HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE11/17/2019 20:16 770 JMGM PAGE 01
E RTI FICATE
A16 CONSTRUC
PER.h11T 4001 JOB AD
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:,
PEST CONTROL LIICENSE #:,.,_ J a
We, the undersigned, hereby certify that we t
subterranean termites itn accor
d
ance with the
Square feet if area treated:
Percentage of solution:
Date of Treatment; j l 2D
Footing
1' Treatment
Rd -Treat
Driveway
I" Treatment
Re -Treat
Other _
I" Treatment
—Re-Treat .
;late: ,There m, ust De a coMp;efed tort ,tir each
site ra be p'kad up by the inspector at rime of e,
fee charged.
FBC104,2,6 certificate of breLedive treatment fi
$had be provided to receiveduplicate Treatment G
arevididg a mpy far the part;on the perm/r is r>sae
ce(6fcate shall provide the product usec, rdenbfty
rreated.:hemical used, per4-ent concentra6en ancJ
arotecrive freatmenr, If thq sat( chemical h�rricr n
be :ompierLd pr br to Ana b0i&ing approval.
Pierre, FL 34992
t72 Fax 772-462-6443
F TERMITE TREATMENT
ION SOIL TREATMENT
SCANNED
BY
St. Lucie County
Vs
pretreated the above described construction for
dards of the National Pest Control Association.
Chemicals used: , )IFF�I�
Total gallons used: / Y, `1
Tiime�c�of Treatment: -3z)A4,yi
_Slab
1' Treatment
—Re-Treat
_Pools
1't Treatment
t
Perlmete for Inspection
Signatur o rminator
'uired treatment or re -treatment and this form must be on the job
inspection ar the scheduled inspection w/11 far/ and a re-inspectlor
prevention of termites. Awcatherresistentjobsiteposting board
r/p; ales as each required protective treatment /s comp/elect,
to and another ropy for the building permit files. The Treatment
'the appliOror, time and date of the treatmena site location, area
umber ofgallons used, to estabOsh a vertfiable record of
thud for lerm(te prevention is used, final exterior treatment shall
St Lucie County requires for the final insp ttion for CO, a Permanent Sticker to be placed on
the electrical panel bo�c cover, listing all t e treatments and dated tinn�s, ca