HomeMy WebLinkAbout2 TOSCA FORT PIERCE FL 34951Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:_______________ JOB ADDRESS: ______________________________
BUILDER/CONTRACTOR: ______________________________________________
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: __________ Chemicals used: _________________________
Percentage of solution: ____________ Total gallons used: _______________________
Date of Treatment: ____________________ Time of Treatment: ______________________
_____Footing _____Slab
_____1st Treatment _____1st Treatment
_____Re-Treat _____Re-Treat
_____Driveway _____Pools
_____1st Treatment _____1st Treatment
_____Re-Treat _____Re-Treat
_____Other _______________________ _____Perimeter for Final Inspection
_____1st Treatment
_____Re-Treat _______________________________________
Signature of Exterminator 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 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 of gallons 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.
Revised 7/24/2014