HomeMy WebLinkAboutCertificate of Termite TreatmentAsa _
Planning & Development Services !
'14- Building & Code Regulation Division ! ECEi 1/Ep
COUNTY 2300 Virginia Ave
IF L• ' Fort Pierce, FL 34982 NOV I = 3 i9
772-462-2172 Fax 772-462-6443
j7 i ucle county, Permitting
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I��ll�' OI�(� JOB ADDRES : S009 VO4� 3.®7 / � Ke��c,
BUILDER/CONTRACTOR. q one' .. e _ a to/ �
3 Y3
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:
Percentage of solution: .05%
Date of Treatment: -2019
Footing
Is' Treatment
Re -Treat
Driveway
Is'Treatment
Re -Treat
Other _
1'� Treatment.
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR' om' sl RA JR
0.09101241-04 O
Signature of Exterminator 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.
FBC 104.2.E Certificate of Protective Trdatment 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 pro vide 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, Anal 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 7/24/2014 i