HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierre, FL 34982
772-462-2172 Fax 772-462-6443
RECEIVED
NOV 12 2019
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT
BUILDERICONTRACTOR: s3?Z-
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
•:
GOB/ ,P7£RL 1^16 c T
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: oQua r ic Chemicals used: Pa. ka1`
Percentage of solution: S c o Total gallons used: r:'2ec 6:,6—
Date o�Tre ent:g
In Treatment
Re -Treat
_Driveway
1" Treatment
_Re -Treat
_Other
ls'Treatment
Re -Treat
Time of Treat
_Slab
c'is Treatment
_Re Treat
_Pools
1st Treatment
Re -Treat
Perime for Fi I Inspection
9 it 'a / 9
Signature of Extent
xter inator Date
J'CcA H
rAcr
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-inspeict on
fee charged.
FEC104.2.6 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,
providing a ropy far 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 barriermethod for termite prevention is used, final exterior treatmentshall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed an
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014