HomeMy WebLinkAboutTermite Treatment Planning &Development Services
La e _ Building &Code Regulation Division
p 2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE' OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS: L) �SLA c/ t
BUILDER/CONTRACTOR: he��
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&PEST CONTROL INC. j
PEST CONTROL LICENSE #:1B175775
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: ` `' Chemicais used: DOMINION 2L
Percentage of solution: •05% Total gallons used: Z�d
Date of Treatment: /0/so2� Time of Treatment: 9 3Gf�M
Footing ✓,Slab
1't Treatment ,1lt Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment lv
Re-Treat
Signature of Exterminator Da e
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 re inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro viding a copy for the person the permit is issued to and another copy for the building permit fries 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 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 shad
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