HomeMy WebLinkAboutTermite cert, drivey, patio �ff
Planning;&Development Services
S7 t ; Building &Code Regulation,Division
® 2300 Virginia Ave
• o Fort Pierce, FL 34982
772-462-`2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: a���C>2 ` JOB ADDRES :
BUILDER/CONTRACTOR: a1:k a\A O r,L
PEST CONTROL CONTRACTO R�EVICT-A-BUG T RMIT&PEST CONTROL INC.
PEST CONTROL.LICENSE #:J0175775
We, the undersigned, hereby certify that we have pretreated the above de
scribed construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: O I Chemicals used: DOMINION 21.
Percentage of solution. .• 05% I Total gallons used:
Date of Treatment: J? a Time of Treatment: So
Footing-
iSt Treatment ist Treatment
Re-Treat Re-Treat
Driveway Pools.
X 1st Treatment ist Treatment 1
Re-T t Re-Treat
Other -Perimeter for Final Inspection
_i T eatment
Re-Treat
Signature of Exterminifor Date
Note. There must be a completed form for each required treatment or re-treatment and this form must b on the job
site to be picked up by the Inspector at time of each Inspection or the scheduled inspection will fail and a r inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment fort ipreventlon of termites A weather resistant jobsite pos Yng board
shall be provided to receive duplicate Treatment Cemfrcates as each required protective treatment is compi ted,
providing a copy for the person the permit is Issuedlto and another copy for the building permit files, The 7 eatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment,site loe 5don,area
treated, chemical used,percent concentration and number of gallons used, to establish a verlFable record f
protective treatment. If the soli chemical barrier m�thod for termite prevendon Is used, final exterlor trea ent shall
be completed prior to•final bullding 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
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