HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
JT- 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 #: _ D ( /` 050 i JOB
BUILDER/CONTRACTOR: go
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: JB175775
TERMITE & PEST CONTROL INC.
a� BYEQ
3t Lucie G00'n
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: ' Off'
Percentage of solution:.05%
Date of Treatment: G j15'
Footing
Is' Treatment
Re -Treat
_Driveway
I' Treatment
Re -Tr �t
_Other
1s eatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
' El `%
Time of Treatment: _ 21 " 0 a
Slab
1st Treatment
Re -Treat
Pools
15` Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR De M 910 9VPnu41t4'W a
oMrol` 7
.: zma V I PAUL C LUGA
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 jab
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.
FBC304.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite 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
a [l 'o 50 l
Planning & Development Services
J --I
_ Building & Code Regulation Division
B 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1251F7
BUILDER/CONTRACTOR: LOQ ur L_�CkA��'lz jc
PEST CONTROL CONTRACTOR: E I -A-BUG TERMITE & PEST CONTROL INC.
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.
i
Square feet if area treated:
%IdOofi� Chemicals used: DOMINION 2L
Percentage of solution:.o5°ro Total gallons used: _'� / 0
Date of Treatment: 1 /f /I
_Footing
Cr ill Treatment
Re -Treat
Driveway
lst Treatment
Re -Treat
Other
1st Treatment
Time of Treatment: ';2 � O G
�S Slab
is` Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Re -Treat
Sia6ii6re of Exterminator
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 resistantjobsite 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
t o be placed on
the electrical panel box cover, listing all the treatments and dates of app
Revised 7/24/2014