HomeMy WebLinkAboutCertificate Of Termite TreatmentFort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: � ' ADDRESS: ,S o VA -SA_
QUILDER/CONTRACTOR C�--
P,EST.CONTROL CONTRACTOR: = aw(E �!2a
PEST CONTROL LICENSE #: _.r"t�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.
Square feet if area treated: '76 C)
Percentage of solution:
Date of Treatment:
Footing
1s* Treatment
Re -Treat
Driveway _
1 t Treatment
Re -Treat
Other
P Treatment
Re -Treat
Chemicals used: _TA__ 1st erL
Total gallons used: i G
Time of Treatment:-
Slab
P Treatment
Re -Treat
Pools
P Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
Note. There must be a completed form for each required treatment orre-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.
FBC104.2.6 Certificate of Protective Treatment for preventfon of termites A weather resistant jobsi% posting board
shall be provided to receive duplicate Treatment Certificates as each required protecffve treatment is completed,
providing a evpyfOr the person the permd•is issued to sand another copy for the building permit files. The Treabnent
0-rtificate shall provide the product used, idenirty of the applicator, time and date of the treatment, s& location, area
treated, chemical used, percent concentration and number ofgallons used, -to establish a verifiable record of
protective treatment. If the so#6emica/barrier method for termite prevention is used, final exterior treatmentshaIV
be completed prior to final building approvaR.
St: Lude County requires for the final inspection for CO, a Permanent Sticker to be placed on