HomeMy WebLinkAboutTermite Treatment j
W6L
�3
Planning &Development Services
< o Building &Code Regulation Division
a 2300 Virginia Ave I FEB 2-6 2018
a Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
i
(CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTZON SOIL TREATMENT I
PERMIT #: M )l '�. � JOB ADDRESS: lz Vz V�� 5L
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT A-BUG TERMITE&PEST CONTROLIINC. I
PEST CONTROL LICENSE #: JB175775
I
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.
_ I
Square feet if area treated: Z Z �� Chemicals used: DOMINION 2L j
Percentage of solution: .05% Total gallons used:
Date of Treatment: -t Z' U 'i
- Time of Treatment: 11K_,�Z--
_Footing Slab
11t Treatment Ist Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment Ist Treatment
-Treat Re-Treat
Other 246 42,Anc� ra k, Perimeter for Final Inspe ion
/�71 Is Treatment
Re-Treat1,7
' 3 a
nature of Exte " a or 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.
(FBC204.2.6 Certificate of Protective Treatment for prevention of termites A i weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Cert/ficates 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 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 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 eiectrical panel box cover, listing all the treatments and dl tes of applications.
Revised 7/24/2014 i
I
i
i Ii
I
1T-4�-- I -7 ! J_ 0 3 1.
^ - Planning &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 #: JOBAD RE
D SS.
BUILDER/CONTRACTOR: - 771i I es e- 3 ,g-A j ,c zs— i
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #: J13175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pelst Control Association.
Square feet if area treated: Z2 ✓ (� Chemicals used: connllvloN 2L
Percentage of solution: •05% Total gallons used:
Date of Treatment:- 0 "i Tm of Treatment: Z
Footing Slab
15t Treatment 15t Treatment
Re-Treat Re-Treat
Driveway Pools
15t Treatment 1-1t Treatment
-Treat Re-Treat
Other 420 CA r7wal k' Perimeter for Final Inspection
Jjzr4- is`Treatment
Re-Treat
3a. / 7
Sicnature of Facie a or ) 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 kll fail and a re Inspection
fee charged. i
F8C104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to recelve dupllcate 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 flies The Treatment
Certificate shall provide the product used,Identity of the appl/cator, time and date of the treatment,site location, area
treated, chemical used,percent concentratlon and number of gallons used, to I establlsh a veNf/able record of
protective treatment. If the soil chemical barr/er method for termite prevention Is used, tini t 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
f