HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services =
Building & Code Regulation Division
® 2300 Virginia Ave SCANNED
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 BY
St. Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: ®— JOB ADDRESS: 1
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACT EVICT -A -BUG TERMITE&
PEST CONTROL LICENSE #: JB175775
5Rcoe-brm1i n?. P5L 1,:L 3Y9m
CONTROL INC.
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: ZSOL F
Percentage of solution:.05%
Date of Treatment: _� /0(2 O
Footing
1`1 Treatment
Re -Treat
Driveway `
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Note. There must be a completed form for each rey
site to be picked up by the inspector at time of each
fee charged.
Chemicals used: DOMINION 2L
Total gallons used: 12 S
Time of Treatment: 11 t G o
Slab
1st Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
xxxxx Perime)kr foal Inspection
1 o
of Exterminator T Date
roent orre-treatment and this form must be on the job
or the scheduled inspection will fail and areinspection
FBC104.2.6 CeifflrateofProtective Treatmentforprevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate TreatmentCertirrcates as each required protective treatment is rompleted,
providing a copy for the person the permit is issued to and another copy for the building permit riles. The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
heated, chemical used, percent concentration and number of gallons used, to establish a verirlable record of
Protective treatment. If the soil chemical barrier method for termite prevention is used, final exterlor 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 aoolications.
Revised 7/24/2014