HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE�(V^W�/VVVN/�
RECEIVED
Planning & Development services
Building &Code R+ aulation Division OCT 3 0 2019-
2300 Virginia Ave
Fort Plerce, FL 34982 ST. Lucie County, Permitting
772-462-2172 FaX 772-462-6443
CERTIFICATE OF TERMITE -TREATMENT SC BNED
Y
CONSTRUCTION SOIL- TREATMENT St. LUCIeC0U*
o5'9 z
PERMIT #:_ l c/ 57-• i JOB ADDRESS;
BUIWE_R/CONTRACTOR: b P
PEST CONTROL CONTRACTOR
PEST CONTROL LICENSE #: ,,1 B /-Be/ 2;01
We, the undersigned, hereby certify that we have prebeated the above described construction for
subterranean termer in accordance with the standards of the National Pest Control Association.
Square feet if area treated: // Chemicals used•�(0� Q- UUk PL �
Percentage of solution: a ®6 6!b D
_ Total gallons used; y
Date of Treatment C Time of Treitinent Z,' 6 C)
Footing
1PTreatment
Re -Treat
Driveway
1P Treatment
Re -Treat
Other
r Treatment
Re -Treat
Slab '
eTreatment
Re -Treat
Pools
eTreatrnent
�. -Re -Treat
- I�s��' r�flnnal Inspection
signature Signature of Exterminator Date
Note; 7hemmustbeacom /etedfomrforeadr
s/te to be /d®d P 1�� acre-bmfinent and dvsform mustbe on fin
R uP 4,Meinspeciorattlme cfeacyinspeWon erthesdieduledinspecffonWfffa/l and areh7spe
fee charged.
. oa.auv,a.o r,eromace orFMtectrve Tieabnentforpfevenf/on 0FhWA![ex A weahyermsyytdnt obsrTe
shallbe prov/ded tDrece/ve dup0mte Tieabftw tCerli/icatasas each 1 pasdngbi
providiwacopyrorf a �4��protzddW bealmenLIsmmplelsd,
pens orr fhe permftis/sued to and ajmyrerWpj, fprthe brdldfirgpemritfiles. Tfte Wratrm
Certlfxate sha//provide fhe prodt&L s% /dentftyofthe aPgn?fir, lime and date ofthe bmtmen4 s7elom log
treated, d7sw/cal used, p&matmncenbahon and n ber ofgallons awd, to esla/r//sh a vedRab/e 2mrd of
prob bM&Wbnent Ifthesal/diem/LVIbaM�W-me&Odfor&vmftepmvenffonisused, ffnafexf 7orfreatment-q
be completedpriorto ffna/bw7o'urgapprovd.
St Lucie County requires for the final inspection for CO, a-PennanentSiickerto be placed or
the electrical panel box cover, listing all the treatments and dates of applic aMons.