HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 SCANNED
772-462-2172 Fax 772-462-6443 MV
CERTIFICATE OF TERMITE TREATMENT G4. LIBCIEc®Y9*
CONSTRUCTION SOIL TREATMENT
PERMIT#:1(,03-03gi JOB A
BUILDER/CONTRACTOR: _;
PEST CONTROL CONTRACTOR: EVICT
PEST CONTROL LICENSE #: JB176776,
& PEST CONTROL INC.
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: S/F /5 6 L/ Chemicals used: BASELINE
Percentage of solution: -06r
Date of Treatment: Z3 b
Footing
1s'Treatment
Re -Treat
Driveway
—1t Treatment
R reat
O t er 9
1st Treatment
Re -Treat
Total gallons used: �D
Time of Treatment: D - S
Slab
1st Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
,i�Perimeter for Final Inspection
PAULLUGARA ,}o.�zoemnaesuaw 8-11-2016
Signature of Exterminator Date
A R51
ri-elo&
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-Inspeclion
fee charged
FBC104.2.6Cer0cateofProtectriveTreatmentforpreventionoftermites. A weather resistantjobsite postiag 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 Treatrnent
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
Planning & Development Services
Building & Code Regulation Division
a 2300 Virginia Ave
- Fort Pierce, FL 34992
772462-2172 Fax772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
:ult
PEST CONTROL CONTRA,
PEST CONTROL LICENSE
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: 16 R F e-
Percentage of solution: ' d6
Date of Treatment: 5- ` 19 -1 b
_Footing
�1" Treatment
_Re -Treat
,Driveway
Treatment
Re -Treat
_other
_i¢ Treatment
-Re-Treat
Chemicals used: 0..52. �
Total gallons used:
Time of Treatment: - L
Slab
�P Treatment
—Re-Treat
;pools
_V1 Treatment
_Re -Treat
_Perimeter for 5nal Inspection
Signaturdoof BiterryMator
S4BAWItlED
BY
St. Lucie con*
Note: There must be a completed farm foreach required beatmentorre-treatmentand this form mwtbe m the job
s/te to be plcked up by the lnspedor attune of each lnspecr/ort or the scheduled lfspectlon will fall and a•rednspecdon
fee draraed.
FBC104.2.6 Certtlirate of protective TreOnentfarprevwdod oftennites A weatherrestetantjobsim pasBng board
shall be provided to receive duplicate Treatment CerHflcates as ead� requlred protective treabnentls completed,
providiV a ropy for the person the permit is Larued to and another COPY forthe building permit filer The Treattnent
Certificate shall provide yte product used, identltyofthe applicator, time anddate of the beatmen4 site lotatian, area
heated, chemical used, percent conaenbatiornartdnumbercfgallons used, to establish a verifiable record of
protective treatment If the sol! chemical barriermethod forfermite prevent on Js used, final exterior beatmentshali
be completed prior to final butlding approval
St Lucie County requires for the final inspection far CO, a Permanent Stickertoo be placed on
the electrical panel box cover, listingapplications.
all the treatments and dates of ape .
30'y?