HomeMy WebLinkAboutTermite 1-- Planning & Development Services - _ Building 2300 Vi R& Codegulation Division 9inia _--- Fort Pierce, pqva
L 34982
--- --- 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TEPMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: S —Q49I JOB ADDRESS:
BUILDER/CONTRACTOR: �p�� kilallcvooc0
PEST CONTROL CONTRACTOR: EvicT-A-euc TEnMirE 8 PEsr coNr xo mc.
PEST CONTROL LICENSE #:Jene775
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: 30 t{ Chemicals used: _ �o w:, -�• o..m fit_
Percentage of solution: O 5 ` Total gallons used: 3\ O
Date of Treatment:�Time of Treatment C
�Foottng
1�Trreeatm a!k 1nTreatm
Re -Treat Re -Treat
_Driveway Pools
1" Treatment 1s` Treatmen
Re -Treat _ Re -Treat
_Other Perimeter for Final Inspect;
1� Treatment .
—Re-Treat y' 'Ti 1IZZI?_Z
Signature�f 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.
FBC104.2.6CertificateofGiotectiveTreatment for prevenh'onoftermites, Aweather resistantjobsitepostingboard
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 ofgallons 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 be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014