HomeMy WebLinkAboutCertificate Of Termite Treatmentl��-aC77
Planning & Development Services
Building & Code Regulation Divislon
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I '' d �4 JOB ADDRESS: J 9.5- .,dO j- d Q L1VQ
BUILDER/CONTRACTOR: 1.2-t-;Ole M0-5?111 r\/)
PEST CONTROL CONTRACTOR: - bm
PEST CONTROL LICENSE #:
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: 0 b Chemicals used:
Percentage of solution:
Date of Treatment: L 3 i�' -
Footing
1A Treatment
Re -Treat
Driveway
pis' Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used: L 2
Time of Treatment: 4; • D
Slab
st Treatment
Re -Treat
Pools
1� Treatment
Re -Treat
91
Note. There must be a completed farm for each required treatment or re -treatment and this form most be on the job
site to be picked up by the inspector at time of each Inspection or the scheduled inspection will fall and a -re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of tennites A weather resistantjobsite pasting board
shall be provided to receive duplicate Treatment Certificates as each required protecdve treatment is completed,
providing a copy for the pawn 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 lorat/on, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. Ythe sail 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.
77 _
LPlanning & Deve opmen ttS�
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 #: W I - 0-1 It JI
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
B ADDRESS: '-i1'5� :/At' x IBLyck,, )
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:
Percentage of solution: _o5°io
Date of Treatment: 7/1 4 7
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
15t Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter f9gFinal Inspection
7- I--/7
Signature of xtermin r 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.
F13C104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te posting board
shall be provided to receive duplicate Treatment Cgrtiflcates 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 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 loll chemical barrier method for termite prevention is used, flea/ 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