HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 8-23-18Build
CERTIFI
PERMIT #: '[9 Oq - 0 7 (0 a i
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR
PEST CONTROL LICENSE#: J1311,
We, the undersigned, hereby certify tK
subterranean termites in accordance w
Square feet if area treated: floq ,
Percentage of solution: .05%
Date of Treatment: 97 , '� 3
—Footing
Ist Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
____Qther
1st Treatment
Re -Treat
Note: 7here must be a completed form
site to be picked up by the inspector at
fee charged
FBC104.2.6 Cert1ficatie of Protective Treat
shall be provIded to receive duplicate Treal
pro v1ding a copy for the person the permit
Certfficate shall pro v1de the product used, )
treated, chemical used, percent concentrat
protective treatment. If the soil chemical Z
be completed pnor to Anal bulldIng aporo v
St Lucie County requires for the fit
the electrical panel box cover, listi
Revised 7/24/2014
AU
ig & Development Services
& Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
62-2172 Fax 772-462-6443
OF TERMITE TREATMENT
:TION SOIL TREATMENT
RESS: VA<PX�OAA, 'IAAC- PSI, -'3qq5Z'—
EVICT-A-BUG TE!RMITE & PEST CONTROL INC.
we have pretreated the above described construction for
the standards of the National Pest Control Association.
Chemicals used- DOMINION 2L
Total gallons used: H5—
Time of Treatment:
X51ab ls' Treatment
Re -Treat
____�Pools
11t Treatment
Re -Treat
eter for Final Insp c�n
A3
Signature of Extermin6for "bate 'fl
?ach required treatment or re -treatment and thIs form must be on the job
of each Inspection or the scheduled Inspection w111 fail and a re-Inspectlon
gnt forpreventlon oftermites, A weather res1stantJobs1te postIng board
ent Celtlflcates as each required protective treatment is completed,
Issued to and another copy for the bulldlng pennit files, 777e Treatment
I
,ndill of the applicator, bme and date of the treatment, site location, area
7 and number of gallons used, to establIsh a veriflable re�ord of
rler method for termite preventlon Is used, Anal extenor treatment shall
inspection for CO,, a Permanent Sticker to be placed on
all the treatments and dates of applications.