HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSCANTED
BY
ILULA.911 County
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
PER :� IT #: �`� C ._a DJ7 JOB ADDRESS:
BUI ' ER/CONTRACTOR: k er► z Lo,-�sjTUC -. Dr\
PES CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PES I CONTROL LICENSE #: JB175775
We, tlI a undersigned, hereby certify that we have pretreated the above described construction for
subte anean termites in accordance with the standards of the National Pest Control Association.
Squa feet if area treated: 3 ! Z Chemicals used: DOMINION 2L
I
Perce tage of solution: .05% Total gallons used: 3��
Date f Treatment: 2s —z Time of Treatment: C� 3
Foot�g�--'Slab
1s� Treatment 1st Treatment
—Re Treat Re -Treat
Driveway Pools
1st Treatment
Re -Treat
III 1st Treatment
Re -Treat
1st Treatment
Re -Treat
P rimeter fo Final Inspection
Sig ure of erminator Date
Note,' There must be a completed form for each required treatment or re -treatment and this form must be on the job
site tie be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged,
FBC 1p4.2.6 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,
provging a copy for the person the permit is issued to and another copy for the building permit riles The Treatment
Certificate 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 of gallons used, to establish a verifiable record of
proA eve treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be c� pleted prior to final building approval.
St L' cie 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.
7/24/2014
-.. r