HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
11111111111111110 772-462-2172 Fax 772-462-6443
SLANNED
CERTIFICATE OF TERMITE TREATMENT BY
CONSTRUCTION SOIL TREATMENT St. Lucie County
PERMIT #: JOB
BUILDER/CONTRACTOR:
WA-02 W'",
I �zr
PEST CONTROL CONTRACTOR: EVICT-A-BLIG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE# :JB175775
We, the undersigned, hereby cerrify 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: . /XS0
Percentage of solution: .05%
Date of Treatment:
�F Ist Treatment
Re -Treat
Driveway
Ist Treatment
Re -Treat
Other
—1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: JA)
Time of Treatment: h90 rgjl
_2�,-Slab 1� Ist Treatment
/OC—Re-Treat
---_Pools
l't Treatment
Re -Treat
xxxyx Perimeter for Final Inspectio
, q-9; ?/'on
Signatilre-of Extehinator DaKe
Note.- 7here must be a completed/ban for each required treatment or re -treatment and this form must be on thejob
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. - 9
FBC104.2.6 Certificate of Protective Treatment forprevention of temiites� A weather resistantjobske posbiig board
shall be provided to receive duplicate Treatment CetVArates as each requiredprotective treatment is completed,
providing a copy for the person the pelmit Is Issued to and another copy for the building permit files. 7he Treatment
Certificate shallprowde the product used, Idenfity 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 venrlable record of
protective treatment If the soil chemical barrier method for termite prevention Is used, Anal exterior treatment shall
be completed prior to Anal 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