HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & 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 #: I q,a - 0VV� JOB
BUILDER/CONTRACTOR: ON
PEST. CONTROL CONTRACTOR: _
PEST CONTROL LICENSE #: JB17577E
TERMITE & PEST CONTROL INC.
SCANNED
BY
St. Lucie County
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.
Square feet if area treated: f 0
Percentage of solution:.05%
Date of Treatment:
Footing
1't Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1s` Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: ! 02
Time of Treatment: 413d
Slab
1st reatment
reat
ools
11 Treatment
Re -Treat
eri eter for FinBLW-.
of
1I 1'
Date
Note: There must be a completed form for each required ftatmelft or edreatment and this form must be on the job
site to be picked up by the inspector at time of each inspection o t scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be pmvided to receive duplicate Treatment Certificates as each required protective treatment /s completed,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shal/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
pcotectdae tceatment�If the soil chemica/ barrier method for termite prevention is used, final exterior treatment shall
be completed prior to fina/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