HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPERMIT
BUILDER
PEST CO
PEST CO
SCANNED
BY
'St. Lucie Can*
Planning & Development Services
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
. JOB
CONTRACTOR: (L.
DRESS:
OL CONTRACTOR: H casS
OL LICENSE #:_, IN �39
We, the un ersigned, hereby certify that we have pretreated the above described construction for
subterrane n termites in accordance with the standards of the National Pest Control Association.
LinPhr '
feet if area treated: %lib Chemicals used: Zr—c—C—�
Percentage of solution: J ?�3�lo Total gallons used: Z—
Oat e 'of'Tre tment: ' 3/ql � Time of Treatment: /? : ac)
Foote g Slab
1"Treatment lst Treatment
Re -Treat Re -Treat
Drive ay Pools
/ �1't Treatment 1st Treatment
I -Re-Treat Re -Treat
e
1st Treatment Perimeter for Final Inspection
_::Re -Treat g
311�/iure of Exterminator Date
Note; Themust be a completed form for site to be pi e�required treatment or re -treatment and this form must be on the job
ed up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged,
FBC104.2.6 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 py for the person the permit is issued to and another co for the buildin
g Permit file, The Treatment
Certificate s��{{P6/l provide the product used, identity of the applicator, time and date of the treatments,site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
Protective tratment. If the soil chemical barrier method for termite prevention is used, Tina/exterior treatment shall
be complete prior to final building approval.
St Lucie C unty 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 7/24/2b,14