 3 V
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: Du% Chemicals used: ���
Percentage of solution: ' C�G Total gallons used: Yp
Date of Treatment: 41 Time of Treatment: / I ' 30A k
Footing Slab
_X:15C Treatment ls` Treatment
Re-Treat Re-Treat
-2-Driv ay Pools
15' Treatment I" Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1s' Treatment �n1
Re-Treat d�
Signa ure of Extermin#r Date
Note: There must be a completed form for each required treatment or re-trearment 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 mill 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,
I 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 recordof
protective treatment. if the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to Fna/building appro val.
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"2_1;201•:
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