HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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SCANNED
BY
St. Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: /9/?- -
BUILDER/CONTRACTOR:
JOB ADDRESS: - I
I er( Aerr
edeko�t z. e .1y Fee
PEST CONTROL CONTRACTOR: EVICT-A-BLIG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE#: JB175775
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: - 12 00
Percentage of solution: .05%
Date of Treatment: lallfI2019
Footiv�q- /
/Y I't Treatment
— Re -Treat
---Driveway
—I' Treatment
— Re -Treat
—Other
_1' Treatment
— Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
12-0
Time of Treatment: Y�
_2�;Sb
la
iY� V Treatment
— Re -Treat
—Pools
—Ist Treatment
— Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR ��'-d�P"LCLU�JR
�. 2016.11M IMIZ41 �W m
Signature of Exterminator Dke
Note.- 7here must be a comPlete"Orm for each required treatment or re-treabnent and thIs form must be on thejob
site to be Picked up PY the inspector at t1me of each Inspection or the scheduled inspection will fail and a re-inspecffon
fee charged.
FOC104.2.6 Ceftfflcate of ProtecVve Treatment fOrPrevention of terwites, A weather resystantjobsite posbn bo id
pllcate Treatment Ceitifibates as each requiredprotecove Ineaftnent Is completed,
shall be pro v1ded to receive clu _q a
pro vIdIng a copy for the Person the Permit is Issued to and another copy for the bulldlng pef m1t f1les. Me Treatment
CertlAcateshallprowde theproductused. Identityof the applicator, 17meandoate ofthe treatment, s1telocatlon, area
e a sed n CO e r3& e
treated, ch m1c / u I Perce t nc nt On and numb r Of gallOns used, to estabish a vent9able record of
Protective treatment If the soll chemical barrier method for termite prevention is used, flnal exterior treatment shall
be completed pnor to Anal bulldlng appf oval
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
P-A-A 7/1A 11M A