HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTw I k
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COUNTY
FLO RID A--'4&
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S�AWWQU
BY
gautlgMIO�
Planning- DevelopMerit Services.
-Buildino.,& Ode Reg
ulation Division
!!do Virginia Ave
Fort, Merck fL:349,192
77.1-4624*1112 Fa'x 772-462-6443
'CERTIFICATE
. . I.L ., �
PERMIT #: 16.100286- JOB Abt
"BUILDER../CQNTRACTQ Ri", OOASTAL, BUILDING'
PESTCONTROL MUM: JtV1bT-'.4-.r
E #:.LB175775
-'S
PE CONTROL "E R0.1, LICENSE
ttRMITETF
M, SOIL TREN
581
Wb, the Undettkg.hed pretreated hereby certify, that vvehave p . iked the above
subterranean termites in ac- corddncd, With thezimoords.ofthe National
$qqpye-feet if, area treated: 125,,Chemicals used: BA
Percentage 6.fs61-utl0n"--'6!ao�,�,
:date of Tfe8tMept!
_-Yootfing,
'1"'Treatment
Re -Treat
--- DrWeWay
-1� Tretitniebt.
- Re TreOt
-Oth6t..
1=1 Treatment
Totzil 0allons- used: _126
Time -of Treatment:,
Sja.b-- :111treat'n
Re-T.re(lt
--pools.
Ist, tr
.-foo -
Re- "feat
'22axx perimeter for fin
PAULLtlGARA
Signature of Exteftim
Nobes Mere must-bea coiripJeteti form for each rvquired�ftwtment or. re-t1e,10M
site to he picked up,by he.,lnspector at pine of eaphfnspection or, the sdkWuled M
Aeo.,oarged.
or- pf-. I
;FSC104.i2i'& ep*flcate of Pmtedive 'Treafihi�tfd gV".' denof!pn .tern7jtes., Awea
..�hall be pMi4pep to.,receiye.duplIcate.. Trea" . eht CetOptips'a.s each required Probt
providing a spy, for,the.person the.,peimit is issued to and anq her copy, for the-bi
Certificate shall pcov{de the product used; identity ror, Pme,and date
treated, chem(cal'used, percent concentration and. number of. ga//ons,used, to:esta
protective treatme»t,. Ifthe.soil chemical barrier: nethod.. for k p"Jt.�;__ vendon Is.1mitP:
be completed prior to fina(bullding;approval
t ucie,COU qu res for tfie final for`CO,;a, POM190'
panellistingal . I �,gh,e treatments the electric, I e;-Ments and dates
nfruction f6r.
Asto,d.tition,;
s,formmust be on the pb-
wi I // fail -and .p re -Inspection
tantjotisite. posting board
MW' t-j At ,s- , ed
P;Ymq. - "
,fivt w ' Thr.,Tiig�-q 0?qqt
�atrnent.site beqrionj,qrpa
exteficir, tiiMiffiantshall
cer to be,Platdd on