HomeMy WebLinkAboutCERTIFICATE OF TERMIT TREATMENTPlanning & Development Services RECEIVEU__�_
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 SEP 12 ?00"9
772-462-2172 Fax 772-462-6443 ST. Lucie county, Permitting
CERTIFICATE OF TERMITETREATMENT
CONSTRUCTION S,OIL TREATMENT
PERMIT #:
BUILDER/CONTRACTOR:
PEST CONTROL CONTPACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE#: J13175775
ADDRESS:
7-
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: . �5_foo Chemicals used: DOMINION 2L
Percentage of solution: -05%
Date of Treatment:
—Footing
I't Treatment
Re -Treat
—Driveway
—Ist Treatment
Re -Treat
_:�dther
Ist Treatment
7_::��:Re-Treat
Total gallons used:
-2019 1 Time of Treatment: / -i>- ; -T(D
.=Slab - -
,1' eatment
--Ke-Treat
—Pools
1't Treatment
Re -Treat
0%
e�'
xxxxx Perimeter for Final Inspection
PAUL CLUGARAJR
D": 201 B.10.09 1.12:41 �M' _--bate
Signature of [Exterminator
Mote: 7here must be a completed r for creulreaftrea entorre-tr ent and this must be on the job
fO in ea 17 q On eatm folm
site to be pIcked up by the Inspector at time of each Inspectlon or the scheduled inspection will fail and a re -Inspection
The chalyed.
FBC104.2.6Cel-tirlcateofPtotectiveTreab7yel?tfOrPreventionoftef7nites. A weather I-eslstantjobs& posting board
shall be provided to receive duplicate Treatment Certlricates as each requiredprotective treatment Is completed,
provIdIlIg a COPY for the person the petmit Is Issued to and another copy for the bulldIng permit Ales. 7he Treatment
Certiftate shallprowde the p u us Identl of th
Md ct ed, tY e 6APficator, time and date of the treatment, slte location, area
treated, chemical 11584 Percent concentration. and number of gallons used, to establish a venrlable record of
pmtecti've treatment If the soll chemIcal harrier method for termite prevention Is used, final exterior treatment shall
be completed prior to Anal bulldlng approval.
St Luclia Countv 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.
Planning & Development Services
Building& Code Regulatio Di I I
2300 Virginia Ave In ivision F RECEIVED
Fort Pierce, FL 3498,
772-462-2172 Fax 772-46: SEP 12 �eO"9
I ST. LUCIQ Counyty, PermIMIng
CERTIFICATE OF TERMITE TREAT74ENT-
CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS: 4,5_0 0 L,_1
BUILDER/CONTRACTOR: 4�-v
PEST CONTROL CONTRACTOR: EVICT-A-BLIG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE#: JB175775
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: -I q ZZ 5" Chemicals used: DOMINION&
Percentage of solutilon: .05%
Date of Treatment: -2019
—FootiN---
-1 Treatment
Re -Treat
—Driveway
—Ist Treatment
— Re -Treat
---Other
1st Treatment
:___�__Re-Treat
Total gallons used: /Oso
Time of Treatment: z : <3 (2)
—Ist Treatment
— Re -Treat
—Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL. C L.U.G.,ARA XR VO� W"dWPAUL C L�IR
D".201MOM MUM �W
Signature of Exterminator Date
Note: 7here must be a completed form for each required treatment or re-trealment and this form must be on thejob
site to be pAcked up by the inspector at tme of each Inspection or the scheduled inspection will fall and a re-Inspectlon
fee charged.
FBC104.2.6 Celtirlcate of Protective Treabi7ent forprevention of telmites, A weather reststantjobsge posting board
shall be provided to receive duplicate Treatment Certiftates as each requiredprotective treatment Is completed
provldnq a copy for the person the peimit Is Issued to and another copy for the bulldIng permit ffles� 7he Treatment
Certiftate shallprowde the product used, Identity of the applicator, time and date of the treatment, site location, area
livate4 chemical used, percent concentration. and number of gallons used, to establish a verifiable record of
protective treatment ff the soll chemical barrier method for temilte prevention is used, Anal exterior treatment shall
be completadjonor 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.
- I I- I I ��' �� ��