HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 5-30-180513012018 11:40 Wipeout Pest ATarmites �X)772 429 3229
BY
St Lucie County
` Planning & development Services
Building & Code Regulation Division
2300 Vie+emb Ave
o s Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TRgATMIENT
PERMIT #: IwNm JOB ADDR • , 26yaw $u!onbui§h C7irg1e. Pakn
BUILDER/CONTRACTOR: Rubin Custom Homes
PESO" CONTROL CONTRACTOR: 1 VVt 0+-
PEST COOL LICENSE #: . '' 1 1 � C)
-ec/n,
P.001 l001
RECEIVED
NAY 3 0' 1018
PlerMittin9 Department
SG Lucie Count
y
FL =90
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:
Date of Treatment:
footing
i� Treatment
Re -Treat
Driveway
1" Treatment
Re Treat
Other
1"t Treatment
Re -Treat
Chemicals used:
Total gallons used:
V
f Treatment: C4" 19
Slab
ist Treatment
'Re -Treat
Pools
Is' Treatment
Re -Treat
Perimeter for Final Inspection
ignature of Eggirilhator Date
Note. There must be a cvmafet8d form for each required treatment or re -treatment and this farm must be on the job
sfte to be picked up by the inspector at time of each inspection or the scheduled iwpecif'on wl/i fall and a re-inspecd+on
fee dfarged.
FBC104, 2,6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite pasting board
shall be provided to recelve duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for Me person the permit is issued to and another copy for lfie building permit files The Treatment
CetVFcate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
trued, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatment, If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building 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