HomeMy WebLinkAboutTermite Treatment Planning Development Services
Building &Code Regulation Division
2300 Virginia Ave
mom Fort pierce,FL 34982
L111111111110W 772-462-2172 Fax 772-462-6443
CERTIFECATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:SLe LULL t) J B ADDRESS: ��$ �� �1 ITT
BUILDER/CONTRACTOR:,
PEST CONTROL CONTRACTOR: EVIL -A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB176775
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. -
Squarefeet if area treated: EAOD Chemicals.used: BASELINE _ -
• .�.• .�... • +4'i�6;ear
Percentage of solution: .06°i° Total gallons used:
- Date,_of."i`reatment F/ _- =--Tme-of-Treatment: -- 4,2a� -- -- --�-- _
'' ' Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
/Driveway': .• : . Pools --
` :. eatment 1st Treatment i
Rq-Treat. •` � Re-Treat
t f6ther Cs' o �Perime r for Final:In
t Treatment
Re-Treat
Signature of Extermin Date
a. %1/ote.' 777ere must be,a completed 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 will fa!/and a re-Inspection
fie e`charged•
F11$�f®4:2.6 Certl&ate of'Protective Treatment for preventlon of Termites.A weather.reslstant 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 perrrtlt is issued to and another copy-for the building permit files The Treatment
Certificate sha//pro vide the product used, /dent/ty of the appl/cator, 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 loll chemical barrier method for termite prevention is used, final exterior treatment shall .
be completed prior to final building approval.
Sit Lucle County requires for the final inspection for C®,p permanent Sticker to be-placed on
the electe•icaB panel boas cover, 9isting all the treatments and dates of.appincations.
Revised 7/24/2014
REalvu 1UL 2 7 26i7
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