HomeMy WebLinkAbouttermite spray 66/25/2621 68:31 776 ,JMGM PAGE 61
Z3Qp Virginia
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Fort glerce, FL 34982
772-462-2 7Z Fax 772-462-6443
CERTIFICATE O TERMITE TREATMENT
CONSTRUCT ON SOIL. TREATMENT
PERMIT JOB DRESS: 7 4_ 0b d 2)n 4
5UILDER/C0NTRAC7OR: `7�
PEST CONTROL CONTRACTOR: -
WEST CONTROL LICENSE
We, the undersigned, hersby certify that we ha a pretreated the above described construction for
subterranean termites in accordance with the st ndards of the National Pest Control Assodatlon.
Square feet if area treated~ f%,, Chemicals used: &,e n/
Percentage of solution: " - 9� Total gallons used: J.,
Date of Treatment: r Time of Treatment: 5— 3 D?2n
Footing Slab
J'Treatment ____ _ice Treatment
__ Re-Treat Re Treat
_Driveway P0015
—I'Treatment Xa Treatment '
_R Tr - t
Other o ' � Perimeter for Inspection
1�Treatment
�-Re-Treat
Signaturi o rminator
Vote., There must be a completed form for each requ ned treatment or re-treatment and this fvrm must be on the fob
rite robe picked up by the inspector at time of each i specUon or the scheduled inspection w1li fail and a re-inspectlon
ee charged.
`SC104.2.6 Certificate of Protective 7'reatment for p vention of term/tes A weather resistant jbbsite posting board
hall be provided to receive duplicate Treatment Certi Fcates as each required protective treatment is completed,
roviding a copy for the person the permit is Issued to and another copy for the buliding permit files, ne Treatment
ertificate 517811 provide the product used, identity of t e applicator, time and date Of the treatment✓site location, area
eated, chemical used, percent concentration and 17un iter ofgallons used, to establish a verifiable record of
rotective treatment. If the soil chemical barrier meth d for termite prevention is used, final ext rjpr trWtMent Shall
a completed prior to final building approval,
t Lucie County requires-for the final inspe lore for CO, a Permanent Sticker to be placed on
ie.electrical panel box ao 11 tlj&tn ,atments and dates of applications.