HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
L 7A--)N-01
19
s� cqN
e
CERTIFICATE OF TERMITE TREATMENT 'be,
CONSTRUCTION SOIL TREATMENT '12-
PERMIT #: 16 JI
BUILDER/CONTRACTOR: Koo
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE
.#: JB175775
TERMITE & PEST CONTROL INC.
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: C�00
Percentage of solution:.05%
Date of Treatment: 1 Z 2019
Footing
1st Treatment
Re -Treat
' Driveway
�_V 1't Treatment
Re -Tr t
Other 0
?� 1� Treatment
Re -Treat
Chemicals used: DOMINIOON21L
Total gallons used: 'G 0
Time of Treatment: 1 % o
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimet^r Final Inspection
of
11
z-
Note., There must be a completed form for each squ1 ed atment 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 resistant jobsite 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 5hallprovide 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
r.
""'D a�r,
l Z - d3S Qg DRESS "�
PERMIT #: � g 1�
BUILDER/CONTRACTOR: `
PEST CONTROL CONTRACTOR: EVICT•A-BUO TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: J8175775
ertiion for
subterranean signed, eraccordancetwih the standards of he National Pest Control Assohat we have pretreated the above descdbed ciation,
Square feet if area treated: 2-13�
Percentage of solution: •05°/__—
Date of Treatment: 1 "3 f
Footing -
lst Treatment
Re -Treat
Driveway
1st Treatment
--fie-Treat
Other
1st Treatment
Re -Treat
planning & Development Services SCq
Building & code IRegu llatiora Division S't. < eYNFO
2300 Virginia Ave UC/e C
Fork Fierce, FL 34982
772-462-2172 Fax 772-462-6443 o%41
Chemicals used: DOMINION zL
Total gallons used: Z/[ S
Time of Treatment.
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
%— 5/ —/9
g'dnature of derminator Date
There must be a completed form for each required treatment or re -treatment and this form must be on the job
Note..
site be picked by the inspector at time of each inspection or the scheduled Inspectlon w111 fall and a re -Inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites; A weatherreslstantjobslte posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treaient 5 cue Treatment
providing a copy for the person the permit Is issued to and another co for the bullding permit
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 Countyto final building approval a permanent Sticker to b
tSt Luciahe electrical panel box cover, listing lis$ ng all ts he treatments and dates of applicationsa p@ac®d on0 c