HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATES�o�ponrSr`^ City of Port St. Lucie
Building Department
121 SW Port St. Lucie Blvd.
Ftoa�oP Port St. Lucie, FL 34984. 772-871-5132
P a n da pu blicweb. cityofps I. co m
Certificate of Compliance
for Termite protection
(as required by Florida Building Code R318.1)
PERMIT INFORMATION
SUANNtU
Permit #: jcyq rOS5?q BY
co
St. Lucie Countv
rvi- � a �� Q�'a i�cSj. �L 3 ��i'�a
Address of Treatment
Legal Description (Sec/Block/Lot)
PEST CONTROL COMPANY
EVICT -A -BUG TERMITE 8 PEST CONTROL INC. PAUL C. LUGARA JR.
Company Name— Please Print License Holder Name
772-323-7921 JB175775
Phone Number License #
TREATMENT INFORMATION
Method of Termite Prevention Treatment:
✓❑ Soil Barrier ❑ Wood Treatment ❑ Bait System* ❑ Other (describe)
'Per FBC R318.1.7— a signed copy of the contract assuring the installation, 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 Official prior
to the pouring of the slab and the system must be installed prior to final building approval.
The Building has received a complete treatment forthe prevention of subterranean termites. Treatment is in
accordane With
r les and laws established by t Florida Department of Agriculture and Consumer Services.
`s.
Authorize ignaature / Date
� �IB✓I � �! Ste(
Print Namel
Form created 02/25/2019 revised 04/19/19 tv
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 #: 5R JOB ADDRESS: q5 C -, n t. V) eA
BUILDER/CONTRACTOR: Vc!>&� IVA Love rt
PEST CONTROL CONTRACTOR: EVICT-4LIG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
SCANN'EF
St. tuC� count,
IV_V C>
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: /56
Percentage of solution: .05%
Date of Treatment: +Ir}o' f�/ohou
Footing
1st Treatment
Re -Treat
_Driveway
A1' Treatment
Re-T�ea
Other Y�t O
�1't Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
;�-S
Time of Treatment: /"-30
Slab
1s` Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
���"7-'0e-X ///Dz2'o 20
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 resistant jobsite post'ng 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 riles 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