HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & 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: goe
PEST CONTROL CONTRACTOR:
SY54
PEST CONTROL LICENSE #: JB175775 St I , _"Y
e Cotinty
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; 00 Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: ec
Date of Treatment: 445 201e Time of Treatment: 0 D
Footing Slab
1st Treatment 1s` Treatment
Re -Treat Re -Treat
_Driveway Pools
1st Treatment 1t Treatment
Re re Re -Treat
Other O xxxxx Perimet for Final Inspection
_�1�* Treatment
Re -Treat / 07
re of Exterminator Date
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 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 Certilicates 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
N
planning & Development Services
gaii➢ding & (Code (Regulation Division
2300 Virginia Ave SCANNED
o o Fort Pierce, FL 34982 BY
772-462-2172 Fax 772-482-W3 St. Lucie Counti
CERTIFICATE OF TERMITE TREATME
CONSTRUCTION SOIL TREATMENT -
PERMIT #: 02, & 91 JOB ADDRESS: �t 3i`1.S' 1
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EMT -A --BUG TERMITE B 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: J140
U
Percentage of solution: -05
Date of Treatment: llerf
—&—Footl
se Treatment
Re -Treat
Driveway
ist Treatment
_fie -Treat
Other
15c Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 2Or,>
Time of Treatment: p o D
_Slab
1s` Treatment
Re -Treat
Pools
15� Treatment
Re -Treat
Perim ter for Final Inspection
Si a e of Exterminator Date
Note. There must be a completed form for each required treatment or re -treatment and this form mustbe 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 charged.
FOC164.2.6CertftateofProtective Treabnentforpreventlonoftermltes. Aweather resistantJobslteposting board
shall be provided to receive duplicate Treatment CertlAcates 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 tiles The Treatment
Certlficate 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 estabOsh a verifiable record of
protective treatinent. If the soil chemical baffler method for termite prevention Is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucie (County requires for the final inspection for CO, a Permanent Sticker to One placed on
the electrical panel box cover, listing all the treatments and dates of applications.