HomeMy WebLinkAboutCERTIFICATEPlanning & Development Services
Building & Code Regulation Division RECEIVED
2300 Virginia Ave
Fort Pierce, FL34982 DEC 19Z018
772-462-2172 Fax 772-462-6443
ST. Lucie County, Permittin
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: D �r3o JOB ADDRESS: > -y �� aL S a,fi ✓r erc
BUILDER/CONTRACTOR: �y ��,lc-,fGe"',T} `
PEST CONTROL CONTRACTOR:
EVICT -A -BUG TERMITE &PEST CONTROL INC.
PEST CONTROL LICENSE #: JB176775
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.
Squdre.feet If area treated; - or) Chemicals used: DOMINION 2L
Percentage of solution:.05%
Date of Treatment: / 7 �/ j7
Footing
I' Treatment
Re -Treat
Driveway
1' Treatment
at
_Other Re-Tre
(at
1C Treatment
Re -Treat
Total gallons used: �' Q
Time of Treatment: J2 O C1
- Slab - - - - --- ---- - - —
1V` Treatment
Re -Treat SCAIVIVED
Pools Sy
1' Treatment `St' �uCie
Re -Treat COuntY
Perimeter for Final Inspection
- z/_/I
ature of Exterminator Date
Note. There must be a comp/eted form for each required treatment or re treatment and this form must be on the job
fee charged!
site to be picked up by the inspector at time of each inspection or the scheduled Inspection will fai/and a re -inspection
FBC104.2.6Ceitificateof.ProtectiveTreatmentforpreventionoftermites Aweather resistantjobsitepostingboard
sha//be provided to receive duplicate Treatment Certificates as each requ/red 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 shallProvIde 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 vedriable record of
protective treatment. If the so/l chemica/barrier method for termite prevention is used, final exterior treabnentshall
be completed pr/or to final bu//d/ng 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