HomeMy WebLinkAboutTermite cert Planning;&Development Services
Building &Code Regulation Division
® 2300 Virginia Ave
D • _ D Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: o2al 0570 JOB AitDDRES : �} lia•�, ��� s ,,�
BUILDER/CONTRACTOR: oaOhe a elef�
PEST CONTROL CONTRACTOR:I EVICT A- G TERMIT&PEST CONTROL INC.
PEST CONTROL LICENSE #:J8175775
We the undersign,ed g hereby certify that we have pretreated the above described construction f
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: 1 c2 Chemicals used: DOMINION 2L
Percentage of solution: •05% Total gallons used: 0?.?D
Date.of Treatment: 6 a Time of Treatment:
__-ZS,-Slab
—P� Treatment -� 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat.
Signatu a of Exterminator Date
Note: There must be a completed form for each re9ulred 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 w111 fail and a r inspection
fee charged.
FBC104.2.6 Certificate OfProtective Treatment for!preventlon of termites A weather jobsite po Mg board
shall be provided to receive duplicate Treatment t:e ificates as each regulred protective treatment Is comp ted,
provlding a copy for the person the pennIt is issued to and another copy for the building pennIt files The 7 eatment
Certifcate shall provide the product used,identify of the applicator, time and date of the treatment,site to adon,area
treated, chemical used,percent concentration and number of gallons used, to establish a verlflable record c f
protective treatment. If the soli chemical barrier method for termite prevention is useo, final exterlor treatf rient shall
be completed prior to final bullding approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be,plat ed on
the electrical panel box cover, listing all tie treatments and dates of applications.
Revised 7/24/2014