HomeMy WebLinkAboutTermite Treatment Feb.18.2021 12:11 PM BUG DR PEST CONTROL 7723447480 P 1/ 1
Planning&Development Services
Building&Code Regulation Division
23M%%Inla Ave
• Fort P•cence,FL 34982
772-"2-2172 Fax 772-462-&443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
t FL 3cJS 4s-
PERMIT#:StC'tie,t 2,-a S 2 JOB ADDRESS: 23 Z s' ern
BUILDER/CONTRACTOR: k4 &
PEST CONTROL CONTRACTOR: The- Buo br- LLC
PEST CONTROL LICENSE.#: - Or& 1
We,the undersigned,hereby certify that we have pretreated the above described construction for
subwrdnean tmuttes in accordance,with the standards of the National PestControl Association. r
_ Square feet if area treat: 1-500 Chemicals used: ,"4: ��Pr:
Percentage of solution: = ! Total gallons used:
Date of Treatment: 2' �'�2 Time of Treatment: �' 3 O
Footing lab
e Treatment _, _e Treatment
Re-Treat Re-Treat _
Driveway Pools
1'Treatment - J V Treatment
Re Treat _ _ 'Re-Treat -
Otlher _ Perimeber for Final Inspection
V Treatment
Re-Treat
gtrat of'lrrrior Date
Y Note: There mustbe a completed form foread�required ttatmentorre-ireatmentand tfi storm mustbe on the job
sRe loGe pfaiceid up by the lnspecloratiime afeacfi fnspec#on or ilia s�dieduled inspection wit/fiffand a r+e-frron
fee dWger/
FBCj84k 2&Cer&f-rcatrofPmfed�w Tra*nentforpreveni3on ofte►mftes A mea/flerre ntjo6sftp05&Whwrd
-d allbe ptrovlded toreceive duplicate TreatmentCerdAratesas eacfirequiredprotective beaimen'Is eomplaW,
provfdfng a cvpyfor the pemn the pemritislssued to and anolhercopyfor fire building pmmit 1,7es. The Trea6nent
Ceram shall pmvfde the product used,identity of the applicator,time and date of the treatment;site location,area
baateid,dvmkpl used,percent concentration and number ofgallons=4 to establish a verifiable mcard of
pmtec&W&wtW&iL If the soil diem/®/barrfermethod for termer FUM?tfon rs used,finale foYor&manentsf all
be ampktadprfor to Mal building approval
Stag County requires for the final inspection for CO,a Permanent Sticker to be placed on
the eledt ftal panel box cover,listing all the treatments and dates of appikadon&
Revised 7/24/2014