HomeMy WebLinkAbouttermite treatmentPERMIT
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Q�a9ding Code Rega atuon DuV9911on
2300 Virginia five
Form Pierce, FL 84982
7722 462=2172 Fax 772"462�6443
5121 R„N,nO\ P1
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.
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Square feet if area treated; Chemicals used; lA
Percentage of solution:
Date of Treatment: 1�J2�
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
ist Treatment
Re -Treat
r --
Total gallons used: � ` ,l_J
Time of Treatment:
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
T IF
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.
�BC104. 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.
St Luicue Co�Anoty urr�� forthe ffona unggecotaon for CO, a Perrrru aHent Stucuserr to be p aced on
the a e®rlrruca Ala ne box cover,Dustoing an the treatraents and dates of app ucatuonso
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