HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATION4P M 4 III- bo9f
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE
TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PE
BUILDER/CONTRACTOR: G�c
PEST CONTROL CONTRACTOR:
I
PEST CONTROL LICENSE
# : JB175775
-A-BUG TERMITE & PEST CONTROL INC.
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: _0?
Percentage of solution: .05%u
I
Date of Treatment: 7/Z
I
Footing
__A't Treatment
Re -Treat
Driveway
Chemicals used: DOMINION 2L
Total gallons used: .20 0
Time of Treatment: 02 1.00
_Slab
1st Treatment
Re -Treat
Pools
°Un
1st Treatment 1st Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
1st Treatment Q
Re -Treat
ature of Exterminator Date
Note. ,There must be a completed form for each r red 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.
FBC 104.2.E 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 completed prior to final building 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
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
IT #:,I JOB ADDRESS'
)ER/CONTRACTOR:
CONTROL CONTRACTOR: EVICT -A -BUG T RM
LICENSE #: JB175775
ITE & PEST CONTROL INC.
&.UC1e County
we, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites yin accordance with the standards of the National Pest Control Association.
Square feet if area treated: -3 a-5
Percentage of solution: .05%
Date of Treatment: 2018
Footing
1 1st Treatment
�Re -Treat
Driveway
Treatment
Re -Tr at
Other a
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
yd
Time of Treatment: C11 T d
Slab
1st Treatment
Re -Treat
Pools
ta' 1st Treatment.
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JRfO.te:018.10.09101241-04' '
Signature of Exterminator
� -)-v-L 1
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 verifiable record of
protective treatment. 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 electrical panel box cover, listing all the treatments and dates of applications.
Revised
J
N
�l
1 � l-voqV
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Piercer FL 34982
772-462-2172 Fax 772-462-6443
KTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
SGA 4660
'�t�ucie ou
PERMIT #: 1811-0098 JOB ADDRESS: 55 EL CAMINO REAL PORT SAINT LUCIE, FL 34952-8552
BUILDER/CONTRACTOR: WYNNE DEVELOPMENT
PEST CONTROL CONTRACTOR: EVICT--A-BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: J8175775
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: 21OLF Chemicals used: DOMINION 2L
4rcentage of solution: •05% Total gallons used: 100
06-20-2019 12:30
Date of Treatment: Time of Treatment:
I
Footing Slab
1'� Treatment Vt Treatment
1 Re -Treat Re -Treat
Driveway Pools
1't Treatment 1" Treatment
Re Treat Re -Treat
Other xxxxx Perimeter for Final Inspection
1st Treatment
Re -Treat PAUL C LUGARA JR o D 2;j& ; a�,�;a�-%IDV 08-20-19
Signature of Exterminator Date
e. 7here 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 fall and a re inspection
charged.
C104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobslte posting board
?//be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
ovid/ng a copy for ttie person the permit /s Issued to and another copy for the building permit files The Treatment
,hfrcate shall pro vide the product used, identity of the applicator, time and date of the treatment; site location, area
ated, chemical used, percent concentration and number ofgallons used, to establish a veriAab/e record of
Mective treatment If the soil ahem/cal barrier method for termite prevention is used, final exterior treatment shall
completed prior to final bulld/ng approval.
Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
3 electrical panel box cover, listing all the treatments and dates of applications.
7/24/2014