HomeMy WebLinkAboutTermite cert S
I
r Planning &Development Services
Building &Code Regulation Division
2300 Virginia Ave
• Fort Plarce, FL 34982
772-462-2172 Fax 772-462-6"3
CERTURC ATE OF TERMITE TREATMENT
PERMIT #: 1` 1- OM I JOB ADDRESS: -!3 _17PAN64 L'JA �01� Fly
BUILDER/CONTRACTOR; /J '-
PEST CONTROL CONTRACTOR: VICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:J8175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance
Cwith
� the standards of the National Pest Control Association.
Square feet if area treated: ?—C/c'" /1~ Chemicals used: QOMINION2L
g 05% 7 I
Percentage of solution; Total gallons used: ��`�
Date of Treatment: l 0`"�`C �� Time of Treatment: _.-L O d
I
Footing Slab
ist Treatment 15t Treatment !
Re-Treat Re-Treat
Driveway Pools
Ist Treatment .a t
Re-Treat ,�'' Re-Treat
Other Perim a for Final i
1st Treatment
Re-Treat
Signatur -o E na or Date
Note: There must be a completed form for each required treatment or e-treatment and this form must be on the jqb
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. I
FOC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite 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 verlflable record of
protective treatment. If the soil chemical barrier method for termite prevention is used,final exterior treatment shall
be completed prior to final building approval,
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed onj
the electrical! panel @you cover, listing all the treatments and dates of applications.
Revised 7/24/2014
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