HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT12/ 09/ 2009 19: 35 7722299429 SCANNED PAGE 03/ 03
BY
StUde Own*
Planning & Development Services RECEIVED
Building 8L Code Regulation Division OCT
2300 Virginias Ave 0 8101g
Fort Pierce, FL 3493Z Perr^'tj^
772-462-172 Fax 7�'2,462-6443 st. Luce cou^tye^�
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL- TREATMENT
PERMIT #, I I A;, c JOB ADDRESS:
BUILDER/CONTRA.CTOR:
WMW �. '
PEST CONTROL CONTRACTOR: EVICT-A-e G TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: jalm775
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: to � Chemicals used: DOMINION 21.
Percentage of solution: 05%
Date of Treatment: 149
Footing
15t Treatment
-Re-Treat
-Driveway
I" Treatment
�Re-Treat
-Other
1st Treatment
-Re-Treat
Total gallons used: 119
y
Time of Treatment;
1" Treatment
Re -Treat
Pools
_15t Treatment
Of
for Final
Date
Note. Theme most be a completed form for each require=d treatme& or re -treatment and th/s farm must be on th0 job
site to be picked up by the inspedLor at time of each inspection or the scheduled Inspection W11 fall and a re -inspection
fee charged.
FBC104.2.6 Certificatle ofProtmdve Trea&nent forpmveatlon of termites, A weather res/stantjobsite posting board
shall be provided to receive duplicate Treatment Cerfflcates as each required protective treadnent is Cvmpleted,
providing a copy for the person like permit is Issued to and another copy for the building permit files The Treatment
Cert/ticate shall provide the product used, identity of the applicator, time and date of the tmatmen4 site location, area
treated, chemical used, percent concentration and number Ofgal/ons used, to estab/lsh a veritable record of
protective treatment: If the soli chemical barrier method for termite prevention is used, final edteriar treatment shall
be completed prior to Anal 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 applicatlons.
xevisefl 7/24/2UK