HomeMy WebLinkAbouttermite 11/03/2009 18:08 77246' 3
SLC INSPECTIONS PAGE 01/01
COUNTY
2300 Virginia Ave
Fort Pierce, FL 349$2
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: � ,�3 ]OB ADDRESS: ` c-
BUILDER/CONTRACTOR.
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
We, the undersigned,hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: oU Chemicals used: �eamtw
Percentage of solution: C2 70 Total gallons used:
i
Date of Treatment: Z r' Time of Treatment: �'?^
Footing Slab
1't Treatment 1t Treatment
Re-Treat Re-Treat
____Driveway Pools
X 1n Treatment i$t Treatment
Re-Treat Re-T
Other ;0
r Fi II on
is Treatment
Re-Treat
Signature of Exterminator
Nok Thele must be a completed farm for each required trestmt nt or re-trwtme t and Ms farm must be an the job
site to be pkted trp by the kwped&at time of eaM ivrspectkn or Me snhedL*d ftpecctlon will fa#and a rednspectiun
fee charged.
FOC104MG Cer wte of Pmte cthow Treatment lir prewntran of tern rtes A w wMer resistant jab-%Ne pasting board
sinal/be pr vded to rat1ww dWkwe Treatment Certi&wes as each pr»tectttls heatr»ent Is completed,
Amv1&ng a copy for Ane person the pwwt is Issued to and anob1mr copy for the bLd*jg perm&filter The Treatment
CeRkate shall prvWale the product teed,Menhry of Me aMkaior, tone and date of d►e&wtmer:4 site kcatan,area
treated, chemical used,pemW cwxwbati on and nun*er of gallons rued,to esftM h a venriiabrle record of
protective treatment. If the"I d)emlra/barrier mrthod thr kwmde prBre ww is used, AW extl9 w aevbnent sha/I
be cvmpAeW prw to 1*W buffdW g 4Wr+oval.
St Lude County requires far the final inspection for CO,a Permanent Sticker to be placed on
the electri l pgriell box coverIlstin all the tmen and dates of applications.