HomeMy WebLinkAboutTermite Treatment 05/21/2021 15:25 770 JMGM PAGE 01
2300 Virginia Ave
Fort Pierce, FL 34982
772-46 -2172 Fox 772-462-6443
:CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 201.1 ' JOB ADDRESS: $��1 &Al,� J914Cd
BUILDER/CONTRACTOR: e
PEST CONTROL CONTPWTOR: �-
PEST CONTROL LICENSE #: 5a
We, the undersigned,,hereby certify that w have pretreated the above described construction for
subterranean termites in accordance with t e standards of the National Pest Control Association,
Square feet if area treated: Chemicals used: �I FiAt
0
Percentage of solution: �1la Total gallons used:
Date of Treatment: / Time of Treatment: 0
_ Footing Slab
14 Treatment 1't Treatment
_Re-Treat -Re-Treat
DrivewayPools
ist Treatment _1't Treatment
R Tragit
Other , a �J Perimete for Inspection
1'Treatment
Re-Treat
Signatur o rminator
Note. There must be a mmp/eted form for each required treatment or re-treatment and this farm must be on the job.
sine to ba picked up by$he inspector at time of ach Inspection or the scheduled inspection will fail and a re Inspection
fee changed.
FOC104MS CefVArBtr!of Protective Treatment for prevention of termites. A weather resistdntjobsite posting board
shall be prov/Oea,to tecolve dupilcate Trea£men G'eltifrcates as each required protective treatment fs Completed,
provlding a copy for Me Person the permit fs iss cd to and another copy for the bu/IGlag permit files The Treatment
Certificate shall provide Me product used, Idently of the applicator, time end date of the treatment, sfte locstion, area
treateG, chemical used,ppeercent concentration a d number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical banYe method for termite prevention is used, final exterior treatment shall
be completed prior to filial Building approval.
St Lucie County reoires for the final, inspection for CO, a Permanei it Sticker to be placed on
the electrical anel`bvx ever, [is Ina a ii tho.treatments and dates c if a pplicntlons.