HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT! Planning &.Development Services
` Building ,& Code. -Regulation Division
l i 2300 Virginia Ave
,� • Fort?ierce, FL 34982 �'�/;�•
772-462-2172 Fax'772-462-6443
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CERTIFICATE OF TERMITE`TREATMENT.
CONSTRUCTION 'SOIL TREATMENT
PERMIT .#: 104 - b ,?) l{ ' JOB ADDRESS;
BUILDER/CONTRACTOR; R 57 2v�-r i'U L�=t
PEST CONTROL CONTRACTOR;
PEST`CONTROL LICENSE #:� I�
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.
{. Square feet if area,"treated: 3 (0 0 0 Chemicals:used: T^'10� %� ? rz) `43�.- 33�-��
Percentage of solution: < < 0 O n, 'Total'�gallons used: j
pate, of Treatment: i 1 Time of Treatment: 07 d .
`Footing
?5lab /'
iec Treatment � __ is` Treatment
Re Treat Re -Treat
i r _ Driveway Pools
1s Treatment 1s`Treatment
reat- . • Re -Treat
r F P
Other eter r Fi I Insp
j - isr Treatment`
a Re::Treat
Sig ature Exterm' for Date -
/Vote: 77rere must be a completed form for each. re /red tie ent or re -treatment and this form must be on the job
site to be'. picked up byahe inspector at time of each in ct/on or the scheduled inspection w//i fail and a re -inspection
fee char9?d.
pBCiQ4.2:;6' Certificate of Protective Treatment,forprevent/onof termites A weatherresistantjobsite posting board
shall be P%o✓Ided to recee dupilcate Treatment Certif/cates as each required protective treatment Is comp/eted,
a dopy for.,theperson the permit Is lssued to and as
bui/ding permlt;flles 'T/ie Treatment
pro jry�te shall'provlde the product used, ldenti ' of the a ilcator t/me and date of the treatment, s/te /ocadon area'
tk PP
i . Geri ; ohemical used, percent concentration and number ofgal/ons used, to estab/Ish'a verlf,ab/e record of
treated,
protective treatment. If the soll chem/cal b Ner method for termite prevention is used, final exterior treatment
sha//
completed prior to final bul/ding, approval,
be cie County fi
requires for the nal inspectiomfor CO,,a„Permanent$tWticker be placed.on
:St �� ricb[,panel`box'cover,, listing all the treatments and dates'of applications.
the elect
Reyyse(17/24/2014
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