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HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT/—� C )
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eg aka Con
planning & Development Services 60
fi, = Bu ld 8n®¢le IRec�a�le a®s� Division
23ac virgionis Ave
Fort plerce, FL 34982
7 72-462-2172 FOX 7 72-462-6443
I Ui'L4 OF 7ERNM 7REA7MENj
Lei S'i E"_U T:I{)N SOIL TREATMENT
I
PERMI�r #: 1�3��"00yI -JOB ADDRESS: ��
BUILD R/CONTRACTOR: 1 �^� �'�
PEST ONTROL CONTRACTOR' EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST ONTROL LICENSE #: JB176776
We, th undersigned, hereby certify that we have pretreated above
Pestcontc nstrAssctioonor
subterr nean termites in accordance with the standards of the Nat
Square meet if area treated: 2
Percen lage of solution: •05916
Date o Treatment: l
1st Treatment
Re -Treat
ist Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: g©o
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re-Tre
%f Per' r Inal Inspection
trier —
Vt Treatment
Re -Treat �Date�
I re of Exterminator
9
Note: There must be a completed form for each requlre 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 w111 fall and a re Inspectlon
fee ch irged.
FOC 4.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall e provided to receive duplicate Treatment Certificates as each required protective treatment /s completed,
provi ing a copy for the person the permit Is issued to and another copy for the bullding permit flies. The Treatment
Certl ate shall provide the product used, Identity of the applicator, t/me and date of the treatment, site location, area
treat d, chemical used, percent cbncentratlon and number ofgalions used, to establish a verlflab/e record of
Prot Jve treatment If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be a pleted prior to final bullding approval
Sit L cue County requires for the final inspection for COY B permanent Sticker to be placed on
the lectrlcel panel box cover, listing ell the treatments and dates of applications.
71.2 i/2oi.4
BUILT
PEST
PEST
planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
[Fort Pierce, K 34982
772-462-2172 [FOX 7 72-a462-6443
U C T I) U UN
#: /1269 -00W jOB
t /rONTPACTOR:
RESS:D,�� /(�i-(Q,SSIa/ldi.�4
_ _ .
NTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
LICENSE #: J13175775
We, the'undersigned, hereby certify that we have pretreated the above described construction for
subterr can termites in accordance with t a standards of the National Pest Control Association.
Chemicals used: DOMINION 2L
S�F7
Square eet if area treated: Q 1
Percent, ge of solution: •05% Total gallons used: I
Date of Treatment. OZA-
-F�)otingTime of Treatment:Slab
� st
1st Treatment 1 Treatment
Re -Treat
Re -Treat
Driveway Pools
1st Treatment 15t Treatment
Re -Treat Re -Treat
Cher Perimeter for anal Inspection
15t Treatment / v
Re -Treat '
Signature of Exterminator Date
on the
ob
Note: ere must be a completed
inspector ectarorm for each required at time of each inspections or the scheduled in pecnt or re -treatment �on iwl fell and are /nspect
site to e picked up by thep
Ion
fee chi,I -
Fti C °2.6 Certificate of Protective Tteatment for prevention of termites A weather resistant jobsite posting board
shall bprovided to receive duplicate Treatment Certificates as each required protective treatmentIs completed,
provid g a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
Certlfi ate shall provide the product used, identity of the applicator, lime and date of the treatment, site location, area
treate chemical used, percent concentration and number of gallons used, to establish a veNfiab/e record of
pro te lve treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be cot, ipletedprlor to final building approval,
St Lan ie County requires ff®r the final inspection for C01 a peruvilane Sticker �® be placed ®n
the a ectricel panel box cover,1'oelting all the treatments and dates Of aPPlicStiOne°
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