HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 4-5-18SCANNED
amoommmommm Planning & Development Services BY
Building & Code Regulation Division St Lucie County
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: l 1Z "
Z`6 JOB ADD , E
BUILDER/CONTRACTOR: _q_gUG TERMITE &PEST CONTROL INC.
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE # : Jg175775
We, the undersigned, hereby certify that we have Bards of the NationalPest rControibed �Associ ltionor
subterranean termites in accordance with the
Square feet if area treated: ' U
Percentage of solution: •0501°
Date of Treatment:-4d O
Footin.9
ist Treatment
TRe-Treat
Driveway
1st Treatment
Re -Treat
Chemicals used: DOMINION 21.
Total gallons used: f) <6
Time of Treatment: LAG ' O
Slab
ist Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
f r Finai Inspection
Other Perimeter o
15t Treatment %
Re -Treat ate
Si ature of Exterminator
Note: s form must be on There must be a completed form for a each inspection or the scheduled Inspectioneq e treatment or re -treatment and will fa % and a re inspection
site to be picked up by the inspector at t1me P
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantJObsite 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 bulld/ng 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.
Reriscd 7/24/201A