HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 4.7
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, . Planning &Development Services ��
t7 c Building &Code Regulation Division 2Y
�; 2300 Virginia Ave
Fort Pierce, FL 34982 �Ei�'�p FEB 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERT IT #: JOB ADPRESS: WnY!' j ler Q,
BUII�DER/CONTRACTOR: S <3 Co Yi--r ,
PES`r CONTROL CONTRACTOR: .Vtrcl a e. � �T*-,c,
PES CONTROL LICENSE #: l l9"Zy tom•
We, I e undersigned, hereby certify that we have pretreated the above described construction for
subt� ranean termites in accordance with the standards of the National Pest Control Association.
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Squa,e feet if area treated: Chemicals used: Bi
Perc tage of solution: ®� p Total gallons used: �y O ytS
Date, f Treatment: (9- (In Time of Treatment:
Footin /`-' Slab
ist Treatment 1st Treatment 2 g��D I Za -
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat ' Re-Treat 1a
._,Perimeter f final Inspectio /
1st Treatment / h, 1
Re-Treat8 �` l w 7
f)
Signature of erminator Da e
Note. There must be a completed form for each required treatment or re-treatment and this form must be,on the job
site t be picked up by the inspector at time of each inspection or the scheduled inspection will fail and J rte gyp, tia2�
fee c urged. •� •..•••'•° F e�m
.`�V:.•• t00Z�o.G o
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FBC11)4.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jbA_ e
shall e provided to receive duplicate Treatment Certificates as each required protective treatmentxo ,�Id,� s r
provi ing a copy for the person the permit is issued to and another copy for the building permit fi/esyT��t�p
Certi cate shall provide the product used,identity of the applicator, time and date of the treatment,3P,/ocation, a •
treated, chemical used,percent concentration and number of gallons used, to establish a verifiable fec'olayoA f+••«•��'
prote ive treatment. If the soil chemical barrier method for termite prevention is used, Anal exterior&eatrnent5/ialla
be c npleted prior to final building approval `�a u o 9 %.
St L cie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the III lectrical panel box cover, listing all the treatments and dates of applications.
Revise 7/24/2014