HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
S = r Building & Code Regulation Division
2300 Virginia Ave
Q Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 4yo,
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CERTIFICATE OF TERMITE TREATMENT?UQleac) �
CONSTRUCTION SOIL TREATMENT®4h�
PER IT : I T' OGZ JOB ADDRESS: I y,�2o C'e�c� ✓P �I'��2yc.2r`f�S�
BUILDER CONTRACTOR: e
PEST CO TROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
We, the uni Jersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
i
Squari feet if area treated: &p Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: �a
Date of Treatment: 417 Q . Time of Treatment:
Footi g Slab
1st Treatment 1st Treatment
—7Re-Treat Re -Treat
Drivewayeway Pools
st Treatment
29
Treatment
-Treat
1't Treatment
Re -Treat
Perimeter for Final Inspection
Z(c5
g 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 be p) (ted up by the inspector at time of each inspection or the scheduled inspection will fail and a re inspection
fee carged.
FBC104.2.6 Certi/icate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be pro vided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a py for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate s /l provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, the )cal used, percent concentration and number of gallons used, to establish a verifiable record of
protective tre atment. If the soil chemical barrier method for termite prevention is used, Anal exterior treatment shall
be complete prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the elpctri al panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
planning & DevelcPmenit service
BuiOding & Code Reguoaf➢on Division
2300 Virg➢nis Ave
(Fort ple>rce, [Fa 34982
7 72-462--2172 Fa, 9 e 2-e462-66443 �, e�N���
CER`TNFjC A7E OF 7ERNn E 7R untV
C(ONSTRUCTION SOIL TREATMENT
CUl z R �oB A���Ess: Lq ZZ �� � ,.
BUILDER/CONTRACTOR.
TROL cONTRACTOR:
CON
EVICT-A-BUG TERMITE & PEST CONTRO
PEST L INC. PEST CONTROL LICENSE
describedI ted the above
We, the undersigned, hereby certify that we have pretr ea of the Nat tonal Pest Control Association.
subterranean termites in accordance with the stand
Square feet if area treated:
Percentage of solution: -0501°
Date of Treatment:
Footin
15t Treatment
__ Re -Treat
Driveway
1st Treatment
Re -Treat
other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
r/ Stab
Treatment
Re -Treat
Pools
15t Treatment
_.Re -Treat
Perimeter for inal Inspection
�(g4nature of E erminator Date
Note: There must be a he Ins completed font t1me ch required treatinent or te-treatment of each Inspection or the scheduled inspecd this
wJ�fall and a re lnspectlon
site, to be picked up by the Jn p
fee charged.
FOC104.2.5 Certificate of protective Treatment or prevention
r vent i n of each required protective treatment is completed,
osting board
shall be provided to reclve duplicate Treatmentpermit nt /5 The Treatment
pro'vlding a copy for the person the permit is issued to and another, copy for the bullding p
Certificate shall Provide the product�snon aind numbeof the �ofgallIcatorons usedtime ntodesf bllsh a ate of the treatment,
location,
don, area
treated, chemical used, percent
protective treatment. If the soil chemical rrier method for termite prevention Is used, final exterior treatment shall
be !completed prior to final building approval,
St I➢�aucfi® �®aanit�y ue�gauua•ee for the fffineU a g➢ ��e treatments r Cop a permanent Sticker to and dates ®f e�(place$ ®� � placed ®ea
the a➢ectrica➢ panel b®X cover'r ➢tstiung a
Revised 7/2 4/20) 4