HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
tERI IFICATE ADF TER�Ii� I E TREATMENT
CONSTRUCTION SOIL TREATMENT
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0
SCANNED
BY
St. Lucie County
PERMIT # :l g D 5- O a 9 D JOB ADDRESS: S I CISCt f� 1Z
CONTRACTOR: _( r-
LICENSE #: 7-9
BUILDER/CONTRACTOR:
PEST CONTROL
PEST CONTROL
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean.termites-.in-.accordance_with.thestandards of-the.National-Pest-Control.Association.
Square feet if area treated: 3 O
Percentage of solution: 0, LU
Date- of Treatment: 2,
✓ Footing
IS` Treatment
Re -Treat
Driveway
15` Treatment
Re -Treat
Other
1'` Treatment
Re -Treat
J
Chemicals used: CroSS CA ecK
Total gallons used:
Time of Treatment: Z 2
Slab
iu Treatment
Re -Treat
Pools
15` Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
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.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be piovidedto receive duplicate Treatment Cerrtiiicates as -each required proiectMe treatinentis completed,
providing a 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 treatmentshall
be completed prior to final buildng approval.
St. Lucie County requiresfor thefinat inspection for CCU a Permanent. Stickertobe placed on
the electrical panel box cover, listing all the treatments and dates of applications.