HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fart Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE -TREATMENT
CONSTRUCTION SOIL.TREATMENT
PERMIT' #: S L CD W/ -0 JOB ADDRESS: L,?-g� /8 tf1
BUILDER/CONTRACTOR: a w--7
PEST CONTROL CONTRACTOR: 5a LA:e-acst Pest X4- c_ .
PEST CONTROL LICENSE #: ZA I—SSf 9-.01- - - -
We, the undersigned, hereby certify that we have pretreated the above described coristruction for
subterranean termites in amordance with the standards of the National Pest Control Association.
Square feet N area treated_ Chemicals used: l� . O'c-s s C
Percentage of solution:.
Date of Treatment- L 7
-&2
�6raoting
c/ 1� Treatment
Re -Treat
Driveway
1e Treatment
Re -Treat
Other
e Treatment
Re -Treat
Total gallons used:
Time of Treatment
Slab
1, Treatment
Re -Treat
Pools
It Treatment
��Re-Treat
errrneter for Final Inspection
1gnature of Exterminator Date
Note: There mustbe a completed fmm for each mqulmd fiealmentorre-treatment arrd h'VSfnnn mustbe on fhejob
site to be picked up bytfteinWedvrattime ofeiadiinspecifon or the sdtedaled inspeXon mll/fail and a re4nspection
fee charged.
F13C104.2,6 Cer0cale ofProtecth a Treatmerltfirprovention offerml&w. A weathertrntjobsfte pasting board
shall be provided tDfnceive dupUcafe Treiabnent Cerfflraitsas each rpdmd pmtedho fieabnerrtls completed,
provid/nga aopyforfhe person thepermitrs&wied to andanothercopyfiortfie bu/ligngpennitfilm The Treatment
Certificate sh' provide ifie product used, ldentilyoftlie apprcatnr, time and date nffhe ireatrier , locdffon, area
treated dtemlcal used, Percentraanceniraifon and numberofgal/ons used, fo establish a venflable record of
protedfve treatment IftfieSol/ diemicafbandermethedfor ter=Noprevenfionis used frna/exterfortreafinentsha/l
Lie completed piiorta frnal bulldrng approval.
St Lucie County requires fbr the final inspection for Co. a -Permanent Sticker to be placed on
the electrical panel box carer, listing all the treatments and dates of apptlons.
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