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HomeMy WebLinkAboutTermite Treatment f -- Planning'=06pm erv+ Building& Regulation DrvWp COUNTY 230Qrgima Ave • R I • A e,FL 34982 771-462 i 1 Fax 72 462=6 3 CERTIFICATE OF TERMITE TREATMENT ;CONSTRUCTION :SOIL TREATMENT' PERMIT'#_ 2ooiz5ss _,. JQBll- ADDRESS; -7 TsSaiidle8rookDF, K. _ BUILDER/CONTRACTOR:.R11`Arriencan;' PEST CONTROL CONTRACTQR Hannan Environineiifal,Se ivi ,InC PEST.CONTROL LICENSE #: ,., -IB994is-.- We, the undersigned, hereby cerafy that we have pretreated the above described construction tor, ,. subterr`anean'termites:iri accbrrance with,tFieatandards__of:the Nitonal.Pest Control AssodationT Square feet&area treated ,gi 4F� __ Chemicals used Dominlori Percentage of_soTution% il20' Total-gallons used Date ofTreafinent osi'7/2_W,' Time-of Treatr en'b •3:49 Faotmg Slab 1st-Treatment; 1 Treatment: Re=Treat Re Treat -- Dnvewa_y -av,�aoo-Fools _ 1: "['reatriient .1, Treatment; _ • Re-Treat:: RM.. ati - -- Other 'Perimeter r•Fia` Iris edion:. 1�`Treatment 4 Re=Treat' ostilzQzo_.. Sig ure of.Ext '" r. pate;. _ .Note .There must be a completed form fo thi "0 site to be:picked.up byahe Inspector at the ofeach inspechon_or. th-s5 h17 uled inspection Wiff rai!and e,mspeetio> ' fee.charged: FBC104 26 Certificate of Protective Treatment;for preentrorr of termites A weather resistant jobsite posting board j shall be prrivided fo rececve duplicate Treatment Certificates as each required protedive,'treatrient cscompleted :a providing ary rnpy for the person the permit rs issued to and another cop .for the;building,_0 f files The Frea[menr . C'erbfrcate^N Provid&the prgduct used'`identity of the:app/icatq,- rirr�e:anddaEe:of the freatma site,6ca6on;_:area treated, chem�ca/used,percent concentration and number ofgallons used to establish a veiifiablii record of E protective treabnent Ifthe soil chemicaLbarrier.methodfortennVte prevennons used,,final extenortreatmentshaJ(, be.comp/eted prior to firm%building.approval - St Lucre bounty requires far the final ihOdi ion for;CQ,a Permanent Sticker to be placed on; the elecfrical_,panel,box cover, listing ...l the treatments:and;dates of applications:, Revised�7/24%2014