HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE191 /L (Y)i ( /4-
Planning & Development Services
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
RECEIVED
OCT 2 3 2019
ST. Lucie County, Permitting
SCANNED
BY
St. Lucie County
PERMIT #: SLC1910-0014 JOB ADDRESS: Lot 1386, Nettles Island, Jensen Beact
BUILDER/CONTRACTOR: Burns & sons
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: 1 260
Percentage of solution: . 25 %
Date of Treatment: 1 0 / 21 / 1 9
Footing
1� Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
la Treatment
Re -Treat
Chemicals used: CyPer TC
Total gallons used:
Time of Treatment: 1 : 30
x Slab
x I' Treatment
Re -Treat
Pools
l:t Treatment
Re -Treat
Perimeter for Final Inspection
e 1--� �-d 10/21/19
Signature of Exterminator Date
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.
FBC104.2.6CertificateofProtectiveTreatmentforpreventionoftermites. Aweather resistantjobsiteposting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is 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 of gallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
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