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HomeMy WebLinkAboutTermite Treatment i
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Planning)&Development Services
M71 0I r [ =" = Building Code Regulation Division
O . 12300 Virginia Ave
Fort Pierce, FL 34982
772-46t
2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: �� �' JOB ', DDRESS:
a.
BUILDER/CONTRACTOR: ka .^
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&PEST CONTROL INC.
PEST CONTROL LICENSE #:.1B175775
We, the undersigned, hereby certify that we iave pretreated the above described construction for
subterranean termites in accordance with the, standards of the National Pest Control Association.
Square feet if area treated: Chemicals used: DOMINION 2L
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Percentage of solution: -05% Total gallons used: c�
Date of Trealtment: C� Time of Treatment: ©a
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Footing I Slab
11st Treatment 1st Treatment
LRe-Treat Re-Treat
Nsr Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other I Perimeter for Final Inspection
I;1st Treatment
' Re-Treat I
Signature of4E)([e_r4mitor D to
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Note: There must be a completed form for each ulred treatment or re-treatment and this form must I Pe on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re-inspection
fee charged.
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FBC104.2.6 Certificate of Protective Treatmentforprevention of termites A weather resistantjobsitep sting board
shall be provided to rece/ve duplicate Treatment Cert/fcates as each required protective treatment is com gleted,
providing a copy for the person the permit is issue to and another copy for the bulld/ng permit files The'Treatment
Certificate shall provide the product used,Identity of the applicator, time and date of the treatment,site l 7catlon,area
treated, chemical used,percent concentration a#number of gallons used, to establish a verifiable recor of
protective treatment. If the soil chemical barrier ethod for termite prevention is used, finalexterlortreatmentshall
be completed prior to final bul/ding approval.
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 7/24/2014
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