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HomeMy WebLinkAboutTermite Treatment P%Wng Developrnent ServIces
Building &Code Reguhtion o1visjon
2300 Virginia Ave
Fort Pierce, FL 349$2
772-452-2171
CERTEFECATE OF TERMTE TREATMENT
CONSTRUCT70H SOM TREATMENT
PERMIT #: JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A--UG TERMITE 13E&PEST CONTROL INC.
PEST CONTROL LICENSE #: JB'75775
We, the undersigned, hereby certify that we have Pretreated the above described construction for
subterranean termites in accordance wl h the standards of the National Pest Control Association.
Square feet if area treated: Chemicals used: BASELINE
Percentage of solution: -or,% Total gallons used:
Date of-Treatment:-L-//-(/!7 -Time-of-Treatment:
—Footing —Slab
—Ist Treatment _1"t Treatment
C;-r7-Re-Treat —Re-Treat
,Vaw�
rivi4way —pools
is
- t Treatment 1"t Treatment
IRRe-Treat
-Treat
k± —
�©ther A � .44-5-Perimeter for Final;�Spection
I-V--I Treatment
—Re-Treat 7d`j
Signature of Exterminator Date
Mote* There must be a completed form for each required treatment or re-treatment and ails form must be on the job
site to be picked up by the Inspector at time of each Inspection Or the scheduled Inspectlon w111 fall and a re-Inspectlon
fee Charged,
F13C104.2.6 Cert(ficate of protective Treatment forPr*&ventlon of termites A weather resIstantjobsite posting board
shall be provided to receive.duallcate Treatment Celtlflcates as each required protective treatment Is completed,
providing a copy for the person the pen771t Is Issued to and another copy for the bulldlng permit riles. The Treatment
Certlflcate 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 of gallons used, to establish a verifiable record of
protective treatment if the soll chemical barrier method for termlte prevention Is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the finag inspection for CLD,a Permanent Sticker to be placed on
the e0actrical panel box coven, 111sting Bog the treatments and dates of applications.
Revised 7/24/2014
Planning &Development Services
Building &Code Regulation Division
2300 Virginia Ave
IMAM Fort Pierce, FL 34982
772-462-2172 Fax 772462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:-1-? 0 0-J-7 P 30B ADDRESS: 6' 1rcGodel uo+OL w
BUILDER/CONTRACTOR: ("a'a(ef
fe-
PEST CONTROL CONTRACTOR: EVICT-A-BUG TER6TE&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: 'BASELINE
Percentage of solution: .060% Total gallons used:
Date of Treatment: Time of Treatment:
-- Footing
-1st Treatment ist Treatment
-Re-Treat -Re-Treat
Driveway -Pools
-11t Treatment -15t Treatment
-Re-Treat -----Re-Treat
-Other _Perimeter for Final Inspection
-1-1t Treatment
----Re-Treat
Signature of Exterminator Date
Note: 7h,-re must be a completed f0M7 for each required treatment or re-treatment and this form must be on MeJOb
site to be picked up by the inspector at time of each Inspection or the scheduled inspection MY fall and a re-Inspection
fee charged
FBC104.2.6 Certificate of Protective Treatment for preventlon of tennites, A weather resIstantJobsite 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,Idenbty 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,Anal 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