HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEAug 25 2015 12:11PM
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A-P, LRSERJET FAX
P.1
SCANNED
BY
St. Lucie Count,
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-W3
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCnON SOIL TREATMENT
PERMIT #• 1508008E JOB ADDRESS: 9675 Range Line, Port St. Luice
BUILDER/CONTRACTOR• Design Concrete
PEST CONTROL CONTRACTOR: Patrick Exterminating
PEST CONTROL`LICENSE #: 4864
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: 500 Chemicals used: Cyper TC .
Percentage of solution: 251.
Date of Treatment: 8 / 21 / 201 5
Footing
1aTreatment
Re -Treat
Driveway
' 1#Treatment
Re -Treat .
Other
15� Treatment
Re -Treat
Total gallons used: 50
Time of Treatment 11:00
x 51ab
1# Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
Perimeter'for`Flnal Inspection
Signature of Exterminator
Note., There must be a'completed form for each required treatment orRtreatmentand thfsform mustbe on the job
FECit14.2.6 Certih'cate of Protective Treatment forpMventon of termites. A weatfherresfstantjobsde posing board
shall be provided to receive duplicate Tmahnent t:ertfficates as each required protective beabnent1s complete
Pmvidinga dopy for the person the permit is Issued to and another copy for the bullding permit files The Treatment
Cerfficate shallprovide the product used, Identity of the applkator, time and date of the treatment srie location, area
treated, chemical used, percent cvhcentraton andnumber ofgallons used, it establish a verifiable record of
protective treatment rf the soil chemical barrier method for termite prevention Is used, final exterior treatment shall
becnm*WpriortoAnal building appmPat..\ - '
St Lucie County requires for the final inspection for CO, a. Permanent Sticker to be placed on
RECEIVED AUG 25 2015