HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation DivisiorlCNOV-0
2300 Virginia Ave 51(
Fort Pierce, FL 34982 . COUnw
772-462 2172 Fax 772 462-6443 St. Luce
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: IV-Z - 045$
BUILDER/CONTRACTOR:
_ JOB ADDRf�S�cS: �` .� r A 6E�� ivc 7- e-'
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: �23% L
Percentage of solution: •05%
Date of Treatment:
Footing
�1" Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1� Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: % CL
Time of Treatment: I. 2 .O 0—
Slab
X1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
of Exterminator
Note: There must be a completed form for each wired treatment orre-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 lia Development Services
I r�am'-ry Building & Code Regulation Division
2300 Virginia Ave
Fort Piercer FL 34082
' 772.462-2172 Fatt 772-462-6443
Cf�i S�I`:IJCT1l�)i' SriTl_ T�.,f:�1T,e r.`;f
C Ia S JOB ��� � 2 (V�
PERMIT #: ADDRESS: � o i Ir fl l rXiin
BUILDER/CONTRACTOR: �a 3y, Us
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: J6176775
We, the undersigned, hereby certify that we have pretreated the above described construction for k9C9
subterranean termites in accordance with the standards of the National Pest Control Association, S,f 4 6�NF
Square feet if area treated: SO O Chemicals used: ooMINION 2L Cie C
0U
Percentage of solution: .05 �° Total gallons used: SO 4�e
Date of Treatment: Ll 1 117 ) Time of Treatment:
3!Op
Footing Slab
ist Treatment R Treatment
Re -Treat Re Treat
Driveway Pools
Ist Treatment 15t Treatment
;Re- at Re -Treat
other Perimeter for Final Inspection
eat t /2
Re -Treat
=reau
re of Exterminator Date
Note: There must be a completed form for each r rred ent or re -treatment and Chls form must be on the job
site to be picked up by the Inspector at time of each Inspection or the scheduled Inspection w111 fall and a re -Inspection
fps± rharned.
FOCID4.2.6 Certlficate of Protective Treatment for preventlon of termites: A weather resistantjobslte posting board
shall be provided to recelve 14010te Treatment Certificates as each required protective treatment 1I Complles, ne eted,
providing a copy for the person the permit Is Issued to and another copy for the bullding permit
eatment
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 ofgallons used, to estabNsh a verifiable record of
protective treatment. If the soll chemical barrier method for termite preventlon Is used, final exterlor treatment shall
be completed prior to final building approval,
St Lucie CountP requires for the final inspection for /Cor a Permanent Sticker to be Placed on
the electrical panel box cower, listing ail the treatments and dates Of aPPlications°