HomeMy WebLinkAboutTermite Treatment l
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Planning)&Development Services
Building &Code Regulation Division
O 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRU TION SOIL TREATMENT
PERMIT #: a Ol t -- O 1-y JOB ADDRESS: /J/0
BUILDER CONTRACTOR: on
PEST CONTROL CONTRACTOR: EVIOT-A-BUG TERMIT&PEST CONTROL INC. j
PEST CONTROL LICENSE #: JB175775
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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: (0 D Chemicals used: DOMINION 2L
Percentage U1 solution: .05% Total gallons used: /00
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Date of Treatment: ( Time of Treatment: �' S
—-�C-Footing
W-1I 1st Treatment D- 1st Treatment
'!Re-Treat Re-Treat
Driveway Pools-
I ist Treatment 1st Treatment
Re-Treat , Re-Treat
Other;I Perimeter for Final Inspection
1st Treatment
Re-Treat
Signature 6f Extermi Or Dat
Note: There must be a completed form.for each requIred treatment or re-treatment and this form must be on thejob
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re-InspecVon
fee charged.
FBC104.2.6 i6ertificate of Protective Treatment far prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treabnent Certificates as each required protective treatment is completed,
providing a copy for the person the permit is lssued to and another copy for the bu//ding permit files The Treatment
Certificate shall provide the product used,Identity of the appllcator, time and date of the treatment,site location,area
treated,.them/cal 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 comp/eted prior to Tina/building approval. I
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 7/24/204
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