HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT/q/0-oq8'
Planning & Development Services
� Building & Code Regulation Division
2300 Virginia Ave
I� Fort Pierce, FL 34982 SCgNNF j)
772-462-2172 Fa�,?72-462-6443 St.UCIBCoUl7tV
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION 'JOIL TREATMENT
PERMIT #: JOB ADDRESS: 3 L1,!g itir_(us�r_'c
BUILDER/CONTRACTOR: 7 UT_
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JBI75775
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: S0
Percentage of solution: .05%
Date of Treatment: 2e$,s Zozo
Footing
1st Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used
s
Time of Treatment: ':9�6U
,_
1st Treatment
Re -Treat
Pools
lst Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JRi o"°.�"'Z a, 0Ww1a1Z4'1=Wn `
Signature of Exterminator 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 Treatment forprevention of termites 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 soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding 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 712412014