HomeMy WebLinkAboutTermite Treatment Planning &Development Services
Building &Code Regulation Division
® 2300 Virginia Ave
o Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #110 JOB ADDRESS: R C')
BUILDER/CONTRACTOR: O
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 Association.
Square feet if area treated: C V Chemicals used: DOMINION 2L
Percentage of solution: .05 Total gallons used: f /UC
Date of Treatment: 1 -�� Time of Treatment:
�_�6otinag
Treatment L-1"`Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other P imeter f r Final I n
1st Treatment G
Re-Treat c C .
S' ature of t in r Date
Note: There must be a completed form for each require reatment re- eatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or th eduled inspection will fail and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment/s completed,
providing a copy for the person the permit/s Issued to and another copy for the building permit files. The Treatment
Certificate shall prov/de 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 venf/ab/e record of
protective treatment. If the so/l chemical barrier method for termite prevention/s used, final exterior treatment shall
be completed pnor 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