HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT2300- Virginia Dire
Fort Pierce, FLr34982
772-462-2172 Fax 77Z-462-6"-3
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION 90IL:TREJ�TMENT��
�lE f;OU17
PERMIT #: 9w /& J - 01390B ADDRESS:, F 6
BUILDER/CONTRACTOR /1 G✓ Inaev ron r�- 62
PEST CONTROL CONTRACTOR: If
PEST CONTROL LICENSE #:
We, the undei signed, hereby certify that we have pretreated the above described construction for
subterranean ermites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: Chemicals used: Sf C Cf�
3erceritage of solution: 0 Total gallons used: - ) 9
)ate of Treatment: �' �— Time f Treatment:-
Footing I Slab
1t Treatment P Treatment
Re -Treat Re -Treat
Driveway Paols
1 r09tmant I� Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
1 Treatment
Re -Treat /�
Signature of 6cMerminator
lute: There must be a completed form foreach required treatment orre-Motwentand this form mustbe on the job
de to be pide� up by the mspeCtvrat lime of ea6 inspection or tfie-sdieduled inspection will failand a re -inspection
w diwyed.
QBl.Q+L_2.6 �=f,�C�.� ..frt..�. •r � �:er...�..r .�.. ,..�..—.:r t .f� ..vim. 1a ...emu �..s�r�.�,c-,/b,p,euv pas�v�y �,rer
fre�af
ballbe provided to receive dupli�-Treatment Cerd cater as eaa!i required protective rent k completed, .
mvid5bg a copy for the person the pennrT is issued to and anodier�forthe buAdwg permkfiles The Treatment
ertiRcate shall provide the product used, Identdyofthe applicator _time and date of Me 6eatmen4 site locafion, area
eased, dhemfcal used, percent concentration and number ofgalions-used,, tr1 establish a verifiable record of
roteMe thwhient. Ifthe soil diemwal bamermeMod fortermr7e prevention is use_ 4 Malexierlorbeatmentshall
e campleted pnorto, inal building approval.
t Lucie County requires for the final inspection fgr,.CO .-a -Permanent Sticker W be placed on