HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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St. Lucie Y
County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT
BUILDER/CONTRACTOR: —jA
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: J13175775
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:) 70 S l>% Chemicals used: BABPLINE
Percentage of solution: -06%
Date of Treatment: / =I/
Footing
1't Treatment
Re -Treat
Driveway
1st Treatment
R -Treat
.her
t�'t ww�brn C t�i1'1
I' Treatment/
Re -Treat
Total gallons used:
Time of Treatment:
Zo
Slab
1� Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter,r Final Inspection
3 /-17
Signature of Extermli4rator Date
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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 forprevention of termites A weatherresistantjobsite posing board
shall be provided to receive duplicate Treatment Certficates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building perm/t 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 venflabie record of
protective treatment. If the, soil chemical barrier method for termite prevention is used, final exterior treatment -shall
be completed pdor 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
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