HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 2-21-19Planning & DI
Building & Cod
2300
Fort Pi,
772-462-217
elopment Services
Regulation Division
rginia Ave
ce, FL 34982
Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: IN ( - JOB A
BUILDER/CONTRACTOR:
PEST CONTROL � CONTRACTOR: EVICT
PEST CONTROL LICENSE #: JB175775
S `To- r'n_ G e�
TERMITE & PEST CONTROL INC.
SCANN�Fj
BY
St Lucie opdntj
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: 2
Percentage of solution:..05%
Date of Treatment:
-Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
V Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 0
Time of Treatment:
XSlab
r 1st Treatment
Re -Treat
Pools
1s� Treatment
Re -Treat
Perimeter for inal Inspection
of Exterminator
In
Date
1- 3 Y�g e
Note. There must be a completed form for each r90 fired treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment fc
shall be provided to receive duplicate Treatment C
providing a copy for the person the permit is issue
Certificate shall provide the product used, identity
treated, chemical used, percent concentration ana
protective treatment. If the soil chemical barrier i
be completed prior to final building approval.
St Lucie County requires for the final ins
the electrical panel box cover, listing alll
Revised 7/24/2014
r prevention of termites A weather resistant jobsite posting board
?r0ficates as each required protective treatment is completed,
f to and another copy for the building permit files The Treatment
)f the applicator, time and date of the treatment, site location, area
number of gallons used, to establish a verifiable record of-
rethod for termite prevention is used, final exterior treatment shall
pection for CO, a Permanent Sticker to be placed on
the treatments and dates of applications.