HomeMy WebLinkAboutTermite Treatment Manning &Development Services
Building &Code Requiation ®1d6sion
2800 Virginias Ave
Fort Pierce, (FL 34982
772-462-2172 Fax 7172-46 2-6443
CONSTRUCTION 909L TREATMENT
PERMIT #: 170 Z.-0-L'9 - JOB ADDRESS: _ ��1� Qc,,
BUILDER/CONTRACTOR: 'i'rrt W(
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST" CONTROL LICENSE #: JB176775
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.
� r�
Square feet if area treated: , j2)'/fC /5-0 Chemicals used: mfimgilmr:,n. n :p 7 L.
Percentage of solution: ,0 .p Total gallons used:
Date of Treatment: 6 17 Time of Treatment:
Footing Slab
11t Treatment 11t Treatment
Re-Treat Re-Treat
-. riveway Pools
1st Treatment 15t Treatment-
Re-Treat Re-Treat
Other lnet-,L Pall a 1 Perimeter for F i Inspection
ISt Treatment
Re-Treat ,z
Signature of Exterminai; D to
Note: There must be a completed form fior each requ/red treatment or re-treatment and th/s form musC be on me job
slte to be picked up by the inspector at time of each Inspectlon or the scheduled Inspection w111 fall and a re-lnspectlon
fee charged,
(F8{C104.2.6 Certificate of Protective Treatment far prevention of termites A weather resistantl'obsite posting board
shall be provided to receive dupllcate Treatment Certificates as each required protective treatmentls completed,
providing a copy for the person the permltIs issued to and another copy for the building perm/tfiles The Treatment
Certificate shall provide the product used, Identity of the appllcator, time and date of the treatment,site location, area
treated,chemical used,percent concentradon and number ofgallons used, to establish a verifiable record of
protective treatment: If the so//chemical barrier method for termite prevention is useq,Anal exterior treatment shall
be completed prior to final bulld/ng approval.
St Lucia County requilfes for the final inspection for C®,a Permanent Sticker to be placed on
the eiectricel panel (box cover, listing ell the treatments and dates of appiicetions.
Revised 7124/2014
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Planning &Development Services
Building &diode Regulation Division
9 2300 Virginia Ave
o Dort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: -702- JOB ADDRESS: •a �rl 0q 1 p
BUILDER/CONTRACTOR: S"t-AP 0 L ' om
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: 2�0 sl Chemicals used: BASELINE
Percentage of solution: •06% Total gallons used: 130
Date of Treatment: L- 6 ^f 7 Time of Treatment: �D
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
.1 Treatment
Re-Treat 0"'W' ) 7
Signature of Exterminator Date
Note: There must be a completed form for each required treatment or re-treatrrrent and th/s form must be on the fob
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fall and a re-Inspection
fee charged.
FSM04.2.6 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,
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, 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 Y the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucile 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