HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 11-3-18planning & DeveloPlIVIGnit Services
Building & Code Ptegulaltl= Divis!On
23co Virginia Ave
Fort plerce, FL 34982
772-462-2172 Fox 7/7 2-462-6443
CONSTRUCTEON SOIL TREATMENT
PERMIT #:J-� o`L' 01� 9 i
BUILDER/CONTRACTOR:
PEST;CONTROL CONTRACTOR:
UG TERMITE & PEST CONTROL INC.
PESTWNTROL LICENSE #: JB176775
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association,
Chemicals used: DOMINION 2L
Square feet if area treated:
Percentage of solution: 05%
Date of Treatment: 4-111L�
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
{Other
111 Treatment
Re -Treat
Total gallons used: 3
Time of Treatment:
Slab
11t Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final I OPn
d
Signature of Extermina Dale
Note:- There must be a completed form for each required treatment or re -treatment and this form muse be on the j06
site to be picked up by the inspector at time of each inspection or the scheduled Inspection will fall and a re -Inspection
fee charged.
FeCjO4.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment /s completed,
providing a copy for the person the permit Is issued to and another copy for the building permit files, The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a venflable record of
protective treatment. If the loll chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the ffanM inspection for Col a, permanent Sticker to be placed on
the eiectricai panel box coves', listing a .01 the treatments and dates of applications.
Rcvlscd 7/24/2014