HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave SCANNED
Fort Pierce, FL 34982 BY
772-462-2172 Fax 772-462-6443 ,�de®n
ty
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERM iT #: JOB ADDRESS: w e4 �Sle
BUIL DER/CONTRACTOR: Oki Lon
PEST ONTROL CONTRACTOR: 1Mc6QSe Se(-ole-cs
PEST ,, ONTROL LICENSE #: 1
We, th undersigned, hereby certify that we have pretreated the above described construction for
subterr mean termites in accordance with the standards of the National Pest Control Association.
Square Meet if area treated: '_2J4 �-� Chemicals used: a71u_ ccArc
�I G
Percentage of solution: 2 37o
Date of ':,Treatment: Zl
St Treatment
.e-Treat
St Treatment
,e-Treat
St Treatment
.e-Treat
Total gallons used:
Time of Treatment:
Slab
Vt Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
Perimeter for Final Inspection
— C&,A-- ) IZ t ) /'�(
Signature of Exterminator bate
Note: here must be a completed form for each required treatment or re -treatment and this form must be on the job
site to Z e picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee chal a ed.
it
F13C10 2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providi . a copy for the person the permit is issued to and another copy for the building permit riles. The Treatment
Certirica"te shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, 1 chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protecti a treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be com 7 ted prior to final building approval.
St Luc a County requires for the final inspection for CO, a Permanent Sticker to be placed on
the el ilctrical panel box cover, listing all the treatments and dates of applications.
Revised 7 24/2014