HomeMy WebLinkAbout20210802150920738.pdfCouNTy
F L O R I D A
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
„ ff' l
PERMIT #: �' -, � � OB ADDRESS: � I� � � ����r�ti
BUILDER/CONTRACTOR: ���a� �(1'� G�c�11
PEST CONTROL CONTRACTOR: �^ .� .. S�aL`� )rY��
PEST CONTROL LICENSE #: , ')g ?�.�3
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: � Chemicals used: �a(y1
Percentage of solution: t � Total gallons used:
Date of Treatment: �'"�`'�I
Footing
ist Treatment
Re -Treat
Driveway
ist Treatment
Re -Treat
Other
iSt Treatment
Re -Treat
Time of Treatment: �G �+� r��
Slab
ist Treatment
Re -Treat
Pools
ist Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
/Vote; 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 dup/icafe Treatment Certificates as each required protective treafinent 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, chemica/ used, percent concentration and number of gallons used, to estab/ish 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