HomeMy WebLinkAboutCertificate of Termite TreatmentPlanning & Development Services
Building & Code. Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 7 2-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: z - z JOB ADDRESS: LA 15�ky
BUILDWCONTRACTOR: ��- w
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
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: 00 LIF. Chemicals used:
Percentage of solution:
Date of.Treatment: f1- L-14
Footing
1-st Treatment
Re -Treat
Driveway
1Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used: (� J
Time of Treatment: J 11.30
Slab -
1e Treatment
Re -Treat
Pools
1-';' Treatment
Re -Treat
Perimeter formal Inspection
Signature of Extermifiator
Note: There must be a completed form for each required treatment or re -treatment and this form mL&be on the job
site to be picked up by the inspector at time of each inspection or the scheduled Inspection w111 fall and a re-inspecdon
fee charged.
FBC204.2.6 CejV#Cate of Protective Treatment for prevention of termites A weather resistantjobisite posting beard
shall be provided to recelve duplicate Treatment Certificates as each required proleCtve treatment /s 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 ofgallons 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.
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