HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNLO
By �
S LudleC®ua`
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-21712 Fax 772-462-6443
i,ECEIVED
OCT 16 2018
ST. Lucie County, Pol`mitting
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
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PERMIT JOB ADDRESS: !F62-1 &!
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: 1
We, the undersigned, hereby certify that we h
subterranean termites in accordance with the
Square feet if area treated:
Percentage of solution: 3 In
Date of Treatment:
Footing
1st' Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Note; There must be a completed form for each req
site to be picked up by the inspector at time of each
fee charged.
pretreated the above described construction for
dards of the National Pest Control Association.
Chemicals used: VC0oz,
Total gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
treatment or re -treatment and this form must be on the job
�ticn or the scheduled inspection will fail and a re -inspection
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 shall 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