HomeMy WebLinkAboutTermite Spray i
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Planning & Development Services
Budding & ! Code Regulation Division
2300 Virginia Ave
sue 11011
01
Fort Pierce, FL4902
772.462 2172 Fax 772® 462= 6443
CERTIFICATE t) F TERMITE TRJEATM ENT
CONSTRUCTION SOIL TREATMENT
o — JL44 JOB ADDRESS : O= ; � � rk �%�
PERMIT # o
BUILDER/ CONTRACTOR . vim " �' ��R
(BEST CONTROL CONTRACTORS EVICT-A-BUG TERMIT & PEST CONTROL INC . ON I III VIVO ON 11 ON I I MEMO
PEST CONTROL LICENSE # : JB175775ON ON
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certify that we pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Associations
We , the undersigned , hereby on .
Square feet if area treated :
`� 7 Chemicals used ; DOMINION2L
. 05 ��o Total gallons used .
Percentage of solution .
D
Time of Treatment :
Date of Treatments
Footing 1 _Slab st ent
1st Treatment f 1 Treatment
Re -Treat Re -Treat
Pools
Drivewayt Treatment 1st Treatment
Re -Treat ( Re -Treat
Perimeter for Final Inspection
Other
�
1st Treatment ,
Re -Treat i Date
Signature of Extermin toy
e must be a completed form for each required treatment or re-treatment and this form must be on the job
Note, Then P
at Time of each inspection or the scheduled inspection will fail and a re inspection
site to be picked up by the inspector
fee charged.
F 0 � 1 ® 4n 206 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 complete ,
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 building approval.
M Unc"M County requires for the final IInspection for CO, a Permanent Sticker to be placed on
Wc0 � ���opal panel box cover, listing all the treatments and dates of applications .
Revised 7/ 24/ 2014
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