HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNLU
By
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: a0 — &dt'krww
JOB DRESS:
BUILDER/CONTRACTOR: vU�i
PEST CONTROL CONTRACTOR: EVICT -A -BUG
PEST CONTROL LICENSE #:.JB175775
& PEST CONTROL INC.
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance wl to standards of the National Pest Control Association.
Square feet if area treated: a'p_ 13 Chemicals used: DOMINION 2L
Percentage of solution: 5OX d
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used:
Time of Treatment: 'p, "to
Xla
ist Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
_—Eedmeter for Final In
Signature of Exterminat r Date
/tar4-1n f s -L
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 Treatment for prevention of termites A weather resistantjobsite posting board
shall be provided to recelve dupllcate 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
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 ofgallons 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.
Revised 7/24/2014