HomeMy WebLinkAboutTermite Treatment Jun.06.2017 08:57 AM Aannalklnvironxnenta,l 7723442897 PAGE. Z/ 2
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Planning Development Services ` �}
' ' Building &Code Regulation Divislan C: 0
z a 2300 Virginia Ave �
• - Fort Pierce,FL 34982 a, 1 n
772-462-2172 Fax 772-462-64443
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CERTIFICATE OF TERMITE TREATMENT . :zz Mm
CONSTRUCTION SAIL,TREATMENT
PERMIT JOB ADDRESS; M Altura at
BUILDER/CONTRACTOR: AM Concrete pools Inc
PEST CONTROL CONTRACTOR: Hanaan EAAronmental Seryices�Inc.,^
PEST CONTROL LICENSE #:. TB99418
We,the undersigned, hereby certify that we have pretreated the above described Construction for
subterranean termites in accordance with the standards of the Nationai Pest Control Association,
Square feet if area treated: 40 Ut Chemicals used: Termidar He
Percentage of solution: •120% Total gallons used; s Gallons
rr YI.
Date of Treatment: 015117 Time of Treatment; 1a.aaem
Footing Slab
moist Treatment 'Treatment
Re-Treat _Re-Trl at
_Driveway a�s�1r Pools
I"Treatment Isr Treatment
Re-Treat Re-Treat
_Other Perimeter for Final inspection
,i"t Treatment
Re-Treat ""s/et17
sgnatu r Date
Nate: There must be a cowleted form for each trequlred treatment or re-treatment and this form mast be on the job
site to beAd ed up by the Inspectorat time ofeach Insaeedan or the.scheduled lnspectlon will rail and a re-inspection
fee chaVed.
IPBClO4.Z6 C,e lt7tate of Protective 7Yeetment for prevantion of termites A w4+ather Ids/stant jo41s&posting board
shall be prv4ded to ravive dupllcate Treatment Owth7 atm as each mvulred protective trwtrwant is wmploted,
provld/ng a ropy for the person the permit Is Issued to and another copy for the bulld1hy permit Else. Th&Treatment
C&Okate shallprov/de the product used, ldentity of the applicAlar, time and date ofGhe treetmen4 S/M location,area
Rated, chemlc$l used,percent et ncentradon and number ofgallons used, to estobllsh a verhleble Hattord of
protedtive bvatment ,If the soli chemical bawler method for tannite prermntlon is used, ilnel exterwr treatmentshall
be completed prior to flnel bullding approval.
$t Lucie County requires for the final Inspection for CO, a permanent Sticker to be placed on
the elearicai panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
T000/T000 VA 6100a OW YVA KVCV:OT LT09/90/90