HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 SCANNED
772-462-2172 Fax 772-462-6443 B
Y
St. Lucie County
CERTIFICATE OF TERMITE TREATMENT
Iq (D CONSTRUCTION SOIL TREATMENT
PERMIT
BUILDER/CONTRACTOR:
PEST
PEST
CONTRACTOR: €v
LICENSE #: J13175775
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: * 2
Percentage of solution: .05%
Date of Treatment: ass
_�Fo ting
-2 O Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Chemicals used: DOMINION zL
Total gallons used: 200
Time of Treatment: I 1•0 9-,
slab
_1st Treatment
Re -Treat
Pools
1't Treatment
Re- at
xxxxxPerimeter or Final
of
Date
Note. 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 charged.
FBC304.2.6 Certificate of Protective Treatment for prevention of termites. A weather reslstantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit fifes. 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 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.
accv.acu //LY/LU 1Y