HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPEI
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Planning & Devglopment Services
A ��, Building & Code Regulation Division IILE CO
2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
.MIT #: 003&
LDER/CONTRACTOR:
T CONTROL CONTRACTOR:
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CONTROL LICENSE #: `5O_ 1� �36'
We, Ithe undersigned, hereby certify that we have pretreated the`above described construction for
sub erranean termites in accordance with the standards of the National Pest Control Association.
Squ re feet if area treated: I Cn_0 kP Chemicals used: �Orcllre _e
of solution: 23`�C
of Treatment:
1st Treatment
Re -Treat
1st Treatment
Re -Treat
Other
1st. Treatment
Re -Treat
Total galloris;'used:
Time of Treatment:
.2,
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
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Signature of Exterminator Date
Not : 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 tharged.
FB 104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
sha be provided to receive duplicate Treatment Certificates as each required protective treatment is completed;
pro ttding a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Ceh ;,ficate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
trea ed, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
prol treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to 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.
Revised 7/24/2014