HomeMy WebLinkAboutInspection Docs This form is to be filled out
by Pest Control Company
Cert1ficate of Compfloance
Obis is 6 partial treatment only and not a guarantee or warranty)
Permit Number: /f 7 -Oec>
Location of Property: a. ��-WA-tAN r Lou e-
Legal DescrIption- Section Block Lot
Feat Control Company Treatm. efft--information
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U Company Owner Pie P Date of Treatment
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Signa re P Chemical Used
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Date A Titich Concentration
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nE Gallons Used
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Soll Treatment Company informattv" Methbd of Abplication (soil mixed,etc.)
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Soil Treatment CompaitName Linear Footage of Area Treated
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' ci 50 �mae-
W A d d r�e*_.s s 1-1 Second T reaftemt
1,- 1)-8-
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-W Soil Treatment/DACS License;#
Date of Treatment
The building has received a complete Chemical Used
treatment for the prevention of
subterranean termites. Treatment is in Concentration
accordance with the rules and laws
established by the Florida Department of Gallons Used
Agriculture and Consumer Services. A
second treatment was done on (date)
I as per manufacturer's Method of Application (soil mixed,etc.)
specification. If the second treatment is
not required, a copy of the product label Linear Footage of Area Treated
shall be included with this certificate.
Please Note: does not guarantee or warranty the preconstructlon
soil treatment attested to in the above.The.purpose of this document is to show that to
the best of this department's knowledge,the builder has satisfied the requirements of the
Florida Building Code for protection against termites.
I his form to the Building Department
before your final inspection is scheduled!