HomeMy WebLinkAboutTermite Treatment 06/22/2020 17:50 770' JMGM PAGE 02
00 Virginia Ave
Foil,Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE TERMITE TREATMENT
CONSTRUCTION SOIL TRE4TMENT
PERMIT #: - JOB A DRESS: Y
B U I LD E R/_CO NTRACTO R:
PEST CONTROL. CONTRACT 4-
PEST CONTROL. LIQENSE,.#:
We, the'underslgned, hereby certify that we h ve pretreated the above described construction for
subterranean termites in-accordance with the standard5 of the National Pest Control Association.
Square feet if area treated. y a Chemicals used:
Percent'a a of solo io .__._.�C/r,
9• t' n � Total gallons used:
Date of Treatment: rp 1r _ Time of Treatment: '
-Footing Slab
_,_1k Treatment is,Treatment
Re-Treat -Re-Treat
Driveway Pools
�I't Treatmett to Treatment
Re-Treat - t
Other Perimete for Inspection .
-1"'Treatmeot
Fie-Treat.
Slgnatur o rminator
Note: There must be a completed form for each required treatment or re-treatment and this form must ba on thej041
site to be picked up by the.inspector at time of each Inspection or the scheduled Inspection will fall and a reinspection
fee charged,
FBC104.2.6 Certificate of Protective Treatment for /`eventipn'of termites A weather resrstantjobsite posting board
shall be provided to rereive duplicate'Treatment Ce ificates as each required pmtVc6M treatment Is completes; '
pro vlding a copy I71r the person the pefm1t Is issued foand another copy for the building permit files The Treatment
Certlfrcate shat/provide the lDroduct used, Ydentityal the spplicatar, tllne and date of the treatment, site location, area
treated, chemical used, percent concentration and n tuber of,gallons used, to establish a verinab/e record of
protective treatment. If the Soil chemiedl barrier me hod for,termite prevention is used, Anal exterior treatment shall
be completed prior to final bviiding approval,
St Lucie County rec{uirds for the final inspection for Co, a Permanent Sticker to be placed on
thjiloctrical-nanal boX cpve_r,,,jjgHna all # e treatments and dates of�pplicativn y,