HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 6-14-18SCANNED
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Planning & Development Services
Building & Code Regulation Division
2300V,irginia Ave
Fort P16rce, FL 34982
772-462-217i Fax 772-462-6443
CERTIFICATE OF TIERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: lk9 6) - JOB AD
BUILDER/CONTRACTOR: &,2&a
E\AqT--A.
PEST CONTROL CONTRACfOR: '
PEST CONTROL LICENSE#: JB175775
TERMITE & PEST CONTROL INC.
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We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the stan�lards of the National Pest Control Association.
Square feet if area treated: 150 V Chemicals used: DOMINION 2L
Percentage of solution: .05%
Date of Treatment: 4h
FooTg Ist Treatment
Re -Treat
—Driveway
Ist Treatment
Re -Treat
Other
Ist Treatment
Re -Treat
Note: There must be a completed form for each req
site to be picked up by the inspector at t1me of each
fee charged
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i Total gallons used:
to
I Time of Treatment: �f 0
FBC104.2.6 Certiricate of Protective Treatment forpreP
shall be prowded to recelve duplicate Treatment CertlAce
prowding a copy for the person the permit Is Issued to a,
Certfflrate shall provide the product used, Identity of the
treated, chemical used, percent concentration and numt
protective treatment. ff the soil chemical barrier methot
be completed prior to Anal buildIng approval
St Lucie County requires for the final inspecti
the electrical panel box cover, listing all the t
Revised 7/24/2014
--!Lsl!�
I -It Treatment
Re -Treat
Pools
—1st Treatment
__.Re -Treat
lerimeter for Final Inspection
of Exterminator
treatment or re -treatment and this form must be on the job
�tlon or the scheduled inspection will fail and a re -inspection
tion of termites. A weatherresisiantiobsite posting board
5 as each required protective treatment is completed,
another copy for the bullding permit files. The Treatment
pficator. t1me and date of the treatment, site location, area
of gallons used, to establIsh a venrlable record of
)r tenwite preventlon is used, Anal exterior treatment shall
for CO, a Permanent Sticker to be placed on
itments and dates of applications.