HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT• Mer-05-200T 10:06am
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T-870 P.002/002 F-058
St. Lucie County rations
2300 Virginia, Avenue
Ft. Pierce, FL 34982
(772) ,162-2172
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.CBR�'IFICATE
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OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # 03 NO 0 L/ on,
BUILDER., 4a, cd K3
PEST CONTROL, CONTRACTOR _
PEST CONTROL LICENSE# LIB9941 B
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We, the undersigned, hereby certify that we lave pretreated the above -described construction for
subterranban termites in accordance %ith the standards of the National Pest Control Association.
Squan feet of area treated: _ Chemicils used;
Percentage of solution: 'cry � .'� Total galons used:
Date, -
Date, of treatment: � ' � "� � � Time of treatment:
❑ Footing
❑ 1 st Treatment
❑ lie -treat
❑ Slab
❑ 1 st Treatment
❑ Re -treat
❑ Driveway
❑ 1 st Treatment
Q Re -treat
Q Pools
❑ 1 st Treatment
❑ lee -treat
❑ Other
FBM04.2.6 Cerdf.[caul ofP.rotacfve Deatment for prevwdon of termites.
A weether roslsranr job,dia posting board shall be provided to receive
duplicate Reatmew Certificates as each required protecrive: rrearment is
completed, pro►idiry a oopyfor the parson rho permit is issued to and
another copy for th a building point t Mes. The: Trwrmanr Cmiffeare shall
provide the product umd., identity of rho applicarariimc and dare of the
tnmtmcat, site location., area treatcd, chemical used, percent concentration
ane number ofgallons used, to establish a vcrXablc rororc! of pmtectivc
treatment If the sal ch:rnical Maier method for termite p,zecotion is used,
final 'exterior trearr2ent shall he completed prior to final building approval.
St. Lucie County:equim fn= the final uispection for CO, a Permauent
Sucker to be placed on the eleetrloal panel box ever, listing all the
treatments and dais lr applications.
❑ 1 st Treatment
Retreat
Perimeter for Final Inspection
.toTIE
ignature of terminator
There must be a completed form for each required treatment or re-rreatmear and this form mus-r be on
the job site to be picked up by the inspector at rime of each .inspection or the sobeduled inspection will
fail and are -inspection fee charged
'Mar-08-2007 10:08am From- �o. T-870 P.001/002 F-ANNA058
�
»�x 7519 •Port 8t. Luafe, Fi. 34885 N Termite Tre�3tliient For
Fax: 772-344St. LUCIe 772.3�4.2847 .7378 - TOLL FREE 1-8138.4.26-6262 Subterranean Termites
Pest Management
PROPERTY INFORMATION CONTHN l'OR—f�FORMATION
Treatment Date ........... ..' ........Time...... ..;....... Contracl:or.
....
Other.:.................................................................................................................... ......
Lot....................... Block ......................... Section.....................
SLAP W E [,Yalonolithic [] Floating / 5tem Wall
Subdivision Name ........................................................ ........:...
r` _� ABUTMENTS ❑patio ❑Entry ❑Driveway
StreetAddre98{,�tknown)... L7 ....G .G. r'.. t�:. ,Q............. rcnecxn�toruporrwr;�reuv°rmenn
city/State/Zip 'f'..... ..,., .�`� ....... PRODUCT TREATMENT INFORMATION
Owner Name (if applicable) .....:............
It � thv rnrpe+nolbBlty orthe cantrretorto notify MAN1f�W F►EBrAVENAG�MiM; Ina
hW AH rnau&oal ahuttlan forayer
CERTIFICATE OF COMPLIANCE
14ANNAN PEST MANAGEMENT; Inc. guarantees tht building W received a
complete pre-treatment and preyandan of Subterranean termites. Tteatment
is in accordance with the rules and laM established by Plodda Department of
Agrrcullure and Consumer Services.
If
the ollow ng c Riff a of compNa� is appplicnt ebia been complaled
Applicato►s Name (plase nn ' p ' V
..... r-epl—
... J..,... '......1
TTOatMj?nt 'i'ype (must check one)
❑ Initial Under -Stab ❑ Supplemental Xnal
❑ Bora Care (wood treatment)
Product Applied ❑ Chloropyrifoe. ❑ Prerni ❑ Dernon TO
❑ Bora Care e ................... =n,
Mixed Product Appli ? - Gallonbs Cotic�t ..,./�a..�..%
Square Feet Treated ...................... Linear Feet Treated ....,.XYD ..,.
PLEASE CALL 772-344-21I47
FOR INFORMATION ABOUT
ADDITIONAL PEST CONTROL. SERVICES