HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATECOUNTY
F L O R I D A'
planning & Development Services
Building & Code Regulation Division
2300 virginia Ave
Fort Fierce, FL 34932
772-4e2-2172 Fax 772-462-6443
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SCANNED
BY
St. Lucie County
RESS:
PERMIT # : _I/� 2=01 j i JOB �tI P. Coauxvl e._�1�d �
BUILDERJCONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT.A•BUO TERMITE&P ST CONTROLINC.
PEST CONTROL LICENSE #: J817 --
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.
0 Chemicals used: DOMINION zL
Square feet if area treated:_
ln� �
Percentage of solution: •05°� Total gallons used: u
I,
S,�- Time of Treatment: 1 Oo —� : da
Date of Treatment: — / --
Footing ab
in Treatment 6/ St Treatment
Re -Treat
Re -Treat pools
jq
Driveway 1st Treatment
15t Treatment Re -Treat
Re -Treat !meter for H nspection
Other � ,-)1
let Treatment
Re Treat ignature of rml to
Note. There must be a completed form for each required treatment or r eatment and this form must be on the>cb
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.
fee
charged.
certificate of Protective 7Yeatment for prevention of termites. A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certificates as each required a bundle Creafilms completed,
Treatment
providing a copy for the person the permit Is issued to and another copy, for the building permit
Certificate shall provide the product used, ldentlty 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 verifiable record of
protective treatment. If the soil chemica! barrier method for termite prevention !s used, final exterior treatment shall
be completed prior to final bullding approval.
a Permanent Sticker to be tSt Lucia County requIres for he electr cal panel x cove�0isting ail thetreatments and dates of appl atio s. placed on