HomeMy WebLinkAboutTermite Treatment Planning.&'Developinent Services
-Building &Code Regulation'Division,
COUNTY
2300 Virginia Ave
IF 1 • R I D A fort'Pierce, FL 34982
772-462-2172-Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT_
CONSTRUCTION SOIL TREATMENT,, ' : =
PERMIT # 061 fn , JOB ADDRESS: N Ca e OU De( J oJol rct, F1
BUILDER/CONTRACTOR: ndne',i Mall . Conrr t-
PEST CONTROL CONTRACTOR: EVIC -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- PestControl Associatio .
Square feet if area treated: Chemicals used: DOMINION 21
Percentage of solutiom. .05% Total gallons used: 1
Date of Treatment: Time of Treatment: 1"2=`�} y ,`,
- - - - ---Fo"oti �Slab -
1 Treatment ist Treatment
Re-Treat Re-Treat
Driveway Pools
IstTreatment 1st7reatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat A SPA ok, 1/1
Signature erminator ' Da e
Note: There must be'a completed form"for each required treatmentgoe-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
Me charged.
FBC104.2.6.Certificate of Protective Treatment 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 fi/es The Treatment
Certificate shall provide the product used, identity of the applicator,,time and date of the treatment,site locat/on,-area
treated, chemical used,percent concentration and number ofga/lons used,.to establish a verifiable record of
protective treatment, If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bur/ding 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