HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATERRCEI D MW 02 Za SCAN EL�
Planning & Development Services St CUria r
Building & Code Regulation Division
2300 Virginia Ave
a Fort Pierce, FL 34982
0 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: SUz, -0 (-1 1 JOB ADDRESS: % 1 -7 3 S L4t g �Pf L his z_
BUILDER/CONTRACTOR: +'i su i`cn.c
PEST CONTROL CONTRACTOR: ^U C- A - ha4 -GarmLu
PEST CONTROL LICENSE #:_ -,%% 1 \ e, � h .
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: 17 () Chemicals used: Zk5e�1'IYLQi
Percentage of solution: Clbr�
Date of Treatment: 1--Z' I
_Footing
_ia Treatment
_Re -Treat
_Driveway
_V Treatment
Re -Treat
t_Other I F�iY+�r Gvel &__ 5
�1n Treatment
_Re -Treat
Total gallons used:
Zd
Time of Treatment: to % 30
=Slab
_1" Treatment
_Re -Treat
_Pools
_la Treatment
—Re-Treat
_Perimeter for Final Inspection
Signature of Exterminator
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.
FBC104.2.6 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 for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate shall provide the product used, ldentity 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 i
protective treatment. If the soil chemical bardermethod 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.