HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
SCANNED
BY
St. LuciP. ('n'Inty
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT.#: f 0ld-00 V JOB ADDRESS: ` W,
BUILDER/CONTRACTOR: N/MJN1ANrJ a�Ajsdnl-(-.�
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: J13175775
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: It 0
Percentage of solution: .05%
Date of Treatment: I - 3 d-t d
Footing
1't Treatment
Re -Treat
Driveway
1st Treatment
e-Tre
er &f Wks
1' Treatment
Re -Treat
Note: There must be a completed form for each
site to be picked up by the inspector at time of a
fee charged.
Chemicals used: DOMINION 2L
Total gallons used: 2 5
Time of Treatment: / -' Gy
Slab
1't Treatment
Re -Treat
Pools
for Final Inspection
M
went oyrfe-treabnentand this form must be on the job
or the scheduled inspection will fail and a re -inspection
FBC104.2.6Certificate ofProtectiveTreatment forpreventionoftermites Aweather resistantjobsitepostingboard
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 pennit files fie 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 bander method for termite prevention is used, final exterior treatment shall
be completed poor 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.
7izaizm a
K