HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTti
SCANNED
BY
Planning 8ED40`t"61e6w9ervices
Building & Code Regulation Division
. 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
Igo-7-03s-7
RECEIVED
DEC 06 201
ST. Lucie County,'Permitting
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: ` S '/ JOB
BUILD(R/CONTRACTOR: Vi
PEST ONTROL CONTRACTOR: �1
PEST ! ONTROL LICENSE #: J
DRESS: 6`6 L c:nUPle . P r-
--
e
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterrqlrean termites in accordance with the standards of the National Pest Control Association.
Square let if area treated: 2-10
Percentage of solution: --,)3t
Date of �freatment:
r oting
I" Treatment
Re -Treat
Day
ivew
1't Treatment
Re -Treat
O�her
1t Treatment
Re -Treat
Chemicals used:cC K
Total gallons used: �- QC"
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
Perimeter for Final Inspection
- �) IZ
Signature of Exterminator Date
Note: T i ere must be a completed form for each required treatment or re -treatment and this form must be on the job
site to b? picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104{112.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certiricates as each required protective treatment is completed,
proa copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Ceriifica e 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
protecti e treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be com,�/eted prior to final building approval.
St Luci County requires for the final inspection for CO, a Permanent Sticker to be placed on
the elei rical panel box cover, listing all the treatments and dates of applications.
Revised 7/ 4/2014