HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT RECEIVED
Planning&Development Services S E P 2 2 2021
`
Building &Code Regulation Division St.Lucie County '
e 2300 Virginia Ave, Permitting
• Fort Pierce,FL 34982
772-462-2172 Fax 772462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
~ PERMIT #:1I0 a,1YE JOB ADDRESS: 51�`� 4_:. °
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: .`
PEST CONTROL LICENSE #: -7-11 1 2�17 1 _
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: t i) Chemicals used:
Percentage of solution: r Total-gallons used: I ��
Date of Treatment, Time of Treatment:
Footing lab
f: 1 Treatrr►erit 1st=Treatment
�Re=Treat Re-Treat
Driveway Pools
r=,
is Treatment
1 Treatment
Rereat s. Re-Treat
Other Cm f h.e Perini r for Final Inspection
1st Treatment
Re-Treat . =
-Sign re of Exterminator Date
r
Note: There must be a-completed.form for each requiredtreatment or re-treatment and`this form must be on_the job
site to be picked up by the inspector at Ume ofeadt inspection or the schedu/ed-inspection roil%fail aril a`re-inspection.
fee chargerd.
F0C104.2.6 Certificate of Protective-Treatment for pre'vtntion of termites A weather resistant jobsme.posting board.
shall be provided_ °to rerenne duplicate.Treatment Certificates as eachi regal'&protective treatment is mmpleted,
provrd/n 'a rn fnr tfie , _
g "copy person tf�e permit rs issued to and:anabher copy for the lwr/ding permit.6/es ;7he;Treahnent
Certificate shall provide he pmduct used, idenbty of the app%lector;dMee and date of the;treatment site location,areaY
treated, chemca/used;percent concentration.and number ofgallons used;to estabGsli a verrfiable record of
protective treatment. If the soil ctiemical bamer m_ ethod for termite preve?tloh rs_used,,final exterior treatment shell
be completed prior to final bu!/dmg approval
St Lricie County requrres;for the final"inspection f®r;CO,a Permanent Stickeuto be=plaoed'on I
the electrical panel box cover, listing all the tii ents,and dattes,of applications.
4p
Revised 7/24/2014 '`'