HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
(j 1 A � Ay
Planning � evelopment 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
H
PERM) #: elf eey9� JOB ADDRESS:
BUILDER/CONTRACTOR: `l� PEST ONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST ONTROL LICENSE #: JB175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterr can termites in accordance with- the standards of the National Pest Control Association.
Square eet if area treated: Chemicals used: DOMINION 2L
Percent a of solution- .05% Total gallons used:
�1
Date of reatment: 5-'l 4 Time of Treatment:
Footing Slab
lil 1st Treatment 1st Treatment
=Re -Treat Re -Treat
Dry Pools
sc Treatment
.e-Treat
Note. Th
site to be
fee chaW
shall be pi
providing
Certificate
treated, d
protective
be comple
St Lucie
the elect
1� Treatment
Re -Treat
1st Treatment
Re -Treat
-Perimeter for Final Inspection
S' ature of erminator Date
must be a completed form for each required treatment or re -treatment and this form must be on the job
ted up by the inspector at time of each inspection or the scheduled inspection will fail and a re inspection
5 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite posting board
vided to receive duplicate Treatment Certificates as each required protective treatment is completed,
copy for the person the permit is issued to and another copy for the building permit files The Treatment
hall provide the product used, identity of the applicator, time and date of the treatment, site location, area
mica/ used, percent concentration and number of gallons used, to establish a verifiable record of
eatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
,d prior to final building approval.
ounty requires for the final inspection for CO, a Permanent Sticker to be placed on
ical panel box cover, listing all the treatments and dates of applications.
Revised 7/2412014
I
i
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 #:
BU' LDER/CONTRACTOR:
i,
PEST CONTROL CONTRACTOR:
B ADDRESS:
EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: ,JB175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
sub ' rranean termites in accordance with the standards of the National Pest Control Association.
� I
feet if area treated: tf3
age of solution:
Treatment: .06% !'
ooting
1st Treatment
Re -Treat
1st Treatment
Re -Treat
1st Treatment
Re -Treat
Chemicals used: BASELINE
Total gallons used: Z I
Time of Treatment: Y f oo
`Slab
1st Treatment
Re -Treat
Pools
Is'Treatment
Re -Treat
Perimeter for Final Inspection
PAUL LUGARA /'Date 1016.08.11083120-04'00 8-11-2016
Signature of Exterminator Date
f5- L
Note�'I There must be a completed form for each required treatment 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.
FBM,g4.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall die provided to receive duplicate 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
Cert/fite shall pro vide 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
prote ° eve 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 Luie 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 '!/24/2014