HomeMy WebLinkAboutTermite Treatment Apr 06 2017 12: 39PM HP LASERJET FAX p. 1
2300 Virginia Ave-
Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: SLC1703-0004 JOB ADDRESS: 5739 Subbetry Cir., Ft Pierce
BUILDER/CONTRACTOR: Desicrn Concrete t(i nnaw 5evvc" d.
PEST CONTROL CONTRACTOR: Patrick- Exterminating _
PEST CONTROLLICENSE #: 4864
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: 160 Chemicals used: CvAer TC-
Percentage of solution: .25% Total gallons used: 16
Date of Treatment: 4/6/17 Time of Treatment:. 10:30
Footing Slab
1s'Treatment i Treatment
Re-Treat Re-Treat
Driveway Pools
1s`Treatment P Treatment
Re-Treat Re-Treat.
Other Sereen Room PerimeterforfinalInspection
1st Treatment
Re-Treat ' {
Signature of Exterminator.
Note:-There must be a completed form for each required treatment or re-treatment and this form must be on the Job
site to be picked up by the inspector at time of each Inspection or the sd�eduled inspection W71 fail and a re inspection
fee drarged.
FBC104.2.6 Certificate of protective Treatment for peeventlon of termites A weather resistant jobsrte pasting board
shallbe provided to receive duplicate Treatment Certffrcates as each requiredprotedfve.treatment is completed,
providing a copy for the person the permit is issued to and another copy for the bullding permit files. The Treatment
Certiflcate shall provide the product used, identity of the applicator, time and date of the treatment,site location,area
treated,chemical used,percent concentration and number of gallons used,-to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval,
St Lucie County requires for the final inspection-for CO..a Permanent Sticker to be placed on
the electrical panel box cover,11stina all the treatments and'dates of applications.
RECEIVED APR:06 2017