HomeMy WebLinkAboutfinal termitePlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 77211tiii462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION 50IL TREATMENT
PERMIT #: 00 c 4� JOB ADDRESS: �vV��✓Lc� � 13
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMIT & 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.
L j i\,Xe,L
-feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .os°io
Date of Treatment.
Footing
.L Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
Ist Treatment
Re -Treat
Note: There must be a completed form for each
site to be picked up by the inspector at time of ea
fee charged.
Total gallons used: �,�� ,
Time of Treatment.: � ; � �
Slab
1St Treatment
Re -Treat
Pools
15t Treatment
Re -Treat
Perimeter for Final Inspection
Signature'of Exterminator
wired treatment or re -treatment and this form must be on the job
inspection or the scheduled inspection will fail and a re inspection
FBC104.2.6 'Certificate of Protective Treatment for prevention of termites A weather resistant jobsife posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is comp/eted,
providing a copy for the person the permit /s issued to and another copy for the building permit files The Treatment
Certificate shall prov/de the product used, /dent/ty of the applicator, time and date of the treatment, s/te location, area
treated, chemical used, percent concentration and number of gallons used, to establ/sh a venfiable record of
protective treatment. If the soil chem/cal barner method for termite prevent/on /s used, final exter/or treatment shall
be completed prior to final bu/ld/ng 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