HomeMy WebLinkAboutCertificate Of Termite Treatment 10-29-18t
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BanA�dBw ®�Be: iRegtt�patiion Division er
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2300 Virginia Ave s�'/hjn90 �1B
. Fort Mercer If4 34982 .44cie eAa t
772-462-2172 Fax 7 72-46i2-6443 co ent
CERTE CATS 2F 7E ITE TREATMENTCONSTRUCTRON/SGIL TREATMENT
PERMIT #: n1 'b 3 Gq JOB/ADDRESS: 6_0k
BUILDER/CONTRACTOR: PNIR- s�
PEST CONTROL CONTRACTOR° EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
ibed
We, the undersigned, hereby ao accordance
cetwi h the standards of he National Pest rConttrol Association for
on,
Square feet if area treated: ! - L/f Chemicals used: C30MINION 21.
Percentage of solution: •0501,
Date of Treatment: D
Footing
1st Treatment
Re -Treat
Driveway
15t Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used:
Time of Treatment:
Slab
15t Treatment
Re -Treat
Pools
11t Treatment
Re -Treat /r fog./`
meter for Fi Inspection
0
Signature of Exterm' o to
Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled Inspection will fall and a re Inspectlon
fee charged.
IFO C104o206 Certificate of protective Treatment for prevention of termites A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit Is Issued to and another copy for the buliding permit flies The Treatment
Certiflcate shall provide the product used, Identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgailons used, to establish a veriflab/e record of
protective treatment. If the soil chemical barrier method for termite prevention /s used, final exterior treatment shall
be completed prior to final building approval.
St fascia CountY requires for the f naa inspection for My a permanent Snicker to be placed on
the ellecctricap panel box cover., 00stiing alp the treatments and deter of aPP11COUGns.
Rcvtsad 7/24/2014