HomeMy WebLinkAbout2106-0506 Termite Treatment�Foot<ng
_I" Treatment
Re -Treat
Driveway
��` Tr�trrient
-Re-Treat
Other
1" T ! eatrnent
Re -Treat
--4 _ Planning & Developrnent Services
j:j i- Building & Code Regulation Division
2300 Virginia Ave
Fart Pierce, FL 34882
772-"2-2172 Fax 772-462.6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
: f :, BUILDER/CONTRACTOPU
CNCTOPEST CONTROL
�����. 7rus[y's Pa3t C;c,r;ltof ��CONTROL
LICENSE *:,�aia��o?
e, the undersigned, hereby Certify that we have pretreated the above described construction for
subterranean termites i n accordance with the standards of the National Pest Control Association,
Square feet if area treated; � Chemicals used: Vais 6�
Percentage of solution: U. �-' � Total gallons used:
Date of reatrrierst; - Tune of T tment: : `t
�matment
Re -Treat
Pools
Treatment
Re-Treat
-imeter for Final Inspection
Signature of mina j--'
V
re: 7b6fP MI'St b8 a cumpleted form for each required treatment or re✓t1e0tr776r7t dV this farm must 6k-- on the)ob
site to be prckr?d up by the Irrsp or at frme ofeed, j p ion or the SC} edufed 1r�Sp�rt will fai! arrd a r� ir�pe rr
fed C##arq'.
FBC 104.2.6 Certlfrcatu of Profecdve TreatTneat for preyenft6n of t6vmPEF, A weether prz np boald
drill be prov7ded to receive duplicate TmMment ('er[r'frcates as n3ch requked pro tef V ge trewtrrrent fs awnpleted,
Pm vAng e copy fOr tfhe person the perm) LF {,Sued to and another copy for the 0weing permit files, J he Treatment
certif to SNFI/ prowe the product used r'dendty Of the applicator, time aw date of Me fir Lrnent, site moon" aria
tr wtad, ctrawr al user, pefr� t cancerrtratlorr - I d numbEy' ofgallons asec, to establ h a verifiablL- r&Vtff of
prof 'r m ?ent JIf the Sol/ Chdmfcel barrier method for tfrmite pmvmtjon is used, f_Latmarrt shall
be completed prior to final building appro Val.
t Lncle County req u ires for the final inspection for CO, a Permarient SUCker to be placed on
the electrical panel box covert listing all the treatments and dates of applications.