HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATIONPERMIT #:
M Planning & Development Services SCANNED
Building & Code Regulation Division BY
2300 Virginia Ave St- Lucie Coup
Fort Pierce, FL 34982 tP
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
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BUILDER/CONTRACTOR:r-T Lo �n YG0 V
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
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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: 55-$1� � Chemicals used: BASELINE
Percentage of solution: -06%
Date of Treatment: /- 2-- 17
Footing
ist Treatment
Re -Treat
Driveway
11t Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Totai gallons used:
V
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for FiD4 Inspection
Signature of EK erminator 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 Treatnentforpreventon oftermltes. 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 soll 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
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n NOV 1 4 RECD
SCANNED
BY
CERTIFICATE OF TERMITE TREATMENT St. Lucie Counts
CONSTRUCTION SOIL TREATMENT
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PERMIT #: b =� JOB ADDRESS: G�1
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: MCA/AOI&e S ✓�cu'lt�t mP Jllc.
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave -
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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: F r-
Percentage of solution: 6 Y O S �o
Date of Treatment: 4 - i 4 —l6
Footing
15'Treatment
Re -Treat
Driveway
1s` Treatment
__-te-Treat
Other
e Treatment
Re -Treat
Chemicals used: i4d 6
Total gallons used:
Time of Treatment: d '
°Slab
st
Treatment
RRe-Treat
Pools
11 Treatment
Re -Treat
Perimeter for Final Inspection
A 11-1y-l6
gnature of Exterminator Date
Note: There mustbe a completed form for each required treatment or n?-treatment and this form must bean the job
site to be p/dced 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 res/stantjobske posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for Me person the permit is issued to and anotihercopyfor 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 dremica/bainer method for termite prevention is used, final exterior beatmentshall
be completed prior to Anal 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
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