HomeMy WebLinkAboutTERMITE TREATMENT, FINAL CERTIFICATEL�D�r�or� ®evedo�cr�err�
o (O9M V3 Code Reg A atMn 109UR ooH
2300 Virgiinoa Ave
Fort P"Oerrce, FL 34982
SrGz c, ✓l
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.
`-S-qe feet if area treated: . nLUC� Chemicals used:
Percentage of solution:
05%
Date of Treatment: � i ,° v;�-�
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
DOMINION 2L
Total gallons used: �
Time of Treatment: �, ��
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
/Vote; 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 -inspection
fee charged.
� n C1O�o2o6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit files, The Treatment
Certificate shall provide 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 establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building appro Val.
D5t Lmcue County requires for the fona� Hnspecti®n for CO, a Permanent Sticker to be placed on
the z erg' Focal panel box covev, FROM a0o the treatments and dates of applications.
Revised 7/24/2014