HomeMy WebLinkAboutTermite treatment cert ;I
St tulle County Inspectioins-
' . 2300 ,Virginia Avenue '
Ft- Pierce, FL 34982
Q R10Q' (772) 462-2172
CERTIFICATE Of, '. ERMITE 'TREATM]CNT
CONSTRUCTION SOIL TREATIYIRNT
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PERMIT# j'l
BUILDr71
R & R PEst control-., Inc
PEST CONTROL CONTRACTOR � 185E SW Ba�shorP B1 vd
Port: St Lucie, FL 34984 -
PEST CONTROL LICENSE, I�
we, the onaersignecl, Hereby certify that we have pretreatecl the above-described construction for
slrbtcrrtsnean ter'1]lites in accordance with the standards of the National Pest Control A ssociadotx.
Situate feet of area trcaiccl: Chemicals used;.��
percentage of solulic�n: Total gallons used• C-co
Date of tMltmeut: l 1&e�� Time of Treatment;1
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❑ 1sffi,uhiienl 1'RC104.2.0 CerlifrcateafJ'rnlecllveTreatrnentforprerenliottnflerinlles.
A w)enther resislant jobsile posting board shall be provided to receive
Q P�e,lreat ' duplicate Trennnenl Certificates ns each required prorecilse n'eaunenl is
❑ Slab canpletcd,providing it copy for the person tl►e permit is issued to and
another copy for ilia building permit files. The Treatment Certificate shall
❑ 1st TrealmersC provide ilia product++sed, identity-of ilia applicator, rime and date of the
❑ Rz-fl'e1t - - treatment, site location, aren treated, chemical used,percent concentration
and n'urttber ofallon.r used, to ePtaGlish n verifiable record afprotcatire
Q ]�CiVt;W� l trgnitnent._If the soil chemical barrier tneihod for rermile prevention is iised,
Q lsl'Tt'aahi�enl final exterior trcannent shall be completed prior to fmaI buildins approvIal:
❑ Rc-lri al St Lucie County regnlres for the final inspection for CO, a Permanent
Cl Pools Sticker to be placed on the electrical panel box cover,listing all tho
Trelitn�ent
treatments and dates of applicat'ions.
• �
Re-LreAt �
• Q 1st TrCatmcnt '
Q Re-t7•eal �
1:1 Perimeter for Final Inspection
Sib ature of extertiiinator
NO TIT:
There tarts!be a c6inplet!ed forth for each rerjrtired trettlmmt or re-treafinent and this form mist be oil
the"job site to I)e 1»'cked rip by the hispector at time of each hispection or(lie schedlded illspec''ilolt will
fail and a re-Inspection fee charged.