HomeMy WebLinkAboutTERMITE CERTIFICATION02/21/2022 08:49 0000000000 123456789A123456 PAGE 01
COUNTY
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:o`l� G _ S JOB ADDRESS: 796v
BUILDER/CON-TRACTOR,
PEST CONTROL CONTRACTOR: -4- Tg,
PEST CONTROL LICENSE #.: J'FSaaEo
We, the undersigne J, hereby certify that we have pretreated the above described construction for
subterranean term) es in accordd9a��nc��e, with the standards of the National Zf_�
ntrol Association.
Square feet If area reated: n 1'V o Chemicals used:
Percentage of solut�on: rV 1,06 Total gallons used: J(2
Date of Treatment: Time of Treatment:
_Footing Slab
1' Treatment Sn Treatment
Re-T at _Re -Treat
TDriveway Pools
In Tr atment In Treatment
OtherTr t " t
Perimete for Inspection
In Tr tme t
Re-T at
Signatur o v rminator
Note: There must a completed form for each required treatment or re bwtment and this form must be on the Job
site to be picked up y the inspector at time of each inspection or the scheduled Inspection will fall and a te-Inspection
fee charged
FBM04.2.6 Certltl
to of Protective T eatment for prevention of termites. A weather resis7nnt jobs/te posting board
shall be provided to
ive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for
a person Me permit is issued to and another copy for the building permit files. The Treatment
Certifcate shall prov):fe
the product used, identity of the appl cator, time and date of the treatment, site location, area
treated, chemical Lis
, percent concentratlon and number of gallons used, to establish a verifiable record of
prorective treatment.
If the so// chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior t
final building approval.
St Lucie County tequlres for the final inspection for CO, a Permanent Sticker to be placed on