HomeMy WebLinkAboutTermite Treatment �I
plan Mng Development Services
® 2300 Virginia Ave j
Mort Pierce, [F9-"34982
772-462-2172 Fax D72-462-6443 j
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CERTIFECATE OF TERMITE TREATMENT
CONSTRUCTZO N SOR L TREATMENT
PERMIT" JOBADDRESS:
BUILDER/CONTRACTOR: &eac&p
PEST CONTROL CONTRACTOR: EVICT-A-BUG 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.
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Square feet if area treated: �V Chemicals used: BASELINE
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Percentage of solution: •06% Total gallons used:
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Date of Treatment: 5'l0�`� _ tTime of Treatment.
Footing Slab
1st Treatment 1st Treatment
Re-Treat -
Driveway IAthescheduledinspectlon
1st Treatment reatment
Re-Treat reat
Other or Final I pectic),
1st Treatment
Re-Treat 5-
r or Date
mote: There must be acomp/eted form for each requ/reeatment and th/s form must be on the job
site to be picked up by the inspector at time of each/nspuled inspection will fall and a re-Inspection
fee charged,
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FOC104.2.6 Certificate of Protective Treatment for preventlon of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatmentls 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 ,veritable 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,
S$Lucia County y requilves for the finaV inspection for C% a Permanent Stlilcker to be placed on
the ellectricai IpaneO boas cover, iistincg all the treatments and mater of apploca$ions.
Revised 7/24/2014
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