HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & 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 #: / l l O - C�Da`I %]OB ADDRESS: ohs
BUILDER/CONTRACTOR: oC(>' --c-
PEST CONTROL CONTRACTOR: EVICT -A -BUG 11ERMITE & 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: ws
Percentage of solution:.05%
Date of Treatment:
Footi�
1s* Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
1st Treatment
Re -Treat
-2019
Chemicals used: DOMINION 2L
Total gallons used: 7,
Time of Treatment: 7, 0 0
Slab-'
1't Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR ,YC udo PAz.° MA
Signature of Exterminator Date
Note. There must be a completed form for each required treatment orre-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 ofProtecbve Trabntfoprevention oftmiA weatherentjosiepsngboardeeretab
sha//be provided to receive duplicate Treatment Certificates as each required protective treatmentis completed,
providing a copy for the person the permit is issued to and another copy for the but/ding permitAles The Treatment
Certificate sha//provide the product used, identity of the applicator, time and date of the treabnent, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a vedrrab/e record of
protective treatment. If the soil chemical barrier method for termite prevention is used, Ana/ exterior treabnent 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.
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JCERTIFICATE OFTERMITE TRE
ATMENT
L TREATMENT
PERMIT
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fi e,un - undersigned, hereby certify 'the pboVeddstrib& cbhis'�--dlofifor
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-.Square feet ifarpa heated: 'i4k'
bate'qf Treairyie6f-?2-31-2019
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t�,QpLio-,DOMINION2L
Total gaIjPrjs,4seFd: '2S()
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