HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 8-3-16su
BY
S1. LZ,Q.�C e,C6 jqv
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 #: 151 a - 63�� JOB ADDRESS:
)ER/CONTRACTOR: RAM
CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: JB175775
the undersigned, hereby certify that we have pretreated the above described construction for
arraneah termites in accordance with the standards of the National Pest Control Association.
re feet if area treated: 5 q10 Chemicals used: BASELINE
!ntage of solution: .06%
of Treatment: f-'l
1st Treatment
Re -Treat
1st Treatment
Re -Treat
1" Treatment
Re -Treat
Total gallons used:
Time of Treatment: I t a
Slab
1st Treatment
Re -Treat
Pools
I _,1st Treatment
!ate -Treat
meter for Final I�
gnature of Ext Inator Date
Note There must be acomp/eted form for each requl treatment or re -treatment and th/s form must be on the job
site be picked up by the inspector at time of each i pection fee c or the scheduled inspection will fall and a re Inspection
arged.
FBCFeprovlded
.6 Cert�16ate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall receive dup/Icate Treatment Certificates as each requ/red protective treatment is completed, prov/ /ng a copy for the person the permit Is Issued to and another copy for the building permit Ile The Treatment
Certi irate shall pro vide the product used, Identity of the applicator, time and date of the treatment, site location, area
treat d chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
prote, tive treatment. If the soil chemical barrier method for termite prevent/on is used, Anal exterior treatment shall
be co 7pleted prior to final building approval.
St U icie County requires for the final'inspection for CO, a Permanent Sticker to be placed on
the ectrical panel box cover, listing all the treatments and dates of applications.
:evisedj17/24/2014