HomeMy WebLinkAboutTermite Treatment Planning &Development Services
Sly `7-- u i r , ` Building &Code Regulation Division
O 2300 Vrginia'Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
�i
- F
CERTIFICATE OF TERMITE TREATMENT
j CONSTRU ITION SOIL TREATMENT
PERMIT #�: ld- 0rM.1, JO AD.DRESS: �e eA�
BUILDER/CONTRACTOR: _- �; 1101 u S L l 3c��.�
PEST CONTROL CONTRACTOR: EVIC -A-BUG TERMIT&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775 f
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.
I
Square feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: OL;1-5
Date of Treatment: " ��"�'�`/ Time of Treatment: d
--F`� �6�ent
-`�5C Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
IIRe-Treat Re-Treat
Other I I P rimeter for Fi Inspection
1s'Treatment
IRe-Treat
S nature of erminator Date
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 jCertificate of Protective Treatment prevention of termites A weather resistant jobsite posting board
Shall be provided to receive duplicate Treahent Cerlrficates as each required protective treatment is completed,
providing a copy for the person the permlt is issued to and another copy for the building,permit files The Treatment
Certlficate shall provide the product used, Identity!of the applicator, time and date of the treatment,site locatlon,area
treated, chemical used,percent concentration an number of gallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier ethod for termite prevention is used,final exterior treatment shall
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 7/241201�14
1
I
i