HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 5-24-18SCANNED
BY /
St. Lode County
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34382
772462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION. SOIL TREATMENT
RECEIVED
JUN 2 12019
Permitting Department
St. Lucre County
?,MIT #:,J d7` OS --A JOB ADDRESS:.5q ..%�i/�4 r,,X, Rl1e
ILDER/CONTRACTOR: _ G Cs�✓t��l�
ST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE &"PEST CONTROL INC.
5T CONTROL LICENSE #: JB175775
the undersigned, hereby certify that we have pretreated the above described construction for
arranean termites in accordance with the standards. of the National Pest Control Association.
feet if area treated: Z-00
of solution:.06%
of Treatment: 5 - H- - 20f 9
ooting
ls� Treatment
Re -Treat
1s� Treatment
Re -Treat
1-" Treatment
Re -Treat
Chemicals used: _ DOMINION 2L
Total gallons used:
/ Z.5
Time of Treatment: %; . j 0� O
Slab
is� Treatment
Re -Treat
Pools
1" Treatment
-Treat
j Perimeter�for Fin
PAUL C LUGARA JR 'isr" I,P z;;-0,UGARA '"
Signature of Exterminator Date
There must be a completed form for each required treatment or re -treatment and this form must be on the job
to be picked up by the inspector at time of each Inspection or the scheduled inspection will fail and a re inspection
FB 104.2.6 Certificate of Protective Treatment for prevention of termites A weather reslstantjobsite posting board
shirr be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro.�lding a copy for the person the permit is issued to and.another copy for the building permit fi/es The Treatment
Ce ficate shall provide the product, used,. /denUty:of tfle applicator, time and date of the treatment, site location, area
tre ted, chemical used, percent concentradon:and number -of gallons used,to estabilsh a verifiable record of
pro eciive treatment. If the soil chemica/barrier method for t�rrntte prevention is used final exte"Or
treatm:onal
shl
be mpleted prior to final building approval.
th ucle County requires for the final inspection for Co, a Permanent Sticker to be plac
St
�' electrical panel box cover, listing all the treatments and dates of applications.
7/24/2014