HomeMy WebLinkAboutCertificate of Termite Treatment/Construction Soil Treatment (2) 09/17/2018 17:56 770 JMGM PAGE 01
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COLINTY
FLOR IDA -
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300 Virginia Ave
. Fort Pierce, FL 34982 ..
772-462-2172 Fax 772-462-6443 . .
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4 ERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMI ii#: TO . Oc-A I u JOB ADDRESS: 375-0 14.3A,.-teid , I . • d.. .
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BUILDE J/CONTii ,CTOR: 12A01( Lis.)
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PEST 6iNTROL CoNTRACTOR: .
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PEST CI,NTROL LICENSE #: -.7- - .7...i-o —
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We, the u dersigned, hereby certify that we have pretreated the above described construction for
us bterran;In termites it, accordance with the standards of the National Pest Control Association.
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Square fe:1' if area treated: ) 3 .
11 ‘D Chemicals used: 1 "1"4-5 r
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Percentag. of solution: —. S iD Total gallons used:
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Date of Tr:atrnent: 411 9// 8' Time of Treatment: F?: / 5—
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Fool.ng Slab ,
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• 1Treatr
rient 1sTreatment.
/ i Ri-Treat Re-Treat
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Drivzi ayPools . , .-
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11, ist Treatmnt 1st Treatment' . .
Re-Treat ••• •.t
Oth;II u erlmete for 'I'm Inspection
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1 ist Treatment 00
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HL Re-Treat ' --- airmen' .
• 1 . Signatur- o glY"rmlnator
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Note; 77>ermust be a pleted form for each required treatment or re-treatment and this form must be on tile job
site to be p ked up by th inspector at time of each Inspection or the scheduled inspection will fall and a re-Inspectior.
fee charge.. II
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F8ci.04,2. Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board ,
shall be pro!lided to receiv9 duplicate Treatment Cvtificates as each required protective treatment Is completed,
providing a 'al/provide
for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate s;all pnOvide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, ch-!. !cal used, percent concentration and number of gallons used, to establish a verifiable record of
'protective ' atment. If tie soil chemical barrier method for termite prevention is used, fine/exterior treatment shall
be complet-, pr/or to final building approvB/.
St Lucie C1 1,unty requires for the final inspection for CO, a Permanent Sticker to be placed on
the elect ilat panel hex cover- listing eh the treatments and dates of'applications.
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