HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT SOIL TREATMENT0
RE
We,
FIB
planning & Development Services
Building & code Regullation Division
2300 Viirglin a Ave
Fort Pierce, FL 34982
772-462-2172 Fax 77/2-462-6443
CC�3i� STi�►_ICTl�i) � IL I=1T w1F:tiT
a
SCANNED
By
StludeCouvht
JOB WDjESS: 1 `RUC' 14,A-ld � i� ��ov 1101c 2 Sk/�Cl:
CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: 18175776
undersigned, hereby certify that we have pretreated the above described construction for
nean termites in accordance with the standards of the National Pest Control Association.
Squat l feet if area treated: 100
Perceif
"I'tage of solution: •05%I
Date Treatment:
111 Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: fo
Time of Treatment: 0
Slab
1st Treatment
Re -Treat
Poois
1st Treatment 11t Treatment
Re- at• Re -Treat
!Other 00 �D�;Perimeter for Final Inspection
15t Treatment I kio�
Re -Treat
Sig of Exterminator Date
Note:, There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to1be picked up by the inspector at time of each inspectlon or the scheduled Inspection will fall and a re Inspectlon
fee ch�araed.
FBC164o2.6 Certificate of Protective Treatment for preventlon of termites A weatherreststantjobsite posting board
shall h' provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
provldng a copy for the person the permit Is issued to and another copy for the bullding permit files, The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, slte locatlon, area
treater, chemical used, percent concentradon and number of gallons used, to establish a verifiable record of
protecctive treatment. ff the soil chemical barrier method for termite preventlon Is used, final exterlor treatment shall
be corptpleted prior to final bullding approval.
St Woe County requires for the final inspection for CO, a Permanent Sticker to be placed on
the ��ectricai panel box cover, iieting alit the treatments and dates of applications.
1 u
I RcYt®cd'17/24/2014