HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 1-5-19FILE COPY
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
"CANNED
'BY
St Ducts County
S 30
PERMIT" # :'' - �'�s' SOB ADDRESS: �`� •:, tv� c� 1 fk
BUILDER/CONTRACTOR: r r C f - 'z
PEST
PEST
i
CONTROL CONTRACTOR:
CONTROL LICENSE #:, —j-_9 0 SaQ w
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.
I
Square feet if area treated: --'
Peicentage of solution:
Date of Treatment: /
Footing
1 Treatment
Re -Treat
Driveway
11t Treatment
Re -Treat
other
ill Treatment
Re -Treat
Chemicals used: & KA.Ar (�iA
Total gallons used: t'
Time of Treatment:, ~°
Slab
V" is! Treatment
Re -Treat
Pools
111 Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator at
i
Note: There must be a completed form for Vach 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.
FBC104.2.6 t ertifrcate of Protective Treatment for preventlon oftermites. A weather resistant jobsite posfing board
shall be provided to receive duplicate Treatment Certificates as each requiredprotective treatment is completed,
providr•ng a copy for the person the permit is issued to and another copy for the building permit fries 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 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 ranuires 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 7024/2014
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