HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREAMENTSCANNED
BY
Pt Lucie
. . . . . . Plannihg & ®eveowwnt services ,
gRegulation & Code R6 ulAtiton DI'Vision
i
j 2300 Virginia Ave :S
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT,
If CONSTRUCTION SOIL TREATMENT
PER IT #: JOB ADDRESS:
BOIL DER/CONTRACTOR:
1IL PE CONTROL CONTRACTOR: C-Lotse Per, r Ila a a-21 PEST CONTROL LICENSE#: la ( 7 5
#We, tf I e undersigned, hereby certify that we have pretreated the above described construction for
sdbi�.,' nean termites in accordance with the standards of the National Pest Control Association-
1 5-0o 7 47
Square feet if area treated: Chemicals used. S 4z2.
Percelge of solution: Total gallons used:
Date c Treatment: Time of Treatment:
Ming Slab
I't Treatment lsTreatment
Re -Treat
—Re-Treat
IriveWav ---Pools
Note.
-sit
e to
fee CA
lst Treatment 1st Treatment
Re-Tr6at Re -Treat
her st Perimeter for Final Inspection
i
Treatment
Re —Treat Pignature of Exterminat4r" Date
ere must -be a ir,'completedcompleted form for each requihed treatment or rertrwhnept and this form must Ge on tfre JM:
picked up by the -inspectotr.4 dme.df ead) inspection oj',;the scheduled Ansperffon*ll fait: and a e-inspection
.d.
lab Certificate afProtective for prevenbon 6� ;tem7' igiS�' 'A weather n jo, hoard
TheaOnent,
fav�� t
to recce "_ duplkaie', Treatment Oarffi7eqteg-�aS each _ re qUlra V P!,e&I�fft"117entzsFcompleted
tWded
t
M' 4e�zqpy,: r b Idi a copy, fo rthe it #/I
person, .U/,The -Treatrnent
_ Ynq,, peim,
t sha/I provide tfie produc� used, rdentityof the applicator, t/me and date
�q:
'-Jbt---'C&'a P fii�ij,6rij�di6�final ns On', qW
"
el 'qX`qqVer,111i5Utreatments and dates 01
P c b %43r to be pia!MM,00