HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772 462 2172 F 772 462 6443
ax - - SCANNED
CERTIFICATE OF TERMITE TREATMENTSt.LUceComb
CONSTRUCTION SOIL TREATMENT
PERMIT #:
BUILDER/CONTRACTOR:
PEST CONTROL
JOB ADDRESS:
CONTRACTOR: EVICT -A -BUG 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: 6w
Percentage of solution:.05%
Date of Treatment: -2019
Footing
Treatment
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other
1s` Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
1 7
Time of Treatment: S
Slat
1� Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
XXXXX Parimatr fnr45Pal Tr
Signature
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 resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treabment 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
heated, 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 rinal 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