HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTplanning & Deveilopment sere kes
Building &(Coale Regulation Division
2300 Virgin0a Ave
Fort Pierce, FL 34982
772-462-2172 Fax 7772-462-6443
SCANNED,
By
St, Lucie Couniv
PERM�T #: 190 DOS ` DOE A��DRESS: ! �i yice�o��� do �� r
BUILDER/CONTRACTOR: r'iyts'try 'fl ��'► S i
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST ICONTROL LICENSE #: JS175775
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.
Square feet if area treated: �T D
Percentage of solution:.05%
Date of Treatment:----/D �-
IFooting
15t Treatment
Re -Treat
Driveway
Chemicals used: DOMINION 2L
Total gallons used:
T--Ime of Treatment: % 3 0
Slab
1st Treatment
Re -Treat
Poois
1st Treatment 15t Treatment
Re- r at Re -Treat
Ll Other r-� Perime r Final Inspection
1st Treatment
�r-Re-Treat
~~�
Sianat ,d of erminator Date
Nofe: There must be a completed form for each requln a went 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 will fall and a re-Inspectlon
fee charged.
IFEiif(C9104.2.5 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to recelve dupllcate Treatment Certlficates as each required protective treatment Is completed,
provl'ding a copy for the person the permit Is issued to and another copy for the bullding permit fVes. 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 ofgallons used, to establish a verifiable record of
protective treatment. ff the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval
St L. cie County requkes ffor the final inspection for (C®, a Permanent Sticker to be placed on
the epectricai panel box cover, 00sting ali the treatments and dates of applications.
7/24/2014