HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATES_ --' Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
@ C�' Uy Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1904-0583 JOB ADDRESS: 49 FLORIDA WAY PSL FL 34952
BUILDER/CONTRACTOR: RODNEY HALL CONCRETE
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
SCANNED
BY
St. Lucie County
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:
xxxxx Footing
xxxxxxx 1s` Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
-2019
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
xxxxxx Slab
xxxxxx 1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
PAULCLUGARAJR Z' iowmue°oavn��p 7-3-2019
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 Treatment for prevention of termites. A weather resistantjobsite posting 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 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
op OHrSf
City of Port St. Lucie
Building Department
m 121 SW Port St. Lucie Blvd.
Ftanio� Port St. Lucie, FL 34984 • 772-871-5132
Pandapublicweb. cityofpsl.com
Certificate of Compliance
for Termite Protection
(as required by Florida Building Code
PERMIT
Permit #: 05F3
leI
Address of Treatment
Legal Description (Sec!
PEST
EVICT -A -BUG TERMITE $ PEST CONTROL INC.
Company Name —Please Print
772-323-7921
Phone Number
Method of Termite Prevention Treatment:
PAUL C. LUGARA JR.
License Holder Name
JBI75775
License #
Soil Barrier ❑ Wood Treatment
El Bait System* ❑Other (describe)
SCANNBC
BY
-Per FBC R318.1.7— a signed copy of the contract assuring the Jnstallatian, maintenance and monitoring of the baiting
system that is in compliance with the requirements of Chapter 482, F.S. shall be provided to the Building to the pouring of the slab and the system must be Installed prior to final building approval. Official prior
The Building has received a complete treatment for the prevention of subterranean termites. Treatment is in
acc ce with .rules and la s established y the Florida Department of Agriculture and Consumer Services.
authorize Signature 3
Print Name
Farm created 02/25/2019 revised 04/19/19 tv