HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division
2300 Wirginia Ave
Fort Pearce, FL 34982
772-452-2172 Fax 772-462-6443
r;
CER7;IFICATE OF TERMITE-T'REATMEEVT
CONSTRUMON SOIL -TREATMENT
PERMIT #: SL(L 1 0 6 v,d4SOJOB ADDRESS: S% 0 4 O2,
BUILDER/CONTRACTOR: "W pl / o-eo i;f - 4 C c—
PEST CONTROL CONTRACTOR: So L"e-o rt •�-�1�oG
PEST CONTROL LICENSE #:_.rJB t8y 901
We, the undersigned, hereby certify that we have pretreated the above described construction;
subterranean termFoes in accordance with the standards of the National Pest Control Associatior
Square feet if area treated:
Percentage of solution: F &6�'
Date of Treatment: l / 4.0 1 �S
V Footing/
y1�` Treatment
Re Treat
Driveway
e Treatment
Re -Treat
Other
1 Treatment
Re Treat
Chemicals used:C V L SSG I-t,��k p/+,.5
Total gallons used: /V
Time of Treatment: e,` C 6
' Slab
1 Treatment
Re -Treat
Pools
1St Treatment
Re -Treat -
ertmeter fore nal Inspection
Signature of Exterminator Date
Note: There mustbe a compleW farm for eaaf Mulred trealmerri-orm-fieatment and ibis form mustI
site to be picked up by&ire lnspeeiorat time Ofeadrinspecdon or the sdiedded inspection will fail and a
fee charged.
FOC104.2.6 Cer6Bcufe ofPmfective Treatment forprevenffon offarmities A weaifierreslstantjobs& p
shall be pmvided iDreceh a duplinle Trea6nentCertificafesas each rggeored protective tmatmentiscnrr,
providing a copyforthe person the permitlsimued fn and anothercopyforthe buihlrg penr&fi/es. Tha
Cerf Rate shall provide Me product used, ldentlty of Me applicafnr, Irma and date offt beahnar sr& l
treated, chemical used, percent mncentm on andnumberofgallons used, to establish a vendable recon
protective treatment Pffiesvll dremicalbarderme6+rod for&errrrlfe prevenflon fs used, finafaWwor bet
be ciompletedprlorto final building approval.
St Lucie County requires fbr the final inspection for CO, a -Permanent Stucker to► be pt
the electrical panel box cover, 1111sting all the treatments and dates of applications.
Revised 7/2412014