HomeMy WebLinkAboutCertificate Of Termite TreatmemtC
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Plan ntng & DeQvelogaenlent Services
Building & Code Regulation Division
2300 Varginia Ave
Fort pierce, FL 34982
772-462-2172 Fast 772-462-6443
CERTIFICATE OF TERMITE TREATMENT -:
CONSTRUCTION SOIL TREATMENT
Lp,4. 44 S
PERMIT #: 02• ; JOB ADDRESS: 101 s Sow.. 6ceva
BUILDER/CONTRACTOR: fk(w Cly.s5 Conffi 44
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PEST CONTROL CONTRACTOR: — - G
PEST CONTROL LICENSE #:
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: .Lyyd .0—
rr Chemicals used:
Percentage of solution: - Total gallons used:
Date of Treatment: Time of Treatment:
Footirg
is' Treatment If ' lst Treatment
Re -Treat Re -Treat,
Driveway Pools
As' Treatment 1 Treatment
Re ''Treat Re -Treat
Perimeter for F al�Inspe ction
Other 41.
1Treatment .
r ke-Treat
Signature of Exterm nator
I ) d la by,
'where nustrbe a ;completed form for each ;required treatment or re -treatment and this form must be on the job
pick'' 2 tiy. the lnspaMr at time of each inspectlon or the scheduled Inspection will fall and a re -Inspection
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' i:l�Ca04.2.6rCe 'sate of Protective Treatmentforprevention oftermites. A weatherreslstantjobsite postingboaro'
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shall be prrmvia'ed'to receive duplicate Treatrment Certificates as each required proiettive Treatment is completed,
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providing a copy',,` yr the person the permit is issuedlo and another copy for the buliding permit files The Treatment
Cen`ifrrate sfie/1 prov/de the prodii&lised ,ldentlty of the applicator, time and date ofthe treatment, site locatfon, area
.a4 treated, chemical,, used, percent concentration and number ofgallons used, to establish a veriflab/e record of
protective treatment. Ythe soil chemical Kamer method for termite prevention fs used, final exterior treatment shall
be completed prlorao final bullding approval.
St IL6c➢e Coiian - f gaaaret.for t➢�"nag inspection for CO, a Permanent Sticker to be placed on
the electrical �gne' bbox cover, listing all the trea$f!nents and dates of appl➢cations.