HomeMy WebLinkAboutCertificate Of Termite treatment1
Planning ;& Development Services
Building & Code Regulation Division
2300'Yrginia Ave
Fort Pierce, FL 34982
772-462-2172 Fait 772462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:Y
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
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: �Yr Chemicals used: DOMINION2L
Percentage of solution: •05% Total gallons used: f'J �
Date of Treatment:
Footing
1� Treatment
Re -Treat
Driveway
I't Treatment
Re -Treat
Other
1-It Treatment
Re -Treat
G
Time of Treatment: �� ° d
Slab
1s` Treatment
Re -Treat
Pools
Signature of i6rMineitor Date
Note. There must be a completed form for eadz required treatmen o re-treatm t d this form: mustbe on the job
site. to be pidred up by the inspector at dme ofeach,inspecdon or a scheduled arc' will 'fail and a re -Inspection
fee charged.
FBC104.2.6 Certificate of Prgtiective Treatment:for prevention of tennites. A weatherresislantjobsfte posting board
shall be provided to receive:duplicate Tfeaiment Certificates as ea.o . required protective Zreatment is completed,
providing azopyfor the person the perm/t/5.Issued to and another mpy for the building permit file. The Treatment
eelvffcate shall provide the product'used, Identity of the applicator, time and date of the treatment, site location, area
treated, Chemical used, percent concentratfon.and numberofgallons used, to establish a vea7iab/e record.of
protective treatment: If the. soil dlemicalbanlermethod for tomlteprevention is L sed, final exterior treatment shall
be completed prlorto 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
Planning & Development Services
B ualdiing & Code Regulation Division
2300 Virglinia Ave
Fort Pierce, FL 34982
772-462-2172 Pax 772-462-6443
CERTIFICATE OF TERWTE TREATMENT
CONSTRUCTION SGXL TREATMENT
PERMIT OWD �39`� JOB DDRESS: ��Gtr'c.�,l �-►n��-�.t�.Y►(' 05=��`' Z,
BUILDER/CO TRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG ERMITE & 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: Ifff �� Chemicals used: E DoAeyt Qrt
Percentage of solution:.
Date of Treatment: y I
Footing
15t Treatment
Re -Treat
Driveway
15t Treatment
Re Treat
Other
15t Treatment
Re -Treat
Total gallons used: , 06"
Time of Treatment: .1 "00
Slab
151 Treatment
Re -Treat
Pools
i 5t Treatment
Re -Treat
Perimeter for F ri"l Inspection
6f/i 12
Signature of Fxterminato Da
Note: There must be a completed form for each requ/red treatment or re -treatment and this �Y7rm must be on the job
slte to be picked up by the inspector at time of each Inspectlon or the scheduled Inspectlon will fall and a re-Inspectlon
fee charged.
FIBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
.shall be provided to receive duplicate Treatment Certldcates as each required protective treatment Is completed,
providing a copy for the person the permit is Issued to and another vopy for the bullding 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 barn/er method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucia County requIlTes for the final WSP®Ictlon f®r (CO, a Permanent sticker to be p5acced on
the ellecctriccal Panel boas ccov9er, 0isting 0 the treatments and daite$ ®f aPP111c6tiOnso
Revised 7/24/2014