HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 2-21-20RECEIVED
` "�" Planning & Development Services
Building & Code Regulation Division FEQ °�'�
� 2300 Virginia Ave
9 ST. Lucie county' Permitting
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
rCA�NED CERTIFICATE OF TIERMITE TREATMENT
BY
St Lucie County
PERMIT #: ( 'ao �--
CONSTRUCTIONI SOIL TREATMENT
0(0Y JOB ADD
BUILDER/CONTRACTOR: A iCP
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: c�
We, the undersigned, hereby certify that we have p
subterranean termites in accordance with the stand
Square feet if area treated: So
Percentage of solution: C's,
Date of Treatment: 02 a
Footing
1st Treatment
Re -Treat
Driveway
15t Treatment
Re -Treat
Other
SS: rpoao 1�-AA.IrA-F(QA/
3
gated the above described construction for
of the National Pest Control Association.
micals used: `?P£ k(S £
otal gallons used: 4 63 L
ime of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final In
1st Treatment ` v
Re -Treat
Signature o
Note: There must be a completed form for each required treatment or
site to be picked up by the inspector at time of each inspection or the s
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prev6
shall be provided to receive duplicate Treatment Certificai
providing a copy for the person the permit is issued to an
Certificate shall provide the product used, identity of the
treated, chemical used, percent concentration and numbe
protective treatment. if the soil chemical barrier method
be completed prior to final building approval.
St Lucie County requires for the final inspectie
the electrical panel box cover, listing all the tr
Revised 7/24/2014
Date
,ent and this form must be on the job
inspection will fail and a re -inspection
!ion of termites A weather resistant jobsite posting board
s as each required protective treatment is completed,
another copy for the building permit files. The Treatment
plicator, time and date of the treatment, site location, area
of gallons used, to establish a verifiable record of
it termite prevention is used, final exterior treatment shall
for CO, a Pe, manent'Sticker to be placed on
tments and dates of applications.