HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
FEB 2 5 2020
CERTIFICATE OF TERMITE TREATMSNVcle County permitting
CONSTRUCTION SOIL TREATMENT
PERMIT #: 0�-��� JOB ADDgESS: � l� GrRM_gAd
PEST CONTROL CONTRACTI
PEST CONTROL LICENSE #:
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordancewith the standa�rds.of the National Pest Control Association.
Square feet if area treated: / yaJ- �E� ' Chemicals used: lA P, ok c) P(:ok
a
Percentage of solution:
�1(��
Date -of Treatment:—
*i
Footing
1'` Treatment
Re -Treat
Driveway
i, 1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat : 'a
Total gallons used: T^GA II,n1i
Time of Treatment: t1 i(—b AM,.....
ELJ
Slab BY
1st Treatment St. Lucie County
Re -Treat
Pools
1't Treatment
Re -Treat
Perimeter for Final Inspection
_a 1 _20
Signature #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 resistantjobsite posting board
shall be provided to receive duplicate Treaftnent Certificates as each required protective treatnent 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 ofgallons 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
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I'$ (6 - 02 /6 JOB ADDRESS:
BUILDER/CONTRACTOR: &'cuR
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE B PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
SCANNED
BY
St. Lucie County
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: 3 %2
Percentage of solution:.05%
Date of Treatment: 2018
Footing
Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
360
fZ:o&�
Slab
1t Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR,d0. i+a `oae1a 2:4% v`4v 'a �kt
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 resistantjobsite 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 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