HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
BY
st. I° ude 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
PERMI #:/ -) -Q7gH JOB ADDRESS: I � 3 Candor\ �rtinns �., �-� • Pl '
BUILD ?R/CONTRACTOR: s 1& L
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST C� NTROL LICENSE #: JB175775
We, the I. ndersigned, hereby certify that we have pretreated the above described construction for
subterrar ean termites in accordance w�,the standards of the National Pest Control Association.
Square feet if area treated: ( Chemicals used. • BASELINE
�
Percents .06% a of solution: Total gallons used:
Date of eatment: ��� Time of Treatment: /o • ��
Fo ing ab
1st Treatment ist Treatment
Re -Treat Re -Treat
Dri, eway Pools .
E 1st Treatment 1st Treatment
I_Re-Treat Re -Treat
Otier Perimeter for Final Inspection
II� 1st Treatment
Re -Treat PAUL LUGAR.A %Date:2oie08.1 093;zo-0 oa 8-11-2016
Signature of Exterminator Date
Note. Th re must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be icked up by the inspector at time of each inspection or the scheduled_ inspection will fail and a re inspection
fee charg d
FBC104. 6 Certificate of Protective Treatment for prevention of termites A` weather resistant jobsite posting board
shall be p9 vided to receive duplicate Treatment Certificates as each, required protective treatment is completed,
providing i copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate 5hallprovIde the product used, identityof the applicato`r,- time and date of the treatment, site location, area
treated, c emical used, percent concentration and number ofg&lons used, to establish a verifiable record of
protective eatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be comp/ 'i ed prior to final building approval.
St Lucie; i ounty requires for the final inspection for CO, a Permanent Sticker to be placed on
the elec rical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
SGANKM
BY
st % t:59
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!i#: 1907— 6?9IV JOB ADDRESS: 0-`>' eu 90 Foly, c
BUILDE I;,i/CONTRACTOR: ,
PEST Cc NTROL CONTRACT R: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST C d NTROL LICENSE #: JB175775
i
We, the u dersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feEif area treated: �_<—OLE Chemicals used: DOMINION 2L
I�
Percentag of solution: .05% Total gallons used: 16 O
I
Date of Tr atment: 2018 Time of Treatment:
Foot g Slab
1st Treatment 1st Treatment
�I Re -Treat Re -Treat
Driveway Pools
st Treatment
.e-Treat
st Treatment
.e-Treat
1s� Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR?Date 2;e;oo9"10 2 ;.WOO A �'jIZ6ll I7
Signature of Exterminator 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 pl ked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charaed
FBC104.2. Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be pro ided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a py for the person the permit is issued to and another copy for the building permit files. The Treatment
Certiflcate sl all provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, the n1cal used, percent concentration and number of gallons used, to establish a verifiable record of
protective tr�atment. 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 electrq'jcal panel box cover, listing all the treatments and dates of applications.
Revised 7