HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT\ OCANNED
BY
BUI
We,
subs
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
IT # :
)ER/CONTRACTOR: J
CONTROL CONTRACTOR: E -A-BUG TERMITE & PESZCONTROL INC.
CONTROL LICENSE #: JB175775
undersigned, hereby certify that we have pretreated the above described construction for
nean termites in accordance with the standards of the National Pest Control Association.
feet if area treated: . 2 �5n
of solution: .05%
Date o Treatment: b
1st Treatment
Re -Treat
Chemicals used: _DOMINION 2L
Total gallons used: LSD
Time of Treatment: •Q�
Slab
1st Treatment
Re -Treat
Pools
5V
1'� Treatment 1st Treatment
Re -Treat Re -Treat
ther Perimeter for Final Inspection
1st Treatment
—Re-Treat
Exterminator DateNote: ere must be a completed form for each req,::l`gatur
treatment or re -treatment and this form must be on the job
site to L picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection,
fee charged.
FBC104J.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be �rovided to receive duplicate Treatment Certificates as each required protective treatment is completed,
prowdlqd a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certifica'i e shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, heroical used, percent concentration and number of gallons used, to establish a verifiable record of
protecti treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be com eted prior to final building approval.
St Luc! County requires for the final inspection for CO, a Permanent Sticker to be placed on
the eleptrical panel box cover, listing all the treatments and dates of applications.
Revised 7/94/2014
91
SCANNED
BY
planning & Deveiopmenit S®Micee
Buil1ding & Code Regulation Division
2300 Virginia fade
Fort Plercee FL 34982
772-462-21712 (Fax 7 72-462-6443
CERTEFICATE OF TERNM TREATMENT'
CONSTRUCTION ([".I.1:TiOSfi)Tl_ TREATMENT i
JOB
IT
)ER/CONTRACTOR:
CONTROL CONTRACTOR: Ev1
CONTROL LICENSE #: J5176776
VS
Gd yrCrce-ram
& PEST CONTROL INC.
We, t II e undersigned, hereby certify that we have pretreated the above described construction for
subtet anean termites in accordance with the standards of the National Pest Control Association.
Squar feet if area treated:
(> Chemicals used: DOMINION 2L
Perce tage of solution: -05% Total gallons used:
Date f Treatment r�
2�6 �(' Time -of Treatment: Sy
1st Treatment
Re -Treat
_Pk- 1et Treatment
Rr
)he1t Treent
Re -Treat
ist Treatment
Re -Treat
Pools
ist Treatment
Re -Treat
Perimeter for.,Final Ins ection
-2k
Signature o Exterminator Dat
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job
site be picked up by the inspector at time of each inspection or the scheduled Inspection w!ll fall and a re -inspection
fee c I rged.
[FBC104o2.6 Certificate of Protective Treatment for preventlon of termites A weather resistant jobslte posting board
shall e provided to receive duplicate Treatment Certlficates as each required protective treatment Is completed,
pro vi hg a copy for the person the permit is issued to and another copy for the bullding permit flies: The Treatment
Ccord of
ertl cafe shall provide the product used, Identity of the applicator, time and date of the treatment, site location, area
treat '� , chemical used,
d If the so % chemicalbarrier method for tedon and number rmite prevention Is used, final ell rlor treatment shall
pratncentr
e lve treatment
be co pleted prior to final but/ding approval
�� L cie CCoavo�ilgy requires for the fin
inspection for cC®, a permanent Sticker to be placed on
itB le lec$racal panel box cover, listing all the treatrnents and dates Of a02gslicaft ne°