HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
St. Lucia Count/
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
181Y1-b62 8w
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
I �
PE 'MIT #: 6 V� JOB ADDRESS: c6cl�5�, �tioq�
BUDDER/CONTRACTOR:
'
I
CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: JB175775
We, a undersigned, hereby certify that we have pretreated the above described construction for
subt& ranean termites in accordance with the standards of the National Pest Control Association.
SquJe feet if area treated:2ne'GF
of solution:.05%
Date ��f Treatment: J ^ $ —Lct
1st Treatment
Re -Treat
1st Treatment
Re -Treat
Is'Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
z 5_d
Slab
1s� Treatment
Re -Treat
Pools
1st Treatment
_"�_Re-Treat
Perimeter for Final Inspection
7IEz� -5-s-i� -
gnature Exterminator Date
Note: here must be a completed form for each required treatment or re -treatment and this form must be on the job
site to Pe picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee ch raed.
FBC10 .2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite posting board
shall b 1prov/ded to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro v/d/ ,g a copy for the person the permit is issued to and another copy for the building permit files The 'Treatment
Certific e shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, �l chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protects a treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be com �leted prior to final bui/ding approval.
St Luc;0,rical
a County requires for the final inspection for CO, a Permanent Sticker to be placed on
the el�panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
Planning lk 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
1
PE MIT #: ����� ���� JOB ADDRESS: 3A(� �rCe�ls�rt `l �� fe-4- Kevc-p
BU ALDER/CONTRACTOR: rt N`� %�u
PE ,T CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: JB175775
We, he undersigned, hereby certify that we have pretreated the above described construction for
subt'� rranean termites in accordance with the standards of the National Pest Control Association.
feet if area treated:
of solution: .05%
Datel�Iof Treatment: 1
ootin
1st Treatment
Re -Treat
1st Treatment
Re -Treat
Other
Chemicals used: DOMINION 2L
Total gallons used:
570
Time of Treatment: `z- D 0
Sla
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
1st Treatment
Re -Treat
gnatu of Exterminator Date
I
Note; There must be a completed form for each requir reatment or re -treatment and this form must be on the job
site t be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged,
FBC1Q4.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall he provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
provic�°ng a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Ceriifi 'ate shallprowde the product used, identity of the applicator, time and date of the treatment, site location, area
treate chemical used, percent concentration and number of gallons used, to establish a verifiable record of
pro tec 'I. ve treatment: If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be co 'pleted prior to final building approval.
St Lu 'ie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the a ectrical panel box cover, listing all the treatments and dates of applications.
Revised Z/24/2014