HomeMy WebLinkAboutCertificate Of Termite Treatment 5-16-16.w�
Planning & Dayelopment Services
Building & Codq Regulation Division
2300 Virginia Ave
Fort pierce, FL 34962
772-462-217Z Fax 772-462-6443
CERTIFICATE OF TERMITE TRUTM ENT
CONSTRUC 6'ION SOIL TREATMENT
PERMIT #:.L-7 `0 JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
r r � e � -�.,w ;•�
We, the undersigned, hereby certify that we have retreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: o O
Percentage of solution:
Date of Treatment:
Footing
11 Treatrriejt-
Re-Treat
Driveway
Treatment
Re -Treat
.Other 'p
1� Treatment
Re -Treat
Chemicals used:
Total gallons used•p�__�...
Time of Treatment: , 0-
••••Siab •
P Treatment
Re -Treat
Pools '
la Treatment
Re -Treat
Perimeter far F a speMan
Sigr®ture oerminator
Note: There must be a completed form foreach requlred treatment orre-trembnentand th/s form must be on the job
site to be picked up by the Inspector attune of each lrWpectlan or the scheduled Inspection w//!fall and a re-/respecdon
fee charoed
FBC104,2.6 Cer0cate ofProtecb've Treaimentforpreventlon of termites A weather resistantjotbslte pasting beard
shall be provided to receive dupllcate Treatment Cew7cat s as ead) mired protacgve treatment is completed,
providing a copy for the person the permit is issued to B17d another topyfor Me bullding permit files The Treatment
Certlficate shall provide the product used, Identity of the appl/cator, t1me and date of the treatment; site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a vedfrable record of
protecdve treatment. If the soil chemical barrier meb�od for termite prevention is used, final exterior treatment shall
be carnpleted prior to final bulla7ng approval.
St Lucia County requires for the final inspeCtion for CO, a Permanent Sticker to be placed on
the electrical panel b0x cover; listing all the treatments and dates of applications. -