HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 2-5-191 r.&30 '_Q11,-)
Planning & Development Services
Building & Code Requ.,ation 0vdsion
2300 Virginia Ave
Fort Pierce, FL 34882
772-461-2177. Fax 772-462 6443
CERTIFICATE OF TERMIT'E-TREATMENT
CONSTRUC17ON SOIL.TREATMENT
PERMIT #: A62—'DI17 JOB
\'
Q
IT c
PEST CONTROL CONTRACTOR: So .2.e
PEST CONTROL LICENSE #:UB Gsy ao1
We, the undersigned, hereby certify that we have pretreated the above desoibed construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square fleet if area treated: Lf6%
Percentage of solution: —& 06
Date/of Treatment:
y Foo�'
1 Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
1-t Treatment
Re -Treat
Chemicals used: C.y'65'Seh9.c. kf s
Total gallons used: oZ 6�1
Time of Treatment
Slab
`� 1¢ Treatment
Re -Treat
Pools
- IstTreatment
Re -Treat .-
Perimeter for Final Inspection
Signature of Exterminabor Date
No&* There mustbe a crmpleted form for each
sJfe to be tired b the i required re� treafinentorhwiment and Ws form must be on dh
R up Y rrspeciorattime of fee charged. inspeCff0n or the sahedoled inspe0on W11 fail and a re-iW,-
rUU;LU4.a.6 Cefumuta OfPmtective Traafinentforpreventlon Ofk mli m A weaiherrnslsfantjobsqepasting A
shall be provided f'Dreceive duplicate Treatment Cerf Catesas each rggzffM d protedfW hw1 mends COmpletad,
providing a cnpyforthe person the petmitrslzued fa and anothercopyforthe bul/ding pennitfiles. The Treatm,
CeFtlficate sha!/prowde iheprodUct rased, Identity of the apprcatnr, f ne and ate offt veatmen� sr /oration,
beafsd diew1ca/ used, percent cancenhafion and number ofgallons used, to establlsh a verifiable record of
protective treatmmwt Wffie so/l dhemicafbainle rteMOdfortermlie premnffon is used, final exdwortreatmaor s
be completed priar to final but Mg approval.
St Lucie County requires for the fira::nspectaon for CO, a. permanent Sticker to be placed of
the electrical panel box raver, %ling all the treatments and dates of apprWatiom
Revised 7/2412014