HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTWANK[)
BY
LLUrle County
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34962
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
#: �0-7..
CONTROL CONTRACTOR:
CONTROL LICENSE #:
I
We, a undersigned, hereby certify that we have pretreated the above described construction for
subt`Irranean termites in accordance Ily/tj a standards of the National Pest Control Association.
/�yg (* �-MJ6 L,
feet if area treated: r-
ntage of solution: i4K
of Treatment:I i
1�t Treatment
Re -Treat
1-1` Treatment
_ Re -Treat
PUSCI
1st Treatment
Re -Treat
Chemicals used. rc
Total gallons used: / !
Time of Treatment: �1 v
!ab ist Treatment
Re -Treat
Pools
1 Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
There must be a completed form for each required treatment or re -treatment and Gbis forwr mustbe on the job
be picked up by the inspector at time of each inspection or the scheduled Inspection will fall and a-r&1rspec on
FS U04.2.6 CerbiScate of Pr0fmtfv9 Treatment for prevention of tennites A weather reslsiantjobsite posting board
sh 1/ be provided to receive duplicate Treatment. Certificates as each requ/red protective bmtmentis completed,
p 'viding a dopy for the person the permit is Issued to and another copy for the building permit files The Treatment
Ce firdte shall provide the product used, Identity of tiie,appiicator, time and date of the treatment, site location, area
!re ted, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
pr ective treatment: If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St �,udo County requires for the final inspection for CO, a Permanent Sticker to be placed on
th electrical panel box cover, listing all the treatments and dates of applications.