HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 9-16-17planning & Development Services
Building & Code Regulation Division
2360 Virginia Ave
Fort Fierce, FL 34882
772-462-2172 Fax 772-462-6443
C ERTUXATE OF TERMITE TREATMENT
CONSTRUCTION SORL TREATMENT -
PERMIT # :(!�ZOG0 AD&ESS:
�LA L^har m.!-______� T
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTO R: EVICT -A -BUG 4ERMITE & 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: ZZ$N Chemicals used: E ' o)p i l L
Percentage of solution: o ' 8 *5"'
Date of Treatment:
Footing
151 Treatment
Re -Treat
Driveway
ist Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used: 23o
Time of Treatment: 4a06
-Aab
Vt Treatment
Re -Treat
Pools
Ift-)
` (+1
1st Treatment
Re -Treat
Perimeter for Final Inspection
*e4
il?
ignature of rminat r D
mote. There must be a completed form for each requ/red treatment or re -treatment and this fOrm must be on the job
life to be picked up by the inspector at time of each Inspectlon or the scheduled inspection will fall and a re -Inspection
fee charged,
f-8C104.2.6 Certificate of Protective Treatment far prevention of termites A weather reslstant jobsite posting board
Shall be provided to recelve duplicate Treatment Certificates as each required protective treatment Is completed,
providing a copy for the person the permit Is Issued to and another copy for the building permit files 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 verifiable record of
protective treatment if the soli chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lode County requilres for the faecal inspection for CO, a Permanent Sticker to be placed on
the electr➢cal panel box covew, ➢ost➢ng all the treatments and dates of applications.
Revised 7/24/2014