HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT'SBY
Planning F8t-li 4i pop '61t Services
Building & Code Regulation Division
2300 Virginia Ave
• R I • A Fort Pierce, FL 34982 v%gOeGo���V
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PER T IT #: C6 j JOB ADDRESS: .3/,3� E �,-,►c ,'
D ��
BTI DERXONTRACTOR: 2,1.c I U_,,j
PES 11 ', CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PESI CONTROL LICENSE #: JB175775
We, t I'e undersigned, hereby certify that we have pretreated the above described construction for
subter anean termites in accordance with the standards of the National Pest Control Association.
Squar feet if area treated: .32M Chemicals used: DOMINION 2L
Perce tage of solution: .05% Total gallons used: 3 3 D
Date f Treatment: 1 Time of Treatment: 90° � v
Ifooting K' Slab
_1st Treatmentj-' 1st Treatment
Re -Treat Re -Treat
Driveway Pools
1st Treatment 15t Treatment
Re -Treat Re -Treat
Other Perimeter for inal Inspection
1st Treatment
Re -Treat
S'g4ture of Exterminate 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 charged.
FBC164.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall �e provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
prm fng a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certifi�,ccate steal/pro vide the product used, identity of the applicator, time and date of the treatment, site location, area
treat.Z'4 chemical used, percent concentration and number of gallons used, to establish a verifiable record of
prote; live treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be cof pleted prior to final building approval.
St L4cie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
/24/2014
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Planning & Development Services c
7 ' vBuilding & mode Regulation Division
2300 Virginia Ave fD
Fort Pierce, FL, 34982 S
�i
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PER,', IT 1108- 0-W ( JOB ADDRESS: 9,r0CjKYr,& R,i) �o�c� 3Yg�tS
BUIL)E CONTRACTOR: . ."I d.,4 -
PEST CO TROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
We,
Squa
Date
Note:
site tc
fee c%
FBC1
shall I
provic
Certifi
treate
Prot&
be co)
St Lu
the e
CONTROL LICENSE #: JB175775
un ersigned, hereby certify that we have pretreated the above described construction for
ne ,n termites in accordance with the standards of the National Pest Control Association.
if area treated: ,2SoL s;
e lof solution:.05%
Chemicals used: DOMINION 2L
Total gallons used: 1 Da aa,l
Time of Treatment: 1 00
Slab
sr Treatment 1st Treatment
;e-Treat Re -Treat
Pools
_1st Treatment 1t Treatment
—Re-Treat Re -Treat
1',LPerime er for Final Inspection
_ist Treatment
—Re-Treat _ t 5
at a of Exterminator Date
must be a completed form for each required treatment or re -treatment and this form must be on the job
fed up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
t.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
ro . ded to receive duplicate Treatment Certificates as each required protective treatment is completed,
a copy for the person the permit is issued to and another copy for the building permit files The Treatment
h sall provide the product used, identity of the applicator, time and date of the treatment, site location, area
hef i1cal used, percent concentration and number of gallons used, to establish a verifiable record of
tre atment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
,tee prior to final building approval.
County requires for the final inspection for CO, a Permanent Sticker to be placed on
tri al panel box cover, listing all the tr"tTV)j9qMVPjDr0japplications.
Revised17/24/2014