HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEW(
Planning & Development' Service§
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 #: 190— O( 3 JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
We, the undersigned, hereby certify that we have
subterranean termites in accordance with the star
Square feet if area treated:_
Percentage of solution:
Date of Treatment: O�TI
_Footing
_Is' Treatment
Re -Treat
_Driveway
1" Treatment
1
ReTre at� P
0
Treatment
_Re -Treat
11 i �,
SCANNED
BY
St. Lucie Counb.
ated the above described construction for
of the National Pest Contrnl Assnriatinn
Chemicals used:
Total gallons used:
Tim of Treatment:
SI b
1" Treatment
Re -Treat
ri0)
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 ofeach Inspectlon or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatmentforpn
shall be provided to receive duplicate Treatment Cerb'f
providing a copy for the person the permit is issued to
Certificate shall provide the product used, identity of o
treated, chemical used, percent concentration and nun
protective treatment. If the soil chemical barrier meth
be completed prior to final building approval.
St Lucie County requires for the final inspec
the electrical panel box cover, listing all the
melon of termites A weather resistantjobsite posting board
tes as each required protective treatment is completed,
id another copy for the building permit files. The Treatment
applicator, time and date of the treatment, site location, area
er of gallons used, to establish a verifiable record of
'for termite prevention is used, final exterior treatment shall
for CO, a Permanent Sticker to be
tments and dates of applications.
Revised 7/29/2014 LUC
��
ED
16 201g
Department
County, FL