HomeMy WebLinkAboutTermite Treatment Planning &Development Services
Building &Code Regulation Division
COUNTY2300 Virginia Ave
s Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: ),CIO�—O SS / JO ADDRESS: 'AZvIP-c),(i pf-iFj C 3(
BUILDER/CONTRACTOR: ,
PEST CONTROL CONTRACTOR: EVICT-A-BUG TE MIT&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: 2,2-1 cl Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: �
Date of Treatment: 5 ` ( I / Time of Treatment: 1 s v
- Doting
reatment OTreatment
-Pte-Treat to-Treat
,Driveway _Pools
---0 Treatment I"Treatment
-Re-Treat a-Treat
Other erim r for Final Ins on
-Re-Treat ent
ature of rminator Date
Note; There mustbe a comp/eted form for each requlr treabnent orre-treatment and th/s form must be on the job
site to be pldwd up by the Inspector at time of each In/ection or the scheduled Inspection w11/fall and a re-inspection
fee charged,
FBC104.2.6 Card We ofProtecbVe Treabneatforpreventlon oftermltes A weather res/stantjobsite posting board
sha//be provided to recelve dup/Icate TreabnentCerilticates as each required protective treatment is comp/et4
providing a copy for the person the plermitIs Issued to and another copy for the bul/ding perm/t Alm The Treatment
Cetffcate shal/prov/de the product used,Identity of the app/Icator, time and date of the beatnent,site location,area
treated,chemical used,percentconcentratlon and number ofgallons used, to mbbllsh a verltlable record of
protective treatment, If the sot/chemlca/barrlermethod for term/te prevenb'on Is used, tlna/exterlor treatment shall
be comp/eted prlor to Mal bul/ding approval,
St Lode 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.
RMW 7/24/2014
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