HomeMy WebLinkAboutTermite Treatment (2) Planning &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 #:X1Q1 /J� J�LBADDRESS:
BUILDER/CONTRACTOR: f f
PEST CONTROL CONTRACTOR: EVICT-A- 6G 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: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Danteof Tre�antt: /
Time of Treatment:
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riveway -Pools
Ist T eatment 1stTreatment
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Sig ture of Exter hator Date
Note, There must be a completed form for each requi ed reatment or r reatment and MIS form must be on the job
site to be picked up by the Inspector at time of each in ection or the s eduled inspection will fall and a re inspection
fee charged
FBC104.2.6 Cerffi-lcate of Protective Treatment far prevention of termites A weather resistant, obsiteposting 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 shallprovidethe product used,identity of the applicator, time and date of the treatment,site location, area
treated, chemical used,percent concentratlon and number of gallons used, to establish a verifiable record of
protective treatment If the soil chemAcal barrier method for termite prevention Is used, final exterior treatment shall
be completed prior to Anal 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