HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & 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
)ER/CONTRACTOR:
CONTROL CONTRACTOR: Vv
TREATMENT
FU- 01Ib
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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:. f 00 Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: tO
Date of Treatment: -2019 Time of Treatment: 12 1 Oc)
Footing I/ Slab
1st Treatment 1st Treatment
Re -Treat Re -Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Tp c'� Re -Treat
�6 Other � Perimeter for Final Inspection
_1st Treatment
Re -Treat S211.0�
Sig re of Exterminator Date
Note: here 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 7
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Pest Related Services
Pre -Construction Termite Treatment
1-800-698-7998 `� �.License #4439
Property Information
fitment Date �7 l
t Block
vision Name
Address (if known)
Name (if known)
Builder / Contractor Information
Time: ff Il
Name of Builder v'
� r
� w
Shell Contractor U �gm
n Construction Type St Ucle county
Monolithic V Floating / Stemwall
Patio Entry Driveway
State Zip
Product / Treatment Information
Treatment Type (Must check one): Initial Under -Slab Supplemental Wood
Product applied: Bifenthrin V/ / Bora-Care Other
Concentration: 4%?— %
Square feet treated: a�egQ0
Mixed Product Applied:a Gallons
Linear feet treated:
If Ibox is checked, then either a final perimeter liquid treatment has been completed or a wood treatment is
completed and the following statement is applicable:
CERTIFICATE OF COMPLIANCE: The building has received a complete treatment for the
preve tion of subterranean termites. Treatment is in accordance with the rules and laws
established by the Florida Department of Agriculture and Consumer Services.
Applicator's Name (Please Print)
i
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and lawn & ornamental insect protection and fertilization programs. We offer discounts to our
Termite renewal customers! Call 1-800-698-7998 for more information.
2800 NW 22"d Terrace, Pompano Beach, FL 33069 (954) 968-7717 fax(954) 968-2922
www.advantagepest.com