HomeMy WebLinkAboutCERTIFICATE OF TERMIT ETREATMENTplanning & Development Seovices
WWI
ng & Cade RegullatWn DivislOn
2300 VaVcgWal Ave
(P®rt plepce, FL 34982
772-462-2172 Fox 772-462-6443
A
COUNTY
F L O R I D A
OF T" n � 1-1 '':. T �'wt�,T�d'� �-�"T
rr, i IE�tw.Q T Er.�
CONSTil1CTTO{`J SDI L Tl?.flAT 1E.H
PERM #; -Q JOE D- Ss;—1
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BUILDER/CONTRACTOR:
. EVICT -A -BUG TERMITE &PEST CONTROL IN
PEST CONTROL CONTRACTORC.
PEST CONTROL LICENSE ## 1 JB975775
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:
96 y I� Chemicals used: DOMINION 2L
Percentage of solution:
Date of Treatment: —L —/6
Footing
ist Treatment
Re -Treat
Driveway
ist Treatment
Re -Treat
Other
ist Treatment
_.Re -Treat
Total gallons used: r
Time of Treatment: °
7kab
st Treatment
Re-Treat
Pools
ist Treatment
Re -Treat
Per! e r for Final Insp i
Ignature of Extermin for Date
form must be on the Job
Note: There must be a completed foramtfOr of each inspection or the scheduled Inspec�on/wl fall and a re -Inspection
site to be picked up by the inspector
fee charged.
ng
FgC104o2o6 Certificate of Protective Treatment Certlflcatesias each relqulred protective trleatmen �t for scompleted
board
shall be provided to receive duplicate Treatment
providing a copy for the person the permit Idtl issuedof the applicator, tito and another me and datefor the uof theptreatment, site location, area
Certlflcate shall provide the product used, h!
treated, chemical used, percent content aa� ler method for teamlte preven !on is used, final verifiable
nd number of gllons used, to astablish exte/rlor treatment shall
protective treatment. If the soil them
il be completed prior to final build/ng approval.
St Lucie C Ounty (requires for the ffinall inset iontreatmentsfo and dates Of ep��l e�i®� � �ie�ed ®as
I the eiecctricei Panel bOX cover, iietan�1 eii t
Rcviscd 7124/2-01-4