HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division RECEIVED
2300 Virginia Ave
Fort Pierce, FL 34982 DEC 0 9
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM �
CONSTRUCTION SOIL TREATMENT BY
St. Lucie Y0U*
PERMIT LL-Ok- .9 JOB
BUILDER/CONTRACTOR: -K-oll ll'"
PEST CONTROL CONTRACTOR: EVICT7CBUG 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: e-350 Z/F--
Percentage of solution:.05%
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Note. There must be a completed form for eac
site to be picked up by the inspector at time of
fee charged
Chemicals used: DOMINION 2L
Total gallons used: h?<
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
erime�al Inspection
Exterminator
vent or re -treatment and this form must be on the job
or the scheduled inspection will fail and a re -inspection
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite 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 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.
xevlsea ii/4ieui4