HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
BY
St. Ludo County
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
PERMIT #:#/Oa.—oo.l JOB ADDRESS: ` 51 D Ao4ev-)5 Lyr(,,e 34gys
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: - V ' - ,�' �✓
PEST CONTROL LICENSE #: -a%
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: 113 D Chemicals used: 6-6'ellV e_
Percentage of solution: I%
Date of Treatment: _�L-)3 —/y
Footing
11t Treatment
Re -Treat
Driveway
1" Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Total gallons used: 1 5 O
Time of Treatment:
5-.,o0
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
<��Ta,
Signadire of r t minator
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 picked up by the inspector at time of each inspection or the scheduled inspection will fail and a -re-inspection
fee charged.
FSC 104.2.6 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,
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 treatmentt if the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior t6 final building approval.
St Lucie County 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.