HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & 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
PERMIT #: a r) "ZL JOB ADDRESS: 5 -713 n yr
BUILDER/CONTRACTOR: Cocksf Ok ( u� I d in -DA
PESl1 CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775 iINVED
We, the undersigned, hereby certify that we have pretreated the above described construction for V
subterranean termites in accordance with the standards of the National Pest Control Association.
9 Ir
Square feet if area treated: $xl� Chemicals used: DOMINION 2L
Percentage of solution: .05%
Date of Treatment:
i
1st Treatment
Re -Treat
1st Treatment
Re -Treat
1t Treatment
Re -Treat
Total gallons used:
�Lq()
Time of Treatment: T_�Z
,Slab
1s� Treatment
Re -Treat
Pools
1t' Treatment
Re -Treat
imeter for Fi,:. pection
/�_
�-gg;L= z
c zz
Signature of FScter 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 shh# 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
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t - F vi, C) fllr��l
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, -FL 34982
772-462-2172 Fai 772=462-6443
.l
CERTIFICATE OF TERM ITE TREATMENT
CONSTRUCTION SOIL TREATMENT
a.Cla veo
perrc►�rt1°9 county
St. Lucie
BCIYE®
PERMIT #: 1-61I Z JOB ADDRESS: 513 $4 y,� t p7LudeCo
BUILDER/CONTRACTOR: �eU� or�� — _
PEST CONTROL CONTRACTOR: ��a }��1-1-ada' L _--la —
PEST CONTROL LICENSE #: a_4:q 31'O_
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: Z, j'ZZ
Percentage of solution:
Date of Treatment: 7 �Z
v
Chemicals used: _t�laLlodl �ee�_
Total gallons used: 0 ja
Time of Treatment: Z: 34.
(Footing Slab
1st Treatment 1st Treatment
Re -Treat Re -Treat
Driveway Pools
1st,TreaAtment 1st Treatment
Re=Treafi. Re -Treat
____(Other Perimeter for Final Inspection
1st T,reatm_.ent
Re -Treat
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 to'be picked up by the Inspector• at-t/me 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 jobs/te posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, .f
providing a copy for the person the permit is issued to and another copy for the building permit files, The Treatment
Certificate sha//provide the product used, identity of the applicator, time and Oa# of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, tv„'establish a ver/f/able record of
protective treatment. /f the soil chemical barrier method for termite prevent 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 V24/2014