HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 10-5-18Planning & 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 #: ae) JOB ADDRESS: 12 JQ✓�t ce
BUILDER/CONTRACTOR: T%� I Y� 92
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: JB175775
We, `the undersigned; hereby certify that we have pretreated the above described construction for
subtrranean termites in accordance with the standards of the National Pest Control Association.
Squ , re feet if area treated: 00
of solution:.05%
st Treatment
Re -Treat
1st Treatment
Re -Treat
Is' Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 310
Time of Treatment: .2 y06
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
I�LS r�
S' re of Exterminator Date
Notel There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee chbraed.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall! el provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro V41�, g a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treateb, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be co �� leted prior to final building approval.
St Lul 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 17/24/2014
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