HomeMy WebLinkAboutCertificate of Termite TreatmentPlanning & Development Services
Building & Cod® Regulation Division
2300 Wargin-ra Ave
mrt pierce, FL 34982
772-462-2172 Fax 772-462-6443
CER71FICATE OF TERMITE TREATMENT
coNSTRUC TZON SOIL TREATMENT
PERMIT #: �1) a 4 —000 9 JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRAI
PEST CONTROL LICENSE
3t1�{ g 4
ADDRESS:
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; .�_
Percentage of solution:
Date of Treatment: / Z - j 7 14
Footing
1st Treatment
Re Treat
Driveway
1st Treatment
Re -Treat
Othe akJtr ► r- ; ► ,tars
1 ' Treatment
Re -Treat
Chemicals used: n,( Iill,
Total gallons used:
21
Time of Treatment: l��®
Slab
1s� Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
Note: There must be a completed form for each required treatment or re -treatment and th/s form must be on the job
site to be picked up by the inspector at time of each inspectlori or the scheduled Inspection w10 fall and a•re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatmentforprevention of termites A weatherresistantjobsite 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 bullding 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 ofgallons used, to estab&h' 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 bullding approval.
St Lurie County requires for the ffinag inspecdOn for C®, a Permanent Sticker to be placed on
the electo icall pandl box cO ver, listing all the treatments and dates of applications.
DEC 1 7 flEC'U 0