HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTplanning & Development Services
Buipding & Code Regulation Division
2300 Virginia Ave
(Fort lPierce, FL 34982
772-462-2172 Fan 772-462-6443
I
CERTEFECATE (OF TERMTE TREATMENT
PERMIT #: O I JOB ADDRESSLA
BUILDER/CONTRACTOR:
OEST CONTROL CONTRACTOR: EVICT- -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JS175775
SCANNED
By
'St. Luc�e Colin'N
We, the undersigned, hereby certify that we have pretreated the above described construction for
ubterranean termites in accordance with the standards of the National Pest Control Association.
f
i5quare feet if area treated:W� Chemicals used: DOMINION 2L
ntage of solution: .05%
of Treatment: Ahoh 8
-151` Treatment
Re -Treat
15t Treatment
Re -Treat
Other
15t Treatment
Re -Treat
Total gallons used: �X2
/'o"60 �/D . 7o
Time of Treatment: _L
lab
,opfist Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Insp ion
Signature of Exter ator Date
UA 1 ,
s: There must be a completed form for each required treatment or re -treatment and this form must be on the job
to be plcked up by the Inspector at time of each inspection or the scheduled Inspection will fall and a re-Inspectlon
charged,
M04°2°6 Certificate of Protective Treatment for preventlon of termites A weather resistant jobsite posting board
ll be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
viding a copy for the person the permit is Issued to and another copy for the bullding permit files The Treatment
tificate shall provide the product used, ident/ty of the applicator, time and date of the treatment, site location, area
7ted, chemical used, percent concentratlon and number of gallons used, to establlsh a verifiable record of
tective treatment. If the soil chemical barrier method for termite preventlon is used, final exterlor treatment shall
completed prior to final bullding approval.
Lucie County requires for the ff nae inspection for COp a (Permanent Sticker to be placed on
epeotracep p anM box cover,, pieiting epp the treatments and dates of applications.
7/24/201A