HomeMy WebLinkAboutTERMITE TREATMENT CERTTIFICATEPlanning & Development Services
-' Building & Code Regulation Division SCANNED
9-44 9p 2300 Virginia Ave BY
• Fort Pierce, FL 34982
- '" " 772-462-2172 Fax 772-462-6"3 St. Lucie Comb,
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT*: /9nR-0q-49 JOB
BUILDER/CONTRACTOR: 25
PEST CONTROL CONTRACTOR: 4
PEST CONTROL LICENSE #:
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:. I55
Percentage of solution: ' 6 5/
Date of Treatment: / I 7 v
Footing
1't Treatment
Re -Treat
_Driveway
�1s` Treatment
Re -Treat
Other
1� Treatment
Re -Treat
Chemicals used: %�6rs�rr�Jtodl
Total gallons used: qSga
Time of Treatment
Slab
VtTreatment
Re -Treat
Pools
Is' Treatment
Re -Treat
—Perimaer for Final Ins ection
/ / 7D
Signature of Exte inator Da
Note: There must be a completed form for each required treatmentorm treatment and this form must be on thejob
site to be picked up by the iaspectorattme of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6CertifirateofProtectiveTreatinentforpreventionoftermites Aweatherresistantjobsitepawngboard
shalibe provided to receive duplimte TreatrnerrtCertifieates as each required protective treatmentis completed,
providing a copy for theperson the pemtit is issued to and another copy for the building permit files. The Treatment
Certificateshall proNde the product used, Identity of the applicator, time and date of Me Raiment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. if Me soil d4arwcal banlermethod for termite prevention is used, final adariortreatmentshall
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.
Revised 7/24/2014