HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning &i Development Services
Building & Code Regulation Division
2360 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE
CONSTRUI
PERMIT #: I �OY-OS7! JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: cc
PEST CONTROL LICENSE #: "0681ji
TERMITE TREATMENT
►N SOIL TREATMENT
: �yol i✓ Olrf Ozzie (14
6 wt2 t/
PEST CONTROL OF THE TREASURE COAST
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: Ro
Percentage of solution: 0. 0 �'�"
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used:
Total gallons used: �i_
Time of Treatment: 2'" /r
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator 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 Inspector at time of each inspection or the scheduled inspection will fail and a re inspection
fee charged.
FBC104.2.6 Certificate of Protective Treat
Mall be provided to receive duplicate Treal
providing a copy for the person the permit
Certificate shall provide the product used, I
treated, chemical used, percent concentrat
protectfve treatment. If the soil chemical t
be completed prior to final building approv
St Lucie County requires for the fir
the electrical panel box cover, listi
Revised 7/24/2014
ent for prevention of termites A weather resistantjobsite posting board
ent Certificates as each required protective treatment Is completed,
issued to and anotfier copy for the building permit files The Treatment
rntity of the applicator, time and date of the treatment, site location, area
7 and number of gallons used, to establish a verifiable record of
rier method for termite prevention is used, final exterior treatment shall
inspection for CO, a Permanent Sticker to be placed on
all the treatments and dates of applications.