HomeMy WebLinkAboutInspection Docs St Lucie County Imspe, ms
_ 2.300 Vw is Avenue
Ft Pierce;FL 34952
- - (772)4662-2172
O / V
CERTMCATE OF TERN= TREATMENT
COmmucinON SOIL TREAT IVff i
PERM# 710 -DSS JOB ADDRESS-_,..6 7
BUILDERf 2 / 1 �' 14-
PEST
PEST CONTROL CONTRACT fllt� X e,l
PFCT CONTROL ROL Li`���.1' . f
We,the undersigned,hereby certify that we have Pretreated the above-described construction for
subtearrea **e-• w s s � tea the standards€,f Me National Pest Control Association.-
Square Peet of area U-caEed: �d� Giemicals usM-.
Percentage of solution: S Total gallons used:
Date of treatment: ? Time of Treetmmfz
❑ Footin,,
l sr T 3eatnment FEC104.2-6 Cfieate of Protective Treaimeni,for prerendon oftermites_
❑ Re-treat A weadher msiumsriobsire pasting beard shall be providers to receive
dupa Treaur em Certifrc res as each required pyvtec&e treatment is
Slab completed providing a copyforthe person the pennu is irsued to and
LJ
ISt'I'rcamtent another copy far the building permit files The Treatment Certifrcaie shall
prowde rhe praduct used awwty ofthe applicator,time and date of the
❑ Re-treat rreamzem sire loaamm area rrrate4 chemical=red percent continuation
® DIveway and numberofgallons u=4 to establaah a verrfrable record ofprweffFvp
treatment If dw soil chemical barrier methad far termite prevmnon is used,
❑ Ist Treatment 'Anal a=eriarirewmimr shall be completed prior dafenal building aPPravaL
❑ Re-treat St Lurie County reauires for the fimil inspection€or C"',a Pe:gent
Pools Stickceder to be plaon the ebb riml pant boat cover,$istiag all the
1 st Treatment treaLmeats and dates ol'applications.
❑ Other
❑ 1st Treatment
l..l Re treat �
❑ Perimeter for Fnad Inspection
Signature of exterminator
NOTE_
There must be a completed form for each reqttt&W treaUnent or re-ireainierat and thisform must be on
the job site to be picked up by the urs_vectorat time of each irt~rpec6o:t or t&-scheduled inspection will
fail and a re-hWectmn fee charged
Beriscd 643/02 dmA