HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTR � �
SCANNED
BY
planning & DeQvepolpment services
Buflding & Code Regullation Division
2300 Virginia Ave
Fort (Pierce, FL 34982
772-4 62-2172 Fax 77 2-462-6443
CERTEFECOF OF TERM97E 7REATHIEN7
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PERMIT #'jII� cb 56� 3 JOB ADDRESS: S'W I G ;
PUILDER/CONTRACTOR: 5 1 S71
PEST CON ROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL ROL LICENSE #: JB176775
the andImen
'signed, hereby certify that we have pretreated the above described construction for
arraneaermites in accordance with the standards of the National Pest Control Association.
Ire feetarea treated: d Chemicals used: DOMINION 2L
entage solution: •o5% Total gallons used:00
of Tret: kA 1 1 c Time of Treatment: 6
Footin Slab
�4ist Treatment 1st Treatment
Re-Treat Re -Treat
,_Drive 1 ay Pools
1st Treatment 1st Treatment
s,jer
Re-Treat Re -Treat
t-OP i u M , CjdTA15 Perimeter forFinalInspection
1St Treatment (1 v �\
Re -Treat
Signature of Exterminator Date
� 119 qo
Note. There, must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be pl ,eked up by the Inspector at time of each.Inspection or the scheduled Inspection will fall and a re Inspectlon
fee charged. II
IFB 0 4ezo Certificate of Protective Treatment for prevention of termites A weather resistant jobslte posting board
shall be pro dad to recelve duplicate Treatment Certlficates as each required protective treatment Is completed,
providing a opy for the person the permit Is Issued to and another copy for the building perm/t tiles. The Treatment
Certificate s all provide the product used, Identity of the applicator, tame and date of the treatment, site location, area
treated, chef ical used, percent concentradon and number ofgallons used, to establish a verifiable record of
protect/ve t eatment If the soil chemical barrier method for termite prevention is used, final exterlor treatment shall
be complet prior to final building approval.
St Lucie unt49 (requires for the final inspection for CC, a Permanent Sticker to be placed on
the elect cap panel box cover, listing Bill the treatments and dates Of applications.