HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE- - ScgNNED
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Building & Code Regu lation ®ivisi®n sr Lucie Co
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o � 23®®vlrginir� Ave
o _ Fort piercer FL 34982
772-462-2172 Fax 772-462-6443
CERTERC AYE OF TERMITE TREATMENT
CONSTRUCTRON SOIL TREATMENT
PERMIT #: 05J5 OB ADDRE : llll t - 3i
BUILDER/CONTRACTOR• 4 J P,
PEST CONTROL CONTRACTOR: EVIIJA-BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB176175
\jye, the undersigned, hat we have pretreated the above described construion for
subterranean termites hereby
accordanccertietwith the standards of he National Pest Control Association,
Square feet if area treated: / %4.
Percentage of solution:.os�i.
Date of Treatment: l
Z?Footin
-7i5t Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: zoo
Time of Treatment: 2 :o 0>
-_Slab
_ist Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
P ri a er r Final Inspection
Z
gnature of Exterminator Dat
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 w111 fall and a re-Inspectlon
Fan rharaed.
FODS®4.2.5 Certificate of Protective TYeatment for prevention of termites A weather resislantjobsite posting board
shall be provided to receive dupllcate Treatment certificates as each required protective treatment 1s completed,
providing a copy for the person the permit Is issued to and another copy for the building pennIt flies, The Treatment
Certificate shall provide the product used, ldendty of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establlsh a verifiable record of
protective treatment If the soli chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucie CountV requires for the final inspection for tCo, a permanent sticker to be placed on
the electrical panel box cover, fisting ail the treatments and dates of applications.
F
1111111111k Planning & Development Services
Building & Code Regulation Division — - -
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 SCANNED
By
CERTIFICATE OF TERMITE TREATMENT St. Lucie County
CONSTRUCTION SOIL TREATMENT
PERMIT #: M01 041 JOB AD
ESS: l/ll fi Pce a��S'/
BUILDER/CONTRACTOR: 7
PEST CONTROL CONTRACTOR; cT-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: dO
Chemicals used: DOMINION 2L
Percentage of solution: .05%
Total gallons used:
Date of Treatment: B ' 019
Time of Treatment: 0 4f-�
Footing
Slab
1st Treatment
I' Treatment
Re -Treat
Re -Treat
Driveway
Pools
1t Treatment
1t Treatment
Re -Tr at
Re -Treat
hlOther
XXXXX Perimete for Final Inspection
15 Treatment
Re -Treat
6
SkO�atd-re of Exterminator Date
Note. There must be a completed form for each regb*C 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 renal 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