HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE - 6-19-19Planning & 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 #: ! ` d 3� JOB ADDRESS: ,'20 % LfCa Qr�nr, l%` (7-
BUILDER/CONTRACTOR:
PEST (CONTROL CONTRACTOR: COASTAL PEST CONTROL OF THE TREASURE COAST SCANNED
PEST (CONTROL LICENSE #: #8068/JB5594
I Si Lucie C unty
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.
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Square ifeet if area treated: S� Chemicals used:
Percentage of solution: (/ O Total gallons used:
Date ofiTreatment: Time of T atment: X-'00
f
Footing. Slab 1st Treatment 1 Treatments_
Re -Treat Re -Treat
Driveway Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
1st Treatment
I Re -Treat
Signature of Exterminator Dafe
Note. There must be a completed farm for each required treatment or re-treatmentand 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-inspecton
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pre) vfdingja 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 ofgallons 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 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
Full Treatment r jw--i �r
Spot Treatment
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❑ Inspection Only -0 772-879 O 7 904
Notice of Treatment or Inspection
n ATE SERVICE CHEMICAL BY