HomeMy WebLinkAboutTermite Treatment Planning &Development Services
J 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 #: 17615 -y z3s .JOB ADDRESS: 7 ba!)I2y) iPsi-,
BUILDER/CONTRACTOR: I Goy
PEST CONTROL CONTRACTOR: EVICT-A-R1 16 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 Association.
Square feet if area treated: Z670 ��o Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: _q h
Date of Treatment: �ti l4 7 Time of Treatment: D
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
RXjD
reat Re-Treat
Other � APerimeter for Final spection
1s Treatment
Re-Treat ja //7
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 will fail and a re inspection
fee charged.
FBC 104.2.E 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 files The Treatment
Certificate shall pro vide 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 record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building 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
plannMg 81 Development Services
L; s Building &Code Regulation Division
t' 2300 Virginia Ave
' Dort Pierce, FL 34982
772-462-2172 FaX 772-462-6443
CERTEFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: �. �C�S-C�?3 JOB ADDRESS: Z Aaa ja L&Ae., PSL 31g5z
BUILDERJCONTRACTOR: o
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL.INC,
PEST CONTROL LICENSE #:J6175775
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 Association.
f
Square feet if area treated: j Chemicals used: BASELINE
Percentage of solution: -06% Total gallons used: 195
Date of Treatment: � Time of Treatment_ 9
Footing Slab
15t Treatment �r15t Treatment
Re-Treat Re-Treat
Driveway Pools
15t Treatment Vt Treatment
Re-Treat Re-Treat
Other Perimeter for Inspection
ist Treatment
Re-Treat
Signature of Extermina Date
/Dote: 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 Inspectlon or the scheduled inspection w111 fall and a re-Inspection
fee charged.
iFBC104.2.6 Cert1ficate of Protective Treatment for preventlon of termites A weather reslstantpbsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatinentIs completed,
Providing a copy for the person the permit 15 issued to and another copy for the building permit files The Treatment
Certificate shall provide the product used, identity of the applIcator, time and date of the treatment,site locadon, area
treated, chemical used,percent concentration and number of gallons 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 bullding approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electric;ai panel fors cover, listing all the treatments and dates of applacitions.
Revised 7/24/2014