HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTqq�H o2.75 N
Planning & Development Services '
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL- 34982
7.72-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT 'SCANNED
CONSTRUCTION SOIL TREATMENT By
St Lucie County
PERMIT #: II S0 5 04 7 i JOB ADDRESS:
BUILDER/CONTRACTOR:�,�—�"'�P���
CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: JB175775
We, t�e 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: --- Chemicals used: DOMINION 2L
Perce I tage of solution: .05% Total gallons used: _5Q
Date of Treatment: di,L>( Time of Treatment: 11,610
-oozing
1' Treatment
Re -Treat
1' Treatment
� Re -Treat � �
Dther ��_t�o E n" "C
1st Treatment
Re -Treat
Slab
1' Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
S' na of Exterminator Date
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 will fail and a re fee chargeinspection
d.
1.1`15C,11014 Certificate of protective Treatment for prevention of termites A weather resistant jobsite posting board
sha// be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, provid/ng a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall pro vide 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 estab/!sh a verifiable record of
protective treatment. If the soil chemical bar
be comp/eted prior to Ana/ building approval rier method for termite prevention is used, Anal exterior treatment shall
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the ele trical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014