HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE4�) f
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BUI
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
IT # :
)ER/C
CON7I ..�
CONTROL LICENSE #: JB175775
SCANNED
BY
St Lucie County
We, tf1e 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: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: '20 d
Date of Treatment: 12Z2,b X Time of Treatment: 11 �-z 0 c-,
FootingM'-- 6'-1'_ Slab
k1st Treatment 11-1st Treatment
Re -Treat Re -Treat
riveway Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
1st Treatment i
Re -Treat
ure of F_xterminator 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 Abe picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee chargedd, i
FBC304.2.6 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,
pro viding 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
treate4 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
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(KI l-o�ol
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
PERMIT #: 1,3, I - IOS OB
BUILDER/CONTRACTOR: n
PES� CONTROL CONTRACTOR: Ev
PEST CONTROL LICENSE #: JB175775
SCANNED
gL �Lide county
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: d Chemicals used: DOMINION 2L
Percentage of solution: •05%
of Treatment: 2018 /
1st Treatment
Re -Treat
i<I 1st Treatment
Re- ea.
.Other a
1st Treatment
Re -Treat
Total gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
Digitally signed by PAUL C
PAUL C LUGARA JR� Date: 2018.10.09101Z41 04DO AJR
Signature of Exterminator bate
Note. There must be a completed form for each required treatment or re -treatment and this form must be on the job
s/te to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBCi04.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te posting board
shall, be provided to receive duplicate Treatment Certificates as each requiredprotective 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 bu/lding approval.
St Llucie 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.
7/24/2014
3 4t,
#: 1811-0105
Wj�aO5_'
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
RTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
'SC eNEo
WG S 2 704
Permitting pepartm�r'
St. Lucie county
JOB ADDRESS: 46 LA VILLA WAY FORT -PIERCE, FL 34951-2832
BUILDER/CONTRACTOR: WYNNE DEVELOPMENT
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775 r+....._.e .
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.
feet if area treated: 200 LF
of solution:.05%
of Treatment: 05-16-2019
1st Treatment
Re -Treat
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 100
r
Time of Treatment: 10:00'
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final; Inspection
PAUL C LUGARA JR oaa':'2018 101Y1418 -N00'�JR 08-19-21
Signature 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 Ito be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FB6.104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shal(be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
prop iding 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.
7/24/2014