HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 12-8-18ICANNED T
By
Ludsa
Planning & Development Services
Building & Code Regulation Division a
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PER IT #: JOB ADDRESS: 4T
BUI DER/CONTRACTOR: A, f s
PES CONTROL CONTRACTOR: EVICT -A -BUG TERM & PEST CONTROL INC.
PES CONTROL LICENSE #: JB175775
We, tlie undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Squai feet if area treated: �� Chemicals used: DOMINION 2L
Perce tage of solution: .05% Total gallons used: _�
Date f Treatment: &5 Jy
Footina
.�1s' Treatment
Re -Treat
1st Treatment
Re -Treat
Time of Treatment: t% 5 0 0
cSlab
�r 1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
1st Treatment
Re -Treat / ,2lell
20k6e of Exterminator Date
Note. There must be a completed form for each required treatment or re -treatment and this form must be on the job
site t be picked up by the inspector at time of each Inspection or the scheduled inspection will fail and a re -inspection
fee c rued.
F13C1 4.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te posting board
shall e provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro vie "ng a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Cert/fi ate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treat Y, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protec live treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be co pleted prior to final building approval.
St LL Je County requires for the final inspection for CO, a Permanent Sticker to be placed on
the a ectrical panel box cover, listing all the treatments and dates of applications.
'/24/2014