HomeMy WebLinkAbouttermite sprayPERMIT #;
BUILDER/CONTRACTOR:
Puani ning & t3evelopment Services
ui110ng & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
71172462-2172 Fax 772-462-6443
oB AoUREss; I �.D
PEST CONTROL CONTRACTOR: EVICT-A-BIJG TERMIT & PEST CONTROL INC.
PEST CONTROL LICENSE #; �B�75r�5
We, the undersigned, hereby certify that we have pretreated the above described construction R
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated:
Percentage of solution:
Date of Treatment:
05%
��'`�Footi ng
iSt Treatment
Re -Treat
Driveway
15r Treatment
Re -Treat
Other
15r Treatment
Re
-Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
`Slab
i Sr Treatment
Re -Treat
Pools
11t Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Extermin
Date
�I
Vyd
Note: There must be acomp/eted form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection wil! fail and a r -inspector,
fee charged.
FiF3C104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
steal/ be provided to receive duplicate Treatment Certifcafes as each required protective treatment is comp ted,
providing a copy for the person the permit is Issued', to and another copy for the bullding permit files, The 7 oreatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment, site to atlon, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the soll chemical barrier method for termite prevention is used, final exterlor treatment shall
be completed pr/or to final bullding approval.
St Lucie County requires for the final ''Inspection for CO, a Permanent Sticker to be pla ed on
the electrical panel box cover, listing al the treatments and dates of applications,
Revised 7/24/2014