HomeMy WebLinkAboutCERTRIFICATE OF TERMITE TREATMENTSL;ANNFD
Planning DdVel pment Services
Building & Code Regulation Division
2300 Virginia Ave
Fort �Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
PERMIT #: JOB'P
BUILD ' ER/CONTRACTOR: - AP—T:U
PEST CONTROL CONTRACTOR-r�
PEST CONTROL LICENSE #: JF 2�-
We, the undersigned, hereby certify that we I
subterranean termites in accordance with the
Square feet if area treated:
Percentage of solution:, 0 6 )b
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1s.t Treatment
Re -Treat
Other
ist Treatment
_____,Rd-T.reat,
Note. There must bez cqmp�eted form for each
site to be picked up by the inspector at Hme of e
fee chaVed.
FBC104.2.6 Cefdffcate of Protective Treatment,
shall be provided to receive duplicate Treatment
providIng a copy for the person the permit is ssb
Cerftfiqate shallprovide the product used, idenlit
treated, , chemical used, percent C0,7Cenb`afi0fi an
protective Meatment, ff ffiesoil cheinical bairier
be completed prior to final building approval
Si Lucie County requires for the final in
the electrical panel box cover, listing al
Revised 7/24/2014
ON SOIL TREATMENT
Mlf-054 �
: / Z� // 4 1,-q - ) I * d fy� �/ i 'Z- /'P 7"'
pretreated the above described construction f0f
dards of the National Pest Control Association.
Chemicals used:
Total g6 lions used: III-_3 a4'//'j-o
Time of Treatment: /9'
,L—Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
'Siguiature of Exterminator
�. P"i
.1
uked treatment or re -treatment and this fqrm ij�st be on thejob
inspecdon or the scheduled inspection will (a# and a re -inspection
r prevention of termites A weather resistantJobsiteposting board
�aiVflcatesas each Mquired probeclive &eatinent & completed,
d to and another copy for the buildIng permit files. The Treatment
of the apolicator�, time and date of the treatment site locadon, area
number of gallpos used, to estabish a verifiable record of
7ethod for termlle prevenLron is used, final exterior Meaftent shall
pection for CO, a Permanent Sticker to be placed on
the treatments and dates of applications.