HomeMy WebLinkAboutTermite Pre-Treat 3194 N Kings Hwy #2103-0657Our & / /�w/�'"(-
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT V. (ALVJ � or6 -'t JOB ADDRESS: 3(%y�� l�;ngS ✓/y
BUILDER/CONTRACTOR: 7�horz,,Pra� naryAadrl J��
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:a�,nv��l
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: ly. vvo
Percentage of solution: " Z
Date of Treatment: ! o � 13• ZI
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: C��Y f� i > �
Total gallons used: �, oar"
Time of Treatment: d ! /�
r.1st Treatment
.Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
11A. t-Vj
Signature of Exterminator
Nate: There must be a completed farm for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspeclorat time of each inspection or the scheduled inspection will fail and fee chargeare-lnspect/on
d.
FBC104.2.6Certificate ofProtective Treatment for prevention of termites Aweather res/sIantjobsitepost/ngboard
shall be proNded to rece/ve duplJcate Treatment Certificates as each requ/red protective treatment /s completed,
providing a copy for the person the perm/tIs 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, chemcca/ used, percent concentration and number of gallons used, to establish a verifiable record of
protective tr atment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding 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.