HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
BY
St. Lucie County
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 #: 11DC, — r%JRB ADDRESS: 35—
BUILDER/CONTRACTOR: 61V- nG
PEST CONTROL CONTRACTOR: EVICT-A-B G 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 wiP the standards of the National Pest Control Association.
Square feet if area treated: 4? Chemicals used: BASELINE
'Percentage of solution: .06%
Date of Treatment: `5-
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used:
r 9�
Time of Treatment: �7 °D
Slab
ist Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
PAUL LUGARA �Dataezoie 8..lioea naaroo
Signature of Exterminator
B-11-2016
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 Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro viding a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall pro vide 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.
Revised 7/24/2014
Pf�
SCANNED
BY
St. Lucie County
tk _ planning & Development services
Building) & code RegulatWn Division
23aa VirgWa Ave
fort piercer r-L 34982
. p • ~• 2 4 rryye� 2..pp y y 772
a 4q
CONSTRUCTION l'i1C.TIOl`,I SOIL TREATMENT
#: `W�0•- 4-V JOB
cTOR'
BUILDEK/CLAM TRA EviCT-A-B G TERMITE &PEST CONTROL INC.
PEST CONTROL CONTRACTOR.
PEST CONTROL LICENSE #:d the above JB176775
for
We, the undersigned, hereby certify that we have pretreat he National Pestribed Conttrol A socialtion,
subterranean termites in accordance with the standards of
Chemicals used; pOMINION 2L
Square feet if area treated: i
Percentage of solution:
o5pio Total gallons used;
Dlate of Treatment: r� /
Tme of Treatment:
Slab
Footing _____ist Treatment
1s1 Treatment Re -Treat
_Re -Treat pools
Drily _ _15t Treatment
li ist Treatment _Re -Treat
Re -Treat perimeter for Final inspection
Other , l
is' Treatment 3 —
Re -Treat ;S'Zr of E minator Date
must be on the Job
Note: There must be a he Inspectoleted rat trm ior each reXlred treatment or re -treatment me of each /nspe� n or the scheduled Inspection l wl�fall and a re inspection
site to be picked up by the p
fee charged.
/f'� /,� Certificate of Protective Treatment fPrevent
or
as each reon of lqulred pratetes, A tct/ve treatment Isitcomp/etedboard
shall be provided to receive duplicate Treatment erm/t files, the Treatment
providing a copy for the person the permit Is Issued to and another copy for the building p
certificate shall provide the en ncese nt-atlan aIdentlnd numbeof the �ofgallonslusedme ntodestablish a verifiable record ate of the treatment, 51te ofdon, area
treated, chemical used, per
protective treatment. If the so!/ chemical aalrrler method for ferm/te prevention Is used, flna/exterior treatment shall
be completed prior to final building apPrO
�t Lucie (�®aarutgy requires for the final inspection for COP a permanent Sticker to be placed on
the electrical panel WX corer, listing all the treatments and dates Of aPPllca$ionsn
RcvIscd 7/24/2014