HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 1-8-19IZJr
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave SCANNED
Fort Pierce, FL, 34982 BY
772-462-2172 Fax 772-462-6443 St Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: J B ADDR SS:
BUILDER/CONTRACTOR: 0
PEST CONTROL CONTRACTOR:': E CT_ .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: 00
Percentage of solution: .05%
Date of Treatment:
Footing
1st Treatment
Re -Treat
_ Driyevyay
I"Treatment
Re--
�_0ther 6'�O
1st Treatment
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment: �� - Ci()
Slab
Is' Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
Perimeter for Final Inspection
Re -Treat _
Sig a Exterminator D to
Note: There must be acomp/eted form for each require t ment or 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 inspection w/l/ fail and a re inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment forprevention of termites A weather resistant jobs/te posting board
shall be pro nded 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
Cert/bcate shall pro v/de the product used, Identity of the applicator, t/me and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to estabiish a verifiable record of
protect/ve treatment. If the soil chemical barrier method for termite prevent/on /s used, final exter/or treatment shall
be completed pr/or 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
7728787856
T-066
a
P0004/0005 F-079
. 11
1)02-06-'19 14:53 FROM-
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THE UNDERSIGNED HERESY REQuEsT PELBksE OF ELECTRICAL POWER TO THE ABOVE IDES=ED
PROPERTY, FOR A PERIOD NOTTO EXCEED TiiMTY(30),DAyS, Fop, THE PlikPOSE 6FTESTING SYSTEMS
Atli? -EQUIPMENT' INPREPARATION ,FORA FIN'A-L-INSPEC.MN. IN CONSIDERATION OF APPROVAL OF THE
RBWr:b7 WE. H02BY AdOffi�i t AN6 A�2 AS -FOLLOWS.
I. INS Crary power rdem IsAAuested for the above steed purpm only, and them wM he no
occupancy of any type, gtiier ftn that pikm*Md !:�f tors ucUon during this time period.
2. As wth�s by our signaWm,Wahgt�by;agiMP
' 0 Olde by Ml yearns and coniclitions of this agreement,
inclUdho Eluilding Division Pbl!Cy,* which is indorpdriwid h"h liy reference.
3. Ail Day
PoWer'for'Te�iiiqly Nfte`I n Ailfilled *and the: premim is ready for compliante jimpection.
4. AM requestsfor an extension - beyppq 30 days •mu sit be: made in wrung to the. Budding Official staling
the re; for thiB request P*er mq W r"e oVed7ftin the san$jbr'a- Stop -Work. Order issued if. .. M ite
the Final'Inspdc-tidn has not Uaeniaipprovtd within 30-day's. A fee of $1.00.00 Will be req0ired tD Hit
the Stop Work Order. -
WE HEREBY RELEASE AND AGREE 110 HOLD HARMLESS, ST. LyaE COUNlY AND THEIR EMPLOYEES FROM
ALL LTAR=ES AND OJAIMS-Of ANY TYPE OF NA7'lJt W.HICHKAY
ARTS NOW OR IN THE FUPJRr: OUT
OFTHIS TRANSACTION, INC LUDINig ANY -DAMAGE "WHICN.'MAY BE I NCUORMIDUE TO THE
DISd6kNE"