HomeMy WebLinkAboutCertificate of Termite Treatmenta Develop
f3e�dide B�Ment Services
ng, af3 Cede .Regielation Divisiorn
2300 Warginin Ave
��. FOrt Mercer FL 34962
772-462-1172 : Fax 772-462-6443
esRWICATi 00,TERMITt REATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: L101 - O l
' JOB. -ADDRESS:
BUILDER/CONTTRACTOR: � o C>1 S
PEST CONTROL CONTRACTOR:, -
PEST CONTROL LICENSE #c
We, the undersigned, hereby certify that we have pretreated the'above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated': Chemicals used c"W'i VicI
p i
Percentage of solution: ��� �� Total gallons used: Z�d
Date of Treatment: �U°f - ,L r, Time, of,Treatment: �: o
footing
1'` Treatment 1 Trgabr ent
Re -Treat Re -Treat
Driveway : Pools
1't Treatment � 1st' T reatment
Re -Treat' Re -Treat
Other Perimeter for Final Inspection
1" Treatment
Re=Treat'
Signature of Exterrhinator
3 gygq
�LO Fr,- Nerce,
Note. There must be a completed form for each required treatment or re -treatment and this form mastbe on the job
site to be picked up by the Inspector attune of each inspection or the scheduled 1nspertion,W11 fall and a -re -inspection
fee charged.
FISC104.2.6 Certificate of Protective Treatment for prevention of'termflas. A weather reslslantjObsite posting board
stall be provided to, recelve duplicate Treatment t:ertificates as each�required protective treaimentis completed,
providing a, dopy for the,person the permit is issued to and another copy for ihe:.bullding permit files The Treatment
Certificate shall provide the product used, identity of the.applicator, time and date of the treatment, site location, area
treated, cherwcal used, percent concentration and -number ofgallons.used tn, establish a verifiable record of
protective treatment. If thb soil chemical bpniar;Merhod for termite prevention Is used; -final exterlor treatment shall
be completed prior to #rnal bullding approval.
St Lucia C6%inty requires for 'the faial inspection for -CO,"' Permanent Sticker to be, placed on
'the electrical panel box cover', lasting all the treatments'and dates of aplicatdonso.