HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTM ROD elan-� ��
AS
.,:, � � Planning &Devele�,&t�i`is rvices RECEIVED
�y�� Building & Code Regulation Division
I 2300 Virginia Ave JAN 2 2 ?,g
9 Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 ST. Lucie County, Permitting
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT
BUILDEI
PEST CC
PEST CC
'JSS JOB ADDRESS:
CONTRACTOR:
L CONTRA(
L LICENSE
We, the u 'dersigned, 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: 2,S
Percentagd
III of solution: -29%
Date of Treatment: Z/
root ng
15t Treatment
�I Re -Treat
Driv6way
1st Treatment
II Re -Treat
Other ���`�� Cshds�
III 1st Treatment
I'I Re -Treat
Chemicals used: An�-rc�- cc_
Total gallons used:
Time of Treatment: //%a0
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
re of Exterm
1121119
Date
Note. They�` must be a completed form for each equired treatment or re -treatment and this form must be on the job
site to be p inked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charcerlj
FBC104.2. i6 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 t�eatment, If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie ounty requires for the final inspection for CO, a Permanent Sticker to be placed on
the elect ical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2'014