HomeMy WebLinkAboutCert of termite treatmentPlanning & 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
PERMIT #: o-0118JOB ADDRESS: Sig 0oura+'S Lh
BUILDER/CONTRACTOR: AWN - 5(,htY A
PEST CONTROL CONTRACTOR: ACT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JBI75775 I�
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.
Uoeac-
'�Zlaere-feet if area treated: �Chemicals used: DOMINION2L
Percentage of solution: .05%
Date of Treatment: a �Zc7
Footing
1st Treatment
Total gallons used:
Time of Treatment: ib
Slab
1st Treatment
Re -Treat Re -Treat
Driveway, Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
Other Pen eter r Final Ins ion
1 Treatment
Re -Treat 0n4aW""dbyPAULCLUGARAJR i x
PAUL C LUG JF2 �2W.,9,,,$,,-04W () VVV
01
Signature of Exterminator Date
Note: There must be a completed fonn for each required treatment or re-&eatmentand this form must be on the job
site to be pied up by the inspector at time of each inspection or the scheduled inspection W// fail and a re-inspecton
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of tennites A weather resistant jobsite posting 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 ofgallons 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 7/24/2014
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