HomeMy WebLinkAboutTermite CertPlanning & 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 #: JOB ADDRESS; � �/ � �` a
BUILDER/CONTRACTOR; 0 pp6
PEST CONTROL CONTRACTOR: EVICT -A -PUG TERMIT & PEST CONTROL INC.
PEST CONTROL LICENSE #: J3175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
su,bterranean termites in accordance with the standards of the National Pest Control Association.
tjyw x r-
--Sqaarmfeet if area treated: _00 Chemicals used: DOMINION 2L
Percentage of solution: .05%
Date of Treatment:
Footing
1't Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
U-ZCther F n4 I
15t Treatment
Re -Treat
Total gallons used:
Time of Treatment: a
Slab
1St Treatment
Re -Treat
Pools
1St Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator to
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 reinspectlon
fee charged.
FBC104.2.6 Certificate of protective Treatment for prevention of termites A weather resistant jobsite pasting board
Shall be provided to receive duplicate Treatment Certificates as each required protect/ve treatment is comp/eted,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shalf 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
final building approval.
be completed prior to
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