HomeMy WebLinkAboutCertification Of Termite Treatment_ Planning & Development Services
N =- 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 #: 17® T _ � �� JOB ADDRESS: *';"/ 0V S Q &5gr &Y19, Fir",
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:. `
Percentage of solution: 0, /9 o
Date of Treatment: q " / —dq 7
Footing °
1' Treatment
Re -Treat
Driveway
1' Treatment:
Re -Treat '-
Other
1� Treatment .'
Re -Treat
Chemicals used: TCd�.v�&_(Z.
Total gallons used: _j, . _ 6-1._e_
Time of Treatment: � `
,-Slab
_2L1't Treatment
Re -Treat
Pools
1' Treatment
Re -Treat
Per' eter f I Inspection
ture o erminator 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`inspeciorat 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 resistantjobsite posting boardsha// be provided to receive duplicate Treatment Certificates as each required protective treatment is comp/tl providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Cerftflcate 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 so//Chemical barrier method for termite prevention is used, final exterior treabnentshall
be completed pr/or to final bu//ding 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
P,- g H