HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT,l
Planning & Do
Bui0ding & (hod
2300
[Fort Pit
PERMIT #: ' D 5 - 6 H'+0 JOB ADD
BUILDER/CONTRACTOR. 0
PEST CONTROL CONTRACTOR: Ev'cT-A- I
PEST CONTROL LICENSE #: ,JB175775
We, the undersigned, hereby certify that we have
subterranean termites in accordance s ith the stan
Square feet if area treated: 7 )/
Percentage of solution: .05'�u
Date of Treatment:
4Foo g
1st Treatment
Re Treat
Driveway
1st Treatment
Re -Treat
Other
11t Treatment
Re -Treat
Note: There must be a completed form for each
site to be picked up by the Inspector at time of e
fee charged.
GANNED
BY
St Lucia Cot)
elop pent Services
IReg uiatrion Division
rginia Ave
Pax 772-462-6443
SCELL TREATMENT 3�1 (
PESS: 2 L d&.L, (�4 ? W�
G TERMITE & PEST CONTROL INC.
FBC104.2.6 Certificate of Protective Treatment for Pr!
shall be provided to receive duplicate Treatment Certlfi
providing a copy for the person the permit Is issued to
Certificate shall provide the product used, Identity of tI
treated, chemical used, percent concentratlon and nun
protective treatment. If the soil chemical barrier meth
be completed prlor to final bullding approval,
St Lucie County requires for the firnall iunspec
the electrical panel box cover;, Ilisitong aqi the
Reviacd 712412024
ated the above described construction for
of the National Pest Control Association.
Chemicals -used: DOMINION 2L
Total gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final I pection
Signature of Exter inato Date
treatment or re -treatment and this form must be on the job
coon or the scheduled Inspectlon w111 fall and a re inspection
sndon of termites A weather resistantJobsite posting board
tes as each requ/red protective treatment Is completed,
id another copy for the bullding permit files The Treatment
applicator, time and date of the treatment, site location, area
gr of gallons used, to establish a verifiable record of
'for termite prevention is used, final exterior treatment shall
for C or ai Permanent Snicker to be placed on
ittments and dates of applications.