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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATER&F
MITE AND PEST CONTROL INC
2300 Virginia Ave fgm 18M SW BAYSHORE BLVD
Fort Pierce, FL 34982
�^ PSL,FL34984(7M)879-91M
772-462-2172 Fax 772-462-6443
SCANNED
CERTIFICATE OF TERMITE TREATMENT BY
CONSTRUCTION SOIL TREATMENT St. Lucie County
PERMIT #: lgoq, lti©q JOB A �D,RESS: 5��( f; y pgln-, wq
BUILDER/CONTRACTOR: OO$ g GI G
PEST CONTROL CONTRACTOR: •f-� --A
PEST CONTROL LICENSE
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
al
Square feet if area treated: 44T43 I I b Chemicals used: P;4l )
Percentage of solution: S' ' Total gallons used: 6 ,Iof
Date of Treatment: 1 111 1n Time of Treatment: 'f' Il AM
Footing
1't Treatment
Re -Treat
Driveway
15t Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Slab
Vt Treatment
Re -Treat
Pools
1t Treatment
- t
Perimeter for Inspection
Signatur✓; of Ekt8rminator
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re-inspectior,
fee charged.
. o..... . o (-erurncace Or Protective l reatment ror prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment Is completed,
providing a copy for the person the permit is issued to and another copy for thebuilding permit files. The Treatment
Certelcate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
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772-46:
CERTIFICATE
CONSTRU(
PERMIT #: U
BUILDER/CONTRA OR:
PEST CONTROL CCINTRACIT1
PEST CONTROL LICENSE #:
i
we, the undersigned, he�eby certify that we I
subterranean termites in accoorrdance with the
Square feet if area treated: a
Percentage of solution:
Date of Treatment
Footing
1M Treatment
Re -Treat
Driveway
i' Treatme dt
t
Other
IR Treatme t
Re -Treat
;1•orer There must be a c0,77/eted form for each req
aZe to de picked up by the 0spector at time cf each
fee .:barged.
FBC104.2.6 Certificate oft
shall oe provided to receive
Orovro 179 a cUpy for the per
Cal- to shal/provide the;
rraate4 chemical used,, pert
prorectr've treatment. if the
:ad camp/etad pr/or to final 1.
,ctiva Treatment for
licate Treatment Cei
the permit is issued
(ucr used. Idenm of
wroncentrarion and n
chemical barrier me
ng approPaL
JMGM PAGE 01
II. r gC)L(1--0 Yo
Pierce, FL 34982 SCANNED
L72 Fax 772-462-6443 BY
St. Lucie County
F TERMITE TREATMENT
[ON SOIL TREATMENT
DRESS:
pretreated the above described construction for
Bards of the National Pest Control Association.
Chemicals used: A' TG
Total gallons used: 2 5—
Time of Treatment: ✓ `� rl l
Slab
in Treatment
Re -Treat
Pools
,_isc Treatment
_--fr
rimeterfor jr i Inspection
Signature or"rminator
treatment orre-treatment and this form must be on the job '
:jinn or the scheduled inspection will fail and a re-inspocd'on
=vantion of termites. A weather resistanrjobslte posting board
%cafes as each required protecri've treatment is completed,
and another copy for the building permit ry/es, The Treatment
w applicator, time and date of the tn=atmenq site loceilon, area
7ber of gellons used, to establish a verifiable record of
9d rbr termae prevention is used, final exterior treatment shall
St Lucie County requir for the final insp ion for CO, a Permanent Sticker to he placed on
the electrical -panel bo cover, listingall th treatments and d,aQf 3pp>; tons.