HomeMy WebLinkAboutTermite Certificate Planning & Development Services
Building & Code Regulation Division
� I by, 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
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PERMIT #: JOD A DDRESS: 0 h v1
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: 00,
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:-q/' 700 Chemicals used:
Percentage of solution: Total gallons used:
Date of Treatment: `�Ir � P) Time of Treatment:
L Footing ✓ Slab
'- 1st Treatment �i�t Treatment
Re-Treat Re-Treat
Driveway Pools
1St Treatment 1s' Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1't Treatment
Re-Treat
Si6bture of Exterminator
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 i -f Parh inspection or the scheduled inspection will fail and a re-inspection
fee charged.
FBC104.2.6 Certifi a Date j gosting board
shall be pro vided to mpleted,
providing a copy forInspection
El ie Treatment
Certificate shall pro n S p e ctl o n °location, area
treated, chemical u a K � Treat Mrd of
protective treatmei Treatment t eatment shall
be completed prior
St Lucie Countfi ■ - placed on
6
}„� C
the electrical p OrTreated
SUNRISE PEST INC.
2303 N. U.S. 1, STE., 11 Pesticide Used
FORT PIERCE, FL 34946
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