HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 5-3-19A N N E P
Planning & Development Services
Building 4 Code Regulation bivision
2300 Wiroinla Ave
Fbrt Plerm, FL 34982
MOMMEWMEM07W 772-462-2172 Fax 772--4C.7.-6443
CERTIFICATE bF TERMITE -TREATMENT
CONSTRUCI-70N SOIL-TREATMEriT
PERMIT #: /Fos-- 0 rl 7 JOB ADDRESS: I ga-8.uj � (Jcc-*
BUILDER/CONTRACTOR:.
PEST CONTROL CONTRACTOR:
PEST' CONTROL LICENSE#: 9B t Sy �-91 0 1)"
We, the undersigned, hereby cer* that we have,pretreatpil the above desoibed construct ion for
subterranean terms in accordance with the -
standards of the National Pest 6ntr6l Association.
Square feet if area treated:
Percentage of solution:
Datn 0fTreatment:—d--?2j/--
fbotin ,q
--f:::�-I�tTreatrnent
Re -Treat
Driveway
Ist Treatment
---Re-Treat
Re -Treat
Cherrilicals used: ( 6--(J A �l6-5-
Total .gallons usw-
Time of Treatment: ol e(30
Slab
_V'Treatment
.Re -Treat
Pools
Treatment
Re -Treat
Pe.firn r for- inspection
Sig I nature of Exterminator Date
Mote., There rnustbeacompleledfamforeai*reqUIA9dftWtMaUtOrfe4rSaftM7tandffz&folmmvstbaon
sit& t0bePFdMd4PAYff7efizVmdvrat1fMe of eadrinspecffbn 0rth&5Medv1ed1nspecffon tW1ffai1and are -ins
fee a�myed
FOC104.2.6 CarffilcatL-, 0fpjVj&Vie,Tf wb77eftf0rPfVV0J74r0)7 Of teflnj&w. A W-affi&re515LW7tjj7bs&pasfffg
shall be provided tD IMMM daplImt9 Aeafwa-t CeYffcatas as each rwrd We -
providing a c:qprfcr&?apet50,7 ff7ep&=jt& ,Wuadto , PAOI�B�W hE*3ftentlS =Mplaj&4
and -woff7ar'=,PyfO,rfflebuffi*79P&mftffles. The 7real
ce"Mcate dze"PrWde Me PMdaCt.Lw6Qr fdefifftY Of Me aPPOtaf4r, fte and data oFft &mimen4 gie f
h-eafud, chemical tg;e4 P-rcvnt cOncentration and aum&-r ofgallons used, 0,0ha
probecffm baNbI787t ffff7a 501/ dWMja7f' to astgbllsh a vaiAlffiq record of
Lie, compk-ledpfor to ffmf harferMefflodf0r&-rMffUPreVenffO]7 IS - U990d, ff,?af avlencr-&wtwaol
ie &MMIJ 7g approval.
St LUP County requires for the final inspection for M, a-Pennanent-Sticker to be Placed
the elecbical panel bc& cover listing all the treatinenft and dates of appllicatfam
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