HomeMy WebLinkAboutTermite Spray Jun.07.2021 09:40 AM BUG DR PEST CONTROL 7723447480 P 1/ 1
Planning&Development Services
S aLL Building&Code Regulation Division
�COUNTY 2300 Virginia Ave
• - I D A - Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: du c')15- 41,9 JOB ADDRESS: -Sq OD
BUILDER/CONTRACTOR: 'LAj_.Q_a' 4-i LC S
PEST CONTROL CONTRACTOR: Tbd 13U r- C .
PEST CONTROL LICENSE #: -99-1914%&9
We,the undersigned,hereby certify that we have pretreated the above described Cons4vction for
subterranean termites in accordance with the standards of the National Pest Cord Association. _
Square feet if area bmW: 10 � Chemicals used:�m O&Cl Op
0
Percentage of solution: ' 8 Total gallons used: �-
Date of Treatment: �{ 21 Time of Treatment: -
Foaling Slab
1e Treatment 1�`Treatment
/ Re-Treat Re-Treat
t
V Driveways Cam' 1()l� R L,-�- Pools
1 Treatment P Treatment
Re-Treat Re-Treat
Other Perimeter far Final Inspection
1�Treatment
Re-Treat � �- o + Z�
gi3atczre.df'Exdeminator Date
Mote: There must be a complefed form for each required he abmerrtorre-teatment and this form mast be on the job
site to be p1dwd up by the inspectvatttme ofeadr inspecb-on or thesrheduled irtspec6on W1 fail and a re-inspxtion
fete dra_wd.
R=04 2.6 Certificate ofProtechm Treatmentforprevention of termites A weatherresistantjot_qTe pasting board
Mall be ivwded to receive du irate Treatment eadh uired prmtectft a bsabmentis completed,
P p/ re9'
prrovidi'ng a wpyfor the person the permith;hued to andanothercopyfor the building pennitfiles The Treatment
Certifies shall provide the product used,ida►MW of the applicator,time and date of The bwtmen4 sfte won,area
beaW,chemical used,poercentcancenbation and numberofgallons used,to eslabrsh a veifftable record of
pry treatment If the soil chemical barriermethod fortwmite prevention is used,final exterior treatmentsfiall
be am~prior tv final buildingappmwL
St Lucie County requires for the final ikon for CO,a Permanent Sticker to be placed on
the elecb ical panel box cover,listing all the treatments and dates of applications.
Revised 7/24/2014
J ,