HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 1-11-23�S"�T�L�ChC�ll
COUNTY
F LORI D A
CANNED
BY
St ude County VC
Plan Iing & Development ServiceBuilding & Code Regulation Division2300 Virginia Ave �\
Fort Pierce, FL 34982 \
772I-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: �/�✓ "� !�� JI B ADDRE$S: 5J� I �7� N6 i Q(t cifq r ly Aft
BUILDER/CONTRACTOR: 1,51(V i,5 06X 11L hMe,5
PEST CONTROL CONTRAC 0RI EVICT -A -BUG TERMITE '& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
We, the undersigned, hereby certify th I t'we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
-Aqwwfeet if area treated: �v Chemicals used: DOMINION 2L
Percentage of solution: .05% I Total gallons .used: C �v
2��31 3`zS
Date of Treatment: 1 //-Time of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other .:
1st Treatment
Re -Treat
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
Note: There must be a completed form for each required treatment 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 will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective T1
Shall be provided to receive duplicate Ti
providing a copy for the person the per
Certificate shall provide the product use
treated, chemical used, percent concen,
protective treatment. If the soil chemic
be completed prior to final building app,
St Lucie County requires for the
the electrical panel box cover, li
Revised 7/24/2014
tment for prevention of termites A weather resistant jobsite posting board
rtment Certificates as each required protective treatment is completed,
� is issued to and another copy for the building permit files. The Treatment
identity of the applicator, time and date of the treatment, site location, area
Non and number of gallons used, to establish a verifiable. record of
barrier method for termite prevention is used, final exterior treatment shall
nal inspection for CO, a Permanent Sticker to be placed on
ing all the treatments and dates of applications.