HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESF"WM9
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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#: lq&l — 63 Y; JOB
BUILDER(CONTRACTOR: t�cf1PQA-,,j ,
PEST CONTROL CONTRACTOR: EVIC�A-BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE#: JB175775
101001 -�
w7q3
LL'�F e Z-
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: -2 50 Chemicals used: DOMINION 2L SCANNED
BY
Percentage of solution: .05% Total gallons used: St. Lucie County
Date of Treatment; 201
____Footing
1't Treatment
Re -Treat
Driveway
Ist Treatment
Re -Treat
____Pther
V Treatment
Re -Treat
Time of Treatment:
REMED
Slab .1
l't Treatment JUL I I'Mig
Permitting Department
Pools st. Lucie County
11t Treatment
Re -Treat
=Perimeter for Final Inspection
PAUL CLLIGARAJR M�v��PAULC�JR
=1811001MINI�w :?/f r
Signature of Exterminator bbte
Note. 7here must he a completed fbim for each required treab-nent or re -treatment and this foyin must be on thejob
site to be picked up by the inspector at time of each inspection or the scheduled inspectlon will fail and a re -inspection
fee chaiged,
FBC104.2.6 Cerfficate of Pmtective Treatment forprevention of termlles. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each requiredprotectIve treatment is completed,
providing a copy for the person the permit Is Issued to and another copy for the bulldIng permit files. 7he Treatment
Certirkate shallprowde 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 venrlable record of
protectivetreatment ff the soil chemical barrier method for termite prevention Is used, Anal exterior treatwentshall
be completed prior to final bulldIng approval.
St Lucie County requires for the final inspection for CO. a Permanent Sticker to be placed an
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7124/2014
9� 7
5 1111," T-9
DWAIN
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planning &Development Services
suliding & code Regulation Division
2300 Virginia Ave
Fort Plercer FL 34982
772-462-2172 Fax 772-462-6443
CERTHFICATE OF TERMITE TREATMENT
1�'Od'J3 KY CONSTRUCIrzom SOIL 7REATMENT
PERMIT JOB ADDRESS:
BUILDER/CONTRACTOR, 1AIL' 4IL41
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL IN
PEST CONTROL LICENSE #: 15176T76
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: �2VL�O
Percentage of solution: .05*10
Date of Treatment. C//2 z-11 q
. I I
_�_FoXot!g Is'Treatment
_j__�e-Treat
—Driveway
ist Treatment
____-Re-Treat
other
Treatment
___�Re-Treat
Chemicals used: DOMINION 2L
Total gallons used: 2,50 —
Time of Treatment: 2-:-3 Z)
_-_-slab
—ist Treatment
—R.e-Treat
-----:-Pools
Treatment
____-Re-Treat
—Perimeter for Final Inspection
Signature of Exterminator
Note., 7here must be a completed form for each required treatment or re -treatment and thts tbrm m&1st be On the JOb
site to be picked up by Me Inspector at time of each Inspection or the scheduled Inspection will fall and a r -In pe on
6 5 ct'
fee charged.
— t for prevention of ten n1tes. A WeatherresislantJObs& Posting board
FBC104.2 6 Certificate Of Protective T'eatmen s e Ire tecdve treatment Is completed,
shall be provided to receive oLooficate T'eatment certificates a eachrqu dpro
providing a copy for the person the permit is issued to and another copy for Me bulldIng permit files. 7he Treatment
r
sha I Prot
rti .7 1
F_ tj e tr t, site location, area
cer0cate shallprowde the product used, Idenifty of the applicator, m andoateofthe eatmen
treated,'chemIcal used, percent concentr-atlon and number of gallons used, to establIsh a verifiable record of
ve
proL-ctivetreatment. ff the soil chemical barrier method for termite prevention Is used, final exterior trsatment shall
b ;" �� f�t 'I,
e completedprilor to Anal building approval,
St Lucle 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.