HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 11-29-18SC��� FILE COPY-11���o��
Planning & Development Services RECEIVED
Building & Code Regulation Division
2300 Virginia Ave DEC 0 0 2018
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 ST. Lucie CounEy; Prti
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMI #:tym-00-3'
JOB A
BUILD'R/CONTRACTOR: R 1'
PEST C1 NTROLCONTRACTOR: �
PEST C I ONTROL LICENSE #: a�
)DRESS: ��o��� 63
0
We, the ndersigned, hereby certify that we have pretreated the above described construction for
subterra jean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated:—F
Percentage of solution:
Date of reatment:
1 z9 J
ro Dting
15t Treatment
l Re -Treat
Dr 1ay
ew
1st Treatment
Re -Treat
Ot b er
1st Treatment
Re -Treat
Chemicals used: '00rr' -C 1-(f
Total gallons used: 2,
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
�z &L 11
Signature of Exterminator 6ate
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 kicked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee chargoed.
FBC104. .6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be k novided 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 comp/ ted prior to final building approval.
St LucieCounty 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