HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
33oo virginia Ave
Fort Pierce, Ft 34992
772-462-2172 For 772-462-6443
PERMIT #: 110 — D53 JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: tl
PEST CONTROL LICENSE #: Ja175775
SCgNNE
St �Ocie�ou t
We, the
subterranean termites ir nacco dancceffIetdescribedhat we have pretreated the above construction
with the standards of he National Pest Control Association.
ation.
Square feet if area treated: 15_
Percentage of solution: •05%
Date of Treatment:
Footing
_ Zist Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
St Treatment
Re -Treat
Chemicals used: DOMINION u
Total gallons used: 2001)
Time of Treatment: 9 ' Q
Slab
ist Treatment
Re -Treat
Pools
ist Treatment
Re -Treat
P 'tie er for Final Inspection
_ YA'-/z
nature of Fxterminator Date
3`t1r�/
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 -Inspection
fee rharaed.
FECbo4.2.9 Certificate of protective Treabnent for prevention of termites A weather reslstantJobslteposting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatments completed,
providing a copy for the person the permit Is Issued to and another copy for the building permit fi/e5: 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 bul/ding approval,
St Lucia County requires for the final inspection for cCOr a permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
rI
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 #:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA
PEST CONTROL LICENSE #: JB175775
-A-BUG TERMITE & PEST CONTROL INC.
gt �� NG B)'NFO
COun�V
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:
Percentage of solution: _05% -
Date of Treatment:.0 2G -2019
Footing
1s` Treatment
Re -Treat
_Driveway
1 Treatment
Re -Tr, at/
�Ot er oL 10
Ta reatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
.`
G'•om
Slab
1't Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimet r for Final Inspection
n re of Exterminator Date
�prc�2
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.
FBC104.2.6CertffrcateofProtective Treatment forpreventionoftermites. A weather resistantjobsite poshng 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 flies. 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 veiffrable 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 datestof applications.
Revised //24//U14