HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTBY
Planning& Development Seti-I L E P Copy
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
IT #: /f/d I _ b � JOB ADDRESS: 6W 7 6pW2l-e_s�jwr%e �6
BUILDER/CONTRACTOR:
PES r CONTROL CONTRACTOR:
PES rl CONTROL LICENSE #:
We, the undersigned, hereby certify that we have pretreated the above described construction for
subte j�I ranean termites in accordance with the standards of the National Pest Control Association.
Squar feet if area treated: 2 �� �— Chemicals used:C_
Percentage of solution: Z-
Date �f Treatment:
oottng
15t Treatment
Re -Treat
>riveway
1st Treatment
Re -Treat
1st Treatment
Re -Treat
Total gallons used:
Time of Treatment:
2.
Slab
15t Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
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 ch lroed.
FBC1d4.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall de provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
provld'ng 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
protecYve treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lu , ie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the a ",ectrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014