HomeMy WebLinkAboutTermite Treatment _ Planning&Development Services
Building&Code Regulation Division
e 2300 Virginia Ave
• Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
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- PERMIT #:SLC -Zoiz-ogVG JOB ADDRESS: 'q00 Af• A0C0— F-0ft. E7Y1aC1F-
BUILDER/CONTRACTOR: 44GM-7A6c C 0NTX*5FM & .
PEST CONTROL CONTRACTOR: e-can" Se tyit+i>'S
PEST CONTROL LICENSE #: 1B 261mO
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: 5 Chemicals used: 20041V lOV ZL .
Percentage of solution: 1010 Total gallons used: Sq S
Date of Treatment: 'Y'2 a Z Time of Treatment: Cl r t o �►� �"�" Z Q
Footing Y Slab /'
1st Treatment � 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1t Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1t Treatment Za Z
Re-Treat
Signature of Exterminator Date
Note. 777ere must be a completed form for each required treatment or re-beafinentand 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 Pfm' c ve 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,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Cerlificate shall provide the product.used,identity of the applicator,time and date of the freatment,site location, area
treated, chemical used,percent concentration and number ofgallons used,to establish a verifiable record of
protective Treatment: If the soil chemical bamermeffiod for termite prevention is used,final exterior beatmentshall
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
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