HomeMy WebLinkAbout3 REFORMA LN PORT SAINT LUCIEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
® Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # : 2002-0314
JOB ADDRESS: 3 REFORMA LN PORT SAINT LUCIE. FL
BUILDER/CONTRACTOR: RODNEY HALL CONCRETE
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 Associate n.
Square feet if area treated: 325 Chemicals Used: DOMINION 2L
Percentage of solution: .05%
Date of Treatment: 11-02-20
Footing
1't Treatment
Re -Treat
xxxx Driveway
xxx 15t Treatment
Re -Treat
xxxxx Other PATIOIDRIVWAY
1'� Treatment
Re -Treat
Total gallons used: 45
Time of Treatment: 11:00
Slab
15C Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
Perimeter for Final Inspection
PAUL C LUGARA JR Mgitdl0 iglad19Y1PAHL 31e4CLUGA FJR 11
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 w111 fall and re inspection
fee charged.
FBC 104.2.6 Certificate of Protective Treatment for prevention of termites. A weather reslstant jobsite osting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is co pleted,
providing a copy for the person the permit is issued to and another copy for the building permit tiles. 777e Treatment
Certificate shall provide 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 reccrfl of
Protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior tr tment shall
be completed prior to Anal building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box corner, listing all the treatments and dates of applications.
Revised 7/24/2014