HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE11
Virginia Ave -
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
SCANNED
CERTIFICATE OF TERMITE TREATMENT BY
- CONSTRUCT -TON SOIL TR94:TMENT
PERMIT #: 1909-0364 JOB ADDRESS: 4807 PALEMtTTO DRIVE
BUILDERICONTRACTOR: rM cusTom WHITE CITY
PEST CONTROL CONTRACTOR: PATRICK EXTERMINATING INC.
PEST CONTROL LICENSE #: 4AF4
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: 200
Percentage of solution: .25%
Date of Treatment:
(rooting
1l'Treattrient
Re Treat
Driveway
15t Treatment
Re -Treat
_Other pnfl . n ..K
1e Treatment
Re -Treat
Chemicals used:
Total gallons used: 20
Time of Treatment: I :30
Slab
Treatment
Re -Treat
Pools
1� Treatment
Re -Treat
Perimeter for 'Final Inspection
Signature of Exterminator
Note. -There must be a completed form for each required treatment orre-treatment and 015 form must be on the job
Shea to be picked up by the inspector at ffrne of each Inspection or the scheduled inspection will fall and a re4h5pecVon
fee charged.
FSC104.2.6CertlHcateofPmtectiveTreatment forpteventionoftermites Aweather resistantjobsitepastin9board
shall be provided to MmA-e dupikate Treatment cejVf1cates as each m-gvfmd prVbecWe treatment is completed,
providing a copy for the person the permit Is Issued to and another copy for the bullding permit Mies. The Treatment
Celtlfiwte shall provide the product used, identity of the appAwtar, time and date of the treatment, site location, area
treated, chemical used, percent concentratlon and number ofgallons used, dv establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is toed, final exterior treatment shall
be completed prior to final bullding approval,
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on