HomeMy WebLinkAboutCertificate Of Termite TreatmentPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
7172-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATME
CONSTRUCTION SOIL TREATMENT
PERMIT #: I 1I043 0 ADDRESS: Z ")
BUILDER/CONTRACTOR: WA
PEST CONTROL CONTRACTOR: EVICT-4-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: I l -
Percentage of solution:.06% . 0-15
Date of Treat nt: n
Footing
Treatment
Re -Treat
Driveway
11t Treatment
Re -Treat
Other
15t Treatment
Re -Treat
Chemicals used: BASELINE
Total gallons used:
Time of Treatment:
Sl/�lab
Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
erimeter for FinaLfi
Date
Note: There must be a completed form for each requ/refs treatmen r 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 inspectlon 41 fall and a re -Inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te 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 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 verlfiable record of
protective treatment. if the loll chemcca/ barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucia County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel boas cover, listing ell the treatments and dates df applllcations.
Revised 7/24/2014
Planning &...beveippment SOrvkes
T94 Building &-Cdd6 Regulaitildh' DiViisiioni
4:1.00 For
t'. 04 Virginia '4
ago . wce, FL 34992
772-4626-2172 FAx 772462-6443
CERTIFICATE OF TERMITE, TREATMENT
CONSTRUCTION SOIL TREATMENTi
PERMIT Q 6-. Q 3� JOB- ADDRESS:.
B LD�Lp ON'TRACTORN
W 64111
PEST C-0,NTROL..-lC.ON'tMtrOR:,'Ev.qi,
TT.A-BUG TERMITE,4 PEK, CONTROL INC.
PEST CONTROL LICENSE
u
We, the undersigned,, h0reby,c-ertify that we have pretreated 8ted the::8bbve described ronstt t.tio rl for,
subterranean. termites. in ppgordanpe with the stand4rds,;of Ifte N.6b.oftEit Vest Control -Association.
'Squapefeet ifarea treated:
Percenta,ge:Qf solution- AV%
Date- of Treatment:-
-Footing ,
.-I'Treatment
Re -Treat
---Driveway
1�Treatment
Re -Treat
—Other,
1, Treatment
Nble. There most be a°corppI�Medknv, for i
site , to be picked qp:,by7the hsoeqtlorat-time
fee � charq&d.
d� DOWWON,_�L
Chemicals use
TdtaVgplj()ffs_jU90d:'_ I-Xsl.
T, fe,of Treatment :-
Slab
- 11 Treatment
of * Extepkia—tor Date
this form mgsth.e on.the,
.spectori
in� will fail anda,re
FBCJL04:.2.6 - Certificate of Prvte� I eve Treqt,7enttor ..8on or _�eqwbes. A weather res6tan 4* posting Tigard'
shall be provided . t tqreceive -�duplicate Treatment Certificates -each*&Vuir,-dprotective treatment 15 COplete
Of d V,
g,ro soh. the vldip�.. a copy-fior,the per pOffiff is issued
Certificate shall provide,thep6&keu54 identity of the �appllcator, time and date Of the treatment, location, area
treated;: chemical used percent t-concentration and number -6f gall6n$:.ysed, to estati/ish q.yqitiable record bf-
protective treqtment. Othe soil chemi d A 1qused, final exteriortreapnent-shall
4q1'0qrM& me, o ., qr.tq.,_m1�g-Pr0VeQ0017
approval.
St Lucile County'. Ire4ulirds for the finZjj intp-dictioWfoe CO, b, Permanent Stickertobe placed on
the electrical Pone , I box -cover, listing all the treatments.:and. dabe :applications,