HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code ;Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 SOAMYED
772-462-2172 Fax 772-462-6443 St. Luc a CountyCERTIFICATE OF T�RMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: l -OqL OS8'i JOB ADD ESS:
BUILDER/CONTRACTOR: - 06-14V AV& 6
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE k4ST 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: -906
Percentage of solution:.05%
Date of Treatment: 2019
Footing
1t Treatment
Re -Treat
_Driveway
_!�C__1t Treatment
Re -Treat
(5ther / io
,�5- 1' Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: -2Q)
Time of Treatment: / // W_ �(S)
Slab
1st Treatment
Re -Treat
Pools
V Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
of Exterminator Date
Note. There must be a completed form for each requirWLtfeatment 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 Treabment 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 venriable 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
F
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 0: o- 0<9C JOB ADD
PEST CO�TROL CONTRACTOR: EVICU-BUG TERMITE & PEST CONTROL INC.
PEST CO TROL LICENSE #: JB175775
SCANNED
BY
St. Lucie Cou
We, the Lin ersigned, hereby certify that we have pretreated the above described construction for
subterranei n termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: / 0 Chemicals used: DOMINION 2L
Percentage
of solution: •05%
Total gallons used: 20 o
Date of Tre
tment: /
_Time of Treatment:
_2sFooti
g
1st Treatment
Slab
K1�` Treatment
Re -Treat
Re -Treat
--_Driveway
Pools
In Treatment
1st Treatment
Re -Treat
Re -Treat
Othe
Perimeter for Final Inspection
1s* Treatment
V2
Re -Treat
(� -
Si ure 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 pi
ed 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 pro ded to receive duplicate Treatment Certificates as each required protective treatment is completed,
Providing a c opy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate sh all provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, the )cal 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 complete 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 7/24/2al4