HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATIONPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
%.r-m I IFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDR S:
BUILDER/CONTRACTOR: o��/.ek _
PEST CONTROL CONTRACTOR: EV T-A-BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
We, the undersigned, 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 feet if area treated: .12 ZCANNED
Chemicals used: DOMINION 2L By
Percentage of solution: St 6 de Coup
g o5°i° Total gallons used: � � Q ty
Date of Treatment: l04_�gTime of Treatment: 9
_.Slab
fie --Treat Treatment 1st Treatment
Re -Treat
y Pools
,st Treatment 1st Treatment
;e-Treat Re -Treat
"" "' � Perimeter for Final Inspection 1� Treatment
Re -Treat
ig ure 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 bel picked up by the inspector at time of each
fee charged. inspection or the scheduled inspection will fail and a re inspection
FBC104.2.6 Certificate of protective Treatment for prevention of termites A weather resistant jobsite posting board
Shall be 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
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, 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 comp/eted prior to final bui/ding approval.
St Lucie 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 7/24/2014
I _
Planning & Development Services
Building & Code Regulation Division
COUNTY 2300 Virginia Ave
• Fort Pierce, FL 34982 SCAN
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT 4ucie County
CONSTRUCTION, -SOIL TREATMENT
PERMIT #: lSJOB ADDRESS: III V� �rlCu,
BUILDER/CONTRACTOR: Cp
PEST CONTROL CONTRACTOR: EVIC -A-BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
We, the undersigned, 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 feet if.area treated: 500 Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Date or Treatment: '3l6 Time of Treatment: 11,049 Ali,
Footing Slab
1st Treatment 1st Treatment
Re -Treat Re -Treat
_-k—D;riveway Pools
'A- 1st Treatment
0
0
Treatment
-Treat
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature f F4ctermi for 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 picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment For prevention of termites A weather resistant jobsite posting board
shall be 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
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a veriFable record of
protectiI% treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucig County requires for the final inspection for CO, a Permanent Sticker to be placed on
the eleLtrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014