HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE08/10/2019 16:59 770 ® JMGM PAGE 02
• _ RL��eo -
=•A • � pUG 2 g 1�ti�
:. ePyctmer
.. pe�m�cd�"Ce ro"SCANNED
23 0 Virginia Ave 5t• BY
Fort fierce, FL 34982 .S't. LUCIe COUIIt 772-462-2 72 Fax 772-462-6443 y
CEIRTIFICATE O TERMITE TREATMENT
CONSTRUCT ON SOIL TREATMENT
PERMIT
13UILDERjCQNTP,ACrOR:YAgA
PEST CONTROLCONTRACTO
PEST CONTROL LICENSE #:
We, the undersigned, hereby certify that we I
subterranean termites in octordance with the
Square feet if area treated:
Percentage of solution:./
Date of Treatment:
FoMng
V Treatment
Re -Treat
Driveway
1" Treatment
—other�
1" Treatmenk
Re -Treat
Nore: More must ae a comoloreo form for each req
sire to be picked up by the fdsoecrorat time ofeaeh
fee anarged.
FBC104.2.6 Cartiricate of Protectij-'e Treatment fur
-hall De prov/ded to reCeive crupl Cate Trearmenr Cer
n; ovrcn_q a copy for the person the permit is issued
CerrOcate shall provide me pvouc7 used, identity o7
created,. chemical used,, percent concentration and n
arotecn've trestment.. If the Foi.7 chemical barrier me
be completed prior to anal bWlidin9 9Apro6,a/.
pretreated the above described construction for
dards or the National Pest Control Association.
Chemicals used: `r%1
Total gallons used: X3 • 2—
Time of Treatment- P.41*lt—
__Slab
1A Treatment
Re -Treat
Pools
1n Treatment
t
�._�P�erimetei for Inspection
Signaturb oFExt&minator
treatment or re -treatment and this form must be on the job
lion or the scheduled inspection will fail and a re-inspect'lor
evention of termites. A weather resistantjobslte posting board
cares as each required protective treatment & completed,
and another copy for the bullding permit ides The Treatment
re appltcai'or, time and date of the treatment site location, area
7ber ofgallons used, to establish a verfrabie record of
od for termite prevention is used, final akferlor treamment shall
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on