HomeMy WebLinkAboutCertificate of Termite Treatmenty
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREA
CONSTRUCTION SOIL TREATME
PERMIT #: Azl)g ' Mg-j� JOB ADDRESS:
BUILDER/CONTRACTOR:' clytqn ��_�;� n Gre..Y-e
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL
PEST CONTROL LICENSE #: JB175775
We, the undersigned, hereby certify that we have pretreated the above desc
subterranean termites in accordance with the standards of the National Pest
Square feet if area treated: �6
Percentage of solution: •05%
Date of Treatment: 2018
FogtMg
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used:
Total gallons used:
Time of Treatment:
S b/
1st Treatme
Re -Treat
Pools
1st TreatmE
Re -Treat
xxxxx Perimeter for Final
PAUL C LUGARA A
Signature of Extermi
Note: There must be a completed form for each required treatment or re -treatment
site to be picked up by the inspector at time of each inspection or the scheduled insf
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A wea
shall be provided to receive duplicate Treatment Certificates as each required prot
providing a copy for the person the permit is issued to and another copy for the bi
Certificate shall provide the product used, identity of the applicator, time and date
treated, chemical used, percent concentration and number of gallons used, to esta
protective treatment, If the soil chemical barrier method for termite prevention is
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanc
the electrical panel box cover, listing all the treatments and dates
Revised 7/24/2014
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bed construction for
:ontrol Association.
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C LUGARA JR
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Date
this form must be on the job
;n will. fail and a re inspection
resistant jobsite posting board
treatment is completed,
g permit files. The Treatment
w treatment, site location, area
a verifiable record of
Anal exterior treatment shall
Sticker to be placed on
applications.