HomeMy WebLinkAboutCertificate of Termite Treatment 200 Virginia Ave .
Port Pierce, FL 64982
772-462-2.172, FaX 772-462.6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TR9ATNf ENT
PER 4IT #:. SLC2005-02'l6 JOB ADDRESS: 2U14 Nettles Blvd, Jensen Beach
BUILDER/CONTRACTOR: Burns& San Construction
PE CONTROL CONTRACTOR: _Patrick Ex#ermitinq
PE CONTROL LICENSE #: 4864
We, Me undersigned, hereby certify that we have pretreated the above described construction for
subte ranean termites in accordance with the standards of-the National nest Control Association.
Squam feet if area treated;.1,365, _ Chemicals used: Cvpermethrin
Perce'tage of solution: .25% Total gallons used; J,36
Date o Treatment: 6/2/2020 Time of Treatment 9:00
ooting x Slab
1't Treatment x 1 Treatment
Re-Treat Re-Treat
—Driveway
— Awls
I'Treatment �I't Treatment
Re-Treat Re-Treat-
ther 1"Treatment Perimeter for Final Inspection
.
Re-Treat
Signature of Exterminator
Note., ere must be a completed form fpr each required treatment or re-treatment and this form must be on the job
site to picked up by the InspecWr at time of each inspection or the srhedu/ed,Inspection will rail and are-lnspectlon
fee char ed.
FSC104 2.5 Certificate of.Protective Treatment for prlevendon of termltes. A weather reslstantjobske posting board
shall be rav10'ed to mcelve dupilcate Treatment Certlfleates as each requlred protective treatmBnt Is completed,
provfdin a copy for the person the permit is issued to and another mpy for the bulldlrig permit files. no Treatment
Certifica shay pr Ovide the product used, identity of the applicator, time and date of the treatment,sft locatlon,area
treated, emical used,parcent concen"Non and number ofgallons used,-to establish-a verifiable record of
pmtecti treatment. If the sail chemical berrfer method for terrrilt prevent/an Is used,><na!exterlor treatment shall
be comp eted prior to final bullding approval.
,St Luci County requires for the final inspection far CO,a Permanent Sticker to be placed on
the ele ical Danell box corer,lisCing all the treatments and dates of aRplications.