HomeMy WebLinkAbouttermite spray2300 Virginia Ave
Fort Pierce,FL 34982
772-462=2172 Pax 772"462-6443
IERMIT #: JOB ADDRESS:
'EST CONTROL CONTRACTOR:
I Z► j� S�n�c� ��-�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, Chemicals used:
Percentage of solution:
Date of Treatment: �1 'f
Footing
ist Treatment
Re -Treat
Driveway
1St Treatment
Re -Treat
If PION
15t Treatment
Re -Treat
Total gallons used: � �,�
Time of Treatment:
,Slab
15t Treatment
Re -Treat
Pools
Is' Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
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 by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
�001 ®4. 2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite 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 approval.
�3t Lucae County requiRrres for the flora ons[pectaon for CO, a Pumanent StrucCterr to be paced an
he a ectrrucapain box coven, Da Wing a the tcrreatrrnents and dates of M[pp ocatoonso
Revised 7/24/2014