HomeMy WebLinkAboutTermite Treatment 05/17/2020 21:22 770 JMGM PAGE 01
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Fv Pierce, FL 34982 ' S_. i Lade County, Permitting !
772 462- �.72 Fax 772-462,6443
CERTIFICATE F TERMXTE TREATMENT
CONSTRUC TON SOIL TREATMENT
PERMIT #: - dl .30 A DRESSJ10(04� 0110 I " Ie_
BUILDER/CONTRAVOR:
PEST CONTROL CONTRACTOR: TEL
PEST CONTROL LICENSE # �.�_�._
We, the undersigned, hereby certify that we h ve pretreated the above described construction for
subterranean termites in'accordance with the tandards of the National !lest control ss
cl A ocfattpct,
Square feet if area treated: b Chemicals used: &F7/ J,
Percentage of solution; topI b Total gallons used:
Gate of Treatment; b Time of Treatment: , •L612m
Footing
15'Treatment 15t Treatment
�Re-Treat -Re-Treat
Driveway .,Poo)s
x'Treatment 1st Treatment
_ _R Tr t
_ether Q Dr ete for Inspection
2'``Treatment
-Re-Treat
Signatur o x rrninator
A''ate.' T,hcre must be a cumplered!`oral for each treatment or re-treatment and this form must be on the job
_,ite t� be picked up by the l;rspector of time of each lrlspectin1) or the'scheduled inspection will fail and a re-inspectior
fea anarged,
F8c104.2.6 Certificate of ProtectA�e Treatment 401- 1'evention of termites- A weather resistant jobs/£e posting board
snal%0e prmided to receive duplicate Traatment Cep i>icates ss aoch required protealve treatment is completed,
cnpy rot the Oer�ton the permit is issut�d o and another copy for the building permit h/es The Treatment
�errrr.�aCe shall providd rf7e product used, identify Lit Me applicator, time and date of the treatment,site location, cyma
traateq, .:hemica/used, percont concentrat(on and n mber ofgallons used, to establish a verifiable record of
Pro(ICtiNe treatment, V the soil/Chemical 63rrier me hod for termite preventlon/s used, final exterior treatment shall
.��:omp%ececi prior to Imol buirdI.-)g.spprovol,
St Lucia County requires for the final inspe ction for CO, a Permanent.Sticker to be placed on
! bv�4 cov the electrical paneer, listing all the treatments. nd..ii3tQs o applications.