HomeMy WebLinkAboutCertificate Of Termite Treatmentr t =.��, 3 . �.:, Manning & DeVeHop pent See ices 1
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��, Building & Code Reg upation Division
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2300 Virginia Ave Fort Peeirce FL 34�982 'leeF//i
772-462-2172 Fax 772-452-64�4l3 �Ostrid
CERTIFECATE OF TERMnTE TREATMENT '1`�221P
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PERMIT #o / _O" -0 c JOB ADDRESS: 9C2/ 3r%'�
BUILDER/CONTRACTOR:.
PEST CONTROL CONTRACTOR: 170 -9-W PfV_ ce,2-12,1
PEST CONTROL LICENSE #: t-- 90 0� /J73 �LT2 Y
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: 2
Percentage of solution: 01061111
Date of Treatment: 2h�lo
Footing
1 t Treatment
Re Treat
Driveway
P Treatment
Re -Treat
Other
1� Treatment
Re -Treat
Chemicals used:
Total gallons used:
Time of Treatment: 3 = o 0
Slab
1e Treatment
Re -Treat
Pools
1� 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.
FO C104i.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
Certfccate 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 ofgallons used, to estabrish a verifiable record of
protective freatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucia County rregUlms for the fona9 ianspeiffo®n for C®, a Permanent Sticker to be ppaced an
$he electrical panel box cover, listing all the tQeatments and agates of applications.
Revised 7124/2014