HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services SCANNED
Building & Code Regulation Division BY
2300 Virginia Ave Wde COV*
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION. SOIL TREATMENT
r o.K �a t 3�15
PE MIT #.. JOB ADDRESS:
BUILDER/CONTRACTOR: R04 C,.Ovu ,rr,-- e ;
PE'I� T CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PE T CONTROL LICENSE #: JB175775
We the .undersigned, hereby certify that we have pretreated the above described construction for
subs erranean termites in accordance with the standards of the National Pest Control Association.
Squ„ re feet if area treated: �`Chemicals used: DOMINION 2L
of solution: .05%
of Treatment:
3�10-ZoZ3
Total gallons used:: .7d
Time of Treatment:
ng Slab
,1st Treatment 1st Treatment
—Re-Treat Re -Treat
!wa Pools
1st Treatment
�Re-Treat Other � pa �' 0
1st Treatment
Re -Treat
1st Treatment
Re -Treat .
Perimeter for: Final. Inspection
Signature of Exterminator Date
There must be a completed form for each required treatment or re -treatment and this form must be on the job
to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
FBC104,2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
sha l be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pra'iding a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
tre. ted, chemical. used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. Zf the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be, l ompleted prior to final building approval.
Stl ucie County requires for the final'inspection for CO, a Permanent Sticker to be placed on
th electrical panel box cover, listing all the treatments and dates of applications.
7/24/2014