HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave CANNrD
Fort Pierce, FL 34982 BY
772-462-2172 Fax 772-462-6443 St. Lucie Gi OMI
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT '
PE ',MIT #: ! � 08 -- 0Z 1 `l JOB ADDRESS: ;257 J,5 11J;4je%d 4r.
BUI DER/CONTRACTOR:/�T cr/'�►0,-4
C i
PES', CONTROL CONTRACTOR: OR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PES CONTROL LICENSE #: JB175775
We, t I e undersigned, hereby certify that we have
pretreated the above described construction for
subtellranean termites in accordance with the standards of the National Pest Control Association.
Squa feet if area treated:
Chemicals used: DOMINION 2L
Perce 'tage of solution: .05%
Total gallons used: /40
Date ', Treatment: 3Llq
5
Time of Treatment: �J. �5•�
ooting
!� Slab
1st Treatment
1st Treatment
il-Re-Treat
Re -Treat
riveway
1�1 Treatment
Pools
1st Treatment
Re -Treat
Re -Treat
ther
Perimeter for Final Inspec ion
1st Treatment
l Re -Treat
Signatur4 of Exterminator D to
Note: T/1ere must be a completed form for each required treatment or re -treatment and this form must be on the job
site to b picked up by the inspector at time of each Inspection or the scheduled inspection will fail and a re inspection
fee char, ed.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be �ovided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providin ',a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Ceriificat shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
{ treated, emica/ used, percent concentration and number of gallons used, to establish a verifiable record of
protectiv treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be comp/ ted prior to final bui/ding approval.
St Lucie!�County requires for the final inspection for CO, a Permanent Sticker to be placed on
the ele Tical panel box cover, listing all the treatments and dates of applications.
Revised 7/202014
/27/2019 12:36 7724605256 BEAN DRYWALL,INC.
[Lu BY
Planning & Development Services ` Building & Code Regulation Division
a ri' �
2300 Virginia Ave
g Fort Pierce, FL 34982
772-462-2172 Fax 77-462-6443
CERTIFICATE.OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
IT #; .1909- JOB ADDRES
)ER/CONTRACTOR: �4er P--
CONTROL CONTRACTOR: EVICT -A -BUG IIEF
CONTROL LICENSE #: JBI75776
& PEST CONTROL INC.
PAGE 01/03
the undersigned, hereby certify that we have pretreated the above described construction for
srranean termites In accordance.wlth the standards of the National Pest Control Association.
re feet if area treated: X6V,5 -1.ff0 rr
rcentage of solution: •a5ya
to of Treatment: -2a9s
1,� Treatment
Re -Treat
15t Treatment
�.Re-Treat
Ise Treatment
Re -Treat
Chemicals used: DOMINION 2L -
Total gallons used:
Time of Treatment: 9,0 Q'
Slab
1"'Treatment
• Re -Treat.
.____Pools
.. .1a Treatment
... Re -Tr t
Perlmetel Inspection
of Exterminator
e. there must be a completed farm for eac red treatment orre-trea&wntand this form must be on doe job
to be pkkad up by the inspector at time of each Inspectlon or the ,scheduled inspection w111 fall and a m-inspe on
charged. . .
104.3.6 CefWtateofProt6cVve Treatmentforprevention of termites A weather res/stantjobsitepastfngbaard
'be provided to receive duplicate Treatment Cer07cates as each required proteetive treatment Is completed,
idrng a copy for the person the permit Is Issued to and another copy for the bullding permit tiles The Treatment
Ifrcate shall provide the product used, ldenbty of the applicator, time and date of the treatment, site location, area
!ed, chainical used, percent concentrat/on and number ofgallons used, to establ/sb a verifiable record of
xtive twtrnent Othe soil chemical barrier method for termite prevention is used, Anal exterior treatment shall
wnpleted prior to final building approval.
utie County requires for the final inspection for CO, a Permanent Sticker to be placed on
electrlcaI panel box cover, listing all the treatments -and detas of apol�,c _I jn�s�p �,--iw ry
7/24/2014
NOV 2 7 2019
Permitting Department
St. LgCi'e County, FL