HomeMy WebLinkAboutTermite Treatment 3 Planning & Development Services
Building &Code Regulation Division
0 2300 Virginia Ave
Fort Pierce, FL 34962
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION :SOIL TREATMENT
PERMIT #: �(�(� O l 3� JOB ADDRESS: 'f1r,4A , �(h
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A-BUG T MITE&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: z Chemicals used: DOMINION 2L-
Percentage of solution: .05 Total gallons used:_ Y
Date of Treatment: 3 �f Time of Treatment: Z%a
-Slab_ --- - - -
1st Treatment 1st Treatment
e-Treat Re-Treat
riveway Pools
�,_,i`Treatment 1st Treatment
Re-T\ Re-Treat
Ather ;'� , L� rimeter for Fi Inspection
�`eatment
Re-Treat
7.
S' ature of 6 Inator Date
Note: There must be a completed form for each require r atment re-treatment and this form must be on the job
site to be picked up by the inspector at time of each ins ction or t scheduled inspection will fail and a re-inspection
fee charged,
FBC 104.2.6 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 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 electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
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