HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 11-2-18planning & ®eveiopment services
Building & C adle (Regulation Division
23co virgiinia Ave
Fort P%rce, K 34982
772-462-2172 Fax 772-462-6443
cER79KCATE OF 11 ERM97E 7REA7MEN7
CONSTRUCTION SOIL, TREATMENT
PERVIT # : 0105 i� 1
SUILIbER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: J217
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.
S If,DOMINION 2L
Square feet if area treated: as 7� Chemicals used:
i
Percentage of solution:.os°i°
Date of Treatment:
Footing
15t Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat•
S ADDRESS;
EVICT -A BUG TERMITE & PEST CONTROL INC.
Total gallons used: 36
M10
ime of Treatment: / 6a
Slab
ist Treatment
�
Re -Treat
Pools
ist Treatment
Re -Treat
P eter for Final spection
Si ure of Exterminator Da
COOS
ly
ell 3
Note: ! There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled Inspection wil/ fall and a re -Inspection
fee charged,
FB C36®4°206 Certificate of protective Treatment for prevention of termites A weather resisiantjobslte posting board
shall be provided to recelve duplicate Treatment Cert/ficates as each required protective treatment /s completed,
pro vid/ng a copy for the person the permit is issued to and another copy for the building permit dies. The Treatment
Certl�cate 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 ofga/ions used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention Is used, final exterior treatment shall
be completed prior to final bul/ding approval.
St Lukie County requires for the ffinai inspection jar co, a permanent Sticker to he pieced on
the jiectricai panel box cover, iieting all the treatments and dates of applications-
7/24/2014