HomeMy WebLinkAboutTermite Treatment Planning&-Development Services
Building&Code.Regulation Division _
2300 Virginia Ave
• Fort Pierce,FL 34982 t
772-462-2172 Fax.772 462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 9105• u n 5 JOB ADDRESS. A m 1 5 ur,,sj R\�_
BUILDER/CONTRACTOR: k%A St c 20'-d C�'tt-qz
PEST CONTROL CONTRACTOR: Pre Go" f� LW& 59MVA5
PEST CONTROL LICENSE #: J$ZV? Qb
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: . r� l _ Chemicals used: 1 1O�Vm Comm
Percentage of solution: I Total gallons used:
Date of Treatment: Z ,Z Time of Treatment: 1 O'•\O �w�
Footing Slab
.19 Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
11 Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1t Treatment
Re-Treat
Signs a of Ernator Date
(Vote: There must be a completed form for each required treatment or re-iroatment 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 re sbVntjobs&e prsiing board
shall be provided to receive duplicate Treatment Certificates as each required protective ireahnent&completed,
providing a copy for the person the permit is issued to and another copy for Me building permit tiles The Treatment
Certificate shall provide the product used,identity of the applicator, time and date of the ireatrnent,site.location, area
treated, chemical used,percent concentration and number ofgallons used to establish a veriTrable record of
protective treatment: If Me soil chemical bam'ermethod for ternite prevention is used,final exterior treatrnentshall
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.
Revised 7/24/2014
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