HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
Planning &`e�r��t�ifiiervices
Building & Code Regulation Division
. 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PER IT #: b_ - (_)63 OB ADDR SS:'31 q 2 ) -s e ur4q- cWr
BUI � DER/CONTRACTOR: r,' (\
PES�i CONTROL CONTRACTOR: (f
PES 11 CONTROL LICENSE #: '
We, 11he undersigned, hereby certify that we have pretreated the al'o e described construction for
subt 'rranean termites in accordance with the standards of the National Pest Control Association.
Squa e feet if area treated: ), 60 L^ F Chemicals used:
Percentage of solution: Total gallons used: 2
Date ibf Treatment: Time of Treatment:
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
LrbA_-1'_ I -L)14 �
Signature of Exterminator Date
Note: i There must be a completed form for each required treatment or re -treatment and this form must be on the job
site t ' be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee d Orced,
FBC14.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall j le provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro v1c Mg a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certi ate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treate 1, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
prote tive treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be co Ii pleted prior to Anal building approval.
St L ie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the lectrical panel box cover, listing all the treatments and dates of applications.
Revise 17/24/2014