HomeMy WebLinkAboutBuilding permit application (3) Cao
Ic
i
230Q Irrgiiiia-Ave
Fort Pier+de,FL 34982
772-462-2172 Fax 772.462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION°`SOIL-TREATMENT
PERMIT #• < ;e yo OB ADDRESS•', �y f 1.�-��.n�
BUILDER/CONTRACTOR: F-,C- '
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: 1 211Z[2 1
We,the undersigned, hereby certify that we have pretreated the above described construction for
subtenanean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: J Chemicals used: d S'
percentage of solution: s Total gallons-used:
)ate-of Treatment: =--.- -zo.' Mrne=of Treabnent:�_,
Footing Slab
-
1�1 Treatment 1 Treatment
--Re-Treat Re-Treat
Driveway Paols
I roatmom I&Treatment
Re-Treat Re-Treat
Other 19m9k for Final Inspection
1st Treatment
-Re-Treat
Signature of Exterminator
tote. There must be a completed form for each required i wimentorm-hwimentand H*form mustbe on fhejob
ft to be p1died up by the fmpertorat ifine of ea6 inspectfon or the s.cheduled inspec6bn wffl Taff and a re-inspection
ball be provided to receive duplftafe Treatment Cerlifadw as each required protective ireatiitentis
rovldIng a copy for the person the pennit/s issued to and anoffi,6 for Me buAdmg peiw fi/e& The Tmabnent
effiftte shaff provide the produt used,fdenbtyofthe appkator,time and date of the 6tatmer4 ste locatfon,area!
sated,ahem&al used,percent concentration add number ofgallons USB4,iaestablcsh a verifiable record of
m&wwe treairnem If the 5adiemwa/bamermemod for terrrifte prevenhw is use finalexterlorbeatmentshall
e completed priorto final building approval.
t Lucie CounW requires for the final inspection for CO,a Permanent Sticker to be:placed on
is electrical panel box cover,Betio all the--atnienia:and dates q(apy1kaUonL