HomeMy WebLinkAboutCertificate Of Termite TreatmentI;
Planning Development Services
Building & Code Regulation Division
2360 Virginia Ave
o A Fort Pieke, FL 54982
- - -- - 772-462-2172 Pax 772-462-6443
CERTIFICATE OF TERM' ITE TREATMENT
CONSTRUCTION SORB. TREATMENT •�y Z �,
PERMIT #: l ?D g - 0 2-7 2, JOB ADDRESS: 7 7. o fi
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & FESf 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:
Percentage of solution:' 5 ••
Date of Treatment: ql S ��7
youoting
15t Treatment
Re -Treat
Driveway
11t Treatment
Re --Treat
Other r01 e- i5&m
1st Treatment
Re -Treat
Chemicals used: IVMMM, 1, °�� L5LL
Total gallons used:
Time of f Treatment:
t..
,�51ab
-Ist Treatment
Re -Treat
Pools
1st Treatment
Re Treat
Perimeter for Fina nspection
�T-117
Signature of Exterml r Dat
Note: 777ere must be a completed form for each requ/red treatment or re -treatment and this form must be On MOW
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fall and a re-Inspectlon
fee charged,
IP8C9.04.2.6 Certificate of protective Treatment for prevention of termites A weather resistant fobslte posting board
shall be provided to receive duplicate Treatment CertlAcates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the bullding permit Ales. The Treatment
Certificate shall provide 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 ver/Aable record of
protective treatment if the soil chemical barrier method for termite prevention Is used, Anal exterior treatment shall
be completed prior to flea/ bullding approval.
St Lucia County requIlres for the Tonal ie�sp®cit6®ra for CO, a Permanent SticBe®r to be p➢scee➢ on
the electrical panel box cover, listing sll the treatments and dates Of aPP111catiOns-
Revised 7/24/2014