HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division SCANNED
2300 Virginia Ave BY
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 St. Lucie Countv
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 51c , JOB ADDRESS:
BUILDER/CONTRACTOR: M r
PEST CONTROL CONTRACTOR: C -E
PEST CONTROL LICENSE #: ')Oil,
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: -Isbb
Percentage of solution: % oZ
Date of eatment: 1 ��
Footin
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used:
Total gallons used:
Time of Treatment: =
lab
i�t Treatment
Re -Treat
Pools
1st Treatment
Re-Tr"Finallnsp
Perimeter forectSi re of;rj
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 fall and a re -Inspection
fee charged.
FBC104.2.6 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 treatmentis 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 Me 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 Me soil chemical baniermethod 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.
Planning & Development Services SC iV EQ
Building & Code Regulation Division S(; CU
2300 Virginia Ave ete county
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: �S1 '-" J®B
BUILDERJCONTRACTOR:
PEST `CONTROL CONTRACTOR: _
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: b—
Percentage of solution: 15,0Z
Date of eatment: 1 P,1
_Footin
1" Treatment
_Re -Treat
_Driveway
1't Treatment
_Re -Treat
_Other
lst Treatment
Re -Treat
Chemicals used: f'I fL2P r- 'f—C
Total gallons used: J.
Time of Treatment: j U ` O 0
lab
lit Treatment
Re -Treat
_Pools•
ist Treatment
Re -Treat
_Perimeter for Final Inspection
Si re of - xterm' r
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 fall and a re-inspectlon
fee Charged.
FBC104.2.6CertificateoffttectiveTreatment forpreventionoftel•mites Aweathermslstantjobsiteposting'board
shallbe provided to receive duplicate Treatment Certificates as each required protective treatmentis'completed,
prov/ding a copy for the person'the permit is issued to and another ropy for the building permit files The Treatment
Certifcate shall provide the product used, identity of the appllCator' time and date. of the treatment, site locab'on, area
treated, chemical used, percent concentration and number of gallons used to establish a verifiable record of
protective treatment. If the soil chemical barnermethod for termite prevention is used, final extenortreatmentshall
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.