HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Devenop
Building & Code Reg'
2200 Virgini
Fort Pierce, F
772-462-2172 Fax
CO. S�F!I1CT;1�,,
PERMIT #: � /? --�360 JOB
BUILDER/CONTRACTOR: _Z0s
PEST CONTROL CONTRACTOR: El
PEST CONTROL LICENSE #: Je17577
lent services
ation Division
34902 Scq�NF®
r2-462-6443 st 4UceY
4 E `TREATMENT e cotily
QL TREATMENT
INC.
shereby
construction
ubteranean terrmi es Inacrdancew h the st dards of he Nat onal Pest Contof A otion,
Square feet if area treated: Z
Percentage of solution: '05°I0 —
Date of Treatment: 2 _ _ l L7 —
�fFootingy-
1 ist Treatment
Re -Treat
Driveway
1st Treatment
Re Treat
Other
1st Treatment
Re -Treat
Chemicals used: ooMINION 21.
Total gallons used: 2 /
Time of Treatment: 13cv
Slab
e-P--Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
fimeter for Final Inspection '2 Q
I,
Slgffiturebf gk6rminator Date
rm mu5t
e on
the
Note: There must be aMe Inspted form ector at time of each inspection or the scheduled Inspeceach required treablnent Or re-ireatment tion this wl�fall and a re -Inspection
job
site to be picked up by p
fee charged.
fee charged.
Certificate of Protective Tleatment for prevention of termites A weather resistantjobs/te posting board
shall be provided treceive d b? the t Is Issued to and anotheropy forhe bulld/ng pcates as each required protective ermit illes 717e Tretatment
providing a copy P p
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment, site location, area
and number ofgallons used, to establish a verifiable record of
treated, chemical used, percent concentration
protective treatment. !f the soil chemical barrier method for termlte prevention Is used, final exterior treatment shall
be completed prior to final building approval a permanent Sticker 1:0
pSt ope Lucia
leant MusM q ire for
th it in g all pies $®eateseenps� and dates of a� O cations Placed on
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Plerce, FL 34982 S S'C9
772-462-2172 Fax 772-462-6443 fl4cA
CERTIFICATE OF TERMITE TREATMENT coy'
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS: o
BUILDER/CONTRACTOR: y
PEST CONTROL CONTRACTOR: EM -A-BUG TERMITE&PEST CONTROL
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: QO
Percentage of solution: •05%
Date of Treatment: 2015
Footing
1'` Treatment
Re -Treat
Driveway
1 Treatment
Trot
_Other e'
1't Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 0
Time of Treatment: fZ��
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection r
PAUL C LUGARA JR o" eaao imii` www""'p / J
Signature of Exterminator E e
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.
FBC104.2.6 Certificate of Protective Treatment forprevendon of termites. Aweather resistantjobsitepostingboard
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