HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
= Building & Code Regulation Division
p 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
BUILDER/CONTI
PEST CONTROL
SCANNED
BY
CERTIFICATE OF TERMITE TREATMENT st. Lucie County
CONSTRUCTION SOIL TREATMENT '7474q
ADDRESS: 2`'rO 6 —tea/ �`v1A Dt' , �mr4'
EVICT -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: 3
Percentage of solution: .06
Date of Treatment: 6
Footing
la Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: BASELINE
Total gallons used
3yS�
Time of Treatment: Zi i ° ° r Z - 3 a
Slab
1lt Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
Perimeter for Final pection
Signature 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 fall and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatmentforprevention of termites A weather resistantjobsite posting board
shall be provided to receive duplicate Treabnent 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 soll 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
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
-772-462-21-72 Fax 772-462-6443-
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I O —0�119 JOB
BUILDER/CONTRACTOR: _
PEST CONTROL CONTRACTOR:
EVICT -A -BUG TERMITE & PEST CONTROL INC. - -" _"•emu
PEST CONTROL LICENSE #: JB175775 St I I In o'^ounty
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.
e
Square feet if area treated: �' S /�
Percentage of solution:.06^%
Date of Treatment: 5 — 16—t
Footing
1't Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: BASELINE
Total gallons used: i 3�
Time of Treatment: l d d
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
l�Perimeter for Final Inspection
a^ 5-,,, � d ......... .tzo�ana
Signature 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 Treabnentforprevention oftermites A weather res/stantjobsite posting board
shall be provided to recelve 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 fie 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 venfiable record of
protective beatrnent. If the soil chemical barrier 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 be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014