HomeMy WebLinkAboutCertificate Termite 4-30-14Planning & Development Services
."T`•.'` ri"" M Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34992
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITEIREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:
- 03S .IOB ADDRESS: �� �-�J ��' bC ✓� I��e
_
BUILDER/CONTRACTOR: i
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: 'ZD_ L/F; Chemicals used: Im u i
Percentage of solution: , ba
Date of Treatment: =1 r J o / l
Footing
1�` Treatment
Re -Treat
Driveway
Treatment
Re -Treat
Other
1' Treatment
Re -Treat
Total gallons used; (�
Time of Treatment; ' °
619
Slab
Is' Treatment -- ---
Re-Treat
Pools
1-9` Treatment
Re -Treat
Perimeter for. Final Inspection
ignature.of F_xterminator
Note. There must be a completed form for each required treatment orre-treatment and this form must be on the job
site to be picked up by the inspector at time of each inspectlon or the scheduled Inspecdon will fail and are -Inspection
fee charged.
FBC104.2.6 Certificate ofProtectiva Treatment forprevention of termites A weatherreslMaROobsfte 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 bulloing permit files The Treatment
Certificate shall prov/de 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 treabrent If the soil chemical barrier method for termite prevention is used, final exherlor treatment shall
be completed prior io final bullding approval.
St Lucie Countyaeborequires or th final
IRSP
all the treatments and dates of applicationson for CO3 a Permanent Sticker to .
placed on
the electrical p
&9
MAY — i AEC9 D