HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTJ
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Planning & De eto�Woo nRZ ices
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
07y8
FIILE-COPY
CERTIFICATE OF TERMITE TREATME
CONSTRUCTION SOIL TREATMENT
#: �� �� JOB ADDRESS:
/CONTRACTOR: 'D% Q- rk►,�
NTROLCONTRACTOR:
NTROL LICENSE #:°i�s�"
JAN 04 20,9
Lucie County, Permitting
We, the Unclersigned, hereby certify that we have pretreated the above described construction for
subterranllean termites in accordance with the standards of the National Pest Control Association.
Square f I t if area q �,I ea treated: 2w Chemicals used:. 'R
Percentage of solution: -no/r> Total gallons used: ZL5�C
Date ofTreatment: 1 / ]tcl Time of Treatment: 3, 410
Fo iting Slab
1st Treatment 1st Treatment
Re -Treat Re -Treat
Driveway Pools
- —I 1st Treatment 1st Treatme
nt
eRe-Treat Re -Treat
Ot -Aur-e__cGe Perimeter for Final Ins ectio n
1st Treatment
Re -Treat /131f 9
S' ature of Exterminator Date
Note; Th re must be a completed form for each r fired treatment or re -treatment and this form must be on the job
site to be XQ up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee chary �d.
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 L copy for the person the permit is issued to and another copy for the building permit files. The Treatment
CertlficatE shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, car emical 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/�11 ed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the ele rieal panel box cover, listing all the treatments and dates of applications.
Revised 7/2%2014 -