HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE10/29/2019 21:29 770 JMGM PAGE 01
I
772-46
RTIFICATE
CONSTRUI
PERMIT #: `-Q LLS O S/v $
BUILDER/CONTRACTOR: -A
PEST CONTROL CONTRACT(
PEST CONTROL LIdENSE #:
We, the undersigned, hereby certify that we I
subtarranean termites in (accordance with the
Square feet if area treated: 6DD
Percentage of solution;
Date of Treatment:
Footing
In Treatm4t
Re -Treat
Driveway
1" Treatment
/ Treat i
V Other
1'Treatme t
Re -Treat
A•ore: T,7ere must be a comThie(ed form rnr each , eq
sitero be picked Up by the /lspector at time or each
fee a7a,-
F9C104.2.6 Ca, t17'cate ofP�tect/ve T eatmrnt for
5he/1 De provided to receive upffcaty Treatment Ca)
proFrding a ropy rot the pen$n the perm/t is issued
:Tart,•( are shall pro vide me �r oduct used identity ei
created, chemical used, percent concentration and n
p,vtcrn've crearmant If the kn/l chemical barrier me
be ro:^tp/eyed prior to final bWiding approHbi.
St Lucie County requires for the final
Pierce, FL $4982
L72 Fax 772-462-6443
F TERMITE TREATMENT
[ON SOIL TREATMENT
RESS: (�
:I_ .
SCANNED
BY
St. Lucie County
pretreated the above described construction for
dards of the National Pest Control Association.
Chemicals used: & n/
Total gallons used: ? D
Time of Treatment; o�• ! l M
Slab
1" Treatment
Re Treat
Pools
i" Treatment
t
P mmete forFtInspecdtion
~signatur onator
treatment Or Ne treatment and this form must be on the job '
=/bn or the scheduled inspection will fail and a rs-Inspectlor
ai'enrron or termrtes. A weather resistantjobslte postrng board
cares as each required protective treatment /s completed,
and another copy for the bulldinq permit files. The treatment
e app/rcator, time and date of the treatment~ site location, area
rber of gallons used, to establish a verifiable record of
�d for termite prevention /s used, final ertedor treatment shall
for CO, a permanent Sticker to be placed on
tments and.C[ tes of app (cations.