HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 4-9-18d '
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34962
772-462-2172 Fax 772-462-6443
<. CER1'IFZCATE OF �'ERMITE TREA1'MEIVT
�d%1U&rD11 RCTI®N SOIL TREATMENT
SCANNED.._
BY
St Lucie County
r ' —0 - JOB A RESS: ?1 t
PERMIT # er?
BUILDER%CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TER ITE & 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 standards of the National Pest Control Association.
// Is used: DOMINION'2L
t t d• � chemicals
Square feet if area Mc, e .
Percentage of solution: ,.05%
-Date-of Treatment: l 8
Footing
ist Treatment
Re -Treat
Total gallons used:. 3 5-
Time -of Treatment:
.Slab
�ist Treatment
Re -Treat
Driveway Pools
1st Treatment 1st Treatment"
Re -Treat Re -Treat
Other Perimeter for Final Ins ion
ist Treatment
Re -Treat
Signature of Extermina Date
^S
Note: There 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 w111 fall and a re inspections
fee charged.
EFBC104.2.6 Certificate of protective Treatment for prevention of termites A weather resistant jobsite post/ng board
shall be provided to receive 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, lime and date of the treatment, site.location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record.of
barrlerlnethod for termite prevention is used, final exterior treatment shall
protective treatment. If the soil chemical
be completed prior. to final bul/ding approval.
St Lucie County requires for the final 'ansPectuoil1 for C®, a Permanent Sticker to be placed on
the electrical panibl bo) .,q®rr�r, listIng all the treatments and dates of applications.
Revised 7/24/2014
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