HomeMy WebLinkAboutCERTIFICATEIL
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462.2172 Fax 772-462-6443
SCANNED
By
St. Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: C)9 OxIOB ADDRESS: 3?0/ 4 11/94'%�j
BUILDERICONTRACTOR:
PEST CONTROL CONTRACTOR:c-
PEST CONTROL LICENSE #: 'J'I•S ocioalDty
We, the undersigned, hereby certify that we have pretreated the above described construction for
---subterranean termites inaccerdance vdith-the-standards of-the-Nationall--Pest-Control Association. -
Square feet if area treated: 1/00 Chemicals used: _1 24
Percentage of solution: Total gallons used:
Date of Treatment: Time of Treatment:.
_Footing —Slab
—1`rTreatment ,_i#Treatment
Re --Treat _Re -Treat
_Driveway ---Pools
VTreatment i'tTreatment
_jte Treat _Re -Treat
Other Perimeter for Final Inspection
_in Treatment 61a,
% J/j
,_Re Treat t� 0%-eled � � o
elln ure of EAerminator Date
Plote.• There must be a completed form for each required treatment or re -treatment and this form mustbe on Me Job
site to be picked up by the Inspector at time al each Inspection or the scheduled lnspectlon will fail and a re -Inspection
fee charged
FBC104.2.6Cer0cateoffttectiveTreatment forpreventionoftermites Aweatherresistantjobsiteposbhgboard
shall be prcvlded to recelve duplicate Treatment Certificates as each required protective treatment Is compfted,
providing a copy for the person the permitis Issued to and another copy for thebuilding pernhit files The Treatment
cerdrote shall provide the product used, ldendty ofthe applicator, time and date of the treatment, site locaffon, area
treated, chemical used, percent ccncenhatlon and number ofgaihns used, to establish a verifiable record of
protective treatment. If the soil dhemial barter method for termite prevention Is used, final exterior treatmentsUl
be completed prior to final bullding 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.
Rcv1secl7j2/V2O14