HomeMy WebLinkAboutCERTTIFICATE OF TERMITE TREATMENTMOM
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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RECEIVED
OCT 1.1019
Perrnitti,9 O
St LUCie COUepartMenr
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 06'M JOB ADDRESS: VLZ9 &"(eSne Ar
BUILDER/CONTRACTOR:(!
PEST•, CONTROL CONTRACTOR: �
PEST CONTROL LICENSE #: _�q t3 (9'?s
We, the undersigned, hereby certify that we have p
subterranean termites in accordance with the stand
Square feet if area treated: PZ Q L
Percentage of solution:
Date of Treatment: )-obs f
Footing
1st Treatment
Re -Treat
Driveway
-eated the above described construction for
s of the National Pest Control Association.
--micals used: &G (icIL Cc. -Pe
otal gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
1st Treatment
Re -Treat Krw,_�� hs
Signature of Exterminator D to
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. I
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FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate sha//provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, 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