HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 8-8-22Planning & Development Services
Building. & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICA
CONSTF
PERMIT #: jgoos� 31
BUILDER/CONTRACTOR:,
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: JB1 i
We, the undersigned, hereby certify that
subterranean termites in accordance with
Square feet if area treated: Z410
GGAN[ EL)
BY
St Lucia County
OF TERMITE TREATMENT
CTION SOIL TREATMENT
I A DRP
D S� CIO *f(tra a -1) -q5l
/ICT-A-BUG TERMITE & PEST CONTROL INC.
'5
Percentage of solution: .05
X-, �, Z z
Date of Treatment:
Footing
1st Treatment
Re -Treat
C� Drivevya
✓ 1st Treatment
F R-Treat
Otle
1 r C(
st Treatment
Re -Treat
Note. There must be a completed form for 4
site to be picked up by the inspector at time
fee charged.
FBC104.2.6 Certificate of Protective Treatm,
shall be provided to receive duplicate Treatm
providing a copy for the person the permit is
Certificate shall provide the product used, ide
treated, chemical used, percent concentradoi
protective treatment. If the soil chemical bai
be completed prior to final building approval.
St Lucie County requires for the fina
the electrical panel box cover, listin(
Revised 7/24/2014
have pretreated the above described construction for
standards of the National Pest Control Association.
Chemicals used: DOMINION 2L '
Total gallons used:
Time of Treatment:
i Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
PAUL C LUGARA JR Date: 02202.21y181423 0500' R [/ � & ��
Signature of f Exterminator Date
:h required treatment or re-trea meet and this form must be on the job
each inspection or the scheduled inspection will fail and a re -inspection
,7t for prevention of termites A weather resistant jobsite posting board
nt Certificates as each required protective treatment is completed,
isued to and another copy for the building permit files The Treatment
Itity of the applicator, time and date of the treatment, site location, area
and number of gallons used, to establish a veriFable record of
ier method for termite prevention is used, final exterior treatment shall
inspection for CO, a Permanent Sticker to be placed on
all the treatments and dates of applications.