HomeMy WebLinkAboutTERMITE TREATMENT APPLICATIONPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave SCPNNED
Fort Pierce, FL 34982 BY
772-462-2172 Fax 772-462-6443 St. Lucie COUnl�
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:1y/9 JOB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA
PEST CONTROL LICENSE
EVICT -A -BUG
#: JB175775
PEST CONTROL INC.
E d" -&-cR
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordancewith the standards of the National Pest Control Association.
Square feet if area treated: goo
Percentage of solution: •05%
Date of Treatment: 1°,'Yz01s
Footing
_2�1' Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1s* Treatment
Re -Treat
Chemicals used: DOMINION zL
Total gallons used: Se:_-9
Time of Treatment: QLO,::>
Slab
1' Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
xxxxx Perimejr for Final Inspection
of Exterminator Date
Note. There mustbe a completed form for each required treabment crre-treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection of 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 riles. 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 bui/ding 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.