HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANNED
BY
PERM
BUILC
PEST
PEST
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
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:/CONTRACTOR: zz
ADDRESS: 1 Lle'i2Q COU r_
NTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
NTROL LICENSE #: JB175775
We, tho undersigned, hereby certify that we have pretreated the above described construction for
subterr nean termites in accordance with the standards of the National Pest Control Association.
Squarej;ifeet if area treated:
of solution: .05%
Date o Treatment: '2, -L `t
I;I 1st Treatment
Re -Treat
-e�1't Treatment
Re -Treat
)ther
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: -3
Time of Treatment:
Slab
1t Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
P Imeter for Fi al Inspection
A,
�(
Si ture of rminator Date
Note. it 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 clihmed
FBC1 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 is completed,
prop/ 'ng a copy for the person the permit is issued to and another copy for the building permit Ales. The Treatment
Cert/ ate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treat d, chemical used, percent concentration and number ofgal/ons used, to establish a verifiable record of
prote ive treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be c (npleted prior to final building approval.
St L I cle County requires for the final inspection for CO, a Permanent Sticker to be placed on
the lectrical panel box cover, listing all the treatments and dates of applications.
7/24/2014
planning & DeveioPmeunt Services
Building &(bode Reg ullation Division
2300 Virginia Ave
Fort p0er re, FL 34982
772-462-2172 Fax 772-462-6443
CERT ECATE OF TERMITE 7REATHENT
CONSTRUCTION SOIL TREATMENT
40,IBI ADDRESS:PER iT #: o$ D agalEUI EOTRACTOR:VICE-A-BUG TERMIT
E &PEST CONTRO
L INC.PES CONTROL CONTRA
PES CONTROL LICENSE #: J8175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
subt ranean termites in accordance with the standards of the National Pest Control Association.
Saualre feet if area treated: ��'f Chemicals used: DOMINION 2L
ige of solution: .050/6
Treatment:
J4541-
-
-:Lst Treatment
Re -Treat
ist Treatment
Re Treat
Other
111 Treatment
Re -Treat
Total gallons used: a'3�
Time . Treatment:
a ov
AISI b
ist Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final inspection
ignature of Exter nator 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 wl/J fall and a re Inspection
fee barged.
FOC 1 L04.2.6 Certificate of Protective Treatment for prevention of termites A weather resistanti'obsite posting board
sha be provided to receive duplicate Treatment Certlflcates as each required protective treatment is completed,
pro fdlng a copy for the person the permit is issued to and another copy for the bullding permit files The Treatment
Ce �flcate shall provide the product used, Identify of the applicator, time and date of the treatment, site locat/on, area
trej ed, chemical used, percent concenfratlon and number of gallons used, to establish a vedflable record of
pro ectIve treatment ff the soil chemical barrier method for termite prevention Is used, final exterior treatment shall
be mpleted prior to final bullding approval.
St ucie County requires for the final insPectioml for COO a permanent Sticker to be placed On
thf ceiectricail panel box cover,, listing all the treatments and dates Of applications-
7/24/203A