HomeMy WebLinkAboutTermite Spray 08/19/2021 08:31 770 JMGM PAGE 01
I FS.-
23,00 Virginia Ave
Fort Pierce, FL 34982
772-462-2 72 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCT ON SOIL. TREATMENT
PERMIT #: I 00 JOB A [DRESS'
BUILDER/CONTRACTOR: n
PEST CONTROL CONTRACTQR:
PEST CONTROL LICENSE #: 7-E5.
We, the undersigned, herp-by certify that we have pretreated the above described construction for
subterranean termites in ficcardance with the s andards of the National Pest Control Association.
i feet if area treateil: 10D Chemicals used:
Percentage of solution. Q /o Total gallons used:
� � .
Date of Treatment: �1 r_-- _- �. � Time of Treatment: _.1� . 0„ ,,...
Footing Slab
1 l Treatment I't Treatment
Re-Treat _Re-Treat
Driveway Pools
��Treatment 16r Treatment
-Re-Treat 4ormZatcotrl
Other Perspein
I"Treatment
Re-Treat
Si
Note: There must be a completed form for each req lied treatment or re-treatment and this farm must be on Oc job
site to be picked up by the i*pectorat time of each tryspLvVon or the scheduled inspection will fall and a rc-inspection
fee charged.
F130.04.2.6 Certificate ofPAotective Treatment for Pevention of termites. A weather resistant jobsite posting board
shall be provided to rive 414911cate Treatment Ce ricates as each required protective treatment is completedf,
providing a copy for the person the pelm/t Is issued to and another copy for the buiiding permit files The Treatment
certificate shall provide the'Iroduct used, Identity of the applicator, time and date of the treatment,site location, ar'es
treated, chemical used,percont concentration and number of gallons used, to establish a verifiable rword of
protective 6satment. .tf the i oil chemical barrier me od for termite prevention is used, final a4enor treatment shall
be completed prior to final bVIding approval.
St Lucie County requireE;for the final inspection for CO, a Permanent Sticker to be placed on
the electrical Ponai bp (cover, lic inQ ati th a treatments and dates ofapolicntlonx.