HomeMy WebLinkAboutTermite Treatment Planning &Development Services
Building &Code Regulation Division
S = 2300 Virginia Ave
Fort Pierce, FL 34982
.y 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
y 7 - -7()i> JOB ADDRESS:
PERMIT #
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: k � �� G
PEST CONTROL LICEN
we have pretreated
we, the undersigned, hereby certify that National o Pest describedve control Association.
subterranean'termites in accordance with the standards of the�yc.4 -
� Chemicals used: I'll ion at—
Square feet if area treated:
Percentage of solution: c,« Total gallons used:
• \ Time of atmen • /•�� • ' �,"`=;_--- - --
Date of Treatment: `�
O
Footing, Slab 1st�: 1 Treatment
`ist Treatment Re-Treat
Re-Treat pools
Driveways 1st Treatment
1 Treatment
Re-Treat �' Re-Treat -
Other ' Peri for F' ction
1st Treatment
Re-Treat
Signature of Exter or Date
Note: 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 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 flies The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment,site 100 0n,810
treated, chemical used,percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite preve,17t%On%S used, f//Id/eXtE/%0/ tfedt/j7E/ItS/ld
be completed prior to Tina/bui/ding approval.
St Lucie County requires for the final inspection for C®, a Permanent Sticker to he placed on
the electrical panel box cover, listing all the treatment§-and dates of applpcatians.
Revised 7/24/2014
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