HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTBY
St. Lude County
Planning & Development Services
uilding & Code Regulation Division
2300 Virginia Ave
a - Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PER IU IT #:_40 L, 0 j J1_ JOB ADDRESS: c
BUILDER/CONTRACTOR:
PEST'CONTROL CONTRACTOR:���
PEST ,CONTROL LICENSE #:
We, th11 undersigned, hereby certify that we have pretreated the above described construction for
subterr' Wean termites in accordance with the standards of the National Pest Control Association.
11
Square feet if area treated: /6 0 Chemicals used:
Percent" ge of solution: 0 /"
i
Date of reatment: �c)
F' oting
1st Treatment
III Re -Treat
Driveway
1st Treatment
Re -Treat
0. her
1st Treatment
Pl Re -Treat
Total gallons used C7
Time of Treatment: fc) �
c Slabs
1St Treatment
Re -Treat
_Pools
1st Treatment
Re -Treat
Per' Final Inspection
u
Signature 'of Exterminator Date
Note: T ere must be a completed form for each required treatment or re -treatment and this form must be on the job
site to b picked up by the inspector at time of each inspection or the scheduled inspection will fai/and a re -inspection
fee charged.
FBC104 J2.6 Certificate of Protective
sha//beTreatment for prevention of termites. A weather resistant jobsite posting board
, oWed to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing�ol,a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificat sha//provide the product used, identity of the applicator, time and date of the treatment, site locat/on, area treated, Oemica/ used, percent concentration and number of gallons used, to establish a verifiable record of
protect/v 1 treatment. /f the soh/ chemical barrier method for termite pre Mention is used, final exterior treatment shall
be comp/ ted prior to final building approval.
St Lucie'. County requires for the final inspection for CO, a Permanent Sticker to be placed on
the elecr#rical panel box cover, listing all the treatments and dates of applications.
1
Revised 7/211/2014