HomeMy WebLinkAboutTermite Treatment Planning &Development Services
Building &Code Regulation Division
2360 Virginia Ave
Fort,Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: �*ac'01 06 a JOB ADDRESS: 7�1'1
BUILDER/CONTRACTOR: f�06A/r--`/ LAC Cr-Al-c/Z Fjl=
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
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: Q Chemicals used: DOMINION 21.
Percentage of solution: -05% Total gallons used:
Date of Treatment: Time of Treatment: 9,60
-,/—Footing /Slab
1st Treatment Ist Treatment
Re-Treat L Re-Treat
Driveway Pools
1st Treatment Ist Treatment
—Re-Treat Re-Treat
Qther Perimeter for Final Inspection
1st Treatment
Re-Treat
Signature of Exterminator Date
Note.- There must be a completed form for each required treatment or re-treatment and this form must be on the jab
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 resistantiobsite 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 pro We 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 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 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.
Revised 7/24/2014