HomeMy WebLinkAboutTERMITE TREATMENT CERTTIFICATESPlanning & 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 SOIL TREATMENT
PERMIT #:
BUILDER/C
PEST CON"_____
PEST CONTROL LICENSE #: JB175775
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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: 1gY 7S
i
Percentage of solution: •05%
1
Date of Treatment:
f^S F otin
Treatment
Re -Treat
Driveway
1'` Treatment
Re -Treat
Other
Chemicals used: DOMINION 2L
Total gallons used: 200
Time of Treatment:
9,ac
Slab _
1'` Treatment
Re -Treat
Pools
1'` Treatment
Re -Treat
Perimeter for Final Inspection
1't Treatment
Re -Treat
Sign of Exterminator 7 rhatp
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 to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
Planning & 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 SOIL TREATMENT
PERMIT #: 1812-0323 JOB ADDRESS:
BUILDER/CONTRACTOR: WYNNE DEVELOPMENT
SCANNED
St LBy
ucie County
16 S ALHAMBRA LN PORT SAINT LUCIE, FL 34952.2819
PEST CONTROL CONTRACTOR: EVICT -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.
Square feet if area treated: 190 LF
Percentage of solution:.05%
Date of Treatment: 03-06.2019
Footing
1st Treatment
Re -Treat
Driveway
In Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 100
Time of Treatment: 12:00
Slab
in Treatment
Re -Treat
_Pools
in Treatment
Re -Treat
xxy)�x Perimeter for Final Inspection
PAULCLUGARAJR °o'w,�;;,.o;',;:;�;;'a 09-12-2019
Signature of Exterminator Date
Note. There must be a completed form for each required treatment or re-treabnent 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 to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
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