HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 6-5-18J'
l�
l�0euaning & D�eveto pment services By
_ - Buillding & Code Re�auQ,�i aow Division St Lucie C®Untr
2300 Virginia Ave
Fort pierce, FL 34982
772-462-2172 Fax 772-462-6443
OF TERMI.TE TREATMEN T
CONST[l,uCTION SOIIL7RE;a17MEN7
.70E ADDRESS:
I� 0
PERMIT #: 0 l I( 3` 1 S%
ONTRACTOR'7�I7" .� � ,
SUILDER/C
PEST CONTROL CONTRACTOR:
EVICT-A-BUd TERMITE &PEST CONTROL INC.
PEST CONTROL LICENSE # : JB175775
nstruction
We, the undersigned, hereby certify that we hstadards of he National Pest e pretreated the abve rControibed � Associationonor
subterranean termites in accordance with then
Square feet if area treated:
Percentage of solution: •05'/-
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re Treat
Other
1st Treatment
Re -Treat
Chemicals used: 22MINIO'
Total gallons used: -1 o
Time of Treatment: 0�
Y Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signa e o xterminator ate
thts form mus"e on the
Note: There must be a completed form
t1me of eacach h Inspe nor the scheduled /nspecuIred treatment or re -treatment � n wl fall and a re-inspe�on
site to be picked up by the inspector
fee charged.
FOCC104.2.�6 Certificate of Pro Tieatmeent Certificateor s as each equ/red protective treaon of termites. A weather tment IS c mplet d °ard
shall be provided to receive dupllcate Treatm erm/t files. The Treatment
providing a copy for the person the permit Is Issued to and another copy for the building p
Certificate shall provide the r nct used, centrat�n a/nd numbeof the �ofgalIons used tot1me and destablish a verifiable record ate of the treatment, site of on, area
treated, chemical used, pert
protective treatment. If the so/l chemical barrier method for termite prevention /s used, final exterJor treatment shall
be completed prior to final building app
St Lucie C�oa ntV req uires ffOr the f nao io�Q ��e treatments ecVuon fair and dates off e��O e�i®� a permanent Sticker to � placed on
the eQectrice0 panel box cover, Qoeiting eQ
7124/203A