HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 3-16-18plonaung & Dsvelopment SerWces
-Bidiffing &Code -Regulation Division
2300Yr0inia Ave
Fort dfleM FL 34982
772-482-2172 Fax 772-"2-6443
CERTIFICATE OF TERMITE.TREATMlENT
C®NSTRUMON! SOILTREATMENT
PERMIT #: 5 y,7 ' o` JOB ADDRESS: �� I` �= �Tw(tl at-Z �tsc1 qe L
BuiwER/CONIRACTOR:
PEST CONTROL CONTRACTOR: x, c
PEST CONTROL LICENSE #:
We, the undersigned, hereby that we have pretreated the above desaitiel conshud im for
subterranean terntites in accordanoe veth the standards of thhe National let Control Association,
Square feet if area treated: Chemicals used:'�5's k
Permtage of solution: 4 (5 d Total gallons used:
Date of Treatment:. /6 Time of Treament:
Footing
1 Treeatment
Re -Treat
Driveway
1e Treatment
_Re -Treat
Outer
1Treatment
Re -Treat
Stab
_�� Tr�httent
fte-Tint
Fools
erimeter
1 Treatment
Re -Treat
for gat won
Signature of Eaferminafior Date
Note: 7here mustbe a completed farm foreaod ragtd►ad bwbmntarm-fraa6nenf and €fig lvrm mcitbe cn dre job
sfte to bepldtad up by theInspedarat Me ofea& kgwdion or thesdiedrrled laWsWon w1fffall anda re-1nWezffbn
fee charged
FBCaCC2.6CWfidafe4fPA* ffveTredfWwtforpreaenlionoft MZWM AweatherregsAfntjobbpaWfigbaard
shall bepmvided tnrereW dye &1& TreabnentCerllAcatesas eadrm gLffnad pmtediry &wtmentlscvmpleted,
ptmvldfng a copyforthe person tfie pwinftisissued to and anob'k rc»pyforthe&fdV penaftfIe . The 7}eabnent
CaM ate sWl provide [he prodad used, Idenffly of Me aW ator, bme and date offhe-ftwtmen f -Me toaffon, area
treated dtanfral used, perantmnaendaffen andnurmberefgallans rimed, to estabYMa vmfAable record of
pwUm a bee6nent Ifthes»Il dremfca/banfermEtliod f+vriei�ttlb3 prevention rs user/, Ana/ exle�fer 6 itentshal!
be c aWfet ed prfer to final brdldfng approval.
5t Lade County requires for the final inspection for CO, a•Pe rawnent Sticker 1z to placed on
the electrical panel boor cover, itsfng all the treabnents and dames of applications.