HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT_ Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: a? OB ADDRESS: �,_ Plf QC e
BUILDER/CONTRACTOR: v1
PEST CONTROL CONTRACTOR:
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.
nJ 2
Square feet if area treated: 33 a
Percentage of solution: 6
G�
Date of T tment:
Footing
1 Treatment
Re -Treat
Driveway
1" Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: CU I�6rIM� Q"6'1 �'� 1✓�
Total gallons used:
Time of Treatment:
Slab v _
Treatment
Re -Treat
Pools
1t Treatment
Re -Treat
Perimeter for •nal Inspection
S ature of Exterminator
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 wil% fail and a re -inspection
fee charged.--
FBC104.2.6 0 .
shall be provide
providing a cop); .
Certificate shall;_
treated, chemic,,
protective treat.,
he rmmnieted n, ;
Date
:Tre6ftn nt
site posting board
s completed,
The Treatment
site location, area
,'record of
it treatment shall
St Lucie Cow, -,
... ....;-..; .�r�.. �rcr�� � �rl,�a S 'ie placed on
the electrical` 652Organism TreateV s•
SUNRISE PEST INC. U Pesticide Used
2303 N. U.S. 1, STE., 11
FORT PIERCE, FL 34946
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