HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave SCANNED
Fort Pierce, FL 34982 BY
772-462-2172 Fax 772-462-6443
St: Lucie County
-C-ER-TIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: SLC1904-0561 JOB ADDRESS: 5404 Silver Oak Dr., Fort Pierce
BUILDER/CONTRACTOR: Design Concrete
PEST CONTROL CONTRACTOR: _ Patrick Exterminating
PEST CONTROL LICENSE #: 4864
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:' 5 0 sq ft
Percentage of solution: . 25%
Date of Treatment: 5 / 2 0 / 19
Footing
is Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other Meta; hj1 �Idjnq
1 Treatment
Re -Treat
Chemicals used: Cyper To
Total gallons used:
Time of Treatment: 12- 00 A-m.
Sr Slab
i" Treatment
Re -Treat
Pools
i'� Treatment
Re -Treat
Perimeter for Final Inspection
Tz nn '�— 5/20/19
Signature of Exterminator bate
Note. There must be a completed farm for each required treatment or re-treatmant.and this form mustbe on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a reinspecdon
fee charged.
FBC104.2.6 Cetdfrcate of protective Treatment far prevention of termites A weatherresistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective &wtment is completed,
Providing a copy for the person the permit is issued to andanother copy for the building permlt Iles.. The Treatment
Cettilcate shall provide the product used, Idenffy 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 soli chemical barrier method for termite prevention is used final exterlor treatment shall
be completed prior to final building approval.
St Lucie County requires for the finial inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Reed 7/24/2014