HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division F I L 0 P
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 SCANNED
BY
CERTIFICATE OF TERMITE TREATMENT St. Lucie Count
CONSTRUCTION SOIL TREATMENT
PERMIT #: 160'l -ORC JOB ADDRESS:
BUILDER/CONTRACTOR: SKv15--!re.
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMr
PEST CONTROL LICENSE #: JB175776
& PEST CONTROL INC,
We, the undersigned, hereby certify that we have pretreated the above described con
subterranean termites in accordance with he standards of the National Pest Control A
Square feet if area treated: Z0Y10 Chemicals used: BASELINE
Percentage of solution: •06%
Date of Treatment: Z / 7
Footing
1st Treatment
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other /�r�c�i� In✓1
..,�is` Treatment
Re -Treat
Total gallons used:
Time of Treatment: 2. 6 0
Slab
is` Treatment
Re -Treat
Pools
1st Treatment j
Re -Treat
Perimeter for al Ins a ion
Signature of Fxterminat Dat
for
�yy8�
20
Note: There must be a completed form for each requ/red treatment or re-treatmentand 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 fall and a re -Inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to recelve dupllcate Treatment CertJficates as each required protective treatment Is completed,
— providing a copy for the person the pennitls Issued to and another cupyforthe building perrriltfiles The Treatment
Cerdflcate 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 chentnical baffler method for termite prevention is used, final exterior treatment shall
be completed prior to final bullring 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