HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services SCANNED
Building & Code Regulation Division BY
2300 Virginia Ave StLucie County
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION: SOIL TREATMENT
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P �� MIT #. JOB ADDRESS:. ��.. (S�
B16 ILDER/CONTRACTOR: Wv�ey (40 (P C
PST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
WE,
the undersigned, -hereby certify that we have pretreated the above described construction for
sub, erranean termites in accordance with the standards of the National Pest Control Association.
Sq are feet if area treated: OZIE Chemicals used: DOMINION 2L
Pei entage of solution: .05% Total gallons used: % (1
Dal of Treatment: 2- (s23 Time of. Treatment: -/
1sr Treatment
T-Re-Treat
Drivewa
1st Treatment
Re -Treat b
Other
1st Treatment
Re -Treat
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for. Final Inspection
G� �SZa23
Signature of Exterminator Date
Not," There must be a completed form for each required treatment or re -treatment and this form must be on the job
site, o be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee harged.
FBQ 044.E Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
sha) be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
prof Iding a copy for the:person the permit is'issued to and another copy for the building permit files The Treatment
Cer� 1cate shall provide the product used, identityof the applicator, time and date of the treatment, site location, area
trey ed, chemical used, percent concentrat
proion and number ofga/loos used, to establish a verifiable record of
tect/ve treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be c mpleted prior to Anal building approval.
St Ll�cie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the, iplectrical, panel box cover, listing all the treatments and dates of applications.
7/24/2014