HomeMy WebLinkAboutCertificate Of Termite TreatmentPlanning & Development Services.
Building & Code Regulation Division
2300 Virginia Ave
Fort Plerce, FL 34982
772-462.2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION. SOIL TREATMENT
PERMIT #: _-j - 0,/2-JOB ADDRESS:
BUILDER/CONTRACTOR:
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:
_Ip Chemicals used: DOMINION 2L
Percentage of solution: .05%
Date of Treatment:'' 117 1 A
Footing
ill Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used: , "5—
Time of Treatment: ,� 1
Slab
t Treatment
Pools
1st Treatment
Re -Treat
Perimeter for al Inspection JJJ
Signature of Exterminat e
15Yf Y7
each required treatment or re -treatment and this form must be on the job
Note: There must be a completed form for
site to be picked up by the inspector at time of each inspectlon or the scheduled Inspection will fall and a re -inspection
fee charged.
FBC104.2.6 Certificate of protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to res completed,
ceive duplicate Treatment Certificates as each requiredhe bui d'ng permit flleprotective treatment is 71�e Treatment
providing a copy for the person the permit is Issued to and another copy
Certificate shall provide the pro used, Iddntlty of the appllcafor, time and date of the treatment, site location, area
treated, chemical used, percent c4hcent akon 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