HomeMy WebLinkAboutTermite Treatment 93/22/2020 20:.30 770
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+ RECEIVED
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l~o Pierce, Ft, 34982
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3 772-462 172 F� x 772-462-64443 3T. Lude County, Permitting
C�RTXFICATE F TERMITE TREATMENT
CONSTRUC ION SOIL TREATMENT
PERN1IT #: lq-fi Q �J D JOB DRESS. l 9 Mhie
BUILDER[CONTRAGTOR;
PAST CONTRQL COITRACI`OR' -
PEST CONTROL UdENSE #:_ `�5` o
Wire; the undersigned, hereby certify that we ha e.pretreated the above described construction for
subterranean termites in kcardance with the s andards,of the National Pest Control Assodation.
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Square feet-if area treatzV: �___ Chemicals used: ( /Al
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Percenrage of solution: .C%1 Total gallons.used: n2o
Date of Treatment. 3� Time.of Treatment:
Footing Slab
I"Treatment 1'Treatment
Re-Treat Re-Treat
Driveway i _Pools
1'Treatmert 1�Treatment
Reat �. - t
S _Other i erimete for Inspection
V Treatmen
I
Re-Treat
5ignatur o rminator
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:`rare: Torre must'be-a,completed form for each req fired trearment or re-treatment and this form must be on-the joh
sire.re be picked up by the f,Spector at time of each spection or the scheduled ir►spettfan rv111 fail and 8 re.inspectlor.
lee xarged.
FBC104.2.6 CetirjCdCe of tective Treatment for ventian of terrrrites. A tvestherreslStdnt,JObs/te posting board
s1)a11 be prnvided to receive c� p/icare Trearmenr Cart rates ss each required protective treatment is completed
aroverng a ropy for the perstn the PCrMft is tssuec7 t and another Copy for the.building permit files, 777e Treatment
Certfcate shall provide the p.�duct used, iocntrry of c applfca(or, tfine and date of the treatmen+ site location, area
heated, chemical used; Ferce�t roncantr3tion and nu ber.of gal bRs used, to estabtlsh a verifiable record of
crvcrcr e a=rmenr. .f the kw chemical barrier me od for tern.ce prevention 15.used, final exreiior trratireir shall
Se completed priorYo roal 01*1ding apprOV-64
3t Lucie County require for the final inspe ion for CO, a Permanent Sticker to be placed or
:he electrical panel box cover listingall th treatments and dates of annlicat;ons.
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