HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT2CANNED
BY
Stx- Linos C000
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort pierce; FL 34982
772-462-2172 Fax 772-462-644$
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
ZCTOPIi �l
ERM #:JOB ADDRESS:
PUiLDTR�CRR�12 Caod�1�/sn�-
PEST ONTROL CONTRACTOR:
PEST' ONTRQL LICENSE #: ,- -
We, th undersigned, hereby certify that we have. pretreated the above described construction for
subterr, nean termites in accordance with the standards of the National Pest Control Association.
Square eet if area treated: 22,(o
Chemicals used:,
Pe'rcen age of solution: 2�.30/0 -
Total gallon2— s used,:
Date o Treatment: '3l�%t
Time of Treatment: /b; 3 a
ooting _Slab
lst"Treatment
Re -Treat Ist Treatment
riveway Re -Treat
1st Treatment .Pools
1 Re -Treat 1st Treatment
they Re -Treat
.i 1st Treatment
Perimeter for Final Inspection
Re -Treat
ature of Exterminator Date
Note,
here must be a completed form for ea equired treatment or re -treatment and this form must be on the job
site to e picked up by the inspector at time of each inspection
fee .
or the scheduled inspection will fail and a re -inspection
chaged
sha/ b4 2.6 Cert/trcate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall b provided to receive dupllcate treatment Certifl*cateS as Leach required protective treatment is completed
pro vidi g, a copy for the person the permit is Issued to and another copy for the buildJn
Eert/fr to shall provide the product used, identity of the applicator, time and date of the treatment, site locatioit r1les, The n, area
treat chemical used, percent concentration. and number,ofgallons used, to establish a verifiable record of
protect eve treatment, If the soil. chemical barrier method for termite prevention is used, final exterior treatment shall
be co p/eted prior to final building approval.
Sir Lu a County requires for the final inspection for Co, a Permanent Sticker to be placed on
the ell ctrical panel hox cavern list I9 all the treatments and dates of aPplication''s.
Revised N24/2014