HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
1 Building & Code Regulation Division RECEIVED
2300 Virginia Ave
Fort Pierce, FL'34982
772-462-2172 Fax 772-462-6443 JUN 18 2019
ST, Lutl9 County, Permitting
CERTIFICATE OF TERMITE TREATNI'ENT`--
CONSTRUCTION SOIL TREATMENT
PERMIT (g 12— 0i JOB ADDRESS: 1$96i Obt PSL 3Vq�7
BUILDE CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. SCANNED
PEST CO TROL LICENSE #: JB175775 S} ' ^-unt
y
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranei in termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: O N Chemicals used: DOMINION 2L
Percentage of solution: •05% Total gallons used: I 0 1
Date of Tre tment: 6,1 Time of Treatment: 2 a a
Footi g Slab
Is` Treatment Is' Treatment
Re -Treat Re -Treat
Drive ay Pools
1't Treatment 1st Treatment
Re -Treat Re -Treat
Othe Perimeter for Final Inspection
1st Treatment
Re -Treat — / /
Siure of Exterminator Date
Note: Therel must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be p1dred 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
shaft be prov bed to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a c 9py for the person the permit is issued to and another copy for the building permit fifes. The Treatment
Certificate sh all provide the product used, identity of the applicator, time and date. of the treatment, site location, area
treated, cher 71cal used, percent concentration and number of gallons used, to establish a verifiable record of
protective tr atment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completeq prior to final building approval.
St Lucie C unty requires for the final inspection for CO, a Permanent Sticker to be placed on
the electri 1 panel box cover, listing all the treatments and dates of applications.
Revised