HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 10-2-018SCANNED
BY
St Lucie County
Planning & Devepop pent Services
S - Building & Code Regulation DWiaion
2300 Virginia Ave
Fort pierce, Fa 34982
PERMIT" #:jjL4-_0-2L JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: CT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175715
the undersigned, hereby
te have pretreated the above described construction
sub Association.
subterranean termites inn accordance
cac rdan ewith the standards of he National Pest Control Asso a
Square feet if area treated: O
Percentage of solution: .05%
Date of Treatment: L01?Y
Footing
it Treatment
D -Treat
Driv way
1st Treatment
Re T ea
Other a C -.
,1st reatm t
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment: �a
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
gn re of Exterminator Date
Note: There must be a completed form for each required treatment or re -treatment and thls form must 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-Inspectlon
fee charged.
FEE 1®4.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment Is completed,
pro v/d/ng a copy for the person the permit Is issued to and another copy for the bullding permit files The Treatment
Certificate shall provide the product used, Identify of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment ff the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding approval,
St Lucie County requires for the finM inspeecdcn for Cor a Peruvae�aen$ Sticker �® �e p�peced ®ea
the epecitriciap panel box cover, 00s ting all the treatments and dates Of aPPlica$iOns-
Revised 7/24/203.4