HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPAy.09.2019 11:28 AM BUG DR PEST Cr1rT1-0L
77239474a0
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE -TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:1KO`t - 0 4It U JOB
BUILDER/CONTRACTOR: R �
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:—z2
P 1/ 1
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SCANNED
BY
St. Lucie County
54- t a+ V UALa�
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.
Square feet if area treated: S SIA
Percentage of solution: o 5 LIl0
Date of Treatment _� 1A 9
Footing
i� Treatment
Re -Treat
Driveway
1� Treatment
Re -Treat
Other
Is'Treatment
Re -Treat
Chemicals used: b 0 m I n l w.2 L
Total gallons used: 1510
Time of Treatment: I DD Ain
�Siab
✓ e Treatment
Re -Treat
Pools
Treatment
Re -Treat -
Perimeter for Final Inspection
s1C,l�
Signature of Exterminator Date
Note. There mustbe a completed form foread� required baabnentor&-hwhz;entand this fom mustbe on the job
site to be p1dwd up by ffie inspector at time of each Inspection or the scheduled inspection will and a re-inspecbon
fee charged.
F=04.2.6CetiAcateofProteaiwTreahw7tforpreveationoftermftes Aweadnrresis3ntj0hF&epasdngboard
shall be provided to feoww duplicate TreatmentCertilicatesas each requved protective beahwa7tis completed,
provicfrng a eopyforthe person the perm/trsissued io andanotbercopyforthebtdldingpermitblea The Treatment
CoWcateshaff prowdetire produdumd, Idenblyofbheapprcator, time and date ofMe treabnent srte!oration, area
treated, dxwnical used, percerrtconcentrafron andngmberofgallons used, to estrbTN4 a verifrable mwld of
protective b'eabnent rf Mesolidtemiml barnermethod far teim& prevention is used, final extworbwtwents*alI
,be completed priorto bnal bulldingapprovaI
St Lucie County requires for the final inspection for Co, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised?/2412014