HomeMy WebLinkAboutCertificate of Termite Treatment/Construction Soil Treatment 09/17/2018 17:56 770 JMGM PAGE 01
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• , . COUNTY
FLORIDA —
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300 Virginia Ave * .
. FO Pierce, FL 34982
772-462 2172 Fax 772-462-6443 .
4 ERTIFICATE ' F TERMITE TREATMENT
CONSTRU • ION SOIL TREATMENT
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PERMI il#: o 6 ()Act JOB -DDRESS: 375-0 Lau-te-Lii tt.r. baa..-e_12_,A_ .
BUILDE ' CONT ,CTOR: --TAAfi I i Oka
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PEST OINTROL CoNTRACTOR:'
PEST Ci,NTROL L+CENSE #: -7z,
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We, the uudersigned, hereby certify that we 1 ave pretreated the above described construction for
subterran yn termites ili accordance with the standards of the National Pest Control Association.
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Square fe: if area treated: ) 3 6 Chemicals used: I ALS r Ai
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Percentag.. of solution: cl S`)/0 Total gallons used:
Date of Tr; atment: q11 9/i g- Time of Treatment: ..2.r. / 5
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Foo ng Slab
1! 1st Treatrrient 1st Treatment
i Re-Treat Re-Treat •
• Driv ay _Pools
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rt Treatmient1st Treatment' - .
Re-Treat !• ,7- •.t
0th;" b e rl m ete for " iiikInspection
1st Treatment I.
Re-Treat . -••-- "IAA . ,,
. Signatur- ow -rmlnator
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Note. Thermust be e cc4ipieted form for each requlied treatment or re-treatment and this form must be on the job 1 '
site to be p ,Iced up by th inspector at time of each Inspection or the scheduled inspection will fall and a re-Inspect/orl
fee charge.
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F8c104,2. Certificate o Protective Treatment in-*prevention of termites. A weather resistant jobs&posting board
shall be prol'ided to recei - duplicate Treatment Certificates as each required protective treatment Is completed,
providing a •py for the p.-rson the permit is issued to and another copy for the building permit files. The Treatment
• Certificate s:a ll prOvIde th• product used, identity of the applicator, time and date of the treatment site location, area
treated, ch-1,1. ice used, p cent concentration and number of gallons used, to establish a vett-able record of
Protective -tment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall •
be comp/et- prior to fine/building approval.
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St Lucie Clunty requires for the final inspection for CO, a Permanent Sticker to be placed on
theelectr al rianvl box cover,listing all the treatments and dates ofapplications. _ •
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