HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 4-21-16Planning & Development Services
=:as'"III � �'. " '' Building & Code Re+gul8tion Division
23Qo Virginia Ave
- Fort Pierce, Fl• 34982
772462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM ENT
CONSTRUCTION SOIL TREATMENT
PERM- #: ! o ��(_ JOB ADDRESS: 3 Z—n✓t,4o rl r IL
DRESS:
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: 70 J
Percentage of solution:
Date of Treatment: AZi - (,6 --
Footing
1&t Treatment
Re -Treat
Driveway
is, Treatment
Re -Treat
Other
1� Treatment
Re -Treat
Chemicals used: s GcJ
Total gallons used:
Time of Treatment: If' a &
lab
15t Treatment
Re Treat
Pools '
e T reatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
Mote: There must be a completed form for each required treatmentorre-ireatmentand th/s farm must be on the job
lnspea`lon or thescheduled Inspection will fall and a re•Inspecdon
slte to be picked up by the Inspector at time of each
fee charged
FBC104.2.6 Certificate offttscdve Treatrnentforpreventlon oftermft& A weatherresistantjobSife posting board
shall be provided m receive duplicate Treatment Cerb'fuates as eadh required probx ve &m1wentis completed,
providing a copy for the person the permit is issued to and another ropy for• the bullding permit files: The Treatment
Certifrcateshall provide the product used, identltyof the applXator, time and date of the treatment, site for Wn, area
treated, chemical used, percent mnaentration and number of gallons used, to establish a verifiable record of
protective treabnent If the soil clhemlcal barriermethod for termite prevention is used, final exterior treatment shall
be compfetedprlarto final bulidingapproval
St Lucia County requires for the final inspection for CO, a Permanent Stfcker tobe Placed on
the electrical panel box cover, listing all the treatments and dates of applications-