HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 10-5-18� J i
SCANNED
planning & Development Services BY
Building & Code Regulation Division ��. Lue- a 'OP,*
2300 Virginia Ave
Fort Pierce, FL 34982
7 72-462-2172 Fox 772-462-6443
C FRjrXFg(CQ4E OF cTERNITE 7REATMENT
CONSTRUCTION SOIL TREATMENT
,MIT #: 0 JOB ADDRESS: r Z y Z
TLDER/CONTRACTOR:
ST CONTROL CONTRA OR: EVICT -BUG TERMITE &PEST CONTROL INC.
ST CONTROL LICENSE #: JB175775
the undersigned, hereby
that we have pretreated the above
described
erranean termites
emiteiaccordance with the Standards of he National Pest Control Association.
LIIY—
re feet if area treated: %
of solution: •05—'%
Date of Treatment:
___&ooting
<-*-15C Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 20c
Time of Treatment:- G
S
ist Treatment
Re -Treat
Driveway Pools
flt Treatment iSr Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
I,' Treatment
Re -Treat
ature of Exterminator Date
s form must be on the
Note.' There must be athe inspectorted orm at time of each inspection or the scheduled Inspeceach teXlred treatment or re -treatment t n Iw111 fall and a re Inspe�on
site to be picked up y
fee charged.
(FOCID4.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certlficates as each required protective treatment /s completed,
providing a copy for the person the permit is Issued to and another copy for the bullding permit flies The Treatment
Certificate shall provide the product used, Identity of the applicator, tme and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soli chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucia County requires for theffunall inspection for CO, a Permanent Stickert® be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
7/24/203.4