HomeMy WebLinkAboutASSELIN - TERMITE TREATMENT CERTIFICATEPlanning & Development Services
S ` - = _ `` "Il� Building & Code Regulation Division
® 2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: Z167-4-5% JOB ADDRESS: 11zNY,11D04Pt_Ke1Ft 311qq
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BUILDER/CONTRACTOR:d��o� Cd�S�ru ju�,
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
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.
Square feet if area treated: 30 f 7 Chemicals used: 00� �l10lCN4 Z6
v
Percentage of solution: _ •� o Total gallons used:
Date of Treatment: v�(Time of Treatment:
Fpot,nn/
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
I rab
yi" Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
11/zZ/zdz/
Signature of Exterminator Date
Note: There must be a completed form for each required treatment or re -treatment and th/s form must be 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.
FBC 104.2.6 Certificate of Protective Treatment for prevent/on of termites A weather resistant jobs/te posting board
shall be provided to recelve duplicate Treatment Certificates as each requ/red protective treatment Is completed,
prov/ding a copy for the person the permit /s Issued to and another copy for the bu/lding permit files The Treatment
Certificate shall prov/de 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,
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.
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