HomeMy WebLinkAboutCertificate of Termite Treatment�Pm M Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
_-�
PERMIT
BUILDER/CO T9 CTOR
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:'--
I-
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: 3Q Lti
Percentage of solution: - O (� °l a
Date of Treatment: '7L`F 1 T.0
Footing
1't Treatment
Re -Treat
'Driveway
1' Treatment
Re -Treat
Other
Is'Treatment
Re -Treat
Chemicals used:C-
Total gallons used:
Time of Treatment:
I Z
QON- M
Slab
1s` Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
C Perimeter for Final Inspection
49"4`
Signature of Fxterminato Date
7'
344�,-
Note: There must be a completed form for each required treatment or re -treatment and this form must be onOe job
site to be picked up by the inspector at time of each inspection or the scheduled, inspectionW11'fad and a re -inspection
fee charged,I .
FBC104.2.6 Certiflote of Protective Treabnent far prevention of termites..A. weather resistantjobsite ptisting board
shallbe provided to receive duplicate Treatment Ceroficates as each required protective"beabneot is completed,
y. providing a copy for the person the permit is issued to and another copy for the building permit fries : ]he Treatment
Certr'ficate shall provide the product used, identityof the applicator, fime and date ofthe beabnent, sfte location, area
treated, chemical used, percentmnaentration andnumber`ofga!loos used, to establish a verifiable record of
protective`heahnewt`, If the soi/chemiolbarri&method fortetmite prevention /s used, final extetfor treabnentsha!/.,
r be camp/eted prior [v llna/bu/idfng approval r
9t Wcie County requires fgr the finaUinspection For CO, a'•Permanent Sticker to be'plaoed on
the electrical panel box cover, listing;all the treatments and,dates of appliications.
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